Round-The-Clock’ Fatigue Busters

December 27th, 2008

Continuous mental or physical effort, long work periods and rotating shift schedules all can induce fatigue. Omissions, errors, accidents and extensive use of sick and disability time may be the result. Consider the following low-cost, no-cost strategies to reduce fatigue, promote alertness and increase efficiency and productivity.

1. Drink water - Water promotes oxygen flow to the brain and thereby promotes alertness. Provide water coolers or personal drinking bottles and encourage consumption every hour.

2. Breathe - When we are fatigued, our breathing becomes shallow. Encourage employees to take several deep, diaphragm breathes every 10 minutes through the time of greatest fatigue.

3. Stretch - Big muscle movements and stretches get blood flowing and that all-important oxygen moving to the brain. Brisk walking on the spot for even one or two minutes is ideal, but there are many sitting and standing movements which are equally effective.

4. Turn on the Light - Light signals our bodies to be awake and alert, but it must be high-intensity light. Modern technology has provided us with portable lighting systems which mimic this light and which can be installed in various workstations to promote alertness.

5. Nap - If you can overcome the “we pay you to work and not sleep” attitude, you will find that a controlled napping policy will result in measurable improvements in alertness.

6. Sniff - Both peppermint and lemon scents are known to promote alertness. There are several ways that the scents/oils may be used by individuals or you may want to consider a planned infusion program at a workstation.

7. Drink Tea - As simple as it may sound, having a cup of hot tea is a great pick-me-up. Choose one of the many non-caffeine varieties and enjoy!

The Shiftwise Worker

December 22nd, 2008

-Understands shiftwork hazards, causes & consequences.

-Lifestyle ensures a healthy mind & body.

-Views shiftwork as a lifestyle choice.

-Finds a balance between disadvantages & advantages.

-Works with, not against, the body.

-Implements strategies to promote sleep quantity & quality.

-Implements strategies to reduce fatigue & promote alertness.

-Implements strategies to reduce stress.

-Has a good Physiological Profile.

-Manages risk factors.

-Influences work schedule and environment where possible.

-Gains cooperation of family & friends.

More information on each of these topics is provided in the publication ‘Working ‘Round the Clock: A Survival Guide for Shift and Night Workers.’

Managing The Shiftwork Workplace

December 20th, 2008

A shift work workplace is clearly differentiated from other workplaces that operate Monday through Friday, nine to five. The many unique features of shift work impact on productivity, safety and employee health and well-being. Human resource managers need to consider a variety of issues in addition to their usual undertakings. How Shiftwise are the human resource management practices in your organization?

Are schedules designed to meet both organizational and employee needs?

Design of schedules must focus on the business and operational needs of an organization, but other factors are equally important. Consider both the personal needs of your employees as well as the need to sleep at physiologically appropriate times.

Are employees provided with information about the best practices for enhancing sleep, wakefulness and health in a shift work environment?

Research has shown that education for employees and their families pays big dividends in better employee health and morale, fewer accidents and better productivity.

Are policies and protocols in place to deal with employees who are experiencing difficulty with sleeping and alertness?

These employees may be identified because of excessive sick time or because of an accident at work. However, once they are identified, managers must decide on how this employee will be dealt with and how or if they can be reintegrated.

Are you hiring those candidates most adaptable to a shift work environment?

When you consider which applicant is best for the job, you need to assess if this applicant is also the best choice for a shift work job. Ability to cope with the challenges of shift work must be included in the essential skills for the job and this ability must be adequately assessed prior to making the job offer.

The presentation ‘Managing ‘Round the Clock’ provides information, tools and strategies for addressing all of the above questions.

Enhance Workplace Alertness With Napping

December 17th, 2008

Napping is one of the most effective alertness strategies shift workers can employ. Yet this is a very contentious issue both among employees and managers. The prevailing view is that you’re being paid to work and not sleep and as long as you are at your job, you should be awake. Yet every shift work employee can attest to sleeping while at work and most managers either know or have found employees sleeping while at work. In some workplaces, this results in dismissal or at least discipline of the employee.

What goes on in many organizations is “random napping,” that is, employees who are extremely fatigued or who cannot overcome the strong physiological need to sleep, will simply fall asleep at their station or find a quiet spot where they can get a nap without anyone knowing. This presents several problems, not the least of which is that they may injure themselves and others. Certainly productivity suffers.

Some organizations, however, have recognized the pitfalls of random napping and have instituted “controlled napping” instead. They have done this because they understand the value of napping in increasing employee alertness and productivity and decreasing the potential for errors and accidents. They have taken a proactive stance and determined how they can incorporate napping in an appropriate way.

