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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

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Why don't nhs night staff want you to sleep?

697 replies

ICaughtTonsillitisFromAFriendsKid · 19/08/2022 23:25

Sleep is a great healer.
So why is everything done to keep ward patients awake all night? (Well it feels that way)

In the day the wonderful staff are very kind, but overnight, why no whispering, at all? Not even stage whispering? I've just staggered out of bed trying not to rip out my cathetera and canula to pull the bible sheet curtain round a bit, but everyone else is left with curtains pushed back to the walls.

Everyone is so kind and happy to help, I don't even want to say anything, but I'm just exhausted, as are all of these very poorly ladies.

It seems the doctors are not too bad at whispering, I must concede.

OP posts:
BossyFlossie76 · 21/08/2022 18:54

NHS nurse here. I wrote a paper about how dreadful we are at letting our patients sleep (leading to worse outcomes). I also run round saying “shhhhh night voices please”. Sorry about our noise, get well soon.

TheHateIsNotGood · 21/08/2022 18:58

Very interesting thread and I have been reading it all - including the bits where it went very nasty and I was mostly concerned that MN would pull it - but thankfully it got back on track.

My hospital experiences are irrelevant as thankfully I haven't been for over 20 years. The last was for a CS birth and I thought maybe the difference in approach was due to it being maternity rather than surgical.

But there is no way the Ward Sister, nor any of the Ward Staff - SENs, SRNs, Porters, Caterers and the Ward Domestics (who not only kept the Ward spotless but brought us cups of tea twice a day) would have behaved in the ways many have described here.

I was in for a month once and came across only one unkind nurse who when I screamed after she yanked my abdominal tubes brought the Sister running and that Nurse never dealt with me again.

surreygirl1987 · 21/08/2022 19:02

Because they are selfish and thoughtless I actually did think this when I was on the postnatal ward with each of my babies. The staff were far noisier than the babies. It was absolute hell. The midwives were having full-volume social chats metres away from women trying desperately to get a bit of sleep. I was shocked at the lack of consideration.

surreygirl1987 · 21/08/2022 19:03

NHS nurse here. I wrote a paper about how dreadful we are at letting our patients sleep (leading to worse outcomes). I also run round saying “shhhhh night voices please”. Sorry about our noise, get well soon.

Brilliant!

Tessabelle74 · 21/08/2022 19:05

I actually shouted at the cleaners at 4am when I was in after my cesarean as they were chatting about how many steps they'd done that shift! No need for it at all! Bad enough being woken for observations and other patients coming in without the unnecessary disturbances too. YANBU

Arsewangry · 21/08/2022 19:08

I hate being in hospital 😫 I've got an operation coming up soon too. My only proper experience is the hell on earth that is the post natal ward - twice. I came out feeling absolutely murderous - all the visitors, some of the other patients were really selfish and inconsiderate, it was just the worst 48 hours of my life, and being the last one off my ward to leave watching them all go home with their babies was galling. Night two after ds2 was born I literally had zero hours zero minutes and 0 seconds sleep. I hated every single second.

TurboQueen · 21/08/2022 19:12

Tessabelle74 · 21/08/2022 19:05

I actually shouted at the cleaners at 4am when I was in after my cesarean as they were chatting about how many steps they'd done that shift! No need for it at all! Bad enough being woken for observations and other patients coming in without the unnecessary disturbances too. YANBU

Being woken for observations is essential. However loud talking at night is not so with you there. Do you were right to give out to the cleaners.

TurboQueen · 21/08/2022 19:14

Arsewangry · 21/08/2022 19:08

I hate being in hospital 😫 I've got an operation coming up soon too. My only proper experience is the hell on earth that is the post natal ward - twice. I came out feeling absolutely murderous - all the visitors, some of the other patients were really selfish and inconsiderate, it was just the worst 48 hours of my life, and being the last one off my ward to leave watching them all go home with their babies was galling. Night two after ds2 was born I literally had zero hours zero minutes and 0 seconds sleep. I hated every single second.

Hey I had no sleep either so with you there. As I said on another post interventions were necessary so lack of sleep a small price to pay for my babys life.

