Role Call (Shift Book 3)

Shift plan

They are at a crash call one floor below. The nursing team is in handover — the worst time to get sick. I shut my eyes and I see the look in hers, silently begging for someone, me, to help her. A colleague told me the lady was taken to intensive care. I call a friend who has never worked in healthcare, who is not a girl in her early 20s who just watched somebody the same age as their mother fight for their life and tried to fight with her.

I need to be able to handle the confused, the aggressive and the very unwell.

Are there any benefits to staying on the night shift?

I failed to do my job that night and a women nearly died. If you would like to write a piece for our new series Blood, sweat and tears, read our guidelines and get in touch by emailing healthcare theguardian.

Join our network to read more pieces like this. And follow us on Twitter GdnHealthcare to keep up with the latest healthcare news and views. The writer writes under a pseudonym. Topics Healthcare Network Blood, sweat and tears. Order by newest oldest recommendations.

Night shift from hell: my mistake almost cost someone their life

Show 25 25 50 All. Threads collapsed expanded unthreaded. The 8-day week with 21 hours per "day" is a general concept for full week coverage where the hours of the week are grouped differently. Four on, four off is a shift plan that is being heavily adopted in the United Kingdom and in some parts of the United States.

While this creates a "hour week" hour average over the year with long shifts, it may be preferred because it shrinks the work week down to four days, and then gives the employee four days' rest—double the time of a usual weekend. Due to the plan, employees effectively work an eight-day week, and the days they work vary by "week".

Over 15 million Americans work night shifts, or have jobs that require them to rotate to nights.

The shift plan, rota or roster (esp. British) is the central component of a shift schedule in shift The U.S. Navy uses a three shift system with an hour day instead of a . any time past 8 hours) for the hour shift, calling this an " alternative workweek". See also the book, 4 Days, 40 Hours. .. California roll shift schedule. On-call scheduling, sometimes referred to as on-call shifts are processes used in business Print/export. Create a book · Download as PDF · Printable version.

As with three-shift systems, most employees stay with the same shift rather than cycling through them. Such shifts are popular within the Australian ambulance and fire sector, see However it is often referred to as a ten-fourteen roster, as the day shift lasts for ten hours, with the night shift lasting fourteen. Extended night shifts such as these are often a double edged sword; on one hand crews on slower weeknight shifts, or those in areas of low demand will receive excellent levels of rest when there are no calls for emergency services, crews are encouraged to rest if required.

Conversely, those employed on high demand days such as weekend nights, or in particularly high demand areas, will often be required to be awake or working for their entire rostered shift. However, due to the scheduled nature, most ambulance and fire employees can attempt to obtain sufficient rest before or after a particularly busy hour night shift. A variation of the four on, four off plan is the two days, two nights, four off plan of working.

In this shift schedule, employees work hour shifts from The 6 on, 4 off plan is commonly used in British police forces. Shifts last hours, creating some overlap between the 5 teams. The 6 on, 6 off plan consists of 3 days and 3 nights of work, then 6 days off. The day pattern repeats in a cycle of twelve weeks, i. The Panama plan follows a pattern throughout a fortnight , in which shift workers generally are allowed every other Friday, Saturday, and Sunday off, with two additional days off during the week, although this may differ depending on organization and industry.

The most common form utilizes four shifts, each working twelve hours, with two shifts generally paired together: A working days and B working nights while C and D are off, and vice versa.

On call shift

It is not uncommon for shifts to rotate between days and nights, most often with six months spent on nights and six on days. This shift is sometimes known as or "two, two and three". In the 7-day fortnight plan or plan, employees work their allotted hours within 7 days rather than 10 in a fortnight , i. Therefore, 41 hours per week equate to 82 hours per fortnight, which is worked in seven days, at 11—12 hours per shift. This shift structure is used in the broadcast television industry, as well as many law enforcement agencies, as well as health care fields such as nursing and clinical laboratories in the US.

