What is everybody doing out there in the Acute inpatient programs? Are the same staff working a 12 hr shift and then being on call getting an on call run and working more than 16 hours in a day? Do some units have designated ON call RN's who contract for a price whether they are called in or not? Some state labor laws wont let RN's work more than 16 hrs. We are a large inpatient program are a trying to invent the ON-Call wheel, who can help us? Thanks

Our acutes do thier days then can have on-call. Some work 20-22 hours before getting relieved. Then again Florida has some of the worst staffing ratios in the field I work sometimes 18 in the chronic unit as the only RN plus I'm a manager. The very last day I worked Acutes I worked 22 hours had 2 hours sleep and back again!!! Why I left it.

I manage an inpatient hemo unit @ a teaching hospital in Little Rock, AR. We have 9 total nurses including myself. We all rotate call. I try to give nurses call days they like but never can tell when those ER admits come in. It has been much better since ICU's have taken over CRRT using NxStage. Are call is so much better.
When I was in Austin Texas I worked for FMC and would take call for upwards of 12 hospitals @ least once per week. I think its all about the Dr's taking care of there nurses. Some will and some won't but have to train them too.