Ddot · 21/08/2022 19:14

Just spent 5days in hospital and the noise was hell. Two porters moved me at 1030 I whispered and he informed me that I didnt need to, i replied with a whisper, sick patients! night time! I think I do. My brother brought me earplugs, dont go to hospital without them. It's like trying to sleep in an airport.

ICaughtTonsillitisFromAFriendsKid · 21/08/2022 19:17

Morgysmum · 21/08/2022 18:44

What are you in for?
When I was in after having my son by C-section. They had to come around, every so often, to check my blood pressure. They would wake me up.
Do you have some cotton wool, if so Bob some in your ears, it doesn't stop the noise, but helps. I do this, when my partner wants, to stay up watching telly and I am trying to get to sleep.

I'm waiting for a test. There's something wrong with me inside but I feel fine really.
Plenty of tea though so I'm alright, and the staff are great.

OP posts:
ICaughtTonsillitisFromAFriendsKid · 21/08/2022 19:20

TurboQueen · 21/08/2022 18:46

Whos your responce directed at?

I presumed it was for me...
This thread has become a bun fight. I've written some heartfelt words about the staff here and people don't rtft so it just descends into chaos.

OP posts:
TurboQueen · 21/08/2022 19:26

Its become quiet chaotic. Lots of strong opinions and aggression. Some I suspect are just a nurse bashing anyway just like teachers. No need for it at all. Too many posters getting intense. Hope your experiences in the NHS going forward are good.

allabouttheviews · 21/08/2022 19:41

@ICaughtTonsillitisFromAFriendsKid I went on a bit of a rant at one point. Just wanted to say it wasn’t aimed at you! I hope you manage to get some rest soon!

MagpieMomma · 21/08/2022 19:47

NHS worker here - we have to keep the curtains open around the beds so we can check on all patients at night, and obs done on a sleeping patient are not accurate - I hate waking you for the 2am set but we do need you awake and sitting up to get an accurate bp reading. Sorry you’re in hospital, hope you’re home soon and getting a decent nights sleep.

allabouttheviews · 21/08/2022 19:47

Antarcticant · 21/08/2022 18:15

The clapping lark was a pathetic attempt by the Tories to distract attention from the NHS being underfunded and unfit for purpose. No one sensible gave it the time of day. Wouldn't you rather have decent wages than applause?

An ITU nurse was quoted on Panorama as saying “calling us heroes makes it ok when we die”. That’s what the clapping was about. Wages aside, during the pandemic I’d have settled for decent PPE.

BlodynGwyn · 21/08/2022 19:50

American nurses are the same. They keep coming into your room to check your vitals too often, all night long. It's exhausting. The worse time I had was after an operation to fix my crushed bones after an accident. My room was near the nurses station and the night shift nurses were screaming with laughter all night long. I complained and said I was going to report them. They looked scared and apologized.

TurboQueen · 21/08/2022 19:52

BlodynGwyn · 21/08/2022 19:50

American nurses are the same. They keep coming into your room to check your vitals too often, all night long. It's exhausting. The worse time I had was after an operation to fix my crushed bones after an accident. My room was near the nurses station and the night shift nurses were screaming with laughter all night long. I complained and said I was going to report them. They looked scared and apologized.

If your vitals need to be taken they need doing, you have nothing to complain about that.

Tomasinabombadil · 21/08/2022 19:58

Years ago I had to stay in hospital overnight because I was due an operation the next day on a very badly broken arm.
At home at nighttime my bedroom is silent & pitch black.
I got a friend to bring me earplugs & an eye mask otherwise I wouldn’t have been able to sleep with all the comings & goings & lights & noise on the ward.🙄

Hazey19 · 21/08/2022 20:01

I have always thought this. I’ve been in hospital a few times overnight and it’s Always the same. X

allabouttheviews · 21/08/2022 20:02

Augend23 · 21/08/2022 17:51

But don't nurses work night shifts and weekends?

If you assume you need 24-7 cover for nursing but say 50% more on weekdays during the day than at weekends and at night (to account for all the outpatient appointments etc that happen during the day) then (assuming 12.5 hr shifts, 8-8 plus half an hour for handover).

