We operate a 32-bed private rehabilitation and physical therapy clinic in the Paris suburbs. Our team has 24 nurses and care assistants in total; since we provide round-the-clock care, we run 3 shifts plus rotating night duty. Up until now, our head nurse and I have been managing the rosters manually using cloud spreadsheets. But over the last 3 months, leave overlaps, unfair weekend shift distribution, and tracking French statutory rest periods have become a total nightmare.
Right now we're trying to balance our annual budget, so the board is reluctant to pay 4-5 EUR per user per month for software licenses. Can we accurately manage night rotations, overtime caps, and last-minute sick leave using a completely free or self-hosted open-source hospital staff shift scheduling solution?
Do free tiers automatically enforce rules for night shifts and consecutive working days, or will we still have to review every single line by hand? I'd love to hear from anyone in healthcare managing this kind of scale on zero budget.