As a nurse you quickly realize that each patient you encounter is unique. You also realize that you will never experience a day exactly like another. As a result a nurse must be ready for the unexpected and flexible. For instance, I had a patient on nightshift that would frequently experience delirium due to lack of sleep obtained throughout the night. I work on a stepdown unit so we perform assessments and vital signs every four hours, even during the night. There are other times during night that labs might need to be drawn as well, usually three in the morning. So I discussed with the interdisciplinary team in regarding to my patients sleep deprivation. It was decided that I would cluster this patients’ care and try not to disturb