After reading “3 Tips to Stay Mentally Alert During Long Shifts” an Everyday EMS Tips reader wrote:

“What do you suggest for crews that are running all night? How can we stay mentally alert after the 12th call? Or the 2oth hour?”

I would like your help and suggestions for this reader. I have made a conscious choice to rarely work shifts longer than 12 or 16 hours and rarely work overnight because I struggle with staying awake and safe when I am up for more than 20 hours. My other work does not lend itself to day sleeping before or after a shift so I have chosen to primarily work during the day.

If you work 24s, 48s, or even longer shifts what do you to stay awake, alert, and safe? I would like to compile your responses in a future blog post.

After you respond I suggest a quick safety nap.

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You work 12 hours (or even 24 hours) during a very busy ambulance shift and are ready to be home, go for a run, eat dinner and get to bed. However, on your way out the door your supervisor stops you. She tells you that someone has called in sick and wonders if you could possibly stay a few more hours or come back early the next morning. You are already exhausted. How do you stay alert and attentive during a long shift? Every Day EMS Tips contributor Martha Bonnie shares her tips for staying attentive during an extended or overnight shift.

1. Move. Walk in the ambulance bay, around your department, or in the office. Avoid sitting in front of a television or computer, while waiting for your next call.

2. Clean. Wash the inside and outside of vehicles used by your agency. Clean your locker, gear and bunkroom. Enlist the help of others to organize supplies.

3. Enjoy. Talk to your coworkers. Go for a walk, play a board game, or discuss professional topics. Be interested in their lives and spend time getting to know each other.

Sleep deprivation may be a routine part of your job. However, you can stave off that sleepy feeling by avoiding boredom. Keep moving, stay clean and enjoy your job!

Share your ideas for staying awake, alert, and enthusiastic in the comments area.

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