A Rational Approach To Shift Work

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A Rational Approach To Shift Work
Ann Emerg Med. October 1992;21:1250-1258
summarized by sun yaicheng
http://decode-medicine.blogspot.com/

Published in: Health & Medicine, Business
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  • Great Power Point! Here's a related article on shift work safety - http://www.safetyawakenings.com/safety-on-the-second-shift/
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A Rational Approach To Shift Work

  1. 1. A Rational Approach To Shift WorkAnn Emerg Med. October 1992;21:1250-1258<br />summarized by sun yaicheng<br />http://decode-medicine.blogspot.com/<br />
  2. 2. The best strategy is to work the same shift all the time and keep the same sleep pattern. <br />Consider additional compensation for those willing to work night shifts for extended period. <br />
  3. 3. For those unable to maintain consistent sleep patterns, use compromise strategies such as anchor sleep, split sleep periods, and napping to mitigate circadian disruptions.<br />
  4. 4. Rotate all shifts in the clockwise direction, with at least one-month minimum time per rotation.<br />
  5. 5. Isolated night shifts may be the best option for larger groups, or in groups in which one or more physicians are working nights permanently or for an extended period.<br />This concept is gaining more acceptance among emergency physicians, mainly because of the obvious appeal of fewer clustered night shifts. <br />The brevity of the isolated night shift rotation should not disrupt circadian rhythms.<br />
  6. 6. Sleep in a quiet, darkened room, minimizing disruptions. <br />Give the work schedule to likely daytime callers when on nights.<br />
  7. 7. Start the awake period with a high-protein meal, switching to complex carbohydrates toward bedtime. <br />Avoid caffeine and high-calorie/high-fat snack food before sleep. <br />Eat meals regularly.<br />
  8. 8. Use bright light more than 10.000 lux for two hours after rising) as an adjunct for adjusting to new shifts.<br />
  9. 9. Get regular exercise. <br />Vigorous aerobic exercise after rising may diminish the time needed to adjust to new shifts. <br />Avoid heavy exertion before attempting to sleep.<br />
  10. 10. Work with family and friends to plan regular quality time together.<br />
  11. 11. Do not try to live a day shift lifestyle while working night shifts.<br />
  12. 12. Hold administrative meetings early in the morning or late in the afternoon when working night shifts. <br />Respect the circadian rights of those working nights by excusing them from meetings held during the day.<br />

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