Scheduling in the ED

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My department is thinking about making some changes to the way the schedule is made. I was just wondering how other EDs do it.

My ER is a level 2 trauma center that sees around 300 patients a day.

- Do you work a set schedule? Do employees self-schedule? Or something else?

- Are you required to be on-call? How often?

- Is staffing adjusted for high/low census? How?

- Are you required to work weekends? How often?

- How are holidays scheduled?

Any feedback is greatly appreciated!

Specializes in ED.

I am in charge of the scheduling for our ED. 4 requests for shifts off are allowed/month. I do not "hold" staff to their week ends, as long as the shifts are covered I allow them to request week end shifts off. We do not have a week end program.

1. Staff Self schedules then I adjust accordingly - when no one signs up for Friday, then I move staff to meet the needs of the dept.

2. 7a-7p work every other week end. 11a-11p work every 3rd week end. Nites works every other week end

3. We have mandatory call... 1 / 12hr. shift a month

4. Holidays are on a rotating A and B Schedule. If too many nurse happen to be working on a Holiday, I use senority to determine who will actually work the holiday shift.

5. Charge nurses "low" nurses in 4 hr. increments. Then the bus pulls up and we sink.

At one time all staff was on a matrix (set schedule) This worked well as long as no one had to go to ACLS, PALS, went on any type of LOA, quit, had jury duty, vacations, etc. It quickly became unmanageable.

I do the best I can to accomondate staff. I track Fridays, week ends, how many shifts staff rotate, who wants to work 3 shifts in a row, who wants to work every other day, who needs every Tuesday off for school, and keep a copy of the self schedule etc. I feel if staff is happy with their schedule, it's one less thing for them to be dissatisfied about.

Specializes in ED, Ortho, LTC.

We self schedule 8 weeks at a time with the following rules:

3 Mondays

3 Fridays

5 W/E shifts

We have a holiday package (A or B) that flips each year.

We get one request off per week.

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