Pros And Cons Of 12 Hour Shifts

Pros And Cons Of 12 Hour Shifts

by | May 1, 2023 | Nurse Career, Nurse Life, Nurse Work Life Balance, Working Mom

For dedicated nurses who work long hours on the front lines of healthcare, the 12-hour nursing shift has become increasingly popular. While it may sound daunting, these extended shifts offer a range of benefits that make a significant impact on both nurses and patients.

In this article, we will explore the pros and cons of working 12-hour nursing shifts, highlighting their effects on work-life balance, patient care, and professional growth. Let’s dive in!

Nurse standing with her arms crossed

Pros of Working 12-Hour Nursing Shifts:

By understanding the advantages of these longer shifts, nurses may be able to make more informed decisions about their work schedules. Let’s explore the numerous benefits that 12-hour shifts bring to the table.

Longer Breaks and More Days Off

One of the notable advantages of 12-hour nursing shifts is the extended break periods. With longer breaks, nurses can recharge, refuel, and engage in self-care activities. Additionally, the compressed schedule often allows for more consecutive days off, providing valuable time for personal pursuits, family commitments, and leisure activities that can enhance work-life balance.

For example, throughout my career at the bedside, I appreciated 12-hour shifts as they allowed me to have four days off every week. This allowed me to spend more quality time with my family on my days off!

Who doesn’t want to work fewer days in a week?  When you work 12-hour shifts as a full-time nurse, you get to work three days a week instead of Five.  That also means that you have four days off every week instead of only two, like most other professions.  

 

Enhanced Continuity of Care

Working longer shifts promotes improved continuity of care for patients. Nurses who work on units where patients stay for an extended period have the opportunity to build stronger relationships with their patients, gaining deeper insights into their conditions, needs, and preferences. This continuity allows nurses to provide more personalized and holistic care, resulting in better patient outcomes.

Reduced Handoffs and Communication Errors

With fewer shift changes, there is a decrease in handoffs and communication errors between nurses. This streamlined workflow enhances patient safety by minimizing the chances of critical information being overlooked or miscommunicated. It also improves efficiency, as nurses can focus more on patient care rather than spending excessive time on shift handovers.

Deeper Collaboration and Team Bonding

Although it may seem counterintuitive, extended shifts may encourage stronger collaboration and team bonding among nurses. Spending more time together fosters a sense of camaraderie, trust, and shared responsibility. Nurses can support and rely on each other, resulting in a more cohesive and efficient healthcare team.

Better Work-Life Balance

Working fewer days a week provides nurses with a better work-life balance. The extended time off allows nursesto prioritize self-care, spend quality time with family and friends, and engage in activities that rejuvenate them mentally and physically. This balance may help to prevent burnout and increase overall job satisfaction.

(In addition, working as a per diem nurse has given me an even greater work-life balance. I could choose to work as little as one day a week or as many as four or five as long as the hospital has a need for nurses.)

Financial Advantages

For nurses who prefer longer shifts, 12-hour schedules can bring financial benefits. Working fewer days in a week means that nurses can take advantage of potential overtime opportunities, allowing them to earn additional income. 

Flexibility and Freedom

Working 12-hour nursing shifts often provides flexibility and freedom in scheduling. Many healthcare facilities offer various shift options, allowing nurses to select shifts that align with their personal preferences and commitments. This flexibility can be particularly valuable for nurses with childcare responsibilities, those pursuing further education, or those who simply prefer longer stretches of time off.

Working 12-hour shifts allowed me to get more creative with my work schedule. That factor has always been so important to me as a working mom. I wanted to be available when my kids needed me to be home from work. In addition, I often felt that I got to experience what it’s like to be a stay-at-home mom and have the ability to also work full-time.

Less Commuting to Work (Save Time & Gas!)

Working three days a week instead of a more traditional Monday through Friday schedule means that you spend significantly less time commuting to work. In addition, if some of those days fall on a weekend, then you can miss traffic completely! 

Personally, I don’t love working on the weekend because I prefer to be home with my family; however, I do appreciate how fast I can get to and from work.  That is something to consider when you live in a high-traffic city such as Los Angeles. 

You Can Take “Mini-Vacations” Without Using Vacation Time

When you have the option to have several days off in between workdays, it becomes possible to take mini-vacations without putting in a vacation request.  In fact, I have taken up to a week off at a time to go to Mexico without using any vacation days.  

When you consolidate your hours into longer periods of time per day, then you can take more days off in a row.  For example, if I am putting my schedule in for a two-week period, I can request a Sunday, Monday, and Tuesday for the first week and a Thursday, Friday, and Saturday for the second week.  That leaves me with eight days off in between!

Summary of the Pros of Working 12-Hour Nursing Shifts ⇒

From improved work-life balance and enhanced patient care to opportunities for professional growth and financial advantages, these longer shifts provide a supportive and fulfilling environment for nurses. While they may require endurance and adaptability, the rewards are well worth it. By embracing the positives of 12-hour shifts, nurses can thrive in their careers and make a significant difference in the lives of their patients.

