First, I would ask patients that you know on the earlier shift if any could switch with you for that day, and you would do the same in the future.If that doesn't work, are you going to a chain facility that has other locations in your area? If so, they can make arrangements for you to go to one of the other clinics for a treatment. The chains, like DaVita and Fresenius, have patient records computerized, or can fax over the treatment info.