questions for graveyard shift'ers

• questions for graveyard shift'ers - inside
  • I worked the 3rd shift for 5 years and....sm - Cindy
  • I slept right after work, before if I needed - but if I waited until past 9 am, no sleep for me!

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I totally disagree with this study, for multiple reasons.  I agree with some of the posts, stating that it would depend upon if you are getting enough sleep, whether you work the graveyard shift or not.  People working regular shift often get only a couple of hours of sleep, because they are out at bars all night, drinking, etc.

However, I work the graveyard shift, usually 11 pm to 6 am.  I am working, while my husband is sleeping.  Right after work, I go to bed, and sleep anywhere between 10 to 12 hours.  Then, when my husband comes home, we have the whole evening together!

Also, do they take into consideration that many graveyard shift workers work in factory situations where they are exposed to lots of other things, like toxic chemicals, etc.?  I read about it in the paper, too, and it mentioned that the increase in the cancer effect of the graveyard shift workers began in the 1930's, with the "industrial" boom --- what about those effects on cancer, not the time of day you do it.

I also feel that I can produce more in the same time frame doing MT at nite, with less stress of all the other noises of the day, and not having the phone ringing off the hook!

It all depends on you.  I don't think there's a set rule book.  I have a major sleep "situation."  It isn't a problem because it's been this way all my life.  I never liked to sleep, and would still rather mow the lawn or just about anything besides sleep. Obviously the rest of the world thinks that's strange, but it's just how I got wired (pardon that pun!)...  Many people say they got "x" hours of sleep.  I look at it as whatever I got is what I got, if any.  But I know that's not the norm for most.

There have been times when I've fallen asleep typing, but very rarely.  There are also times when I stay up for 2 days straight, and still fight going to sleep.

Just give it some time and decide if you can do it.  It's good that we all have different time clocks embedded in our bodies!

Good luck!

  What is the best way to prepar for this. 

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I've worked graveyard before and will be starting again tonight.  I've learned a few things from past experience that can help this time. 

One is bright lights at night and blackout curtains during daytime sleeping hours.  Another is turning off the ringer on the phone before going to bed, arranging with a neighbor who is generally home during the day to take true emergency calls from certain people and ring my doorbell if necessary. 

I try to keep in mind that a lot of other people aren't readily available during the day or able to do what they like during the day because of work, either in or out of the home.  I also remember how lucky I am to be able to work from home and not have to deal with a commute, among other things.

Give myself some unwinding time after my shift and then do the best I can to adhere to regular sleep hours that least interfere with regular activities outside of work.  There will be times, of course, when I'll need to be flexible on the sleep hours to take care of things that must occasionally be done during the usual sleep hours schedule.

Accept that there will be days when the rest of the world will not be tip-toeing around because I want to sleep.  Watch out for sleep-deprivation crankiness, try my best not to take it out on other folks, and apologize promptly if I do.  It does help to explain the situation yet not use it as a recurrent or frequent excuse.

Make use of caffeinated beverages at the beginning of my shift and limit them toward the latter portion.  Remember that power naps during breaks may work for other people but that the temptation to keep hitting the snooze alarm could be overwhelming for me.  It was one thing when I was an IC, but not cool as an employee.  Better for me is to something semi-active during breaks and make myself get up and stretch on a periodic, regular basis.

Keep in mind that it will take a little while to get used to the new schedule and see what sleep hours seem to work best for me through trial and error.  I'm lucky that I have a natural tendency toward nightowlism. 

Sorry for the length of this essay and best of luck to you!  Would that there were a yawning smiley face...

In the midst of moving last weekend, I discovered my long forgotten kitchen appliance graveyard.  All the cool gadgets that I thought I HAD to have at the time that have long since moved into that cabinet.  I had three juicers dating back to the 80's, an ice cream maker, a sandwich maker, a George Foreman grill, a food dehydrator, and a the most recent one I got for Christmas, a smoothie maker.  Oh the humanity!  I have decided to resurrect some of them for fun and because I feel so guilty.  How about you all ?  Anyone suffer from this gadget collecting problem? 

I just recently went back to work in the office at a local hospital. We type in both Meditech and Cerner, depending on what you are typing, i.e. Medical Records reports versus Radiology.  We are currently typing blindly in Meditech, meaning we do not have access to our line counts and must depend on management to give us our totals.  In Cerner, we are able to run a line count report and print out a hard copy of our line counts at the end of the day.

We are finding that 800 lines in Cerner equals about 500 lines in Meditech.  We are not paid per line nor do we have an incentive plan, but we have a new HIM Director who would like to institute an incentive plan and the administrator over our department has laid down the law and decreed that all transcriptionists not making minimum in the department will be written up.  Problem is according to Meditech line totals that we have been given, that would be about half the department.

The transcription supervisor has taken our concerns to the new director who told the MT Supervisor to hold off on writing people and has taken home all the line counts from the last month and she is going over them with a fine tooth comb this weekend.

I am not a very trusting soul by nature, so I am doing a little research on my own.  I've been in this business for about 15 years.  I started out in a hospital and have worked for a few services at home and am now back in the hospital setting.  So I know a few things about line count and I consider myself to be pretty well informed on trends and technology in the industry.   I would like to walk into our next department meeting armed with as much knowledge as possible.  So I have come up with some questions that I would like some fellow MTs to answer, give opinions, and maybe even direct me to websites or individuals who could give me a better understanding of Meditech and Cerner.  Here are my questions:

1. Is it possible for an MT to have access to her line count in Meditech or is strictly a management function?  Any MTs that work in Meditech on this board, do you currently have access to your line counts and if so, how do you check them?  Is it an option on the main menu after you log into Meditech?


2. How is a line defined in Meditech?  (i.e. 65 cpl, with spaces, without spaces)


3. How is a line defined in Cerner?


4. What abbreviation Expanders work with both Meditech and Cerner?


5. Examples of incentive plans (if anyone would like to share that with me that would be great, if not I completely understand).


6. Measuring productivity by minutes of dictation versus typed lines.




1. What would be the minimum minutes required for an 8-hour day?


2. How would one structure an incentive program based on minutes?

I was thinking of presenting the idea that we keep track of productivity using minutes instead of lines since there is such a discrepancy in Meditech.  I also worry that if an incentive plan is put into place and we are still typing blind into Meditech, what's to keep management from shaving off a few lines here and there?

Feel free to email me or post here any responses.  Either is fine.  I really appreciate any input, comments, or just plain old supportive posts would be nice too! 

I don't want to appear ignorant but I have always worked M-F.  Now am getting ready to look for a new position and am curious if I work third shift Sunday thru Thursday, I guess that means 11 o'clock Saturday night to 7 Sunday morning or does it mean 11 o'clock Sunday night (which would actually be Monday morning)  Thanks

Employee;  afternoon and late night/early morning split shift.