 

Additional recommended reading:  12 Nurse Essentials I Can’t Live Without

 

pros and cons of 12 hour nursing shifts

There are pros and cons to working 12-hour nursing shifts that you may want to consider.

Cons Of Working 12-Hour Nursing Shifts:

While 12-hour nursing shifts offer certain advantages, it is important to acknowledge that they also present unique challenges. These extended work hours can impact nurses physically, emotionally, and socially. Here we will explore some of the cons associated with 12-hour shifts, shedding light on the potential difficulties nurses may face. 

Physical Fatigue and Exhaustion 

Extended shifts can lead to physical fatigue and exhaustion for nurses. Long hours of continuous work, often involving physically demanding tasks, can take a toll on the body. Prolonged periods of standing or lifting patients can lead to muscle strain, joint pain, and increased risk of workplace injuries.

Many nurses work 12-hour shifts with minimal breaks. We are lifting and pulling patients, often spending the majority of our day on our feet, managing stressful and sometimes critical situations while doing everything we can to get through the shift! 

Increased Risk of Burnout

The demanding nature of 12-hour shifts can contribute to a higher risk of burnout among nurses. The combination of physical exhaustion, emotional stress, and the need to consistently provide high-quality care can leave nurses feeling emotionally drained and overwhelmed. This chronic stress can impact job satisfaction, mental well-being, and overall work performance.

A University of Pennsylvania study on hospital nurses found that the longer the shift, the higher the levels of burnout and patient dissatisfaction.  The researchers discovered that nurses working shifts that were ten hours or longer were up to two and a half times more likely than nurses working shorter shifts to experience burnout and job dissatisfaction.

One reason may be that longer shifts give nurses less time in a day to care for themselves.  I have found it challenging to do any self-care on days I worked 12-hour shifts because nearly every waking hour is spent caring for patients.  Furthermore, the study found that nurse burnout associated with longer shifts increased the chances of the nurse wanting to leave the job.   

Disrupted Work-Life Balance

Working longer shifts can disrupt work-life balance, especially for nurses with family or personal commitments. The extended hours spent at work may limit quality time spent with loved ones or engaging in activities outside of work. This imbalance can lead to feelings of guilt, strain relationships, and hinder self-care practices.

Impact on Sleep Patterns 

Extended shifts can disrupt sleep patterns, as nurses may struggle to find adequate time for restorative sleep. The irregular and often overnight schedules can interfere with the body’s natural circadian rhythm, leading to difficulties falling asleep, staying asleep, or obtaining sufficient rest. This can result in fatigue, decreased alertness, and impaired cognitive function.

Challenges in Patient Safety

Prolonged work hours can potentially compromise patient safety. Fatigue and decreased alertness due to long shifts increase the likelihood of errors in medication administration, documentation, or patient assessments. Nurses need to be vigilant in recognizing the impact of fatigue on their performance and take necessary precautions to ensure optimal patient care.

If You Have Kids, You Probably Won’t See Them On The Days You Work

As a nurse and mom, one of the worst parts of working 12-hour shifts is that I don’t get to see my children at all on the days that I work.  They are still asleep when I leave for work at 6 o’clock in the morning and they are already in bed by the time I get home at 8:30 PM.  Even worse, when I work back-to-back shifts, I may not see them at all for 24 to 36 hours at a time.  I could as easily have been out-of-town as far as they are concerned.  Nursing is a good career for moms, but this is still something you may want to consider.

Summary of the Con of Working 12-Hour Nursing Shifts ⇒

While 12-hour nursing shifts have their advantages, it is essential to recognize and address the potential cons they bring. Healthcare organizations and nurses themselves should prioritize strategies to mitigate the challenges associated with extended shifts, such as implementing fatigue management programs, promoting self-care practices, and fostering a supportive work environment.

By understanding and addressing these cons, nurses can navigate the complexities of 12-hour shifts while maintaining their well-being and providing the best possible care to their patients.

 

My Personal Take on Working 12-Hour Shifts

Working a 12-hour nursing shift makes for a very long workday.  But I’ve always seen it as the price I must pay for getting to spend more days at home. So, the benefits of the 12-hour shift far outweigh the cons for me.  Admittedly though, I really do focus on the benefits of working 12-hour shifts as much as I can. I must remind myself to stay positive.  

I have always been grateful to have work flexibility that allows me to spend more uninterrupted days off with my family than I would have with a standard 9 to 5 schedule. When I think about it in that way, I realize I am lucky to get to have the best of both worlds.

Additional recommended reading:

Nurse Health: Self Care For 12 Hour Shifts

Nurse Health: Self Care For 12 Hour Shifts

by | Apr 25, 2023 | Body, Nurse Fitness Goals, Nurse Health Tips, Nurse Life

Nurse Health: Self-Care For 12-Hour Shifts

*Post contains affiliate links/Updated from 2/2/18

Are you a dedicated nurse working tirelessly through long 12-hour shifts? Your commitment to this noble and philanthropic profession is truly admirable. However, as with many shift workers, you may sometimes feel drained, overwhelmed, and even burnt out.

