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Employers Association of British Columbia and the British Columbia Nurses’ Union in the preparation of this manual, we request:  \nShould any party other than those represented by HEABC or BCNU wish to use all or part of this manual, we ask that you seek permission from either HEABC or BCNU.  \nRevised: September, 2003  \nOBJECTIVES  \nThis “teaching tool” is designed to:  \n1. Help you adapt to and live with your work schedule and resulting lifestyle as best you can.  \n2. Help you develop both a physiological and sociological understanding of why problems occur and what you can do to avoid or alleviate them.  \n3. Help you develop standard and extended work day rotations.  \n4. Help you implement standard and extended work day rotations.  \nSixty-six years ago, a nursing textbook described shift work this way:  \n“An abnormal condition- -trying to the nerves, digestion and temper.”  \nThe Technic of Nursing, 1930  \nCOPING TIPS  \n-FOR AN “ABNORMAL CONDITION”  \nLessen or eliminate noise before sleeping. Unplug the phone, get an answering machine, or wear earplugs. Use “white sound”, such as a fan, to mask noises.  \nHave children eat lunch at school. Tell friends and neighbours about your schedule; ask them to call you only during your awake hours.  \nTime meals carefully. Afternoon workers should have the main meal in the middle of the day instead of the middle of the work shift. Night shift workers should eat lightly throughout the shift and have a moderate breakfast. In this way, they should not get too hungry while sleeping during the day, and digestive discomfort should be minimal.  \nAvoid excessive use of antacids, tranquillizers and sleeping pills. It is healthier to watch what you eat and when you eat and use relaxation techniques to aid sleep.  \nUse dietary aids. Before going to bed, eat a highcarbohydrate meal or drink some warm milk. Milk contains L-tryptophan; both L-tryptophan and carbohydrates release serotonin, a sleep-inducing brain chemical.  \nIt is also helpful to limit your intake of caffeine and alcohol; caffeine is a stimulant, so overconsumption may cause restlessness and insomnia, and alcohol is a depressant that interferes with the normal sleep cycle.  \nEat light, well-balanced meals at regular times. Avoid snacking to overcome feelings of fatigue. Also avoid overeating, heavy foods, and starvation diets. If possible, eat with family or friends on a regular schedule.  \nEstablish a sleep schedule. Avoid frequent napping. Instead, plan to sleep at a regular time and for several consecutive hours. Maintain this schedule consistently. Establish a pre-sleep ritual, such as brushing your hair 100 times or slowly cleansing your face. When you wake up, change from night into day clothes.  \nIf your average sleep time consists of only four to six hours, take a nap in the evening before going to work. When you have a night off duty, be sure to maintain your sleep/wake schedule by staying up most of that night.  \nExercise regularly- -20 minutes of exercise at least three times each week- -though not just before bedtime. Jogging, walking and aerobic dancing are examples of exercise that will reduce stress and feelings of fatigue and increase your sense of wellbeing.  \nDon’t feel that you have to do this alone. Ask your co-workers to tell you about their experiences on the night shift. Veteran night nurses can offer a lot of help to newcomers.  \nSocialize. Strive for a set pattern of time off, so that you can easily plan night-time social events wellin advance.  \nSeek social contacts, through phone calls, visiting with friends, and pursuing hobbies, classes.  \nParticipate in social activities with other shift workers who also have to leave part","cbCaieW3YCN84h1q","https://ap.wps.com/l/cbCaieW3YCN84h1q","pdf",1060269,"English","# PREAMBLE\n# SECTION 1: THIS IS SHIFT WORK TODAY\n## Secret to Surviving Shift Work\n## Sleep\n## Eat\n## Control Stress\n## Relationships\n## Exercise\n## Time\n## Improving the Quality of Working Life\n## Leadership\n## Individual Needs\n## Facilities\n## Education\n# SECTION II: PREPARATION OF ROTATION SCHEDULES\n## Terminology Used in Connection with Shift Rotation Development\n## Developing a Rotation\n## Sample Rotations\n# SECTION III: PROCEDURE FOR IMPLEMENTING EXTENDED WORKDAY AND COMPRESSED WORK WEEK SCHEDULES\n## Part I: Types of Work Schedules\n## Part II: Introduction of Extended Work Day and Compressed Work Week Schedules\n## Part III: Revisions to Existing Extended Work Day and Compressed Work Week Rotations\n## Part IV: Cancellation of an Approved Rotation\n## Part V: Release of Overtime for Extended Work Day / Compressed Work Week\n## Part VI: Summary of Procedures for the Implementation of a New Shift Rotation\n# SECTION IV: RECOMMENDED READINGS\n## Books\n## Articles and Papers","[{\"question\":\"What are the main objectives of the Shift Rotation Manual?\",\"answer\":\"The manual helps professionals adapt to shift schedules, understand why shift-related problems occur, develop work day rotation patterns, and implement standard and extended work day rotations.\"},{\"question\":\"What coping tips are given for managing an abnormal sleep disruption during shift work?\",\"answer\":\"The manual recommends reducing noise before sleeping, carefully timing meals, limiting caffeine and alcohol, avoiding excessive sedatives and antacids, using dietary aids like high-carbohydrate meals, and establishing consistent sleep routines.\"},{\"question\":\"How does the manual support the preparation and implementation of rotation schedules?\",\"answer\":\"It includes a section on terminology, developing rotations, and sample rotations, followed by procedures for implementing extended workday and compressed work week schedules, including revisions, cancellation, overtime release, and a summary process for a new shift rotation.\"}]","SHIFT ROTATION MANUAL - A GUIDE FOR HEALTH CARE PROFESSIONALS - Revised September 2003 | PDF",1790370257]