We are a small CAH hospital at Lake Tahoe. We have the same problem with a small staff taking a lot of call, especially in peak tourist season of winter and summer. Since we get a lot of Orthopedic injuries from the ski resorts and same in the summer from all the outdoor activities, our call team was exhausted from working all evening, and sometimes into the night after working that day. As you know, then the next day when this staff has to return in the morning for another full day of work, it was not safe.
As a result, we started an “on-call” shift seasonally. The on-call shift is comprised of two staff on call from 17:00 to 0700 the next morning. They cover for 14 hours and get paid 8 hours straight time whether or not they are called in and no matter how many hours they actually work. We assign the two staff members to this on-call shift for a week at a time. They cover 5 shifts, either Monday through Friday or Sunday through Thursday. Only full time staff qualify to work this “on-call” shift.
This was implemented not necessarily to save money (because it usually does not save money), but because we needed to ensure safe patient care. To do this “on-call” shift, it requires the part time staff to have to flex up their hours at times to have enough coverage during the day for scheduled cases. This has been quite successful for the past four years. There are some issues that arise at times over this call shift, however, we still seem to be able to justify it and work through the issues.
I would be happy to answer any questions and address the issues that we encounter at times because of this call shift.
Linda Harman, MS, RN, CNOR
Director, Surgical Services
Tahoe Forest Health System
I worked in a large facility on the East coast where they were used particularly in the
Spine and Ortho joint rooms. This was after there was a bout of infections.
The units were used according to the manufacturer recommendations as to duration of exposure. Does this help?
This reply was modified 5 years, 10 months ago by OR Manager.
Three sink design
L 27inches W 24.5 inches D 10 inches
Does each sink allow for the size of all (or the majority) of the instrument trays to sit flush with the bottom of the sink? Yes.
If it is a three sink design what is the name of the company that provided the sink?
Our sink dimensions are 16″l x 20″w. Not sure of depth.
I have to say that our current sinks, though there are 3, can’t really be used beyond 2 in the existing configuration. It’s just not easy to fit more than 2 people at the sink at the same time. The current depth is also not the best ergonomically. We are going to try an additional sink setup that is portable to use for lumen flushing. It’s called the PureStation system by Pure Processing.
Interestingly, we are in the midst of upgrading each of our decontamination areas to a three sink design. Our areas were constructed more than twenty years ago and cannot accommodate all instruments or instrument trays now in use. Additionally, we have had to improvise to create a third sink to meet recommended standards. The sinks we purchased are made by Blickman.