TRAUMA: Call and such

  1. Not the ususal, but we rotate Trauma with a neighboring hospital - we have it for a year, then they do and so on an so forth. Every time that trauma returns to us, the same argument occurs each time: How to handle call. Staffing is not an issue, we are staffed 24/7/365 (366 leap years). How do you handle call? Does a free team need to be in-house all the time - or like in the middle of the night, and the team is working, does the call team only need to be in as the free team if there is a trauma en-route, in-house, or what? How do you all handle it? (Please also tell me what state you are in - and I mean state of the Union (or country), not physical or mental state - we are ALL crazy!!)

    Thank you much!!
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    About CIRQL8

    Joined: Apr '04; Posts: 296; Likes: 94
    Service Line Faciliatator, Robotics and surgical urology.; from US
    Specialty: 13 year(s) of experience in Only the O.R. and proud of it!


  3. by   tessa_RN
    Monday-Friday Trauma call we have a scrub and circulator on call 3-11, 11-7...
    Sat and Sun there is a scrub and circulator on call 7-3, 3-11, 11-7
    We have a Heart and Neuro call team who take call the same as Trauma.

    In order to take call a person has to be 20 minutes from the hospital while they are on call..No one stays in call rooms or anything.. Also our hospital rotates Trauma with a neighboring hospital..We are call on even days and they are call on odds..But everyday there is a Trauma call, Heart Call, and Neuro Call people...
    Usually when I am scrub call I get called in to help someone with a case because there is only one RN and a scrub that work 11-7 Like maybe an orthopedic case or a belly case..If there are two cases that need to be done then the RN gets called in along with the scrub..There is also backup call..This is probably confusing the way I wrote I am sure that is the way it works at my hospital
    Last edit by tessa_RN on Sep 19, '06
  4. by   Marie_LPN, RN
    Two scrubs, one circulator on call at a time from 11-7. They do not have to stay in house, but they do need to be able to get there in 25-30 min. The ones that can't will sleep there.

    We also have a "Second String" with 3 more call people, in case of emergencies.
  5. by   TracyB,RN
    Marie, does your second call string get "call pay?"

    We are currently having an issue with people on call calling in sick. The sick person is not responsible for finding their own replacement for call. Instead, we have instituted "the list."
    If it's your turn on the list, you cover the call. The person on the list does not get call pay since "technically it's not call." However, we think it is, since we have to be available to cover that call.
  6. by   TracyB,RN
    ohh, back to the OP...
    we are staffed 2 RN's, 2 techs on pms, 1 RN & 1 tech on nights.
    1 RN & 1 tech on call from 3p-7am.
  7. by   Marie_LPN, RN
    Marie, does your second call string get "call pay?"

    We are currently having an issue with people on call calling in sick.
    Second string gets call pay like the first string. A person in the second string will replace the sick person, if necessary. The person who is sick has to "call in" sick in a minimum of 3 hours before their call time starts. We haven't had an issue with people calling off sick when they are on call though. We did have one case where one of the call people had a ruptured appy, and wound up being the reason the rest of the people were called in lol.
  8. by   Terri RN
    Where I work in ohio, we cover 11-7 with 2 scrubs 1 RN we have what we call e-call and c-call it is great. When you are on E_call you stay untill the shift working can handle the load for there shift c-call which is call from the end of there shift until 7 AM goes home to rest and is called in as needed we are a level one trama center and do not share call with other other hospitals. we do not have many people call off sick you have to take care of each other we do get call pay but it is not much. After we pick our call that is required we post on the board any thing that we want to trade or give away there is always some one wanting to pick up call hope this helps
  9. by   mcmike55
    We are a Level III, in rural SouthEast Ohio.
    Our primary OR team is also on Trauma Call. Most of the time, we don't even get notified. It's either not for us, or flown out.
    Occasionally we get one, or are asked to come in and help, or stand by until the chopper gets there.
    We have an Anes.Doc, OR and PACU RN, and scrub tech.
    If we have need for more than one team, someone just starts dialing until they get another team together.
    We have to be able to respond within 20 mins or so.