How do OR hours differ from the rest of the hospital?

CIRQL8 · Jan 9, 2007

At my institution, there are 3 basic shifts: 7-3, 3-11, and 11-7. We have several 10 and 12 hour shift people. There is call, also. All institutions that I know of add a 1/2 hour to your shift (unpaid meal break). Some add it 1/2 hour before or after the basic shift time, some do 15 min before and 15 min after (like we do). So, I work 6:45 AM to 3:15 PM (plus call, a holiday,off-shifts and weekends here and there). About the same as the rest of my institution's other departments (except most other departments do not have call).

P.S. - If I am on call, I may not get relieved form my procedure, or I may have to go relieve another nurse. If my case is still in progress, and I am to get off work on time, someone comes in to relieve me.

Spartan05 · Jan 9, 2007

At my institution, there are 3 basic shifts: 7-3, 3-11, and 11-7. We have several 10 and 12 hour shift people. There is call, also. All institutions that I know of add a 1/2 hour to your shift (unpaid meal break). Some add it 1/2 hour before or after the basic shift time, some do 15 min before and 15 min after (like we do). So, I work 6:45 AM to 3:15 PM (plus call, a holiday,off-shifts and weekends here and there). About the same as the rest of my institution's other departments (except most other departments do not have call).
P.S. - If I am on call, I may not get relieved form my procedure, or I may have to go relieve another nurse. If my case is still in progress, and I am to get off work on time, someone comes in to relieve me.

So cases go on at your institution from 7am until as late as 11pm?

And, in addition to that you have call and have to work at least one holiday?

Do you get your normal rate for call, holiday, off-shift, and weekend work?

CIRQL8 · Jan 9, 2007

Our main OR is open 24/7/365 (366 if a leap year!). Able to perform surgeries all day and all night. We are staffed all three shifts. We have call teams to cover emergencies/trauma if the working team is busy. Main OR has two call teams, CVOR has one call team, EENT has two call teams (one eye, one ENT). Add the 5 call teams to the working team and that is no less that 6 possible teams (at the least). We can run 10 ORs in the main plus two urology suites in main, plus 5 suites in day suregry (EENT), plus 6 in CVOR - assuming there is enough anesthesia personnel and OR staff to go around! We have trauma now, so we must have at least one free team available.

Call pay for us is $2.00/hour. If you punch in while on call it is time and 1/2 over base salary (plus the 2 per hour). Evenings and Nights both have 10% differential over base salary. Holiday time and holiday call (when punched in) is dounble tiem over base salary. Call pay stays the same. We have no weekend differential, unless you sign a contract to work 7 out of 8 weekends (that is a Sat and a Sun, not one or the other).

We are required to take one holiday working shift and one holiday call shift per year. We average one day of call every week or two, and one late day (2 hours over shift) every week or two.

ewattsjt · Jan 9, 2007

I am at a smaller hospital. We have 6 ORs. Our shifts are 0700 to 1530 and 0630 to 1500 dayshift, 1000 to 1800 and 1000 to 2200 for second 2200 to 0700 thirds. We also have 10hr and 12hr shifts.

We start with at least four full rooms and towards the end of day shift try to only have 2 to3 going and continue to reduce to one or none by 1900.

Rest is almost the same as CIRQL8. The exceptions are: no weekend diff. at all and one holiday call (all day) per year and mandated one 24hr of call per month.

Marie_LPN, RN, LPN, RN · Jan 10, 2007

So cases go on at your institution from 7am until as late as 11pm?

Fractures, major highway pile-ups, and appys happen at anytime of the day.

Our facility's OR hours are pretty much like CIRQL8's.

ewattsjt · Jan 10, 2007

Our cases can go on until early morning because we do stat C-sections emergency, etc... Our anesthesia is on a schedule that only allows for going over a little, so if there were delays in the room, the end cases may go to another room at the end of their schedule. If two rooms have a problem then it can be a long night.