Employees are assigned shifts when hired; however, when staffing is short, the employee can be scheduled to work another shift to provide adequate patient care. Paid time off must be requested two weeks in advance prior to the posting of the new schedule. The unit director and lead charge nurse will decide special requests for days off. Already scheduled and preapproved paid time off has priority over special requests for paid time off made after the deadline. If an employee is not able to work a certain scheduled day, a swap of days can occur with another employee. When swapping days with someone who works another shift, the unit director or lead charge nurse must review the shift and how it affects those employees. According to Children’s of Alabama (2015), exchanges or swaps cannot create overtime and other employees must be contemplated when requesting exchanges or swaps. If a swap is to be made, all changes to the present schedule must be submitted to the unit director or the lead charge nurse. The unit director and the lead charge nurse schedule staffing for holidays. The individual …show more content…
The nurses are allowed to fill out a draft schedule with the days they would like to work. This is only a daft and the days the nurse signed up for are not guaranteed. On this draft is the nurse’s required weekend to work. This weekend is required unless the nurse swaps weekends with another nurse. Once the draft is complete, the change nurses then makes a final schedule. The final schedule can be changed if an employee has a valid reason or if an emergency occurs. For the final schedule to be changed, the lead charge nurse must determine if the staff will be left with enough nurses for the patient census. Sometime if an employee is scheduled during a day with over 9 nurses, the nurse can elect to be on call or moved to another day. The lead charge nurse must authorize this request. Paid time off and vacation is required in advance in writing. 10 Harbert has a binder were requests are written down and then reviewed. If the request is granted, the nurse will be notified in writing. If an employee is cancelled from a days work, they can elect to use their paid time off or make up this day when staffing is short. Paid time off request can be made after the schedule has been issued; however, it must be approved first by the lead charge nurse. Overall, the unit’s actual schedule is reflective of the organization’s staffing policies and the unit’s actual schedule is consistent with the staffing