AMU Emergency Management Health & Fitness Opinion Public Safety

Coping with Fatigue and Shortening EMS Shifts

It is widely understood that when an individual is tired, he or she will not make good decisions.  It has also been found that an [link url=”https://sleepfoundation.org/sleep-topics/drowsy-driving-vs-drunk-driving-how-similar-are-they” title=”individual suffering from extreme exhaustion exhibits symptoms like an individual who is driving under the influence”] – thus, fatigue is a serious issue that encompasses many different facets of society.

The Argument for Shorter Shifts

When it comes to [link url=”https://www.ems.gov/whatisems.html” title=”Emergency Medical Services”], this issue is particularly serious because this is when medical and traffic accidents occur – issues that can be particularly serious. One EMS agency, however, is working to change longer shifts to shorter shifts in order to keep patients and their staff safe. [link url=”http://www.courier-tribune.com/news/20180224/ems-wants-to-go-to-12-hour-shifts” title=”Donovan Davis, Director of Emergency Services, expressed his concerns about this the Randolph County Commissioners meeting recently.”]  Mr. Davis [link url=”http://www.courier-tribune.com/news/20180224/ems-wants-to-go-to-12-hour-shifts” title= “cited”] that employees were leaving EMS agencies to find 9-5 jobs are shorter shifts.

The Retention Piece

Shorter shifts may create more desirable work conditions, but could also have a direct effect on the retention of good employees in Emergency Medical Services. Mr. Davis’ remarks touch on some of the [link url=”https://inpublicsafety.com/2017/04/fire-and-ems-figuring-out-the-retention-puzzle/retention problems” title=”retention problems”] Emergency Medical Services has been having across the country.  In some areas, it has been difficult to recruit volunteers, and just as Mr. Davis states, it can be difficult to retain good employees if they’re unhappy with their work conditions.

Low Wages, Multiple Jobs

While moving to shorter shifts is a very good decision on behalf of an ambulance agency, it can be a difficult decision for an agency, too. Many EMTs and paramedics will work several different jobs to make ends meet because they cannot make ends meet with the wages they’re earning from one job alone.  The decision to limit the hours a staff member can work can be detrimental to the financial well-being of the staff – even if it is a good decision for patient care and employee safety.

Conclusion

Moving to shorter shifts certainly is an important decision for an ambulance agency. It encompasses the issues that come from fatigue moving to create more security for patient care and employee safety. It can also have positive impacts on the retention of employees in public safety positions. Financially, there is the potential to create financial burdens for public safety employees. Ultimately, there are many pieces to the retention puzzle and shorter shifts may very well be a step in the right direction across the country.

Allison G.S. Knox

Allison G. S. Knox teaches in the fire science and emergency management departments at the University. Focusing on emergency management and emergency medical services policy, she often writes and advocates about these issues. Allison works as an Intermittent Emergency Management Specialist in the Administration for Strategic Preparedness and Response. She also serves as the At-Large Director of the National Association of Emergency Medical Technicians, Chancellor of the Southeast Region on the Board of Trustees with Pi Gamma Mu International Honor Society in Social Sciences, chair of Pi Gamma Mu’s Leadership Development Program and Assistant Editor for the International Journal of Paramedicine. Prior to teaching, Allison worked for a member of Congress in Washington, D.C. and in a Level One trauma center emergency department. She is an emergency medical technician and holds five master’s degrees.

Comments are closed.