Nurses at HCA hospitals are told to come in hours later than their scheduled start time, then the shift is canceled last minute, without any on-call pay, causing lost income and inability to pick up other shifts.

Workarounds Described

• picks up PRN shifts at another hospital to make up for lost shifts

Implied Software Gaps

• Platform that automatically compensates for late schedule changes and provides shift reliability data to help nurses decide to seek alternative work

ShiftGuard Nurse Scheduling

A fair scheduling platform for hospitals that eliminates last-minute cancellations without pay. It requires management to commit to shifts with compensation for late changes, and gives nurses real-time shift stability scores so they can decide whether to pick up PRN work elsewhere.