1. I've had a pharmacy leadership position in 3 different hospitals. All of them had a dedicated crew for evening shift. When those people needed time off, coverage was based firstly on volunteers. If there was a lack of volunteers, people would rotate. It wouldn't always be one person after the other; I'd keep an excel sheet and document how many evening shifts each day shift pharmacist picked up. Made sure the number was relatively even by the end of the calendar year. New hires, once trained, were also expected to pick up more of these shifts for the first 2-3 months (which was discussed during hiring - no surprises). Overnight coverage (or on-call) was handled the same way. This was the easiest way to keep things fair.

  2. What incentives do you offer people to work straight evenings? Do you treat the people willing to work them as if they are made of gold?

  3. I never had a problem working day/eves until i worked nights for a year. Now when i work days i feel like i can't get anything done because you can't go 30 seconds without an interruption. EVERYONE STOP BOTHERING ME!!

  4. Lol my husband works nights and you sound just like him 😂 except he is alone with a tech. If he didn't work nights at his job he would leave his hospital.

  5. Agreed. I honestly get PTO and being flexible to cover shifts, but I don't want to dedicate my whole life to being on call. I always believed you took what would fit your schedule, not the other way around. I think it also depends on the hospital because I have seen colleagues with their Airpods in but no one cares, but I wouldn't dare do it because I know they play favorites. I also cannot work night shift because that is just not sustainable in the long run and I would just be miserable. I'd be sleeping the whole time and its even worse if you have to be medicated. I DO relate to the whole being tracked by the minute, which is why I feel evening shift is a happy medium. all the benefits of daytime with all the benefits of nighttime and no director breathing down your neck for going on Amazon when its slow

  6. Sorry, but... I hate this shitty fucking attitude. The problem is not people trying to live their life and be a good parent, the problem is this broken late stage capitalist system. You're blaming entirely the wrong person. That hospital system is turning in millions if not billions in net profit each year, they can pay people more for second shift and hire enough people to actually cover time off.

  7. Overnight is its own set of folks, and everyone takes rotation covering their PTO. First and second shifts rotate staff, unless you WANT second shift all the time, then nobody is going to make you work a first shift unless PTO coverage really requires it. The oddball is that we will cover two 8-hr shifts with a single 12hr shift a couple days a week, and as expected if you regularly do that, you don't rotate out of it.

  8. Our hospital hires people for specific shifts. If people are hired to work second shift, they work second shift. If they are hired to work during the day they work during the day. I don't think it's "entitlement" to expect to work during daytime / business hours if those are the hours you were hired to work. The fact that it's a 24/7 hospital is irrelevant.

  9. Problem is that it's hard to recruit qualified clinical pharmacists to work straight evenings if you're providing those services, especially if you're not in a major metro area. Like we have 4 hem/onc pharmacists working every evening, cardiac ICU pharmacist every evening, liver Tx pharmacist every evening, ED pharmacist 24 hours, etc.

  10. At those kinds of hospitals there is so much resentment because people either get under or overscheduled or the director will change the schedule with no notice. Its even worse when someone goes on maternity leave, vacation, etc or when someone calls out. Nowadays I feel like people are okay with the varied shifts because of the saturated market, but the tide is turning now, so I feel they can be more assertive.

  11. I agree, you should work what you signed up for, and if you want a change you can change if the schedule allows if not find another job. Both my wife and I had to find new jobs that had better schedules so we can raise our kids. Mine came with a significant pay cut. But you have to do what you have to do. And I don’t expect my managers at the time to screw someone else over for me.

  12. At the hospital I'm at, the technicians are hired for certain shifts, but they can volunteer to cover as needed, and a lot of them do for the overtime.

  13. As someone without kids, I agree. The "I have children" folks are a complete pain. I'm not heartless. I used to switch and change my schedule to help out parents. But after no one wanted to switch with me so I can get my birthday off I stopped. The hell with your kids.

  14. This is an interesting topic. I worked as a clinical pharmacist at a hospital for 7 years. The whole time I worked rotating shifts. The schedule was always a mess but I rarely complained because that’s what I signed up for. At the same time, I never resented my colleagues with kids who asked for “special treatment.” I figured what comes around goes around, and someday I would have kids….which is exactly what happened. I now have two kids under three and quickly realized that rotating shifts will not work. My wife was doing a majority of the parenting while I worked nights/weekends/holidays. I won’t go into detail but missing those moments with my kids was very tough.

  15. Our inpatient RPh shifts rotate, which sucks. Impossible/difficult to plan life stuff. Whenever someone brings it up to our supervisor, we get the response "This is how it works in retail."

  16. If one already works nights and ends up having children, there should be no expectation to work days thereafter.

  17. Yeah i think this is a common issue. Our schedule has moved everyone to m-f 8h shifts and is supposed to have everyone, including our more clinical folks work one evening (until 9 or 10pm) a week. I think in a hospital everyone should work evenings, weekends, holidays. However I'm volunteering to work ALL evenings if I can do it as a 7on/7off schedule.