It’s no secret that working 12-hour shifts can take a significant toll on your physical and mental well-being. But what steps are you taking to prioritize your health and thrive in your career?

By taking a proactive approach to self-care and making it a top priority, you can ensure that you remain a healthy and effective nurse, delivering exceptional care to your patients. It’s time to invest in your own well-being and prioritize nurse self-care.

Thriving, Not Just Surviving: 11 Tips for Nurses on 12-Hour Shifts

#1.  Sleep

To be a healthy nurse you must get a good night's sleep.

Nurse self-care should be a priority.   That includes getting a good night’s sleep!

Nurses are at the forefront of 24/7 patient care, and this means that their work schedules often involve long day and night shifts that can result in sleep deprivation.

However, it’s crucial for nurses to prioritize their own well-being by getting a good night’s rest after completing a demanding 12-hour shift.

Here are a few tips that can help nurses establish healthier sleep habits:

⇒  Unwind Without Screen Time  

Avoid watching television or scrolling through your phone before going to bed. Instead, opt for relaxing activities that can calm your mind and body, such as reading a book or listening to soft music.

⇒  Stretch and Soothe

Ease into a state of relaxation with some gentle yoga stretches. Restorative yoga props such as a mat, blocks, and a yoga strap can help enhance the experience and promote deeper relaxation.

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⇒  Take a Hot Shower or Bath

A warm shower can help soothe your muscles, reduce tension, and promote a night of more restful sleep.

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⇒  Meditate

Consider using a meditation app such as Headspace to help clear your mind and reduce stress. Taking just a few minutes to meditate before bed can help you feel more relaxed and ready for a restful night’s sleep.

⇒  Block Out Distractions

Invest in a good pair of earplugs and a sleep mask to help minimize any noise or light that might disrupt your sleep.

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⇒  Go to Bed an Hour Earlier

Try to adjust your bedtime routine by getting into bed an hour earlier than usual. This small change can help you establish a healthier sleep schedule and reap the benefits of a more restful night’s sleep. Give it a try for one week and notice how much better you feel both mentally and physically.

By prioritizing nurse self-care and adopting these simple yet effective sleep habits, nurses can ensure they are well-rested and energized for their next shift, ready to provide the best possible care for their patients.

#2.  Exercise

Exercise is great for nurse health.

Nurse, get your heart rate up!

Regular exercise is a vital component of nurse self-care that can have a significant impact on physical and mental well-being. Not only does exercise help maintain a healthy weight, but it also boosts overall energy levels, improves mood, and reduces stress.

Additionally, exercise can help nurses maintain the stamina needed to provide top-quality care for their patients. (Make sure you talk you your healthcare provider before starting a new exercise routine, especially if you have health concerns).

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Here are some ideas to keep in mind when incorporating exercise into your nurse self-care routine:

  • Aim for at least 30 minutes of moderate-intensity exercise on most days of the week. This can include activities such as brisk walking, cycling, or swimming.
  • Don’t have 30 minutes to spare? Try breaking up your exercise routine into shorter, more manageable segments throughout the day. Even a 10-minute walk can provide physical and mental benefits.
  • Make exercise a social activity. Consider joining a workout class or finding a workout buddy to help keep you motivated and accountable.
  • Mix up your routine. Incorporate a variety of exercises such as strength training, cardio, and stretching to keep things interesting and challenge your body in different ways.
  • Take advantage of outdoor exercise opportunities. Spending time in nature has been shown to have numerous mental health benefits, such as reducing stress and anxiety.
  • Don’t forget to warm up and cool down properly to prevent injury and promote recovery.

In addition to its physical benefits, exercise can also help manage stress and reduce caregiver burden. Yoga and other mindfulness practices can be particularly effective in this regard. These types of exercises focus on deep breathing and relaxation techniques, which can help reduce stress and promote a sense of calm and well-being.

By incorporating regular exercise into their nurse self-care routine, nurses can improve their overall health and well-being, better manage stress and caregiver burden, and maintain the stamina needed to provide exceptional care for their patients. So, take the time to get your heart rate up on your days off – it is a win-win for everyone.

#3.  Grocery Shop For Healthy Shift Food

a well balanced diet is important for nurse health and wellness.

A well-balanced diet is essential for nurse health and wellness.

Grocery shopping is so important for nurses and other hospital workers to ensure proper nutrition.  It is no secret that healthy food choices are crucial for overall good health and well-being.  Make sure you are filling your plate with high-density vitamins and minerals.  You simply can’t maintain good energy and stamina over a 12-hour shift on sugary snacks and fast food!

Plan ahead by creating a grocery list of the foods you want to eat while you are at work.  That way, you won’t be tempted to reach for something unhealthy when you have a few moments to eat in-between caring for patients.

Tips for nurses to make healthy meals fast:  Try making a big batch of quinoa, brown rice, or black bean pasta to have handy in the fridge.  These are a few great staples that you can build a nourishing meal around.  When you get hungry, you can mix in a protein, veggies, nuts or seeds, dried fruits, or even just enjoy them with a little olive oil and sea salt.   

