Healthcare template

Three twelves, four days off.

The dominant hospital pattern in the US: 07:00-19:00 and 19:00-07:00, three shifts per nurse per week, 36 paid hours. Continuous coverage with a single handover point per day.

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The template

One week, at a glance.

Pattern
3 on / 4 off, 12-hour shifts
Coverage
24/7, 07:00-19:00 and 19:00-07:00
Fits
12-24 nurses per unit
People in the grid
20
Scheduled hours / week
1092h
Positions
Registered nurse, Charge nurse, Nursing assistant
12-hour nursing shift schedule — weekly shift grid, one row per staffing slot.
SlotMonTueWedThuFriSatSunShift
RN Day ARegistered nurse07:0019:00×407:0019:00×407:0019:00×4OffOffOffOff12h
RN Day BRegistered nurseOffOffOff07:0019:00×407:0019:00×407:0019:00×407:0019:00×412h
RN Night ARegistered nurse19:0007:00+1×319:0007:00+1×319:0007:00+1×3OffOffOffOff12h overnight
RN Night BRegistered nurseOffOffOff19:0007:00+1×319:0007:00+1×319:0007:00+1×319:0007:00+1×312h overnight
Charge DayCharge nurse07:0019:0007:0019:0007:0019:0007:0019:0007:0019:0007:0019:0007:0019:0012h
Charge NightCharge nurse19:0007:00+119:0007:00+119:0007:00+119:0007:00+119:0007:00+119:0007:00+119:0007:00+112h overnight
CNA DayNursing assistant07:0019:00×207:0019:00×207:0019:00×207:0019:00×207:0019:00×207:0019:00×207:0019:00×212h
CNA NightNursing assistant19:0007:00+1×219:0007:00+1×219:0007:00+1×219:0007:00+1×219:0007:00+1×219:0007:00+1×219:0007:00+1×212h overnight

One row per staffing slot; ×N means that many people on that block. Times are local to the location. +1 marks a shift that ends the following calendar day.

Use this pattern when…

  • You run a unit that cannot go uncovered for a minute and want two handovers a day instead of three.
  • Your nurses prefer four consecutive days off, which is the reason this pattern won.
  • You need a night crew that is a real crew, not a rotation nobody wants.

What to watch out for

  • Three consecutive 12s is a documented fatigue risk. Error rates rise measurably on the third night. Break the run with a day off if your census allows it.
  • 36 hours is under the 40-hour overtime line by design — which means one picked-up shift puts a nurse at 48. Set the weekly cap explicitly or overtime becomes the default.
  • A 19:00-07:00 shift crosses midnight and the DST boundary twice a year. On the fall-back night it is genuinely 13 hours worked; pay it.

From CSV to a live schedule

Three steps, no data entry.

The download is not a PDF you print and pin up. Its columns are the ones Weekwright's schedule importer reads, so the file you edit in Excel is the file you upload.

  1. 1

    Swap in your team

    Replace the placeholder names in the Employee column with your staff. Leave Day, Start, End, and Position alone — those are what the importer maps.

  2. 2

    Upload it

    Drag the file onto the schedule page. Every row is previewed with its detected columns before anything is created, so a bad cell is a warning, not a surprise.

  3. 3

    Tell the AI what changed

    “Maya is off Thursday, cover it”. The agent repairs the week against your real availability, skills, and compliance rules instead of you re-editing the grid.

Common questions

12-hour nursing shift schedule FAQ.

Stop rebuilding the same week.

Weekwright drafts it, checks it against your rules, and lets you approve. Free for a single location.

12 hour nursing shift schedule template (free CSV) · Weekwright