Understanding the Meaning of Being 'On Call' in Healthcare

The concept of being 'on call' is a unique part of professions deeply rooted in public service, such as hospitals and emergency response teams. For individuals working in healthcare, being on call comes with its own set of responsibilities, challenges, and rewards. This article delves into what it means to be on call and explores the various aspects of this demanding role.

Introduction to On Call

Hospitals, particularly Emergency Rooms (ERs), operate on a 24/7 basis, serving the needs of the community year-round. In contrast, many clinic doctors carry a phone, allowing them to be available at any time. A normal working person typically works 8 to 10 hours a day, five days a week, with possible night shifts. However, being on call requires a different level of commitment that can significantly impact personal life.

On Call in Healthcare

Being on call in healthcare means being ready to drop everything and go to the hospital or clinic immediately when called. This can mean missing important events such as a child's birthday party or personal family gatherings. Over time, this commitment can create a strain on personal relationships and activities. Just as a submarine crew is on alert but not yet called to action, those on call are also prepared but not yet engaged in the immediate demands of their duties.

Responsibilities of Being On Call

Being on call can entail a range of responsibilities, from simply answering a phone to performing an 12-hour surgery. The nature of this duty varies depending on the job role and the type of healthcare facility. Whether in-house or out of house, the primary responsibility is to be immediately available to work without any contraindications like alcohol in the system. In-house on call means being physically present within the hospital premises, while out of house on call means being available for a specific response time, typically 30 minutes.

Variety of On Call Roles

Let's explore two common types of on call roles:

In-House On Call

In the case of in-house on call, healthcare professionals are required to be physically present within the hospital premises. This means that any emergency or patient issues can be addressed immediately. This role often involves continuous availability, with the requirement to be notified and respond to emergencies without delay.

Out of House On Call

For out of house on call, healthcare professionals have some flexibility in their availability. While they need to be within a certain geographical or response time area, they can leave the hospital for personal needs. This type of on call arrangement is particularly common in rural hospitals where immediate response is crucial but travel time can be longer than in metropolitan areas.

The Real-Life Experience

The author of this piece is currently on in-house on call and received a call at 5:15 am, which disrupted their sleep and plans for the day. Being on call after work and before work leaves little room for personal time and relaxation. Even the best outcomes, such as performing successful surgeries at night, can be overshadowed by the continuous strain on personal life. However, the sense of urgency and the opportunity to help others can provide a sense of fulfillment and purpose.

Conclusion

Being 'on call' in healthcare is a demanding but vital aspect of the profession. It requires a level of commitment that can impact personal relationships and daily routines. While the challenges are significant, the ability to help others in need and contribute to the community can provide a sense of purpose and fulfillment. Shoutout to all healthcare workers who work tirelessly, especially during nights and emergencies, helping to save and improve lives.