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Discussion

Staff Self-scheduling

Does anyone use self-scheduling in their operating room for the staff schedule? Our schedule is currently a disaster, so I'd like to consider trying self-scheduling. However, I need some guidance on how to adapt it to the OR. Does anyone have guidelines or insight on how it may be done in other operating rooms? I'd appreciate any input...thanks!

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    • Admin

    Here are a couple of threads discussing this (none in the OR, but thought the comments might be helpful anyway):

    https://allnurses.com/general-nursing-discussion/looking-for-guidelines-197583.html

    https://allnurses.com/nursing-educators-faculty/self-scheduling-57640.html

    https://allnurses.com/general-nursing-discussion/does-anyone-use-82071.html

    https://allnurses.com/general-nursing-discussion/self-scheduling-505326.html

    Hope these help. :)

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    • Admin

    Before you make a decision to go to self-scheduling, see if the employees are on board. They wanted to try it in my OR, polled the staff, and zero staff wanted it. However, we do have staffing bylaws that state how many off-shifts (either 11a-7p or 3p-11p) each person is responsible for per schedule period, how much call each person is required to sign up for, how weekend shifts are scheduled and call assigned, etc. The only part that is self-scheduling is signing up for call- one 8 hour shift per week, Monday-Thursday (Friday/Saturday/Sunday assigned as part of the weekend rotation). Staffing is not done by management but by designated members of the scheduling committee- rotates annually, one RN does the schedule for RNs, one RN assigns call for RNs, one ST does the schedule for STs, and one ST assigns call.

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    We have had different schedules to cover a lot of time that otherwise would be Call. We have more staff now and this is how my OR does it. There are a good number of staff doing 7-3:30, there are others doing 11am-7p, then we have night crew. One RN works sun, mom, and Tuesday nights along with a tech, and another RN with another tech works wed, thurs, and Friday night. Then we have am coverage for sat and Sunday day with an RN and a tech, so pretty much Sunday through Saturday day there is only call 2 and the only true call 1 there is is for Saturday night as here is only a tech scheduled to word sat nights. And we the trauma RNs fill out our call schedule and the heart team fill out theirs.

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