Time during the day in the week: 60 hours - weighting 1.5 pay weighting 1

Time during the night during the week 60 hours - pay weighting 1+(0.3*10/12) = 1.25 (because after 6 is at plain time)

Weekend time - 24 hours sat - pay weighting 1.3 and 24 sun - pay weighting 1.6

Total hours 198

So you'd expect to work 45% of your hours during the day - on plain time (90/198)

You'd expect to do 30% of your hours during the night in the week on 1.25x pay.

You'd expect to do 12% of your hours on Saturday at 1.3x pay and 12% Sunday at 1.6x pay.

You're then missing 1% due to rounding, so let's add that to the plain time pay.

So overall we have 10.46+1.250.3+1.30.12+1.60.12 = 1.183

For an entry grade band 5 the pay is £27k following the payrise, or 25,655 before.

At 1.183x that as an average to include anti social hours that's then £30,349 before the rise or 32k after.

Add on a pension which includes the impact of unsocial hours payments which would need payments of about 12k possibly 15k (you'll be paying about 3k for this) to achieve in the private sector and that's a total package of about £40k.

It's not actually as low a pay arrangement as it first sounds, especially considering there's an increment after 2 years. Obviously anti social hours payments are there to compensate for the anti social hours - but people choosing to go into nursing must be expecting to do night shifts etc, so I think it is reasonable to account for them.

That's not to say I don't think nursing is incredibly hard work, and especially so at the moment when everyone is so short staffed. But I think the solution to that is probably to reduce the stress everyone is under by increasing staffing levels rather than thinking paying the staff there are more can fix a chronically under staffed service. Obviously to do that they would have had to start training staff years ago, so it's going to be a long fix.

Crikey you’ve spent some time on that! We don’t all work nights and weekends. It’s a while since I’ve done them so I couldn’t tell you what the current pay rates are. You have a point but I don’t think nurses should have to rely on anti social hours allowance to make a decent wage. Personally I would take more staff over a pay rise but I’m in a senior role with a husband who out earns me. Very different to a band 5 who is the main earner with a family to support (who possibly doesn’t do so many nights because it’s really hard to find childcare!). As you say, the staff we need to fill the gaps don’t exist so I think the least the government could do is pay enough that nurses aren’t worried about putting food on the table.

allabouttheviews · 21/08/2022 20:08

@Augend23 On my wage when I was a ward nurse and had two kids in nursery it was barely worth me working after we had paid for childcare. I only did it to keep my registration so I’d still have a career once they were older.

ICaughtTonsillitisFromAFriendsKid · 21/08/2022 20:12

allabouttheviews · 21/08/2022 20:08

@Augend23 On my wage when I was a ward nurse and had two kids in nursery it was barely worth me working after we had paid for childcare. I only did it to keep my registration so I’d still have a career once they were older.

This is the same with teaching

OP posts:
Newmum1998 · 21/08/2022 20:16

I feel your pain. I remember staying on the children’s ward with my poorly newborn for a week and every night the staff seemed to gather outside my room numerous times and would chat away loudly keeping me and my baby awake all night.
I also remember two lovely nurses bursting in my room at 8 o clock in the morning while I was in bed attempting to get some rest after being up the whole night before with an unwell newborn baby, noisy staff and was recovering from a bad labour and them opening my curtains and telling me I had to move my suitcase off the floor as it was a fire hazard and then leaving my room without even bothering to close my door behind them

Melroses · 21/08/2022 20:19

I went in a private hospital with single rooms for 2 nights. The night staff come in at 9.30, close the curtains and open your door then rattle round the corridors. Then they come in at 5.30am and open the curtains and take your temperature. The the consultant came in at 7 am and tried to make small talk while I was having breakfast.

It is probably the same everywhere 🤷‍♀️

Dalint · 21/08/2022 20:22

Pearshaped20 · 21/08/2022 18:30

It is a hospital not a hotel. Patients don't suddenly become 'well' at night. Care is 24 hours and as such will need checking. The reason you don't hear the doctors is mainly because they're unlikely to be on the ward unless needed ie taking bloods etc. Nursing staff are there to provide nursing care which unfortunately is sometimes noisy particularly if there are elderly who are deaf, confused or patients who need keeping alive

Doctors don't take bloods (unless it's me and the poor fuckers are called in)

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