The key is to have healthy food that is easy to prepare BEFORE you get super hungry.

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Here are healthy snacks that nurses can eat during 12-hour shifts to help sustain energy levels:

  1. Fresh fruit: Apples, bananas, oranges, and berries are all great options for a quick, healthy snack that provides natural sugars for energy.
  2. Nuts and seeds: Almonds, cashews, peanuts, and pumpkin seeds are all great sources of protein and healthy fats that can help keep energy levels stable.
  3. Greek yogurt: A high-protein snack that can be topped with fruit or nuts for extra flavor and nutrition.
  4. Hummus and vegetables: Carrots, celery, cucumber, and bell peppers are all great options for dipping in hummus, which is high in protein and fiber.
  5. Hard-boiled eggs: A quick and easy snack that provides protein and healthy fats to help keep you full and energized.
  6. Energy bars: Look for bars made with whole food ingredients, such as nuts, seeds, and dried fruit, to provide sustained energy without artificial ingredients or added sugars.
  7. Cheese and whole-grain crackers: A small serving of cheese and crackers can provide protein and complex carbohydrates to help sustain energy levels.
  8. Smoothies: Blend up a combination of fruit, leafy greens, protein powder, and healthy fats for a nutrient-dense snack that can be easily consumed on the go.
  9. Popcorn: Air-popped popcorn is a low-calorie snack that provides fiber and complex carbohydrates to help keep energy levels stable.
  10. Roasted chickpeas: A crunchy, high-protein snack that can be flavored with a variety of spices for added flavor and nutrition.

By choosing nutrient-dense snacks that provide a balance of protein, complex carbohydrates, and healthy fats, nurses can help sustain their energy levels and avoid the mid-shift energy crash.

Additionally, staying hydrated by drinking water or herbal tea throughout the shift can also help maintain energy and focus.

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#4.  Eat A Healthy Breakfast

Oats: a simple yet nutritious way to start a 12 hour shift!

Oats: a nutritious and easy way to start a 12-hour shift.

Did you know that starting your day with a nutritious breakfast can have a big impact on your 12-hour shift? Studies have shown that a healthy breakfast can provide you with more strength and endurance to:

  • Keep up with physical activity
  • Maintain stamina throughout the day
  • Improve concentration, and
  • Provide a diet rich in essential nutrients, vitamins, and minerals.

As a nurse, it’s important to take care of yourself, and preparing a nutritious breakfast before your shift is a great way to start.

One easy and delicious option is to make overnight oats in mason jars with a variety of flavors, such as:

  • Blueberry
  • Strawberry
  • Raspberry
  • Peanut butter and maple
  • Banana and walnut, or
  • Almond and raisin

You can also add ground flaxseed or chia seeds for extra protein and antioxidant benefits. And don’t forget to top it off with a dash of cinnamon for some added flavor!

By taking the time to prepare a nutritious breakfast, you’ll have the energy and focus needed to provide the best possible care to your patients throughout your 12-hour shift. So give it a try and see how it can make a difference in your day!

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#5.  Pack Your Lunch

Healthy nurse habit: pack your lunch!

Healthy nurse habit: pack your lunch!

As a nurse, it’s essential to fuel your body with nutritious food to keep you energized throughout your 12-hour shift. Bringing a packed lunch not only helps you make healthy food choices, but it can also save you money in the long run.

Here are some items that can make packing your lunch for work easier and more enjoyable:

  • Insulated lunch bag to keep your food fresh and at a safe temperature
  • Bento box for portion control and organization of your meals
  • Ice holder to keep perishable items like yogurt and fruit cool
  • Hot and cold containers for soups, salads, and other dishes
  • Mason jars for preparing overnight oats or salads
  • Insulated coffee cup to keep your coffee or tea warm
  • Reusable water bottle to keep you hydrated throughout the day

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When packing your lunch, try to include a balance of lean protein, whole grains, and plenty of fruits and vegetables.

Some healthy options include:

  • Grilled chicken or turkey breast
  • Quinoa or brown rice
  • Baby carrots or sugar snap peas
  • Greek yogurt or cottage cheese
  • Apple slices or berries
  • Mixed nuts or seeds

By packing your lunch and choosing nutritious options, you’ll have the energy and focus to provide excellent patient care. Plus, you’ll feel good knowing that you’re taking care of yourself too!

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#6.  Incorporate Healthy Snacks Into Your Shift

Almonds: a healthy nurse snack!

Almonds: a healthy nurse snack!

As a hardworking nurse, you deserve to have the energy to make it through your 12-hour shift without relying on sugary snacks in the breakroom. While it may be tempting to indulge in those donuts or cookies, there are healthier options that will keep you fueled and focused throughout the day.

