Many nurses at Children’s work in depart­ments where one can be required to partic­i­pate in manda­tory pre-sched­uled call. Unlike volun­tary call, manda­tory call is subject to certain rules. If you work in one of these areas with manda­tory pre-sched­uled call, please thoroughly review the following infor­ma­tion. WSNA under­stands that currently these depart­ments are Periop­er­a­tive Services, Cardiac Cath Lab, Imaging Services (including GI), Trans­plant Coordi­na­tors, Dialysis, ECMO, Apheresis and Home Care (including infusion). WSNA, your officers and staffing committee repre­sen­ta­tives are asking for your assis­tance in identi­fying any improper use of call.

Manda­tory pre-sched­uled call CANNOT be used:

  • where the staffing plan identi­fies a need for 5 RNs to staff the unit but only sched­ules 3 to work;
  • to respond to regular changes in patient census; ie. the unit is regularly seeing patients on the weekends because of overflow from the week but is using on-call staff instead of including a need for a regular shift in the staffing plan;
  • to respond to regular changes in acuity;
  • to respond to sick calls, leaves, vacations, etc.;
  • to fill chronic staffing shortages;

Please fill out a Staffing Complaint/​ADO form each and every time you are called back for one of the imper­mis­sible purposes listed above. You should select one of the following options under staffing concern” and also please provide details under other concerns:”

  • Our unit staffing plan is inadequate
  • Our unit is not staffed according to its staffing plan
  • Shift adjust­ments are inadequate


ADO staffing complaint forms can be found at: https://​www​.wsna​.org/union/ado
Where can I find my Children’s staffing plan? https://​www​.doh​.wa​.gov/​P​o​r​t​a​l​s​/​1​/​D​o​c​u​m​e​n​t​s​/​2​3​0​0​/​H​o​s​p​P​o​l​i​c​i​e​s​/​C​h​i​l​d​rensNS.pdf

Questions? Please contact WSNA Nurse Repre­sen­ta­tive Sara Frey at sfrey@wsna.org or 206 – 575-7979, ext. 3039.