The other day, a reader left this comment:
One of the challenges of shift work, especially shift work with no regularity, is eating well and frugally. I’ve always found this difficult and no doubt many people struggle with this. So often I would swing from exhausted to rested….it got tricky to plan ahead. I’d be curious how other people deal with this frugally and healthily.
Having been a nurse for 25 years, I still haven’t completely succeeded in this realm. Having a family and sticking to those healthy work/eat/rest routines even when my personal routine is off is definitely helpful. I’ve also found it helpful to simply acknowledge this challenge and not just feel that I’m failing.
Any tips or things you’ve learnt?
I feel this in my bones! The irregularity of a nursing schedule is kind of wild to deal with.

And though I’m new to being a nurse, I will say that the two years of nursing school also had a wild and unpredictable schedule; every single week was different in some way.
(Which is, perhaps, a way of training us for hospital shift work life!)

from nursing school times
One of the things that is hard for me is that I live in two different worlds. When I am in hospital world, I do almost nothing related to my non-hospital world, and obviously, the opposite is true.
So it’s a very binary way of living; I am either in work mode or other-life mode.

This means it’s really challenging to have any type of consistent daily habits.
For example, a healthy morning routine that would work on a non-hospital day is most certainly not going to work on a hospital day.
Or…I can work out on non-hospital days, but there is NO time to do that on a hospital day. I don’t usually even find time to do my PT exercises on work days.
Note: before we get to how I manage, I do want to acknowledge that I am still quite a newbie to this lifestyle, so take my advice with a grain of salt.
I also want to acknowledge that this odd lifestyle is fairly manageable for me because my only kid still at home is 19! It would be far different if I still had small children at home.
Hospital Mode
My way of dealing with this is to expect myself to do little besides eating, working, and sleeping when I am in hospital mode.
In hospital mode, I:
- get up
- make breakfast
- pack my lunch
- go to work
- come home
- eat a quick bite
- shower
- go to bed
and repeat it all over again.
The main healthy thing I do in hospital mode: I prioritize sleep. I try to be in bed by 9:00 pm so that I have time for eight hours of sleep before my 5:00 am alarm.
The main frugal things I do in hospital mode: I eat breakfast at home before work, and I pack snacks and a lunch. This is also a healthy habit, because I make breakfasts, lunches, and snacks that include produce, protein, and whole grains.
And that’s it for hospital mode. I put zero pressure on myself to do anything other than what I listed above.
Non-Hospital Mode
Laura Vanderkam often points out that you don’t have to do something every single day in order for it to be a habit.
For instance, a person who goes for a run a few times a week is a runner, even though they don’t run every day.
So, that’s the attitude I try to bring to my non-hospital days. I can’t do things seven days a week, but I can do them on my non-work days.
For instance, can I do a workout every day? Nope, but I usually can fit in 3-4 workouts a week.

Basically, when I’m not at work, I do all the things I don’t have time for on work days.
I:
- go for walks
- do gym workouts
- grocery shop
- meal prep
- write blog posts
- do laundry
- clean my house
- do online schoolwork
When things go well, and I manage to use my non-hospital days wisely, I feel well-prepped to go back into hospital mode again.
I mostly get into trouble when I end up with a long string of shifts; for instance, sometimes I’ve done a three days on, one day off, three days on kind of thing, and woo, there is not enough time to rest and prep in the middle of that!
So, that’s usually when things go off the rails a little more for me.
Also: if it’s been a long string of shifts (especially night shifts), I usually take it a little easy on the first day off, and by the time 24 hours have gone by, I’m ready to get back into the swing of my usual productivity.

post night-shift me: TIRED
And on the sleep front, I try to maintain a semblance of a work sleep schedule even on my days off; I try to only vary my sleep wake times by maybe an hour.
Nothing is ever the same
Because no two weeks are the same, I have to maintain a rather flexible mindset about when I do things.
I do not have consistent workout days or grocery shopping days or cleaning days or laundry days or ANYTHING days!

Note my foot-shaped shoes!
I just do my best to fit in the healthy/frugal habits on my days off, no matter where they land in the week.
The routine-loving part of me that wishes I could establish something more consistent. But then I remind myself that I have been living like this for several years now, and I am making it work.
I manage to feed myself decently well, I fit in enough exercise, I maintain my blog, I get enough sleep, my house is decently clean, and so on.

