Default option
The emergency room
A first-aid injury treated in an ER is an expensive, slow visit that often ends with a prescription — and a recordable case you did not need.
Onsite servicesInjury & incident response
Care beyond 9–5
Your 6am start, your swing shift, your Saturday crew. Injuries don’t wait for the clinic to open — so our line is answered from 6am to 11pm, seven days a week.
- Coverage 6am to 11pm, seven days
- Early starts, swing shifts and weekends
- Documented before your next shift
The 5pm problem
Most work doesn’t stop when clinics close
After 5pm, an injured employee’s options collapse to two: go to the emergency room, or wait until morning and hope it’s fine. Both are expensive. One of them is how a first-aid case becomes a lost-time claim.
Second option
Wait until morning
Untreated overnight injuries get worse, and an incident documented twelve hours late is an incident your adjuster will question.
Real cost
The supervisor decides
Without a number to call, your shift lead is making a medical judgment at midnight with no training and no backup. That is where claims go sideways.
Hour by hour
Pick an hour. See what happens.
Coverage runs 6am to 11pm, seven days, holidays included. What changes after the clinics close is who answers and where care comes from — not whether your crew gets it.
12am6am12pm6pm11pm
Who answers, where care happens
Early coverage
Covered before the clinic doors open
Coverage starts at 6am, an hour ahead of clinic hours, so 6am starts and pre-shift incidents are handled the same way a mid-morning one would be. Call, get triaged, get a nurse moving.
- Answers
- On-call triage nurse, physician backup by phone
- Care
- On-site nurse response from 6am
- Clinic
- First appointment of the day if follow-up is needed
Clinic hours
Full clinic capacity
Standard weekday operations. Call the triage line, get a decision, and the employee is treated on site, seen at the nearest clinic, or cleared to keep working — usually within the same shift.
- Answers
- Triage nurse, physician backup by phone
- Care
- On-site nurse response or same-day clinic visit
- Paperwork
- Written evaluation and work status before shift end
Evening coverage
Swing shift is still covered
Clinics have closed, but the line has not. Evening calls get the same triage process, and on-site response runs through 11pm so second shift is not left choosing between the ER and waiting.
- Answers
- On-call triage nurse, physician backup by phone
- Care
- On-site nurse response through 11pm
- Next day
- Reserved morning clinic slot if follow-up is needed
Weekend
Saturday crews get the same process
Weekend work is where employers get surprised by ER bills. The 6am to 11pm window runs through the days your crews actually work, holidays included, so a Saturday laceration is handled the way a Tuesday one would be.
- Answers
- On-call triage nurse, seven days
- Care
- On-site nurse response on scheduled weekend work days
- Monday
- Follow-up visit and documentation waiting for you
Outside coverage
11pm to 6am: call 911 for anything urgent
Our coverage window runs 6am to 11pm. Outside it, urgent injuries go to emergency services and everything else waits for the line to open at 6am — when we pick the case up, document it, and get the employee seen the same morning.
- Urgent
- 911, then notify your ICA contact
- Non-urgent
- Call at 6am — first available response
- Clinic
- Same-morning appointment, transportation arranged
Coverage runs 6am–11pm daily; response targets are set in your on-site plan. Life-threatening emergencies always go to 911 first, at any hour.
Built around your schedule
Coverage that matches how your crews actually work
Clinic hours cover a fraction of the time your people are exposed. The 6am–11pm window covers most of the rest. Pick the pattern closest to yours.
Swing / second shift
The 2pm–10pm window where clinics close mid-shift.
- Handoff from clinic hours to on-call with no gap
- On-site nurse response through 11pm
- Post-incident drug and alcohol testing after hours
- Same written evaluation your day shift gets
Early start crews
6am gates, pre-shift inspections, and summer heat schedules.
- Coverage opens at 6am, an hour before clinic doors
- On-site response for first-hour incidents
- Employee seen and back on the job before mid-morning
- Documentation in your inbox the same day
Weekend crews
Construction, utilities, and scheduled weekend production.
- The 6am–11pm window runs seven days, holidays included
- On-call triage on scheduled weekend work days
- Monday follow-up scheduled before you ask
- Weekend incidents documented the same day, not reconstructed later
Overnight operations
What we do — and honestly don’t do — between 11pm and 6am.
- Coverage does not run overnight: urgent injuries go to 911
- Non-urgent overnight incidents are triaged when the line opens at 6am
- Same-morning clinic appointment with transportation arranged
- Overnight protocol sheet written for your night-shift supervisors
The 9pm decision
A sprained wrist at 9pm, two ways
Same injury, same employee, same night. The difference is who your supervisor called.
Without coverage
The emergency room route
- 9:10pmSupervisor is not sure how bad it is and sends the employee to the ER to be safe.
- 9:45pmEmployee checks in behind everything more urgent than a sore wrist.
- 12:30amSeen, imaged, prescribed, and told to follow up with someone unfamiliar with the job.
- Next dayNo work-status note your supervisor can use. Employee stays home while you chase paperwork.
Result: hours of lost time, an ER-priced bill, and a claim that starts with a stranger’s notes.
With Care Beyond 9–5
The triage line route
- 9:10pmSupervisor calls the number posted at the time clock. A nurse takes the details.
- 9:20pmTriage names the level of care: on-site response, not an emergency.
- 10:40pmA Registered Nurse evaluates the wrist on site, wraps it, and, with an ICA physician, sets work restrictions.
- 7:30amWritten evaluation in your inbox, clinic follow-up already on the schedule.
Result: employee cared for the same night, restrictions in writing, incident documented while it is fresh.
Illustrative scenario. Actual care, timing, and recordability depend on the injury and the treating provider’s judgment.
What it changes
What after-hours coverage buys you
17
Hours covered daily
6am to 11pm, seven days — the same line, the same triage, the same people who already know your sites and your plan.
0
Judgment calls by supervisors
Shift leads stop deciding whether an injury needs an ER. They make one call and we name the level of care.
6am
Line open, follow-up ready
The line opens at 6am. Evening cases come into the clinic when its doors open, with transportation arranged and the evaluation already written.
100%
Of shifts documented alike
A 10pm incident produces the same record as a 10am one — mechanism, findings, treatment, restrictions.
Common questions
What safety managers ask about after hours
Don’t see yours? Ask us and we’ll map coverage against your shift schedule.
6am to 11pm, seven days a week, holidays included. That covers early starts, the full swing shift, and weekend crews. Between 11pm and 6am we are closed: urgent injuries go to 911, and anything else is handled as soon as the line opens at 6am.
Yes. On-site response runs through the covered window, so a 9pm laceration gets a Registered Nurse at the job site rather than a trip to the emergency room. Response targets for your specific sites are confirmed when your plan is set up.
Call 911 first, every time. Loss of consciousness, uncontrolled bleeding, suspected spinal injury, chest pain, or major trauma go straight to emergency services. Call us second — we notify your designated contact and pick the case up from the hospital handoff.
After-hours availability is part of your subscription plan; services rendered are billed per our standard fee schedule. Compared with an emergency-room visit for a first-aid-level injury, the difference is usually not close.
We do, in advance. Every covered site gets a one-page protocol — the number, the hours, the questions we will ask, and what to do while help is on the way — plus training for supervisors on each shift, not just the day shift.
The same way daytime care does. Recordability depends on the treatment provided, not the hour. Our documentation states exactly what was done, so an after-hours case is as defensible on your log as a 10am one.
Get set up
Cover the hours you’re actually exposed
Send us your shift schedule and site list. We’ll come back with a response target and the number your crews call at 9pm.