Here are some snack ideas that are easy to pack to maintain energy:

  • Crunchy baby carrots, broccoli, or other veggies with a side of hummus for protein
  • Celery sticks with almond butter for a satisfying combination of healthy fat and fiber
  • Fresh strawberries and blueberries for a sweet and nutritious pick-me-up
  • Granola and yogurt for a quick and filling snack
  • Almonds or cashews for a protein-packed option
  • Avocado toast for a tasty and satisfying snack
  • Sliced apples with peanut butter for a classic and delicious combination
  • Cottage cheese with pineapple or banana for a protein-rich and refreshing snack
  • Trail mix with nuts, dried fruit, and seeds for a convenient and tasty option.

By bringing your own nutritious snacks to work, you can fuel your body and brain without experiencing the sugar crashes that come with breakroom donuts.

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#7. Switch Your Caffeine Source

Green tea: high in antioxidants!

Green tea: a healthy drink for 12-hour shift workers!

Green tea is a popular beverage that is enjoyed all over the world, and for good reason! Here are some reasons why green tea is a healthy choice:

⇒  Rich in Antioxidants

Green tea is loaded with antioxidants called catechins that help to protect your body from damage caused by free radicals. Free radicals are unstable molecules that can damage cells and contribute to aging and diseases such as cancer, heart disease, and Alzheimer’s. The antioxidants in green tea help to neutralize these harmful molecules and keep your body healthy.

⇒  Boosts Brain Function

Green tea contains caffeine, a natural stimulant that can help to improve brain function, including memory, reaction time, and mood. Additionally, green tea contains an amino acid called L-theanine, which has a calming effect on the brain and can help to reduce stress and anxiety.

⇒  It may Aid in Weight Loss

Green tea has been shown to boost metabolism, which can help to increase calorie burning and aid in weight loss. It also contains a compound called EGCG, which has been shown to help break down fat and reduce the formation of new fat cells.

⇒  Supports Heart Health

Drinking green tea regularly has been linked to a lower risk of heart disease. It may help to lower LDL (bad) cholesterol levels, reduce blood pressure, and improve blood flow, all of which can contribute to a healthy heart.

Incorporating green tea into your daily routine is a simple way to boost your health and well-being. Whether you enjoy it hot or iced, with honey or lemon, green tea is a delicious and healthy choice that you can feel good about.

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#8.  Wear Supportive Shoes

Nurses must invest in good shoes to maintain foot health.

Nurses must invest in good shoes to maintain foot health.

As a nurse, your job demands long hours on your feet, and it is crucial to take good care of them. Choosing the right shoes can make a huge difference in your comfort and well-being during and after your shifts. Here are some reasons why wearing good shoes is essential for nurses:

⇒  Comfort: Wearing comfortable shoes is a must for any nurse who wants to work without experiencing any foot pain, leg cramps, or backaches. Good shoes offer proper cushioning and arch support, which reduces the pressure on your feet and legs.

⇒  Safety: Wearing the right shoes can also help prevent slips, trips, and falls in the workplace. Shoes with non-slip soles will provide a better grip on slippery floors, decreasing the risk of accidents and injuries.

⇒  Durability: The right pair of shoes can also withstand the demands of the job. Investing in a pair of durable and well-made shoes will ensure that they last longer and need to be replaced less often.

⇒  Style: Good shoes can be stylish too! You don’t have to sacrifice fashion for function. Many brands now offer shoes that are both comfortable and stylish, so you can feel good and look good at the same time.

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The Nike Women’s Air Zoom Pegasus Running Shoes have great cushioning and are often worn by runners training for and running in marathons. They have great cushion and arch support without being too heavy.

Also, the cushion provides additional support for the knees and ankles. That is why these shoes are also great for nurses who often walk 15,000-20,000 steps or more in a single shift. There are over 25 other great colors to choose from.

#9.  Stay Hydrated: Keep a Reusable Water Bottle

Drink water throughout your 12 hour shift and stay hydrated!

Drink water throughout your 12-hour shift and stay hydrated!

Have you ever worked an entire shift and realized at the end that you forgot to drink water for the whole day?  It is so easy to do when you are extremely busy with back-to-back patients and heavy work assignments.

Invest in a good water bottle with a sealable lid (to prevent accidental spillage). Keep it where you do most of your charting in the nurse’s station. And try to make it a priority to drink your water every hour during your shift to stay hydrated.

Here are some of the most important reasons why nurses (and all healthcare workers) should drink water during their shifts:

⇒  Dehydration can cause a range of negative effects, including headaches, fatigue, dizziness, confusion, and muscle cramps.

⇒  Drinking water can help keep nurses alert and focused, which is crucial in a fast-paced, high-pressure healthcare environment.

⇒  Staying hydrated may help prevent urinary tract infections (UTIs), which can be a problem for people who are not drinking enough fluids. UTIs can be particularly uncomfortable and disruptive for nurses, who may not have easy access to bathroom breaks during their shifts.

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Make your own chia seed water:  Add 3 tbsp of organic chia seeds to your water bottle and mix well (you can add more or less to your liking).  Within a few hours, the seeds will blow up in size and into a gelatinous consistency.

(Chia seeds are an excellent source of omega-3 fatty acids, rich in antioxidants, fiber, iron, and calcium.  Just another easy way to add nutrients to your busy day!)

