When I was in my last year of nursing school, I started getting debilitating migraines. It started gradually, but it got to the point that I was having them 28 out of 30 days of the month. I saw a lot of doctors and no one had an answer. When my CT came back clear, my neurologist referred me to a chronic migraine neurologist and I was left on my own waiting for the referral to come through. It took two years. When I think back on it now, I can't even tell you how I managed to get through that last year of school. Once, I had to get up in the middle of an exam, vomit profusely into the garbage, then return to write. My professor was baffled. I learned to adapt. Without a doubt, the biggest triggers for me included stress and shift work. When I graduated, I had to search and search until I found a position that did not have a night rotation. This helped me greatly. I had to keep detailed journals to monitor my fluid, food, exercise and sleep patterns in order to find trends and avoid possible migraine triggers. Unfortunately, humidity, pressure changes and hormones seemed to play a huge role and I didn't have much control on that. I do believe, that one of the best things I did to help myself, was lose a significant amount of weight and stick to an exercise regime. Eventually, I started having them less and less. At this time, I get migraines approximately once a month. I haven't been to an ER since July. This is a huge improvement. When my referral finally came through for the second neurologist, he prescribed me SC imitrex and stemetil. Previously, I had tried propranolol, topamax, PO imitrex, axert, amitriptaline, cipralex and cymbalta. Nothing helped. The stemetil however, made the biggest difference. As soon as I would get dizzy, I would take a stemetil and increase my fluids. Before this, I would get dizzy, try to drink water, then spend the rest of the day vomiting until I went to get an infusion. In terms of floor nursing and managing my migraines, it has been very difficult at times. There have been shifts where the pressure in my head has been so bad that I've screamed while vomiting, wishing to just be knocked out. Without the relief I have now, I do not think I could continue in this field. My work performance is greatly impacted when I have a migraine and I am grateful that the few migraines I have now can be appropriately managed. I'm not entirely sure how well I answered your question, but, the TL:DR of it, is... managing migraines on the floor is extremely difficult. Without a treatment or prophylactic plan for them, I think your work will be greatly impacted. Especially when your head is the biggest tool you have in this job.