MICU and ICU doctor scheduling

ICU rosters must guarantee senior coverage on every shift, protect rest after night duty and spread nights evenly across a small team. PlanMyRounds enforces all three as rules, then builds the monthly roster automatically.

PlanMyRounds is used by 600+ doctors across 10+ hospitals in multiple countries and saves 30+ hours per doctor each month.

Free for up to 10 doctors. No credit card.

Why ICU rosters are harder

ICU rosters are harder than ward rosters because the unit never closes, the team is small, and the heaviest shift, the night, has to be shared fairly without ever leaving the unit short of senior cover.

  • Cover around the clock

    Every day and every night needs the right number of doctors, including weekends and holidays. One missed slot is a patient safety problem.
  • Small teams, big impact

    An ICU team is often under 15 doctors. One person on leave changes the whole month, and a manual roster rarely absorbs it cleanly.
  • Nights carry the load

    Night duty is the heaviest shift. Without a rule, it drifts toward whoever objects least, and fatigue builds on the same few people.

Coverage and seniority rules

In PlanMyRounds you set the number of doctors each ICU shift needs and how many of them must be senior. These are hard constraints: every generated roster and every approved swap meets them.

  • Required doctors per day and night shift
  • Minimum seniors per shift, and senior and junior composition
  • Approved leave and availability respected on every shift
  • Gentler ramp-up for newly joined doctors
  • Coverage gaps flagged for review, never filled silently

See every scheduling rule PlanMyRounds supports

Night duty distribution

PlanMyRounds spreads night shifts evenly across the doctors available for nights, avoids clustering them, and tracks night load across months so the balance holds over time, not just within one roster.

How PlanMyRounds makes physician schedules fair

Post-night recovery

After a night duty, PlanMyRounds keeps the doctor off the roster for the recovery window you configure. It also blocks unsafe back-to-back long duties and caps consecutive workdays and total hours if you set those limits.

A worked monthly example

Take an ICU with 8 doctors, a 30-day month and one doctor on nights each night, at least one of them senior. This is an illustrative example; your numbers follow from your own rules.

Illustrative ICU roster rules for one month
RuleWhat PlanMyRounds does
Nights per doctor3 or 4 each (30 nights shared across 8 doctors)
Senior coverEvery night has at least one senior doctor
After a night dutyA recovery window before the next shift, set by you
Back-to-back dutiesNo unsafe long duties in a row
Approved leaveNever scheduled over; the load moves to others evenly
Next monthDoctors who did 4 nights are favored for fewer

Let the roster build itself

With Auto Mode, PlanMyRounds asks the team for leave before each month, builds the ICU roster against your rules, flags any gaps, and publishes it once you approve.

How automated physician scheduling works · Pricing

ICU scheduling FAQ

How do you schedule ICU doctors?
Start with the non-negotiables: how many doctors each day and night shift needs, how many must be senior, and how much rest follows a night duty. Collect leave before the month starts. Then spread nights evenly and avoid clustering them. PlanMyRounds enforces the first three as hard rules and builds the monthly ICU roster automatically, balancing nights across the team.
How many night shifts should each ICU doctor work?
Divide the month's night shifts by the number of doctors available for nights, after approved leave. With 30 single-doctor nights and 8 doctors, each doctor works 3 or 4 nights. PlanMyRounds carries the difference into the next month so the same doctors do not always get the extra night.
How does PlanMyRounds guarantee senior cover?
Senior and junior composition is a hard constraint. You set how many seniors each shift needs, and PlanMyRounds will not generate or approve a roster or swap that breaks it. If leave makes it impossible, the gap is flagged for review instead of being filled silently.
Can ICU doctors swap night shifts?
Yes. Doctors request swaps in the iOS or Android app. PlanMyRounds only allows swaps that keep senior cover, rest windows and every other hard rule intact, and logs each swap.
Is PlanMyRounds free for a small ICU team?
Yes. PlanMyRounds is free for up to 10 doctors. Teams of up to 50 doctors pay $70 per month flat.

Build your next ICU roster with PlanMyRounds

Free for up to 10 doctors. No credit card, no contract.