EXtra compensation for mandatory inhouse call for salaried crna?
I live in NW PA. Currently salaried CRNA with call from home; no additional compensation for callouts: we do cases(mostly solo), intrathecals, lumbar punctures and IV starts, etc.
Now administration wants to make us take inhouse call because they want to start a labor epidural service--of course all the work will be done by the crnas and the MdAs will be home in bed. The hospital does not want to provide any additional compensation for this.
Does anyone know of any labor law that would required them to provide extra pay for all the additional risks we would be incurring, not to mention the drastic increase in hours worked?
Appreciate any help.
- 4,170 Visits
- 0Dec 19, '04 by jdpetethis is how we work----I like the experience of working this way--I worked last night and slept for about 2 hours, but I enjoy doing the epidurals (most of the time) b/c there is great satisfaction--I also enjoy working on my own---the huge difference is we are paid hourly---this is where the bulk of my pay comes from----there has to be something you can do, I just dont know where to look---I for one, would start making lots of noise----they tried a little while back to make us go home when we were not working, and to give us a call pay of $10.00 an hour---they tried to paint this as we could be home on weekends some, and holidays---what they didnt tell was that we would still do the same amount of work, just with a huge pay cut. When it looked like almost half of the CRNA's would quit, they quickly dropped their $$$$ idea. there are some Sundays I stay all day and maybe just work a couple of hours, but I feel we deserve it b/c of all the work we usually do---it is very odd for us not to have an epidural going anyways. We get a small Christmas bonus from the epidurals we do, but I think many others can make more. But I would hate to have to work like I do for a set salary. I would definitely stand up for what is right. I would contact other places, and just explain to andministration that is crazy to not think you deserve more money. Hope this helps some--you will have a increased workload--we do from 60-90 epidurals a month---this adds up to not much rest usually at nightLast edit by jdpete on Dec 19, '04
- 0Dec 20, '04 by sweetnepentheQuote from athomas91are they making the in-house call hours on top of your already 40 hrs/wk?
if so -- i believe there could be labor laws against that - would have to check...
Yes, it would be in addition to our regular 40 hrs--and, of course, when someone is on vacation, another one of us would have to cover that person's call in addition to our own.
- 0Dec 20, '04 by sweetnepentheQuote from sweetnepentheYes, it would be in addition to our regular 40 hrs--and, of course, when someone is on vacation, another one of us would have to cover that person's call in addition to our own.
Passin'Gas---the only groups I found were a public forum with 11 members and a clinical group. ?
- 0Dec 20, '04 by yoga crnaTwo excellent CRNA internet groups are <firstname.lastname@example.org> and <email@example.com> I would post your question on one of those forums.
Now to get to my opinion. Get all of the CRNAs together and come to a common ground on this issue. Elect a spokesperson and talk to the hospital administrator. Tell them that you would be pleased to provide the service and want to discuss how you are going to be compensated. Tell them that you are concerned that your rights to fair compensation may be violated and that you hope that you won't have to retain a labor lawyer to research the topic. You may wish to offer some alternatives, like time and one-half over 40 hours a week worked, shift differential for night shift, pay per case after 6:00 p.m. (based on relative value guide), etc. It would be a good idea to ask some other CRNAs in other hospitals how they handle this. Also, you may want to suggest the MDAs provide this service.
Let us know what happens.