  18. This is the way to do it. Have a small group of 7/7 evening pharmacists, have a larger group of M-F day shift pharmacists who work some weekends, fill in the other weekend day shifts with part timers / PRNs and you're good to go. None of this rotating shift / once a week garbage.

  19. Yep this is the thing to do. Either 7/7 for evenings or at least three days weekends or alternate Fridays off for 3 day weekends. We rotate at my hospital now but at other jobs they have hired designated evening people and guess what, they don't stick around if there's no "give" ie no weekends or less weekends, 7/7.

  20. I worked at three hospitals (all large, high-level trauma centers) and all three of them had people designated for a particular shift. They would sometimes ask if your availability allowed you to work a different one on certain days, but your designated shift was what you worked 95% of the time. It's definitely better this way, you should be able to plan your life around your normal work hours. There were provisions for being on call in case the next shift was severely short, but you would know ahead of time and it would be scheduled around your availability. A lot of people do prefer days, so every time a day shift position came up it would always be an internal candidate from second or third shift, but to me that was kind of fair. You had to break into the hospital on an off-shift and earn your stripes to get the "popular" shift. Personally I was almost always on second shift because I had class in the mornings, and if I was randomly scheduled day shifts without clearing it beforehand it would have been totally disruptive and I would have had to choose between calling in and missing class. I wouldn't have even been able to accept a job that rotated shifts while I was in school.

  21. Second shift: the worst. First shift is when everyone thinks they should work, and third shift the world is asleep. When you work second shift, the world is out partying without you.

  22. My hospital only has specific third shift pharmacists. Otherwise, we all rotate on a second shift for like 2-3 days a pay period with the least senior RPhs taking the later shifts. It’s pretty manageable if everyone pulls their weight a little but we have a pretty complicated schedule that’s been in place for decades

  23. Used to be hospital tech and what you saying sounds familiar ..some senior techs do not even do delivery and never leave pharmacy they either do IV ,Chemo or triage which leaves ,unfortunately ,new techs for delivery whole time .new techs may do one or two IV shifts per month just to make it look they rotating them and it is done with Pharmacy supervisor /manager knowledge so there is no point of complaining . Techs who applied for night shift would find their way to switch to evening then morning using different excuses and leaving night shift short staffed again bcuz no one want to work that shift . I would have enjoyed my time there more if it is not for favortisim based on race (pharmacy techs/rph/supervisors were %70 from one race ) which leaves minority fight their way to get equal treatment from management .I know i make it sound political but that what it was ..

  24. We have dedicated teams for each shift. I'm on second shift BTW and would not trade it for day shift or overnights. PTO is first come first serve.

  25. The hospital I’m doing my residency at has set first and second shifts but people can switch amongst themselves if they want based on vacation coverage or short staffing.

  26. We have set shifts for each shift with shift differential. Our 2nd shift pharmacists are divided into 2 groups - 8 hours shift M-F (2 weekends every 6 weeks) and 7 on 7 off evening shifts. Considering I'm doing overnight and don't have a kid yet, I can't imagine doing 2nd shift cuz their hours just suck. I occasionally work day shift on my off week but dayshift ppl are usually bunch of whiners and toxic af lol. We call it a different "shift mentality" for overnight shift. Since I'm the only rph with a tech, I need to troubleshoot all issues in the hospital while dayshift will just sit and watch - continuously bitching about issue lol.

  27. I get irritated because we have central staff that do set-in-stone 12-hour shifts with no budging on times. We also have dedicated floor pharmacists who work 8’s and they pick and choose what they work. Most come in after 8 and leave between 3 and 330 (shaving hour or more per day). Between the time shaving and the leaving in the middle of the afternoon, it’s ridiculous. Central always gets killed from that point until around 1930.

  28. Depends on the hospital. Thankfully at my hospital there is no rotating shifts. Every blue moon they would they ask you if you can stay for evening shift if you are days and they cant find anyone to cover evening shift. But that's rare. Every shift has its dedicated crew.

  29. Are you unionized? My hospital is union. I'm new to pharmacy, but have worked in EVS and in other departments. Like some others have mentioned, people are generally hired into a shift (and when a different one opens, people can bid on those shifts and who it is awarded to is 100% based on seniority.) Our union negotiated some differentials in our last contract 3 years ago for a swing differential and an overnight differential, as well as a weekend differential. We're bargaining a new contract and some work is being done to try to get those higher. Many things are often based on seniority, which has it's benefits and downsides. We also have a contract that spells out things like how vacations are granted, how mandatory overtime happens, etc. Some things, specifically how PTO is granted can be done differently if a department wants something different, but it does not get to be decided by management, it has to be developed with union members and voted on by the union represented staff. All of these things can be a bit complicated, but for sure I never want to work a non-union job again. Management can't play favorites with shifts or PTO, and can't deny vacation based on biases. It's not perfect, but at least there are a few more people willing to work nights and weekends due to the differential, and when you don't want to, at least you earn a bit more money for your trouble.