Access Check

One of the advantages of using this plan is each shift pair, for example A and B, will get time off on weekends alternatively, because the schedule is fixed and does not drift. A day fortnight plan uses six shifts. Each shift works for seven days straight for their first week. On their "off week", they can choose three days to come in, to support other non-shifted departments, fill gaps in coverage, or participate in training.

Average hours is 42 per week but contains a hour week which can be challenging. Employees work in two-week cycles.

Navigation menu

Show 25 25 50 All. DNOO is the preferred sequence because days off follow night work and there are two consecutive days off. They do work three nights in a row, which would result in chronic sleep deficit if alarms are received on each night, however, the third night is always a Sunday night, which is often less busy than other nights of the week. According to Michael Quinion it is an "evocative term for the night shift … when … your skin is clammy, there's sand behind your eyeballs, and the world is creepily silent, like the graveyard. British is the central component of a shift schedule in shift work.

Week 1, the employee works 4 days of 9 hours followed by 1 day of 8 hours with 2 days off i. Week 2, the employee works 4 days of 9 hours with 3 days off i. Like 8 hours a day for 5 days a week, this plan works to hours in a two-week pay-period. The benefit to working an extra hour a day gives you a normal 2-day weekend followed by a long 3-day weekend the next.

Typical working hours for this type of shift would be Often the employer will alter the starting times e. Their weekend thus starts with the Friday lunch break. It is used in several manufacturing industries in the US. Companies that have gone to this schedule have noticed a decrease in accidents plus more rest for employees, less call ins, and more coverage when crews are short handed. In all the schedule is designed to improve safety. A particular advantage of this plan is that it can readily be slewed to fit business requirements. For example, if less coverage is required on a Sunday, stand-alone shifts are avoided by scheduling the fourth night and first day of four on that day.

This also has the additional benefit of the quick turnaround day between three shift days and nights also falling on a Sunday. To balance pay into and hour weeks, many US companies shift the DuPont Schedule so the seven-day rest period ends on Friday night. To allow 3 full days off following a shift of nights, the day off between three days and three nights is removed.

It consists of a "morning shift" from Each shift works for five days straight. The 8-hour shifts allow vacations and absences to be covered by splitting shifts or working double shifts. The run of day shifts is 56 hours, but the 8-hour shift provides time for some socializing after work.

This plan was once common in the pulp and paper industry in the Western United States but has been largely replaced by an 8 days, 8 swing, 5 nights, 9 off, 8-hour rotation. Graveyard shift, night shift, or third shift means a shift of work running through the early hours of the morning, especially shifts starting around midnight. The origin of this phrase is uncertain.

According to Michael Quinion it is an "evocative term for the night shift … when … your skin is clammy, there's sand behind your eyeballs, and the world is creepily silent, like the graveyard.

In , the World Health Organization WHO announced that working the graveyard shift would be listed as a "probable" cause of cancer. Employees who work on an on-call basis have no regular schedule.


Just like your mother told you, you need fuel to get through the day…or in this case, the night. Avoid sugar and refined foods before and during the shift. Bring protein, nuts, fruits, and vegetables for snacks. Small portions every few hours will keep your blood sugar stable. Be sure and stay hydrated, too. Most facilities dim the lights at night so patients and residents can sleep.

Try and keep lights turned up at the nursing station and break room. However, on your way home you should put on sunglasses to reduce direct daylight, which can stimulate your brain. Traditionally, the night shift has some responsibilities that support the busier day shift. Folding linens, stocking supplies, cleaning work areas, wiping wheelchairs, and assisting the early-risers are some of the duties.

A book or magazine, Sudoku puzzles, or simple knitting—activities that can quickly be set aside to help a resident—can keep the brain occupied. Working nights can be stressful on you, as well as your family and friends. Remind them not to call unless there is an emergency. Specify certain times for communication. Use notes and bulletin boards to post updates. Do not use alcohol for sleep; it may seem to get you to sleep, but it can actually keep you awake as it metabolizes.

Melatonin supplements or over-the-counter sleep aids, available at drug stores and pharmacies, can be useful. Before using sleeping pills, make an appointment with your primary care provider.