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Solo Nights At A Critical-Access ED
- Dr. Mike Stone described flying monthly to a coastal critical-access hospital for consecutive overnight shifts with solo coverage.
- He expanded his procedural skills and read more to prepare for broader responsibilities.
Pre-Shift Sleep And Caffeine Strategy
- Prioritize a 1.5–2 hour pre-shift nap or stay up late to sleep in before night shifts to align sleep cycles.
- Drink coffee before the shift and avoid continuous sipping to protect post-shift sleep quality.
Control Light To Protect Circadian Rhythm
- Use bright light exposure after waking and wear heavy sunglasses after shift to entrain circadian rhythm.
- Limit morning light after a night shift to preserve your melatonin pulse for daytime sleep.

