Presented by: Emily Carlton BS, CCLS & Beth Phillips MS, CCLS. Evening Coverage. Struggles, Strategies & Solutions!. Objectives. Share the personal and professional benefits of evening coverage Discuss the differences between daytime and evening positions
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Struggles, Strategies & Solutions!
Frequent independent work
Higher patient volume (ER)
Reduced team presence
Evening multidisciplinary team structure
Increased presence of visitors (siblings)
“There was an increased number of patients triaged as either urgent or emergent on evening shift when compared to day shift, reflecting an increased acuity on evening shift” (Krebel, Clayton, Graham, 1996).
How we make it work!
Diversion Task Force
Balancing areas of work
Reaching out to the community, barriers in communication
Deciding when to flex
Thinking outside of the box
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Krebel, M. S., Clayton, C., & Graham, C. (1996). Child Life Programs in the Pediatric
Emergency Department. Pediatric Emergency Care, 12(1), 13-15.
Nicholson, P. J. (2011). Shift Work and Chronic Disease: The Epidemiological
Evidence. Occupational Medicine, 61(6), 443-444.
Texas Nurses Association: AdvocDirectCareNurse Shiftwork. (n.d.). Texas Nurses
Association. Retrieved May 31, 2013, from
Thompson, R. H. (2009). Program Administration and Supervision. The Handbook of
Child Life: A Guide for Pediatric Psychosocial Care (pp. 203-205). Springfield, Ill.:
Charles C. Thomas