#10.  Wear compression socks

Nurse health: wear compression socks for venous health

Nurse health & your venous system: wear compression socks!

Compression socks or stockings are non-negotiable for healthcare workers who are on their feet for 12-hour shifts!  Here are three fundamental reasons why compression socks are a must-have for every shift worker:

  • Prevention of varicose veins:  Standing for extended periods causes valves in the veins to become weakened, causing blood to collect in the veins. This causes the veins to enlarge, increase in pressure and stretch, causing unsightly varicose veins.
  • Improved blood flow and decreased risk of blood clots:  A study by The Society of Occupational Medicine found that wearing compression stockings significantly decreased lower limb venous pressure in nurses who stood for very long hours.
  • Decreased swelling of ankles and feet:  Swollen ankles and feet are a common side effect of being on one’s feet for a 12-hour shift.

Many nurses who wear compression socks say that their legs “feel more energized” after a 12-hour shift.  Pregnant shift workers are especially at risk of leg swelling (due to increased blood volumes during pregnancy) and should consider wearing them to prevent venous issues.

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#11.  Do Yoga

Nurses need to practice yoga for self care

Nurses need to practice yoga for self-care.

Nurses need yoga, period.  Not only does yoga replenishes depleted reserves after a 12-hour shift,  but a relaxed and more focused nurse can give better patient care.

Yoga’s amazing benefits on physical and mental health are well documented in the literature. The Mayo Clinic reports that “yoga may help reduce stress, lower blood pressure, and lower your heart rate,” among many other benefits.

Nurse self-care in the form of yoga is scientifically proven to be beneficial:

Stress management. 

A study published in the National Institute of Biotechnology Information investigated the effects of yoga on stress coping strategies of ICU nurses. After only eight weeks of yoga, the results showed that the participating ICU nurses had significantly better focus coping strategies and a major reduction in perceived mental pressure.

Prevent or eliminate chronic low back pain.

Chronic back pain in the nursing population is a common ailment. An evidenced-based review at the Texas Women’s University reported that estimates of chronic low back pain among nurses range from 50%-80%.  Yoga not only increases flexibility but increases muscle strength and prevents injuries such as chronic lower back pain.

Prevent burnout and compassion fatigue. 

A study published in Workplace Health & Safety on yoga for self-care and burnout prevention of nurses found that yoga participants “reported significantly higher self-care as well as less emotional exhaustion upon completion of an 8-week yoga intervention.”

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Nurse Health & Self Care for Nurses Frequently Asked Questions

What is self-care as a nurse?

Self-care for nurses involves intentional actions that promote physical, emotional, and mental wellbeing. It’s a way for nurses to prioritize their own health and wellness so that they can continue to provide effective care for their patients.

What is an example of an effective self-care strategy for a nurse?

An effective self-care strategy for a nurse could be taking regular breaks during their shift to stretch, hydrate, or engage in a calming activity such as deep breathing. Another example could be making time for activities outside of work that they enjoy, such as exercise, reading, or spending time with loved ones.

Why is self-care important for nurses?

Self-care is important for nurses because it helps prevent burnout, reduces stress, and improves overall job satisfaction. When nurses take care of themselves, they are better able to provide high-quality care to their patients.

What are the four basics of self-care?

The four basics of self-care are eating a healthy diet, getting enough sleep, engaging in regular physical activity, and managing stress.

What are three examples of self-care?

Three examples of self-care could be taking a relaxing bath, going for a walk in nature, or practicing meditation or yoga.

Why do nurses lack self-care?

Nurses often lack self-care because they are so focused on caring for others that they neglect their own needs. Additionally, many nurses work long hours and have demanding schedules, which can make it difficult to find time for self-care.

What are the seven pillars of self-care?

The seven pillars of self-care are sleep, nutrition, physical activity, hygiene, social connection, stress management, and spiritual practice.

What are the ABCS of self-care?

The ABCs of self-care are Awareness, Balance, Connection, and Support. These elements are essential for maintaining a healthy self-care practice.

What are the five domains of self-care?

The five domains of self-care are physical, psychological, emotional, spiritual, and professional.

What is a nurse’s barrier to self-care?

A nurse’s barrier to self-care could be a lack of time, resources, or support. Additionally, some nurses may feel guilty for taking time for themselves instead of focusing on their patients.

How can nurses prevent burnout?

Nurses can prevent burnout by practicing effective self-care, setting realistic expectations, seeking support from colleagues and loved ones, and making time for activities outside of work that they enjoy.

Why is nursing the hardest job?

Nursing is considered one of the hardest jobs because it is physically, mentally, and emotionally demanding. Nurses are often required to work long hours and deal with high levels of stress, while also providing compassionate care to patients who may be in pain or distress.

What is the highest form of self-care?

The highest form of self-care is to cultivate a sense of self-compassion and self-love. This involves treating yourself with kindness and understanding, and prioritizing your own well-being in a way that feels authentic and fulfilling.

