Low census input help
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Our facility has been faced with unusually low census the past few months. This has lead to staffing changes and many nurses getting "called off" or put "on call" for the shift. The problem with this is there is no policy or procedure to do this fairly, no rotation schedule in place. I inquired how they decided who to call off and I received different answers. For the most part they call off per diem first, then part timers, then they go by how many hours the full timers have.
That may sound ok but they only go by the two weeks viewable on the schedule and don't take into consideration that the previous two weeks you may have been called off 2-3 times and others 1-2 times, you can see the issue.
My question is, how do your facilities keep track of called off low census days, and how far back is the time examined? Do you use a calendar? Spreadsheet? Can you offer any ideas to better track these days visually and for a longer period of time?
I'd appreciate any input!!