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By Judy Kauffman posted 09-09-2013 15:13

  
Staffing an acute dialysis unit can be challenging at times. What have you found to work for your unit to cover the off shifts, weekends, and holidays.  How many hours is in a typical shift, 8, 10, 12?  Do you cover the off shift with a scheduled staff person or with a call nurse?  Please share your experiences with your acute colleagues.
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10-07-2013 19:30

Hi,
I staff an acute facility that has a 6 station unit. We dialyze stable patients in the unit with a 2:1 patient/ staff ratio. We also provide 1:1 bedside treatments. The staff work 10 hours shifts: 7am-5:30pm and 10am-8:30pm. on Saturdays we close at 5:30pm. On-call covers the off shift hours and our regular staff provides the coverage. They have requested off on Thanksgiving, Christmas and New Years so this year we are planning to open the Sunday before the holiday...hope it works!!
Alice

10-01-2013 14:06

We are a pediatric unit. We have a weekend option nurse who works 12 hours on Saturday and Sunday (0700 to 1930). We also have a nurse on call on Sat and Sun in case the patient load is big. We do not do routine dialysis treatmens on the weekends. Our nurses take call for holidays and the off shifts. We have discussed having a night nurse to assist with PD issues on the nursing floors and assist with CRRT in the ICU but our census is not quite large enough to make this practical at this time.

09-12-2013 10:57

Good Day Judy
i work in a 11 station acute unit in the bronx. we have 10 nurses per day including the charge nurse . 12hrs shift .some nurses come at 6 ,630 9 and 11 am to cover from 6 am to 1130pm. Our ratio is 3:1 thats very high. these 10 nurses will cover the unit patients and off unit patients ..we calculate no more than 7 off unit (ratio 1:1). the on call starts at 11pm to 6am .with one hr window to travel. sunday is 12 hrs on call 6am to 6pm and 6pm to 6am. we work almost all-holidays except thanksgiving, christmas and new year. we schedule a sunday before or after these holidays.