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Pregnant Nurse Precautions To Consider At Work (Updated For COVID-19)

Pregnant Nurse Precautions To Consider At Work (Updated For COVID-19)

by | Dec 4, 2018 | Nurse Life, Nurse Mom Life, Pregnancy, The-Motherhood, Working Mom

*Updated on 4/9/20 to include pregnant nurse precautions for COVID-19. *Affiliate links.

As an ER nurse who delivered my second baby in early 2018,  I have done a lot of research about pregnant nurse precautions to be aware of when you work in a hospital.  My goal was to make sure that it was safe for me to continue working in such a physically demanding environment with so many potential occupational hazards.

Fortunately, I was able to work safely right up until a few weeks before giving birth. As a per diem nurse, I did not have any maternity or disability benefits, so I wanted to save up as much money as possible before I went out on leave.  Thankfully, I was able to do just that.  But safety was still my number one concern.  I hope this information can help other nurses stay safe during their pregnancies as well.

Talk to your OBGYN

First off, you must talk to your doctor to discuss any occupational concerns you have during your pregnancy. Continue the dialog at your prenatal appointments as you move along your pregnancy.  If you have questions in between your appointments, then contact your doctor.

My goal in writing this is not to make pregnant nurses afraid to work in the hospital.  I am so glad that I was able to safely work as a pregnant nurse for as long as I did.  Still, there is no shortage of occupational hazards for the pregnant nurse within the hospital setting. Working safely is the number one goal.

You must communicate with management and your charge nurse about your pregnancy.  They cannot help you avoid potential pregnancy hazards if they don’t know that you are expecting.

Additional recommended reading:  Prayers For The Sick And For Nurses During COVID-19

Pregnant nurse precautions to consider at work

Pregnant nurse precautions and hazards to consider:

COVID-19

The novel coronavirus (COVID-19) has many pregnant healthcare providers, especially frontline nurses, uniquely concerned.  Because COVID-19 is so new, there hasn’t been enough time to study its effects on breastfeeding or pregnant women.  Also, many nurses who are working directly with COVID-19 patients say they don’t have enough personal protective equipment (PPE) to protect them from the virus safely.  That maybe even more problematic for pregnant nurses who directly care for COVID-19 patients.

On pregnant women and COVID-19, the Centers For Disease Control (CDC) stated:

“We do not have information from published scientific reports about susceptibility of pregnant women to COVID-19. Pregnant women experience immunologic and physiologic changes which might make them more susceptible to viral respiratory infections, including COVID-19. Pregnant women also might be at risk for severe illness, morbidity, or mortality compared to the general population as observed in cases of other related coronavirus infections [including severe acute respiratory syndrome coronavirus (SARS-CoV)* and Middle East respiratory syndrome coronavirus (MERS-CoV)] and other viral respiratory infections, such as influenza, during pregnancy.”

On pregnant healthcare personal and COVID-19, the CDC stated:

“Pregnant healthcare personnel (HCP) should follow risk assessment and infection control guidelines for HCP exposed to patients with suspected or confirmed COVID-19. Adherence to recommended infection prevention and control practices is an important part of protecting all HCP in healthcare settings. Information on COVID-19 in pregnancy is very limited; facilities may want to consider limiting exposure of pregnant HCP to patients with confirmed or suspected COVID-19, especially during higher risk procedures (e.g., aerosol-generating procedures) if feasible based on staffing availability.”

Essentially, the CDC does not know at this time if pregnant women are at a higher risk when working with COVID-19 patients because the evidence is limited. As a precaution, pregnant women may want to consider working in lower-risk areas where they have less exposure to COVID-19 patients.

The most important take away is to always take care of yourself first.  You can’t care for your family and your patients if you become sick.


Radiation from diagnostic imaging

In the ER and on most floor units within the hospital, patients often receive portable X-rays at the bedside.  So naturally, I was concerned about radiation exposure and how it could impact the health of my unborn child.  I felt it was wise to air on the side of safety by not exposing myself to unnecessary radiation during pregnancy.

If you are in an area where x-rays are being taken, you must wear a lead radiation apron to protect yourself, especially if you are within six feet of the machine.  If possible, it is also a good idea to step outside the room while the image is taken.

In my nursing experience, x-ray technicians usually notify anyone within the vicinity of where imaging is being taken.  I was able to leave the area for a few minutes, whether I was wearing a lead apron or not.

Key takeaways: 

  • Notify management of pregnancy
  • Wear lead radiation apron
  • Step outside of the room when portable x-rays are taking place

Dangers from working with chemo or other teratogenic medications

There is evidence that handling some medications, such as chemotherapy drugs, can cause adverse reproductive outcomes, including fetal loss, miscarriage, infertility, and preterm births.  In addition, it may cause learning disabilities in babies exposed to some drugs if nurses are exposed during pregnancy.

Wearing protective equipment, such as gowns, masks, and gloves, can minimize occupational risk to a pregnant nurse.  However, it does not completely eradicate it.

Nurses working in oncology or other areas where antineoplastics are prescribed may want to speak with management about the safest way to continue working.  In addition, you can insist on getting help from co-workers or management to give teratogenic medications to patients.  Moving to another work area may be a consideration if safety for the fetus is still a concern.