Good enough is good enough, even if there’s seriously no weekly routine!
And while I can’t manufacture more hours in the day, I do optimistically hope that I will get even better at managing this lifestyle once I have more practice at it.
To sum it up:
- On work days, I do very little aside from working and prioritizing sleep/healthy food
- I take it kinda easy the first 24 hours after a string of shifts
- I fit healthy/frugal habits in on my days off
- There is nothing consistent about my weeks; I fit things in where I can, and I call it good enough
I know I am not the only one dealing with an inconsistent schedule, so:

Madeline
Monday 5th of January 2026
Here in Arizona, my nursing friends (I am a RETIRED RN /NP) are hired for EITHER days or nights,they do not have to cover both. That’s so unhealthy. I hope your hospital makes a change or that you find a steady day shift situation soon! (If that is a goal,I mean..) I seriously could never do night shift: migraines, nausea, just awful health consequences..luckily I was always able to find Day shift work.
Good for you for all the ways you make it work.AND, it is your first year full time.. over time it’ll all fall out the way it needs to!
How’s your BSN going??
Happy New Year!!
Kristen
Monday 5th of January 2026
I'm on a BSN break right now! I start back up in a few weeks. But hopefully this class will not be as terrible as the last one.
Jan
Monday 5th of January 2026
IMHO, inconsistent work schedules ultimately take a toll on the body, and a hospital that has inconsistent work schedules for essential staff is understaffed.
I saw the toll it took on my daughter as a medical resident with a wildly inconsistent schedule and sometimes 24 hour shifts. Medical residents often have a lot of charting to do after their official shift, they need to prep for rounding their patients in the morning, and then they need to study for boards. They get little sleep, and it's really hard to get in everything needed to keep the body healthy. Many of them rely on candy and coffee to stay alive during their grueling shifts. There's not an easy way around this for medical residents, compounded by the fact that many resident programs manage to thwart the 80 hour/week limit one way or another. I've been watching the video blog of an anesthesiology intern who really makes effort to have a healthy lifestyle, get in a lot of exercise and good nutrition, tries to get decent sleep, but he is clearly feeling the effects despite his best efforts.
For nursing, it would make so much sense to give nurses consistent schedules. Life is a lot easier if you know you are always working night shift on these three days a week, or day shift on these. Switching between days and nights is particularly hard on the body. It makes more sense to hire nurses and allied health staff as the "night shift on these days" or "Day shift on those days"--not both. Consistent staffing makes more cohesive teams, as well. Doing the occasional odd shift to cover someone's absence makes sense (they really should have floats to do that!), but a consistently inconsistent schedule is not in the best interests of anybody in the long run.
Katja
Monday 5th of January 2026
This is more about organisation. I realised it when I had been faithfully cutting up the last potatos from the bag, cubed them, set the pot on the stove - and fell asleep in front of the TV. The next day I bought a 10,- Ricecooker, that would have done the task unattended, no smoke, no harm. I highly recommend outsourcing some tasks to appliances, and better yet, time programmed ones. For people living in multiplexes, working odd shifts or for a different timezone employer, there may be limitations when to use washing machines, even dishwashers. I do not have this problem personally, but we have some solar (cheap), but not sufficient power storage yet (not cheap enough - yet). So it totally makes sense to load the washer (ours has it own timer), the dishwasher etc.and set a timer for later when appropriate. (load by night, wash by daylight) Just buy a timer, if the appliance does not have it, it will pay of in no time. Your time, that is. So, I love things that do their thing without me watching them :-) We have a small vacrobby too, it does not everything, but holds the line. Foodwise: know what you want and will eat and keep your freezer stacked. I love throwing prepped vegs and some protein in the Instantpot and call it a meal when I am not at my best.
Cindy Brick
Monday 5th of January 2026
Actually, I think you're doing a terrific job of balancing life, considering all the factors you have to adapt to. Only one thought: why not stash 4 or 5 dinners in the freezer, so you can pull them out when needed -- or to take to work? (Or even -- gasp -- buy some.) Making double or triple should do it, even for your favorite: blueberry pancakes. (They freeze well, too.)
Sarah
Monday 5th of January 2026
Two things that are currently saving me with shift work:
1 - I wake up at the same time every day. I used to sleep in on non-work days, but right now 6am every day is working well for me. This does mean that one day a week the dog doesn't get a morning walk - but she seems to be surviving okay 😄.
2 - Work lunches are ALWAYS the same. Work dinners come from the freezer. My work days are in clumps so I meal prep all my meals the day before the clump. There is no creativity. Lunch is a simple protein and fresh fruits and veggies - almost always finger food. I've invested in SouperCubes trays and every couple months fill my freezer with frozen meals or meal components. I pull what I need from that stash at the same time as I make my lunches. Because of this routine, I can generally do 4 days of meal prep in less than an hour. Also, at this point in my life, most of my frozen meal components come from Costco, so what could be a solid day of meal freezing actually only takes me an afternoon.