Midnight Rounds: Bridging the Aloneness


There’s an entirely different feel to the afternoon and midnight shifts in a hospital.

During the “normal” working hours of the day shift, much of the activity in a hospital centers on patient diagnosis and therapy (the processes of care).

And doctors are in abundance in the halls and the procedure rooms. 

For the most part, there’s a shift after hours to the on-going maintenance and care of the patients through the hospitalization process: fewer doctors and people, but still a lot of ongoing processes of care.

There is an “aloneness” that one feels in the halls of a hospital, especially after normal visiting hours are over. 

Being removed from the usual day-to-day communication and involvement of management, off-hours staff are curiously more interactive, more social, and much more eager to talk with the management about quality, safety, pay and even rumors.

Some areas of the hospital actually are more bustling in the off hours. 

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