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Nurse Fatigue


Nurse Fatigue Megan Demos Marian University Fatigue Created by Megan Demos RN as a project through Marian University in Fond du Lac, Wisconsin. – PowerPoint PPT presentation

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Title: Nurse Fatigue

Nurse Fatigue
  • Megan Demos
  • Marian University

  • Created by Megan Demos RN as a project through
    Marian University in Fond du Lac, Wisconsin.
  • Do you ever find yourself feeling like this at

Or like this?
What about this?
  • Many of you can probably relate to the feelings
  • Many are also probably wondering, so what? I feel
    like that all the time at work. Isnt that just
    part of being a nurse?
  • The images shown have become the norm instead of
    the exceptionthis needs to change!

  • So What is the Problem?

Nurse Fatigue
  • Fatigue is a feeling of exhaustion that
    interferes with the ability to fully perform
    physically or mentally.
  • Fatigued people have decreased energy and
    reaction time, mood alterations, and impaired
  • Fatigue in nursing has been a growing problem due
    to an overall shortage of nurses.
  • Nurses work longer hours, skip their breaks, and
    care for an ever increasing ill population of
    patients with complex plans of care.

Nurse Fatigue cont.
  • 12-hour shifts have become a common practice in
    nursing. These shifts help with continuity of
    care over the course of a day but not over the
  • A study of 2000 people reported that within the
    last 4 weeks 14 of workers had worked 16 hours
    and 81 ran over what they were scheduled to
  • Rotating shifts are harder on nurses than those
    that just work one shift 60-80 of these nurses
    suffer from chronic fatigue and sleep
  • Many nurses feel that no matter how little sleep
    they get they will not fall asleep because their
    job is too important and they always stay busy.
    The reality is that often times they will go into
    an involuntary sleep known as microsleep.

Why talk about this now?
Does Anyone Recognize this young girl?
  • http//
  • It should have been my life, not hers. Deep
    anguish and remorse are the sentences I will
    serve for all time. I would give my life to
    bring her back.-Julie Thao
  • This is Jasmine Gant from Madison, WI.
  • She was only 16 when she died while in labor with
    her first child.
  • The nurse responsible was working overtime when
    the incident occurred and was said to be fatigued.

Have you ever done this?
  • http//
  • A nurse in Minneapolis was like this on her way
    home from work on July 27, 2006.
  • Worked 3 consecutive twelve-hour night shifts
  • An 18 year old girl was working her summer job
    and was struck and killed by Brockhauss car.
  • To bear the guilt that goes with being
    responsible for the loss of life is heavier than
    anything I will ever experience.-Laura Ann

It is cases like these that demand changes be
made in regards to nurse and patient safety!!!
Facts About Sleep
  • The circadian rhythm is a 24 hour cycle
    controlled by the body that may be stimulated by
    factors outside of the body.
  • The average adult needs 7-9 hours of sleep per
    day in order to allow our body to recuperate,
    both physically and mentally.
  • As of 2002, the average amount of sleep people
    get on workdays is 6.9 hours.
  • Caffeine consumptions should not exceed 3 cups of
    coffee/day because it may make falling asleep
    more difficult.
  • Exercise (at least 30min 3x/week) improves
  • Sugar gives a short burst of energy but then
    creates a crash.
  • http//

Facts about Inadequate Sleep
  • lt5hr of sleep in 24hrs causes a decline in
    cognitive abilities
  • Missing a night of sleep causes a 25 decline in
    cognitive performance, which increases to 40 if
    2 nights are missed
  • An accumulated loss of 1 hour of sleep per night
    can decrease concentration
  • Being awake for 17 hours is equivalent to a BAC
    of 0.05
  • If awake for 24 hours it is equivalent to having
    a BAC 0.10
  • 50-70 million people have undiagnosed sleep

Consequences of Inadequate Sleep/Long Work Hours
  • Falling asleep at work
  • Medical errors
  • Fatigue-related errors cost about 100 million
    per year
  • Number of errors changes depending on shift
    worked and how many shifts/hours worked in a
  • Staff injuries
  • Higher rates of musculoskeletal injuries,
    cardiovascular disease, and poor perceived health
  • 100,000 car crashes, 40,000 injuries, and 1,550
    fatalities each year due to drowsy driving
  • http//

An Actual Road Sign in Utah
Whos Problem is it?
  • Hospitals
  • Nurses
  • Community

  • Ashley, L. (2010). Report of fatigue recommends
    actions at many levels. Canadian Nurse, 12- 14.
  • Caruso, C.C Hitchcock, E.M. (2010). Strategies
    for nurses to prevent sleep-related injuries and
  • errors. Rehabilitation Nursing. Retrieved from
  • http//
  • October
  • Cunningham, J. (2008). Fitness for duty Managing
    fatigue-related risk. Texas Nursing, 4-5.
  • Dennik-Champion, G. (2010). Lessons learned from
    the perfect storm. STAT Bulletin. Retrieved
  • from http//
  • Graves, K Simmons, D. (2009). Reexamining
    fatigue, implications for nursing practice.
    Critical Care Nursing
  • Quarterly 32(2), 112-115.
  • Hildreth, K. (2007, June 6). Nurse faces lesser
    charge stemming from fatal accident in
  • Farmington. This Week. Retrieved from
  • http//
  • Hospital Employee Health. (2010). Fighting
    fatigue requires more than caffeine, 129-131.
  • Maben, J. (2010). Long days come with a high
    price for staff and patients. Nursing Times
    106(2), 25.
  • Ross, J. (2008). Fatigue Do you understand the
    risks to safety?. Journal of PeriAnesthesia
  • Nursing 23(1), 57-59.
  • Scott, L. D., Hwang, W. T., Rogers, A. E., Nysse,
    T., Dean, G. E., Dinges, D. F. (2007). The