Work Hour Regulation in Safety-Sensitive Industries - Keeping Patients Safe - NCBI Bookshelf Work Hour Regulation in Safety-Sensitive Industries - Keeping Patients Safe - NCBI Bookshelf

Mandating no 12 hour shifts for nurses, 18 states restrict mandatory overtime by law

Longer shifts are easier to schedule Longer shifts for nurses make for easier scheduling, from a managerial standpoint. Washington State In Washington, mandatory overtime is illegal, both in hospitals and nursing homes.

New York In New York, mandatory overtime is illegal.

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Although not studied, the performance of other tasks, such as maintenance, preparation, and operation of equipment e. One of the cons of working longer hours is there is an increased chance of making mistakes: At-sea schedules for nonflight naval personnel can be quite rigorous.

Irritability, agitation, and even depression.

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Although the New York Hospital Association immediately filed suit contending that the regulations were arbitrary, had been improperly adopted, and failed to provide adequate reimbursement for the increased costs of their implementation, 6 its appeal to the State Supreme Court failed Patton et al.

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Twelve Hour Shifts for Nurses

Although the work hours of truck drivers, locomotive engineers, and pilots are regulated to protect the public from fatigue-related errors, hospitalized patients lack similar protections. The majority of anesthesiologists and anesthesia residents report having made errors in the administration of anesthesia when fatigued Gravenstein et al.

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While the flexibility of the hour shift may appeal to nurses, the longer hours undeniably have their share of risks too. Anecdotal evidence suggests that hospital nurses are also working large amounts of overtime because of short staffing.

Pilots are expected to remain alert despite high levels of automation, low light levels on the flight deck, and regulations that require the pilots to remain in their seats for the duration of the flight unless their absence is necessary for the performance of duties in connection with the operation of the aircraft or biological needs, or if the crew member is taking a rest break and relief is provided.

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Despite the Department of Transportation's acknowledgment that current work hour rules are outdated and that fatigue remains a significant factor, none of the regulations or statutes limiting hours of service have been modified since Although they are on duty for longer periods than most people, not all hours spent at the firehouse are devoted to working; part of the time is devoted to meal preparation, housekeeping chores, recreational activities, and sleep.

Internal medicine residents could spend no more than 80 hours per week providing patient care, could be on call no more than every third night, and on average would have to have the opportunity to spend at least 1 of every 7 days free of patient care duties Green, According to the NTSB's investigation, the probable causes of that accident included the following factors: