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Post by Rivka P on Oct 6, 2010 10:46:38 GMT -5
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Post by Rivka P on Oct 6, 2010 10:49:31 GMT -5
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Post by medic09 on Oct 6, 2010 19:39:43 GMT -5
I'm afraid I think the conclusion a bit too simplistic. I'd like to see hard evidence from some properly done controlled studies about linking error with 12 hour shifts. It might be out there, but I haven't seen it yet.
Fatigue is for real, but it and its effects vary with individuals and tasks. It might even be that 12 hour shifts work okay for some, or some floors, but not others.
There are other options that have been suggested in professional journals but get brushed off, such as allowing 15 or 30 minute naps during the 12 hour night shift.
One study my wife and I recall from her residency years suggested that fatigue was not so responsible for traceable errors, but that fatigued staff were having more MVAs on the way home post-shift. That was one of the reasons I insisted we live close to the hospital back then.
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Post by chayan on Oct 7, 2010 1:07:51 GMT -5
Yeah, I'm totally okay with drinking a sip of kiddush wine during pregnancy. People who flip over a small drink now and then are acting out of ignorance. On the other hand the medical profession expects people to be dumb and to process "light drinking is okay during pregnancy" as "unlimited drinking is okay during pregnancy."
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Post by Rivka P on Oct 7, 2010 11:40:33 GMT -5
medic, the MVA concern is HUGE! My coworkers and I talk about that all the time. I can totally relate to feeling your eyes begin to close. One nurse said she'd pull over and rest 'til she felt awake enough again, but you're not always in a position to pull over.
I am not a fan of a mid-shift nap, though. Don't think it would make a big difference.
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