Does this make sense to you?
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We have a plastic surgeon who is very slow. He likes to operate long hours. He often operates all day and into the night, ending around 2am. There is only one circulator and tech on call at night, and they are the ones who end up doing his plastic cases.
We have an emergency list of people who are willing to be called in the middle of the night to be asked to do an emergency case. They are not obligated to come in, but they have volunteered to be on the list to be asked to come in.
Instead of having a second call team, our management tells us to use the emergency list if we get a true emergency while the plastic surgery is still going on.
Seems to me that management is taking advantage of the list. Instead of having to pay call pay to a second call team, they have access to staff who are willing to come in even though they are not on call. It's basically a unpaid call team.
Management had 3 choices:
A. Limit the number of case the plastic surgeon can do each day.
B. Pay for a second call team.
C. Take advantage of the fact that some people are willing to come in without being on call.
They chose choice C.
Does anyone else think this is screwed up?