Controlled napping procedures usually require that:

-the nap be no longer than 20 minutes

-the nap be taken at a designated nap area away from the work station (this can simply be a recliner or something as sophisticated as the Japanese sleeping rooms)

-only one nap per shift be taken

-the employee inform a designated person of their need for a nap

-the employee ensure that someone is covering their station

These policies and procedures ensure that employees don’t sleep randomly and that work and other employees are not jeopardized. Yet the employee can return to their station more alert and able to carry on with their work.

Protect Daytime Sleep Of Shiftworkers

December 15th, 2008

Labor statistics point to the fact that workers working “non-standard” hours account for approximately 25% of the labor force. This means that there are millions of people working weekends, evenings, nights and various shiftwork schedules. If you aren’t a shiftworker, you probably know someone who is.

We rely on shiftworkers to provide not only health and protective services, but a wide variety of services that we demand ’round-the-clock, at our convenience. Want pizza and a movie at 3 a.m., just call your local provider. Want to order a product or do your banking, just call a toll-free number or use the internet. Want your package in another city tomorrow morning, the courier will have it there.

But for all these services to be convenient and available, someone must be working at night - baking the pizza, answering the toll-free line, sorting the packages and flying them around the world. And if they are working at night, they will need to sleep in the daytime.

And, therein, lies the problem. We demand convenience and ’round-the-clock services, but have not yet recognized that we need to be mindful of the workers who need to sleep in the day as a result. We continue with our noisy and disturbing daytime activities with no consideration for the fact that our neighbor or friend may be trying to sleep. As a result, getting any sleep may be very difficult.

Sleep is also difficult in the daytime because, physiologically, our bodies were designed to sleep at night and work during the day. When we try to sleep during the day, our own body is working against us, trying to keep us awake.

Another factor serving to minimize the amount of sleep workers get is the belief that sleep is dispensible. If we short-change our sleep, it doesn’t matter. Yet more and more research is showing that even one disturbed sleep period or sleep loss has an impact on memory, learning and moods. On-going sleep deprivation leads to more serious consequences of illness, depression and perhaps even a shortened life span.

Sleep is not a luxury. It is essential to our well-being. As shiftworkers, we must be diligent in protecting our sleep and as a community we need to be more mindful of the need for daytime sleep for those who serve us at night.

Shiftwork Schedules

December 1st, 2008

“What’s the best shiftwork schedule?” The “best” shiftwork schedule is the one that best meets the needs for production, efficiency, safety and worker well-being. This means that schedules will, by design, be different for every workplace.

In spite of this, there are some principles that distinguish better schedules from others. For example, the best schedules are either long or short, that is, they have no more than 2 of any shift in a row or they have more than 14 of the same shift in a row. Intermediate shift rotations (4 - 7 of the same shift in a row) are universally considered to be the most stressful for workers.

Schedules that rotate forward (days - afternoons/evenings - nights) also contribute to worker well-being and usually result in production and safety improvements.

Schedules that allow for permanent shift assignments or established rotations are also favored. Casual/-on-call/swing shift assignments on an on-going basis make huge physical and emotional demands on workers.

Schedules that allow for frequent weekend and evening time for family and friends are also preferred by most workers. In lieu of this, schedules that provide at least four days off in a row are usually attractive to workers.

How good a schedule is is also a factor of management practice. For example, even less than perfect schedules can be tolerated by workers if they have the opportunity to self-schedule and trade-off as their personal needs require.

When you are designing your schedule, be creative. Keep all options open. You will find that you will discover schedule variations which you may not have considered previously and the schedule you decide on will be the best schedule for your workplace.

If you would like to assess your shift work schedule or would like to develop a new shift work schedule, call us about providing a Schedule Clinic.

Sleepy Drivers

November 15th, 2008

Almost all shift workers can recall incidents of sleepiness while driving. They will say. “I remember getting in the car at work and I remember driving into the driveway, but I don’t remember anything along the way.” Worst case scenarios involve accidents and deaths.

You can reduce the potential for sleepiness incidents if you:

-Recognize sleepiness (head nodding, focus on hood of vehicle rather than road, not remembering key landmarks and intersections while driving)

-Stop and pull off the road when the symptoms of sleepiness appear. (Note that many drivers do not recognize sleepiness symptoms or think they can shake it off. Stop sooner rather than later.)

-Have a nap (either while on the road or before you get in your vehicle).

-Breathe deeply. Drink water.

-Turn head from side to side.

-Stretch big muscles from time to time.

-Keep vehicle cool.

-Use aromatherapy scent like peppermint or lemon.

