Only one nurse scheduled overnight - What is your facilty backup plan? - page 3

Hello wonderful and wise nurses, I am the nurse manager at a facility that only has one nurse in the building overnight. While we are generally very lucky to have great staff, we occasionally... Read More

  1. by   lindseylpn
    I work at a group home with one nurse staffed in the home for 15 hours a day, split between a long nightshift and a few hour shift during the day. We rarely have call ins but, when we do the scheduling manager will basically call every nurse on staff and if no one will come in then either the Don or company president have to come in to pull the shift. They rotate weeks as "back up on-call" which includes all emergency calls throughout the agency (most of our homes aren't medical) as well as covering for nurse call ins. Usually the don comes in regardless of which one is actually the "back up on-call". I have no clue if they get on-call or overtime pay, or anything like that though.

    We had an in office nurse for a short time that assisted the don with her work and she was made to cover for all call ins. That position didn't last long, she said she was basically on call 24/7 and quit.
  2. by   pjsmom
    Quote from MilliePieRN
    It is the managers responsibility because they are the ones that have control over staffing. You even said earlier that it's too expensive to have more staff to cover the open shifts. That's a decision mgmt makes. The effects of that decision should be felt by mgmt and not passed along to the staff nurses. Do you even occasionally work those shifts? (My previous manager could not even do the job or cover a shift safely, which is terrible... he was not even willing to learn). Paying premium pay is ideal for all involved, but if it is abused by managers even that won't work very long. I find it horrifying that some managers require the off-going nurse to find a replacement or have to stay for double shifts. I'd be quitting asap. I'm glad you are looking for backup plan ideas that would be good for your staff. Money talks!!
    I think you misunderstand what kind of control managers (or at least I) have on staffing. The department has a predetermined number of FTE's that are approved or budgeted for. I can not schedule more than the number of FTE's that my department has budgeted. I do work shifts; In fact until very recently I spent 20 hrs a week on the floor working as a nurse along with my managerial duties. I am not a manager that just takes my promotion to sit on my duff and enjoy the perks. With as many "perks" as a management job may have, it also has at least that many negatives. It wasn't long ago that we didn't have overnight differentials which is ludicrous. I had to prove my point time and time again, submit market research and finally was able to get differentials approved. Those 20 hours I was working a few months ago, I was able to turn into a full-time position and hire a FT nurse which we needed. This is just the next piece of the pie that I am trying to work on. Your right, money talks! I think a few people have made suggestions that I think I can actually use. (double pay & increasing bonuses). I have actually looked into an online & app based scheduling system where people can "sign-up" for extra shifts. It will probably be too expensive for a small department like ours, but I am open to learning more.
  3. by   NurseDimples
    I am a night nurse that works alone overnight. I like my job. I'm good at it. After months of being promised additional staff w/o result, I'm quitting. Quitting for a job that pays less money. WHY? Because you don't have any control over your life. If something comes up, you can't participate because you don't have coverage. I blame management for being short sighted. I'm exhausted from trying to explain the rational. When they have to fill in the nights I'm not there, maybe then they will understand. You can't own my whole life for my salary. I'm not for sale, for rent yes, but not for sale.
  4. by   blondy2061h
    You could have a call calendar with on call pay to cover in case of a problem with the scheduled RN.
  5. by   Crush
    I find it unsafe to have only 1 RN on overnight. I understand a small facility, medically cleared and all. However, when working youth and psych, what happens during a code? What if there is an allergic reaction to a medication?

    What about a list of nurses who would be willing to cover in event of a call out? Or a sign-up sheet? Can you call your ADON to work it and then give them the next day off? Offering comp time maybe ( nurse works the night shift to cover but gets their next scheduled shift off )?