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Scheduling and shifts in other hospitals

Posted

Specializes in Psych, ER, Resp/Med, LTC, Education. Has 6 years experience.

I am an RN in Rochester, NY and around here nurses are hired for day/eve/night-- a nurse may have primarily day and eve shifts but must be able to work a min. number of night shifts. The only straight shift you can get is straight nights. No straight days, no straight eves. Eveyone has to work at least 4 weekend shifts a month.

Curious as to how other hospitals in other cities/states around the country manage this. Wondering if any place has a regular day staff, an eve staff, a night staff, and a weekend staff. If eveywhere nights are mandatory.

I am so tired of the hospital hours. I am only working per diem where I am now--psych ED-- so that I won't have to work nights. Mentally and physically I just CAN'T do it. I am so disoriented when I wake after sleeping in the the day time--and have a really time even sleeping at all--get 2-3 hours at most. I feel like crap mentally and just feel really depressed when i have to work nights. So for my sanity I had to take a cut in hours and pay to go per diem just to avoid nights..............How are these things in other parts of the country? Curious.

fawnsternurse

Specializes in psych, medical, drug rehab. Has 24 years experience.

Hi, I use to live and work in Rochester too and that is what I absolutely HATED about that area.

No, in reponse to your question other hospitals do not do it this way.

This is so totally unhealthy that I cannot wrap my mind around the fact that they actually require this. It is archaic at best and goes against every health principle I know. And for Rochester... an area that is so progressive otehrwise.

This is precisely why I only work per diem now. Because management acts like they own you otherwise.

Slavery went out with Lincoln.

I have worked in Miami, Atlanta, and New Orleans and all these places require 12 hour shifts and its either day or night, no swinging with every other weekend required. I usually work per diem which requires 3 weekend days with a total of 6 shifts per month. I can't imagine working 8 hours again let alone swinging. How is the pay?

I work as a tech, not a nurse, but the way it works in my hospital is you work either days, eves or nights (differentials increasing for eves and nights) and everyone works every other weekend (meaning Sat and Sun - you may have Fri off on your weekend off, you may not). We have "patterns" that alternate week one, week two, week one, etc. Seems to work alright here.

RochesterRN-BSN, BSN, RN

Specializes in Psych, ER, Resp/Med, LTC, Education. Has 6 years experience.

12 can be okay but can be long too-- I am a single mom so working the 12s is hard sometimes......can't do one if I have my son that eve and if I don't then I get out late there is no time to do anything. especialy if you have to be back in the morning for another 12-- our shifts on my unit and the other psych units just at this hospital run 0000--0800, 0800--1600 and 1600---0000, some 12 hour shifts..... If I work 0800 till 2000 and report till 2030 I get home a few minutes after 2100 and need to go to bed at like 2200--2230 so I can get up to be be back at 0800.......not a whole lot of time in the eve for yourself that way--fells like you should just sleep there. Almost as bad as a total double back.

L&DForMe

Specializes in Pediatrics, med/surg, L&D/PP,Corrections.

I work at a hospital north of Seattle, and ours is not run that way.

Last year we switched to self scheduling so our rules are a little bit different.

We only work the shifts we were hired to work, unless we volunteer to work extra on a different shift.

Self scheduling rules require that we work at least two weekends in a 6 week period. Sat/Sun for day/evening shifters, and Fri/Sat for night shifters.

They arent too picky about whether staff individually fulfill these requirements as long as the schedule works out. Should they need to move one person off one day/night involuntarily they look for those people who havent fulfilled the weekend requirements.

I love self scheduling! Its cut down on the amount of sick calls we get, and decreased the amount of PTO being used because staff is able to schedule a vacation around their days off. Our nurses are getting a ton of low census right now though, thats eating up their PTO.

I work in western NC. In my particular hospital -- "most" RNs work 12 hrs shifts...days or nts...we have a handful of 8-hr folks...but mostly 12s....and @ our hospital, you are hired directly for week DAYS or week ENDS...there's a specific crew for week ENDS. Myself -- I was hired for 3 12-hr nights (my extreme preference as I am @ my best in the middle of the nt! lol) during the week. Will NEVER be scheduled for a week END -- EVER. Most floors do "self" scheduling...which, of course you do not always get your "wish list" -- but on my floor they ARE excellent about at least making sure you get your request offs:)

Yes, my last few jobs have been self scheduling as well. It is great, being that I am usually PRN (and there is a shortage at every hospital imaginable) I schedule the minimum six and pick up the rest when I feel like it.

RochesterRN-BSN, BSN, RN

Specializes in Psych, ER, Resp/Med, LTC, Education. Has 6 years experience.

For some reason the unit I am on now--psych ER--has a hard time finding full time night nurses. We have one guy that is FT 8-hour nights, and one who is FT 12-hour nights and covers the weekends. We staff with 2 RNs and 2 techs on night shift so the rest of the nurses have to cover the rest of the night coverage. Not even every nurse though as we have like maybe 3 that have that waved as they have been there for over 20 years so this is a priviledge they get--getting straight days-- some chose to do 12-hour days. All of the staff that have to cover HATE it so it is a a hot topic and everyone is always complaining -- "I have 6 shifts this schedule and so and so has only 5--this is so unfair!!" that kind of thing...........Like I said I am actually doing only per diem to avoid the night shifts and am getting not many hours-- and have no other income and am a single mom. But I just can't do it. I do have an interview as the Lead RN for a residential adolescent treatment facility on Tuesday--it's Monday--Friday days!! So wish me luck!!!!!