-Chew on crunchy snacks like carrot sticks and pretzels.

-Vary your route home so that you must be more attentive.

-If you are carpooling, ensure that the front passenger stays awake and checks on the status of the driver.

Employers, too, bear responsibility for ensuring the safety of their employees while they are driving.

Employers can provide rest rooms for those who wish to rest before driving taxi’s or other group and public transportation options education about alertness strategies for driving juice or coffee at the end of shift.

New laws are holding drivers criminally responsible for deaths due to sleepiness accidents and employers are being held liable when their employees are driving tired after long hours of work. For everyone’s safety and well-being, practise alertness promoting strategies while driving and do not drive, even short distances, when tired.

The Need To Sleep Vs. The Need To Be Awake

November 1st, 2008

Though most shiftworkers are focused on getting sleep, time and resources are being expended on how to keep people awake and perhaps even forgo sleep completely.

Obviously, being alert at work and while driving is critical. Fatigue and lapses in alertness greatly increase the risk of errors and accidents and these exact a huge cost in accidents and medical care. Workers, therefore, are encouraged to get quality sleep in sufficient quantities to ensure that they remain alert and safe.

In some occupations, however, the need to be alert extends beyond the usual 8 or 12 hours of a shift. International and military pilots fall into this category. Unusual efforts are made in these instances to ensure that they maintain alertness and in the case of US military pilots, amphetamine use has been endorsed. Currently, the US military is also experimenting with the possibility of staying awake for a week at a time. This is an effort to entirely overcome the body’s need for sleep and the restorative effects it offers.

Is it possible that shiftworkers in more ordinary circumstances will be required to undertake the same extraordinary measures to maintain alertness? Perhaps not yet. We have not yet been able to overcome our need for sleep, as was shown by the soldiers in the Iraqi war who were subjected to long periods of sleep deprivation and who resorted to random napping to compensate. However, for the first time a drug has been approved in the United States for use in overcoming sleepiness associated with shift work sleep disorder.

This measure indicates that we are focusing our interventions away from finding the sources of the sleepiness and providing strategies to promote sleep. Instead, we are implementing strategies that simply overcome the sleepiness. Most shift workers are familiar with strategies for maintaining short term alertness, but is it advisable, in the long term, to maintain alertness through these methods? Or should getting enough sleep still be the best answer for ensuring alertness?

Flexible Work Schedules

October 15th, 2008

The standard employment contract used to offer ‘permanent, full-time’ work with a segment of the workforce working part-time. More recently, another category of employment has become more common. This category is generally referred to as ‘flexible’ work hours, though other terms like ‘casual,’ ‘irregular,’ ‘on-call’ and ‘overtime’ refer to similar arrangements. Those who are working a flexible schedule may be working less than full-time hours, the same as full-time or, in many cases, more than full-time hours.

A flexible work schedule can be determined by the employee and may include job sharing and shift trading. On the other hand, a flexible work schedule can be determined by the employer, and in this instance, employees are required to work as determined by the employer and have little or no control over their work schedule. This practise has become much more common as organizations attempt to control their labour costs. However, the consequences for employees who are subject to employer-based flexibility can be severe.

A review of data in Europe found that “longer and ‘irregular’ working hours are in general linked to lower levels of health and well-being; moreover, low (individual) flexibility and high variability of working hours (i.e. company-based flexibility) were consistently associated with poor health and well-being, while low variability combined with high autonomy showed positive effects.” The report further states that “individual flexibility alleviates the negative effects of the company-based flexibility on subjective health, safety and social well-being.”

If you would like to know if your shift work schedule meets ‘best practice’ criteria, call us about providing a Schedule Clinic.

Fatigue - In The News

October 1st, 2008

A teen driver is found at the wheel of a vehicle stopped at an intersection. When police approach, they find the driver and the passenger asleep and unable to be roused. Subsequent tests show the teen also had a blood alcohol level far above the legal limit.
Saskatoon, Canada

A teen working alone on the night shift at a gas station is murdered.
Montreal, Canada

Veteran employees show new employees locations for unapproved naps.
Three Mile Island, Pennsylvania

School division explores option of offering evening classes for high school students rather than requiring them to attend morning and afternoon classes.
Saskatoon, Canada

Saskatchewan Government Insurance provides funds to a sleep clinic to advance diagnosis of sleep disorders and prevent drowsy driving.
Saskatoon, Canada

Study determines melatonin is not effective as a sleep aid for secondary sleep disorders, but melatonin continues to be a hot seller at health food stores.
Edmonton, Canada

A sleepy driver fails to stop at an intersection and kills the driver of the car that he hit.
Saskatoon, Canada