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April 2004 issue

Anne Arundel Medical Center  Western Maryland Health System Creates “Weekends Only” Nursing Positions

To alleviate the ongoing problem of weekend staffing at its two hospitals in Cumberland, Western Maryland Health System in Cumberland created a new job category—the “Weekends Only” RN position. This allows registered nurses to work two 12-hour shifts on Saturdays and Sundays.

The advantages for the health system include guaranteed optimal weekend staffing and a reduction in weekend premium pay. Nancy Adams, the system’s senior vice president/chief nurse executive, said, “We have consistent staffing and it makes weekend staffing wonderful.” Although the hourly rate of pay for these positions is considerably higher than that of the regular staff, the savings in premium pay previously paid on weekends substantially funds these positions. Further, the improvement in the quality of care to patients based on optimal staffing, and the potential for the regular staff to work fewer weekends contributes to greater satisfaction among all nurses. In addition, many of the weekends only nurses elect to work an extra shift during the week when the census is high at either hospital, Adams said.

The nurses benefit from the new position because they now have the opportunity to work two 12-hour shifts for almost the same pay as nurses who work a standard, 40-hour work week. In addition, the “Weekends Only” position has been an extremely useful tool in bringing new nurses into the health system. Nurses from outside the health system, new graduate nurses, as well as experienced nurses, have the opportunity to work fewer hours for more pay, making these positions easy to fill, according to Adams.

Retaining nurses already working within the system has also been more successful due to this new initiative. Many of these nurses have young children and find the new position helpful because they now have the option of working when the other parent is more likely to be home, eliminating the need for babysitters.

Another aspect of “Weekends Only” positions that appeals to nurses is that it creates the option of a Monday through Friday position for tenured nurses, helping with unit scheduling. Presenting this new option results in happier nurses, which in turn generates more satisfied patients.

Since its inception two years ago, 20 “Weekends Only” positions have been filled across the health system. Four of these positions are unit-based and eight “floating” nurses are staffed at each of the two campuses. Adams notes that they are considering expanding the idea in the Critical Care Units, so that tenured nurses in those areas will only have to work weekdays, instead of the typical rotating weekend schedule.

Contact:
Nancy D. Adams, RN, MBA
Senior Vice President/Chief Nurse Executive
Western Maryland Health System
Phone: 301 723 4158
E-mail: nadams@wmhs.com

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