Page 1 of 2
Administrative (Non-Clinical) Policy
This administrative policy applies to the operations and staff of the University of Wisconsin Hospitals and
Clinics Authority (UWHCA) as integrated effective July 1, 2015, including the legacy operations and
staff of University of Wisconsin Hospital and Clinics (UWHC) and University of Wisconsin Medical
Policy Title: Limits on Hours Worked
Policy Number: 9.80
Effective Date: September 1, 2017
Chapter: Human Resources
UW Health seeks to provide a safe and healthy environment for its employees, patients and families.
Managers and employees are encouraged to keep the number of hours worked below the levels identified
in this policy. This policy establishes reasonable limits on the amount of hours employees work.
II. PERSONS AFFECTED
For purposes of this policy, the term "employees" refers to: 1) all non-exempt employees and; 2) exempt
employees working in direct patient care positions. This policy does not apply to Physicians or Graduate
Medical Education trainees.
III. POLICY ELEMENTS
A. Except in emergency situations the following limits apply:
1. Employees should not work more than 16.5 consecutive hours.
2. Employees should not work more than 64 hours in a rolling 7-day period.
3. Employees should have a minimum of 7.5 hours off between worked shifts.
An emergency situation is defined as an instance when replacement staff are not able to report for
the next shift or there is increased patient care need because of unforeseeable circumstances,
including but not limited to, natural disaster, acute disease epidemic, UW Health-declared
weather emergency, or an unusually high volume of last minute sick calls and/or no shows.
Due to the unpredictability of on-call situations, the following exception to the above has been
1. Employees required to be on-call would be exempt from the above limits as it applies to
2. Any additional exceptions must be approved by the department director.
Page 2 of 2
A. Employees shall comply with these limits by ensuring that they do not volunteer to work extra
hours in their regular work units or other work units that would put them in violation of these
B. Directors will educate managers and teams regarding policy compliance.
C. Managers will review employees’ schedules to ensure that they do not allow employees to
volunteer for or be assigned to extra hours that would put them in violation of these limits.
D. Directors should periodically check the hours worked of all employees in their departments to
ensure that these limits have been met and report violations to their Vice President and their
Employee Relations Consultant.
E. Leaders should be able to identify the operational reason for the exception.
F. All exception approvals need to be completed by department directors.
This Policy creates no rights, contractual or otherwise. Statements of policy obtained herein are not made
for the purpose of inducing any person to become or remain an employee of UW Health, and should not
be considered "promises" or as granting "property" rights. UW Health may add to, subtract from and/or
modify this Policy at any time. Nothing contained in this Policy impairs the right of an employee or
UW Health to terminate the employment relationship at-will.
A. Hospital Administrative Policy 9.14-Recording Paid Time
B. Hospital Administrative Policy 9.81-Scheduling of Work
Sr. Management Sponsor: Vice President, Human Resources
Author: Director, Employee Relations
Approval Committee: UW Health Administrative Policy & Procedure Committee
UW Health Chief Administrative Officer