Reply To: Hiring for Straight Nights

  • Kristen Ammon

    Member
    June 1, 2021 at 5:36 pm

    Hi there!  We typically hire into day/night rotations for most nurses and all new graduates.  There are a couple of exceptions:
    We would hire someone into straight nights if he/she was an experienced nurse, but still require them orient to days/nights.  To hire someone as all days, they have to have direct, over 5 years of experience in our exact unit make up (BMT and Oncology).  I’ve only done that once. 
    Rotations look more like 2 weeks days/2 weeks nights, but we allow people to self schedule and as long as they have 6 shifts of each in a 4 week schedule, we try to honor their initial schedule entries. 
    Once a year (summer), we send out a preference survey and move people to preferred schedules of days or nights (or percentages of these like 75/25%) based on the actual fte numbers and by seniority.   

    If you hire to straight nights:
    1. How long is your orientation process for new grads and those with little experience?- we would not hire a new grad or nurse with little experience into straight nights.  Orientation is 12 weeks for new grads and 10-12 for experience outside Peds/Onc.  Most experienced nurses, especially from adult areas, need 10 weeks.  At times, we have honored “off cycle” requests to move to all NIGHTS, but we take skill mix and current performance (based on charge nurse feedback) into account.  For example, if a nurse at the 6 month mark is struggling with rotating and would prefer to do all nights vs rotate, we evaluate it. 
    2. Do you train to chemo administration upon hire or later on?  What about BMT?- we train to all during orientation.  Chemo, bmt, etc. 
    3. What are your differentials for nights, weekends and weekend nights? 2nd shift: $4; 3rd shift: $5.50; Weekend 1st/2nd/3rd shifts: $9/$13/$14.50; WEO 1st/2nd/3rd shifts: $11/$15/$16
    4. What is your process for when staff can/want to move to straight days? See above.  If there’s availability math-wise and their seniority warrants it, we grant them day shift preference.    
    Does anyone hire into a rotating format?- yes see above

    My only other comment is that with higher volumes of straight night and straight day staff, you have to be prepared to manage some challenges with team members who work very separate from each other.  Most rotated awhile so they appreciate both shifts, but it’s easy to forget what it was like on the shift you don’t work anymore.  Just another changing layer of work culture to navigate!

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    Kristen Ammon, MSN, RN
    Nurse Manager
    Pediatric BMT/Onc inpatient unit and clinic/Valvano Day Hospital
    Duke Children’s
    Durham, NC
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    Original Message:
    Sent: 05-28-2021 04:24 PM
    From: Mary Lynn Rae
    Subject: Hiring for Straight Nights

    Hi-we hire all of our new grads into day/night rotations every 6 weeks

     

    Thanks,

    Mary Lynn

    Mary Lynn Rae, MSN, RN, NPD-BC, CPHON

    Nursing Professional Development (NPD) Practitioner/Clinical Educator Hem/Onc/SCT (LC17/LC18)

    Ann & Robert H. Lurie Children’s Hospital of Chicago

    T 312.227.4224 | mlrae@luriechildrens.org | luriechildrens.org

    225 East Chicago Avenue, Box 248, Chicago, Illinois 60611-2991

     

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    Original Message:
    Sent: 5/18/2021 6:22:00 PM
    From: Tristyn Kruger
    Subject: Hiring for Straight Nights

    Hello all,
    Currently at PCH our hiring practice is to hire into a rotating schedule, doing both days and nights, with a percentage of your shifts having to be nights/weekends.  We have struggled meeting our needs for nights and especially weekend nights.  The hospital is looking at changing practices and starting to hire into straight nights and we are trying to figure a few things out, especially where skill and experience are concerned.  I would love to know what all of your current practices are.

    If you hire to straight nights:
    1. How long is your orientation process for new grads and those with little experience?
    2. Do you train to chemo administration upon hire or later on?  What about BMT?
    3. What are your differentials for nights, weekends and weekend nights?
    4. What is your process for when staff can/want to move to straight days?

    Does anyone hire into a rotating format?

    Thanks everyone!

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    Tristyn M. Kruger BSN, RN, CPHON
    Assistant Nurse Manager | Cancer Transplant Unit
    Primary Children’s Hospital
    100 N. Mario Capecchi Drive
    Salt Lake City, Utah 84113
    Work: 801.662.4571 |Tristyn.Staley@imail.org

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