notanumber 80 Posts May 25, 2017 In these cases, it's not typically a late nurse, it's that I receive a sick call in the middle of the night and can't fill it by 0700 (shift change). It's happened more lately because of people on vacation, or STD, and casuals not answering phones. We do have policies about how many shifts are allowed to be declined by casuals per period, but I don't think it's enforced. I love our management team but a little more pressure in this area would go along way.