The Night Shift

“Night time is really the best time to work. All the ideas are there to be yours because everyone else is asleep.”

- Catherine O’Hara

Call room

It’s 9 a.m. I am finally home, post-call. 25.5 hours worked. About 3 crappy hours slept. Brain only minimally functional.

Ramblings of Stuff Learned:

1) I love working nights. There’s something magical about working while most of the world (in my time zone) sleeps.

2) I absolutely abhor the appearance of crocs. But I’m not gonna lie, they are awesome for overnight calls.

3) The nursing drive-bys (hey, this patient vomited…what’s your name doc?) suck. No, not all nurses do this. And yes, I totally understand why they do it. But it still can suck for the docs.

2 am

4) Getting paged for absolutely mundane, non-emergent (hey doc, this patient’s tylenol PRN expired…no, they don’t need any tylenol right now, but can you renew it?) issues at 3 a.m. sucks.

5) Always assume that the call room will be 20 degrees colder than you think, and bring extra blankets in advance to compensate.

6) Having the ability/knowledge to work up a complicated medical scenario is awesome. But not being able to figure out how to work the call room bed is not.

7) Not eating for 18 hours sucks. But being so busy that you don’t even notice your hunger makes it better.

Feets

8 ) Always, ALWAYS make sure you prepare before your shift. I usually do. But last night as soon as I walked in the door, I had 8 million things to do and consults waiting. I didn’t have time to stuff my pockets with goodies like chapstick and cash. That was not cool.

9) Patients who need their blood drawn at 4 a.m. and happen to have awesome veins should get awards.

10) If I had to do it all over again, I would. The good and the bad.

Time to shower/eat/figure out where my brain is/sleep.

Good night/morning, world!

Photos: All taken on my shift tonight. 1) The sign outside my call room. 2) 2 am shot taken outside on my way to the bodega. 3) My feets.

  • http://thuchuynh.com thuc

    ah, memories.

  • http://thuchuynh.com thuc

    ah, memories.

  • http://www.solitarydiner.blogspot.com Solitary Diner

    Awesome socks.  I’ve learned to take breaks for food while on call unless absolutely impossible to do so, as it makes me a much happier resident.  I also find that I can’t be thinking and working for a full 24 hours without at least the occasional mental break, even if only for 10 minutes.  Perhaps I’m just weak because I’m old.

    • http://doctorpsychobabble.com Dr. Psychobabble

      you’re not weak, you’re human. and glad you like my socks. :)

      • http://www.solitarydiner.blogspot.com Solitary Diner

        I’m an internist.  They don’t allow us to be human.  My first day on rotation, the head of the program said that we’re allowed 10 minutes per day to empty the leg bag of our Foley catheters.  I think he was only partially kidding.
        :D

        • http://doctorpsychobabble.com Dr. Psychobabble

          10 mins a day to empty the foley is reasonable! ;)

  • http://www.solitarydiner.blogspot.com Solitary Diner

    Awesome socks.  I’ve learned to take breaks for food while on call unless absolutely impossible to do so, as it makes me a much happier resident.  I also find that I can’t be thinking and working for a full 24 hours without at least the occasional mental break, even if only for 10 minutes.  Perhaps I’m just weak because I’m old.

    • http://doctorpsychobabble.com Dr. Psychobabble

      you’re not weak, you’re human. and glad you like my socks. :)

      • http://www.solitarydiner.blogspot.com Solitary Diner

        I’m an internist.  They don’t allow us to be human.  My first day on rotation, the head of the program said that we’re allowed 10 minutes per day to empty the leg bag of our Foley catheters.  I think he was only partially kidding.
        :D

        • http://doctorpsychobabble.com Dr. Psychobabble

          10 mins a day to empty the foley is reasonable! ;)

  • Jon

    Waaaayy back I did six months of straight night on a post-thoracic surgery floor. I gained respect for zombies and full moons and patients tolerating dressing changes. Too old to think about it now. Agree with SD about those socks that rock!

    • http://doctorpsychobabble.com Dr. Psychobabble

      I simply love zombies and full moons! 

  • Jon

    Waaaayy back I did six months of straight night on a post-thoracic surgery floor. I gained respect for zombies and full moons and patients tolerating dressing changes. Too old to think about it now. Agree with SD about those socks that rock!

    • http://doctorpsychobabble.com Dr. Psychobabble

      I simply love zombies and full moons! 

  • Jun

    nights are awesome aren’t they? your thoughts in point form are exactly mine. and i mean, EXACTLY. i can now safely bet on the fact that mundane pages from nurses form part of a competency checklist that needs to be ticked off before graduation from nursing school. and hey, decorate ur crocs with jibbitz. they make great conversation pieces too :D  

    btw u have a bodega in the hospital??? cooool.

    • http://doctorpsychobabble.com Dr. Psychobabble

      i wish! but it is brooklyn, the epicenter of bodegas. there are approximately one million of them within a block of the hospital. :)

  • Jun

    nights are awesome aren’t they? your thoughts in point form are exactly mine. and i mean, EXACTLY. i can now safely bet on the fact that mundane pages from nurses form part of a competency checklist that needs to be ticked off before graduation from nursing school. and hey, decorate ur crocs with jibbitz. they make great conversation pieces too :D  

    btw u have a bodega in the hospital??? cooool.

    • http://doctorpsychobabble.com Dr. Psychobabble

      i wish! but it is brooklyn, the epicenter of bodegas. there are approximately one million of them within a block of the hospital. :)