I'm pretty sure if that was my scheduling option, I wouldn't be working in a hospital. Any hospital that had that kind of setup.

I'm in a different part of NYS, and nurses work 8's or 12's; depends on the unit as to which hours are preferable or mandatory (length of shifts, that is). There is no mandatory swinging in and out of shifts; if you work days, then you work days, etc. Only change from that is if you are asked to cover other shifts, and you agree. Some people DO do that, for the extra money or whatever deal they work out.

I'm a nightshifter and greatly prefer that shift, so it's not that part of the deal that'd break it for me--it'd be the five nights a week thing! I do 12's, wouldn't consider 8's only unless I was prepared to go part-time. I just can't face the stress of my job or the "hardness" of it more than three days a week.

We all do alternate weekends in our facility as well. Not four weekend shifts a month, but every other Sat/Sun pair. Everyone, nurse or housekeeper, has this stipulation, so there's always weekend coverage. Except when there isn't, but that's another story!

RochesterRN-BSN, BSN, RN

Specializes in Psych, ER, Resp/Med, LTC, Education. Has 6 years experience.

Yeah most here do work their 4 shifts in an every other weekend pattern but they do have the choice to do like every Saturday or every Sunday, instead of Sat AND Sun every other weekend. I think if they switched to each person being hired for JUST days, JUST eves or JUST nights....they would have minimal coverage for eves and even worse for nights. I think that is why they do it that way here. The majority of people want straight days. How do you all get the staff that WANTS straight eves, straight nights??????

nicurn001

Specializes in Psych , Peds ,Nicu.

When I worked in the UK we did internal rotation ( from earlier in this thread , I guess its called swinging here in the USA , after 20 years here can still be culturally challenged on occassions ) . Although I know the idea of rotating shifts is not liked here , I'll give a few examples of the advantages of rotating

a) it gives a better mix of staff experience ie.it is not all junior or senior nurses on one shift .

b) There is not the shift identification of staff , so there is less of the snipping between shifts , comments such as " night shift ,sit on their butts alnight and don't do nothing" , Day shift , bunch of prima donna's" etc.

c) we provide 24 hour care , so tasks should be performed when time is available , not that a task is a particular shifts resposibility .

d)Working days should not be a perk , just for those who have survived bed side nursing long enough to finally outlived one of the experienced nurses on days .

Just trying to give a different perspective upon this problem , :twocents:

whipping girl in 07, RN

Specializes in ICU, nutrition. Has 7 years experience.

I've never had a nursing job where we rotated shifts, other than having to rotate to days for a couple of weeks at a time at my first RN job. I was hired for night shift, but there were shortages on days so the new grads all rotated to days for a couple of weeks at a time every month to six weeks. I had applied for days but was told that new grads always went to nights. Then after orientation, my boss tried to get me to go to days but I didn't want to! Nights was a slower pace (most of the time!) for learning purposes and my co-workers were a lot more fun. So the rotation was the compromise until she could hire another nurse, lol!

Rotating between shifts is not easy, I did it for several months twice, once when I was in my early 20s pre-kids, and once in my early 30s with a newborn. I was working day shift 2-3 days and night shift 2 days every week. Like to have killed me, especially the latter time. Felt like I never slept. I feel your pain.

Good luck on your job interview...maybe you won't have worry about working this wonky schedule anymore!!

Yeah most here do work their 4 shifts in an every other weekend pattern but they do have the choice to do like every Saturday or every Sunday, instead of Sat AND Sun every other weekend. I think if they switched to each person being hired for JUST days, JUST eves or JUST nights....they would have minimal coverage for eves and even worse for nights. I think that is why they do it that way here. The majority of people want straight days. How do you all get the staff that WANTS straight eves, straight nights??????

I think days is probably the most popular shift as far as requests go, but those who work the "off" shifts of nights and eves do it for good reasons, and wouldn't want to rotate them. I do nights because it works best for my family, and I get quite a bit more money than my daytime counterparts. People who work evenings, I've found, oftentimes like to be able to go out after work, and then sleep in late :) Mostly not 'morning people', so that shift works for them. I'm also not likely to be happy rising at 5 am to get to work, for me it's 5 pm, but I guess it's a matter of what you get used to (or want to get used to).

When you say "straight eves" or "straight nights", I'm guessing you're referring to 5 8's a week. We DON'T get that, except for just a few who want that: almost all of our eves/nights are covered by daytime people who work 7a-7p, and then night people who work 7p-7a. So there's hardly anyone ON the evening shift in our unit that does just the 8's. We also have 11a-11p, so the full eve shift is covered by one person. Occasionally we throw an 11p-11a in there, so that if it looks sketchy for daytime coverage, the first half of the morning is covered by a night person who stayed four more hours.

We usually are worst-staffed on evenings than nights; nights is worse-staffed than days. But there's PUH-LENTY of times I see the dayshift bemoaning their understaffing. I think the answer is just to get more nurses on the floor, on ALL shifts--how's that for ridiculously simplistic? :D

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