I have a special treat for you today! Back when I was going to school for my English major, I was sharing an apartment with my brother, Justin, who had just landed his first nursing job working the night shift on cardiac telemetry at the local hospital. He slept, or tried to sleep all day, while I tip toed around the place doing my thing, trying hard not to wake him up. I’d make supper and he’d wake up to get ready for work. We’d eat and he was off. I spent the evenings alone in a strange new place, listening to the exceptionally loud elevator going up and down all night long and then turn in.
I usually woke up and was getting my day started when Justin got home from work. Quite often he had a lot of stories to tell me about what had happened that night. I got the feeling that night shift was a lot livelier than I ever thought possible. And I was correct. The stories he told me were so wild and so whacky, that I often sat there at the table over my breakfast not eating, but laughing until I wept.
A few months later, my academic semester in full swing, one of my college instructors offered extra credit if we students began submitting stories and articles to Yahoo Contributor, which Yahoo has since discontinued. What you’ll read today is a story I wrote and published there. All the funny (and one sad) instances you’ll read actually happened to my actual brother on the night shift, though not all on the same night. No names are given to observe HIPAA and to protect the innocent, elderly Hell-raisers. The funny part is that these are the mild stories. Most of the stories he told are not fit for printing.
It must have hit a nerve, because it kind of went viral. I watched it climb into the many thousands of views in a fairly short period of time. It was great for Yahoo! But I didn’t make any money on it, doggone it!
Anyway, it’s been a while since I’ve shared any of my fiction with you, so I hope you’ll enjoy…
Night Shift at the Hospital
It was seven in the evening when I entered the building, suspecting little, wearing my scrubs with the name tag that says, Lisa Postman, RN. When I graduated from nursing school, night shift wasn’t my cup of tea, but after several months of fruitless job searching, I was glad to settle for it. Now it feels like breathing in and out more or less. This particular night, I had five patients, two with mild dementia and the usual bunch with various heart complaints. I was on a roll that night—got my assessments done, meds passed and patients comfy in bed in short order. By eleven, they were all sleeping like a bunch of sweet angels and I sat down at the nurses’ station to work on charting. I had it made in the proverbial shade with a glass of lemonade.
I do believe Cinderella’s fairy godmother or some other fairy with a flair for the practical joke put a spell on all hospitals, because it seems that at the stroke of twelve midnight, the strangest things can happen to unsuspecting nurses. For instance, there’s that phenomenon of “sundowners,” where patients who are pretty okay and pleasant turn batty on a dime when the sun goes down. Such was my lot this night.
At twelve, I was sitting calmly at the station, discussing a problem with my very petite fellow nurse, Leann, when a wild-eyed figure loomed in the doorway of room 16. I recognized him as the patient in Bed 1. He stood there in the door, swaying from side to side, his Foley catheter dangling just above the floor and swinging like the pendulum in my mother’s clock at home. The oxygen nasal cannula pulled his nose and stretched it to the side since by some miracle it was still hooked to the wall.
“Help!” he yelled, “They’re robbing me!”
“Who’s robbing you?” we both asked, running to him.
“You are!”
We tried to calm him down, but he only whipped off his oxygen, wrapped the tubing around his hand in lieu of steel knuckles and brandished it over his head. We tried calling security to “apprehend dastardly muggers,” but he didn’t fall for that either.
“You get that arm and leg,” I told Leann, “and I’ll get these. Ready, set, go!”
“Help! Help!” he protested.
A cloud of nurses descended on room 16 at the noise. Soon enough, there were six nurses struggling to get one patient back in bed.
“Watch it, Leann!” I yelled, as Bed 1 got ready to chomp down on her hand.
“Careful, he’s trying to pull the oxygen out of the wall!” another nurse shouted.
In the midst of this wrestling match, the guy in Bed 2 woke up, calmly pulled out his urinal, relieved himself and went back to sleep. I shook my head and charged back into the fray. After a shot of something calming, Bed 1 went back to sleep.
Meanwhile, the little old lady down the hall had decided to strip down to her all-togethers. At the commotion, I rushed down to help out.
“Please put your clothes on, Mrs. Smith,” Jeff, another RN, was begging.
“I will not!” she shouted. “You green alien! I know all about you. You’re trying to kill the Jews, I know it!”
“Mrs. Smith,” I ordered. “Put your clothes on this minute.”
“No!” she said and then scooted away from me as I reached for her discarded hospital gown. “Don’t you touch me! My blood will be on your hands in the morning!”
While we were dealing with this situation, Bed 2 in room 16 woke up again. Leann caught him wandering past the nurses’ station, flashing everyone in the hall because he had forgotten to fasten his gown. It was the kind of wardrobe malfunction to surpass a Super Bowl half-time show with a full moon to boot. He was blissfully unaware of the blood dripping from his arm where he had ripped out his IV.
“Hey, pal! Where you going?” Leann asked.
“Well, I think I’ll go home now,” he remarked cheerily. “No point in staying around here.”
“I think you better wait until the morning,” she said, deftly catching him by the arm and steering him back to bed to start another IV.
“Oh, is that so?” he smiled agreeably. “All right, then.”
At precisely the moment Leann got Bed 2 settled in, Bed 1 sat up like a specter rising from the tomb and looked around in confusion. He opened his mouth. Leann held her breath, hoping against hope. But alas…
“Heeeellllppppp! They’re robbing me!” were the first words out of his lips. A horde of nurses rushed back to quell the uprising.
I went home in the morning exhausted. I sat down and stared at the wall. Then I laughed, laughed so hard my stomach hurt. I sobered. A sudden memory crossed my mind and I started thinking about the night before…
…Mr. Hollis in room 12. Slender, intelligent and dying from cancer. It couldn’t just be cancer either. He had the whole works—pneumonia, congestive heart failure and he was on contact isolation because of infection that had spread through his entire system.
I looked down on his emaciated body and said the only thing I could think of, “Keep your chin up, Mr. Hollis.”
Tears filled his eyes and began to spill over. He lifted his hand and patted my face with his infection-ridden hand.
“I love you,” he said.
Yes, I reflected, nursing could be a real circus sometimes. Then there were moments like these when all the crazy nights were worth it.
I picked myself off my chair and crawled into my pajamas. Time to sleep the day away and do it all over again in the evening.
P.S. If you enjoy reading my weekly posts, please consider upgrading your subscription from free to paid. The monthly option is little more than a latte at your favorite coffee joint and it would make a big difference to me as I seek to keep writing, republish my first novel, and publish my brand new novel, 27. Thanks everyone, have a lovely week.
Amanda, I love your writing but this piece is extra special. My first job as an RN in 2011 was on a cardiac telemetry unit. This brought it all back! I’m no longer working in nursing and the COVID fiasco was devastating to me. I hope someday to go back to nursing, but only IF some decency and humaneness has returned to how hospitals are run.
FYI and unrelated: I am "following" your substack, but I do not subscribe as a general rule because I cannot stand the email advisories and I am too poor to make an actual paid subscription. I have found your writings via your submission to Rob Henderson and, unlike most of the other submissions Rob puts up, I find your tenor and voice to be very appealing after having dived into your archive.
As a fellow Substacker, I just wanted you to know you have a new follower, even if the Substack engine won't advise you of it.
Keep up the good work!