Building on-call rosters: rest, fairness and traceability
Of all schedules, on-call rosters are the hardest to hold together. Not because of volume: one on-call line means one person per period. The difficulty is that on-call duty produces effects you cannot see at the moment you plan it. Someone on call is not at work, but neither are they free. If called out, their intervention time becomes actual working time, which shifts their rest, which invalidates the assignment planned for the next day. The schedule was correct when you wrote it; it becomes wrong overnight, and nobody notices before morning. An example makes the mechanism obvious. A practitioner finishes at 6.30 pm and goes on call. They are called at 11 pm and work until 2 am. If eleven consecutive hours of rest must follow that intervention, they are not available before 1 pm the next day, while the schedule had them starting at 8.30 am. Nobody made a mistake: the next day's assignment was decided weeks earlier, the call came at..


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