PBJ isn’t hard because it’s complicated.PBJ is hard because it exposes messy processes. If you’re using agency, PRN, or local “contract” coverage to stabilize staffing, PBJ forces you to answer (with receipts): Who worked? In what role? For how long? And can you prove...
“Contract staffing” can mean five different things depending on who’s talking. And that’s exactly how facilities end up frustrated. Because everyone thinks they agreed on the same thing… until the schedule breaks. Let’s talk about local contract staffing: a PRN...
If you’re constantly patching holes in your schedule, you don’t need “more agencies” or “more hustle.” You need a repeatable system. That’s what block scheduling is all about. It’s a way to turn your most painful recurring gaps into pre-covered shifts. Then use PRN...
“Guaranteed shifts” sounds so simple until it hits your facility. You’re dealing with a lot in that moment. Your census drops. A unit is in desperate need of help, and everyone assumes floating is fine. A clinician thinks they’re locked into one schedule, but the...
Most facilities don’t have a staffing “strategy.” They have a staffing reflex. Call-offs happen → someone texts PRN Weekend nights are short again → OT gets “temporarily” expanded A vacancy drags on → agency becomes the default Leaders spend their day patching holes...