Key takeaways:

  • Wear protective equipment when giving medications
  • Ask for help from co-workers when working with teratogenic medications
  • Consider temporarily working in another area of the hospital during pregnancy as your management allows

Additional recommended reading:  Why I love being an ER nurse

Risk for infection

As a pregnant ER nurse, I was very concerned with the risk of infection from patients such as c-diff, tuberculosis, cytomegalovirus, and influenza during my pregnancy.  Since the ER is often the first stop in the hospital for sick patients, I often didn’t know that a patient had a contagious infection until after they had been admitted. By then it was too late to protect myself if I hadn’t already.

Pregnant women need to be especially proactive with protective equipment and hand hygiene. It is ideal for all hospital employees to have their measles, mumps, and varicella-zoster vaccinations before pregnancy (most facilities require these vaccinations to work anyway). Hep B and influenza vaccination can also safely be administered during pregnancy.

As an added precaution, I made sure to change my clothes and shoes before leaving the hospital to minimize the risk of work-to-home contamination.  The first thing I did upon getting home was take a shower to rid myself of any other possible bugs I could have inadvertently carried home with me.

Key takeaways:

  • Stay up to date in all vaccines including the yearly flu vaccine
  • Adhere to strict universal precautions and hand hygiene
  • Request job modification to minimize exposure to specific patient populations
  • Minimize work-to-home contamination by changing work clothes and shoes before going home
  • Shower as soon as you get home from work

The physicality of nursing while pregnant

Being a nurse while pregnant is exceptionally hard work.  Not only are we on our feet for up to 12 hours a day, but pregnant nurses are also carrying an extra 25-plus pounds towards the latter part of pregnancy.  Additionally, the extra girth makes it significantly more challenging to fit into tight spaces.

Movement becomes even more awkward for pregnant nurses due to having an altered center of gravity.  Also, high serum levels of progesterone and relaxin loosen muscles, ligaments, and connective tissues.  For nurses who do a lot of heavy, repetitive work requiring lifting, pulling, or pushing their risk of musculoskeletal injury is increased.

It is wise for pregnant nurses to use patient transfer equipment and to ask co-workers for help with moving patients.  However, if your work situation is still too physical for you to manage safely during pregnancy, you may want to consider a modified duty in a lower risk setting with a less physical patient load.

On another note, pregnant nurses also have a higher risk of developing varicose veins due to an increase in total blood volume caused by pregnancy.  The added blood volume, combined with being on one’s feet all day, leads to poor circulation, puffy legs, and swollen ankles.  Compression socks or stockings can help reduce the risk of blood clots and varicose veins as well as prevent swelling.

Key takeaways:

  • Pregnant nurses may want to inquire about modified duty
  • Understand how the altered center of gravity and hormonal changes in pregnancy predispose a nurse to injury (despite using best lifting practices)
  • Use patient transfer equipment when available
  • Ask for additional staff help with transfers
  • Wear compression socks or stockings

Additional recommended reading:  Top 30 Ultimate List Of Nursing School Supplies And Essentials

Pregnant nurse precautions with COVID-19

Violent patients

I worked in our ER psychiatric hold area several times throughout my pregnancy.  There were a few incidences where I had patients verbally threaten me or begin to escalate towards violence.  I always had a security guard with me, and I stayed a reasonable distance away from patients when I felt that my safety could be at risk.  I was likely overly cautious at times, but it is better to be safe than sorry.

Violence against nurses is not uncommon, especially in the ER setting.  Stay vigilant and keep away from any potentially threatening situations.  If a patient is escalating towards violence, then leave and call for help immediately.

Working during flu season

The CDC recommends that pregnant women get a flu shot.   Not only do hormone changes during pregnancy often make pregnant women more susceptible to getting the flu, but a common flu symptom is a fever, which may be associated with neural tube defects and other adverse outcomes for a developing baby.  Getting vaccinated can also help protect a baby after birth from flu through passive immunity.

My experience:  The flu season in December 2017 was unusually bad.   Many patients came to our ER for flu symptoms.  Unfortunately, almost every nurse was infected with the flu or a cold at least once during the season.  Myself, included.

At the time, I was over eight months pregnant, and I was struggling with how horrible I felt.  I always get a flu shot to reduce my chances of getting sick during flu season.  However, if I ever got pregnant again, I might consider starting my maternity leave towards the beginning of the flu season – especially, if I was that close to my due date.

An unexpected benefit of working as a nurse during pregnancy

One of the best gifts that pregnancy gave me was that it forced me to not be sedentary on days that I felt fatigued. (Although while you are carrying an extra 25-35 pounds of extra weight, you may not consider it a benefit).

Many studies show that not moving enough during pregnancy is bad for both mom and baby.  If fact, exercise during pregnancy can boost your baby’s brain development and make them smarter.  Who knew that working a 12-hour shift might promote health for both you and your unborn baby?

Good luck to you during your pregnancy and take care of yourself!

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