  30. Also as far as the kids/no kids (and there are just some people who are going to feel entitled to a M-F, 9-5, regardless of what else is going on in their lives), others have correctly pointed out that the real problem is that we live in a country that doesn't support parents AND ALSO doesn't support working people generally, so we're all busy bickering with each other instead of the ... people who make those decisions. Like, I certainly wouldn't trade a slightly better schedule for the responsibility and hindrance of raising children. Do I really want to go grocery shopping at 10am on a Saturday? No, I wanna go Tuesday morning so that there are less children in the grocery store while I'm trying to get in and out of there. There are perks for NOT working day shift weekdays. And there are (lots!) of perks to not having kids, lol.

  31. I’ve never understood the complaints about “inability to make future plans” with rotating shifts. Every pharmacy I’ve worked has published the schedule in 4 to 6 week blocks, with each new schedule published no less than two weeks before the end of the current one. So, on the day the new schedule comes out, I am able to make plans (or not) for the next 6 to 8 weeks.

  32. It feels like everyone is blaming colleagues instead of the person in charge of staffing. Everyone is allowed to have a preference which shifts they work.

  33. Yeah, where are those overnight daycares? Night school for elementary kids? Let’s start a trend so we can all work nightshifts.

  34. In France you're mostly on night call so you come only if needed. In bigger hospitals you have a night shift but it's usually done by interns (residency here is a 4 years specialization accessible via a national selective exam and integrated in our studies so there are always interns in most hospitals) with a pharmacist on night call. Technicians don't do night shift at all, generally.

  35. I’d prefer overnight in hospital but in retail pharmacy I always get the shit shifts because I’m single n childless

  36. Whenever I’ve worked in positions that need second or third shift, or weekend coverage, it’s based off of seniority, not if you have a child or not. Now, some people prefer working second or weekends, so they could request them… but usually seniority = you get to pick your vacation time, and your shift before a newer person.

  37. We have set 1st, 2nd and 3rd shift pharmacists. You're hired for a shift and you aren't expected to rotate, though can switch or pick up shifts if you're trained in an area. If a position in a different shift opens up, you could change your shift, but if there were more than one person who wanted it, it would go by seniority.

  38. I’ve worked at 3 24/7 hospitals. First hospital everyone rotated through all shifts including evenings. Which was pretty fair. Second job we had 3 day shift decentralized, 2 day shift central pharmacists, 1 day shift float, then 1 evening decentralized, 1 7 on 7 off evening pharmacist, and 1 evening float. We had several rotators that worked both days and evenings. We were hourly at both these hospitals so got an extra $2ish for working evening shift. My current hospital has several day shift decentralized, 2 7 on 7 off evening decentralized, ICU evening pharmacist, and then a couple of day shift rotators, 1 evening rotator, and me who rotates on both but mainly days. We are all hourly so when I work an evening shift, I do not get shift differential. Those that work only evenings get a higher pay rate since they are straight evenings. So no shift diff but it’s factored into their rate. And there is always a rotating list of whose turn it is to cover overnights when that pharmacist is on pto if no one else volunteers to cover it. I think it’s fair that as a new pharmacist, you have to work your way up to days. I don’t think anyone should expect to be straight days when starting a new job now in this market. Seniority should be rewarded somehow.

  39. i mean they literally did find a mon-fri 9-5 job lol, not their fault for setting boundaries with their company and no taking shit from corporate.

  40. I love my 11-1930s. I have a 13 year old. At first my RXOM was super apologetic. Im like why? I love this shift. Seriously i do. She said most people hate it. Im like well not me, i love them. Please never schedule me to open.

  41. oh lordy. the pharmacy in the hospital i worked at wasn't 24/7, but there was only one other tech with me. when i got hired, the first holiday came up and i asked the other tech which holidays we were rotating. she just turned and YELLED "hey boss, i thought venus was hired to cover all holidays!!!???" like girl......just because i don't have kids doesn't mean i don't have family? i was then told nonchalantly that i did have to work every holiday. don't miss that drama 🫠

  42. Just talk to your manager about it and voice your opinion. We rotate shifts here regardless if you have kids/older. We do notice that the senior pharmacists get more of the first shift to accommodate picking their kids up from school, etc. but no one seems to complain since they are always willing to swap if needed. Im sure your manager wont mind spreading the shifts evenly if someone spoke up instead of ranting on reddit

  43. OP, what you described is what happens in NYC hospital systems (NYU, NYP etc). Unfortunately, this is the norm due to very strict Union rules. Shift/Vacation preference is based on seniority.

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