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What exactly does "per diem" mean?



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  #1  
Old Mar 14, 2006, 11:13 AM
Senior Member
Join Date: Jun 2005
What exactly does "per diem" mean?

I'm thinking of working for an agency to supplement our family income. I have never worked agency before, so I have some questions:

What does per diem mean? Does that mean they call me that day and offer a position, or does it just mean that I am not signing a contract to work specific days?

This is how I envision my agency experience working: pleas correct me or give me some input!

I submit to my recruiter my availability for a specific time period, and how many shifts I am interested in working. My recruiter then schedules me. I know there are times when you *do* get a phone call that day saying they need someone to come in; but I am also assuming that there are times when you know several days in advance that you are in fact scheduled.

What sort of expectations should I have of an agency? Is the nurse responsible for calling to see if she has been canceled, or is the agency responsible for calling you? What sort of "cancellation pay" is out there, and what time parameters does it fall under? Does travel typically get covered? It is common to establish yourself at a couple of different facilities and then to usually work only those facilities?

Any other thoughts are appreciated!

Lori

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  #2  
Old Mar 14, 2006, 06:54 PM
Banned
Join Date: Feb 2006
Re: What exactly does "per diem" mean?

Originally Posted by ljds
I'm thinking of working for an agency to supplement our family income. I have never worked agency before, so I have some questions:

What does per diem mean? Does that mean they call me that day and offer a position, or does it just mean that I am not signing a contract to work specific days?

This is how I envision my agency experience working: pleas correct me or give me some input!

I submit to my recruiter my availability for a specific time period, and how many shifts I am interested in working. My recruiter then schedules me. I know there are times when you *do* get a phone call that day saying they need someone to come in; but I am also assuming that there are times when you know several days in advance that you are in fact scheduled.

What sort of expectations should I have of an agency? Is the nurse responsible for calling to see if she has been canceled, or is the agency responsible for calling you? What sort of "cancellation pay" is out there, and what time parameters does it fall under? Does travel typically get covered? It is common to establish yourself at a couple of different facilities and then to usually work only those facilities?

Any other thoughts are appreciated!

Lori
Usually you can go to an agency and tell them what days you are available to work. They will plug you where they have needs. You'll probably be the first nurse called off though.

When I did agency I never counted my money until I did the shift.

As to the other questions, if I were you, I'd ask the agency. I'm sure some do things differently from others.

You might also ask the hospital of LTC facility or where ever you are interested if you can work directly for them. Don't use an agency. You probably will make more money..

Good luck

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  #3  
Old Mar 14, 2006, 07:37 PM
Senior Member
Join Date: Apr 2001
Thumbs up Re: What exactly does "per diem" mean?

Originally Posted by NephroBSN
You might also ask the hospital of LTC facility or where ever you are interested if you can work directly for them. Don't use an agency. You probably will make more money..

Good luck

As an Agency Nurse, I usually make 25% or more then their regular staff Nurses. It depends on your Agendcy and area, some have rediculous call offs (2 hours in advance in Denver) and some do not; my Agency gets a formed signed by the facility that guarantees the shift within 24 hours.Call offs, in my current area, are uncommon.

As an Agency Nurse, I never haveto go to "their" meetings. When I work PRN, I usually do NOT work unless I want to (okay, so I am known to do "favors" once in a while), and when I have had "enough" of one facility I know... know I do not have to go back and can pick up shifts elsewhere and there is no minimum requirement to work there again.

Can you tell I prefer Agency Nursing? You betcha!

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  #4  
Old Mar 16, 2006, 03:20 PM
Registered User
Join Date: Jan 2006
Re: What exactly does "per diem" mean?

I work per diem and this is what I do. I have 3 agencies (even if you only want to work a little more than 1 is a good idea). I call and tell them the facilities I want to work and my available times. a few things happen from there...
1) I get a call saying I am confirmed for the shift
2) They offer other hospitals that have needs
3) They can write me down to call in the morning if something comes up. They can only do this if you give them permission.

As far as pay it depends on the facility. Many pay double what I staff nurse makes.

I think the general rule of thumb for cancellations is 2 hours before the shift starts. If they do this the facilities hands are clean. If they do not call you off within 2 hours they have to pay you for 2 hours. I have actually come upon a facilities that cancel at 5am for 7am shift and then call a few hours later to see if you can still work.

You will find the facilities you like and what ones you can almost guaratee won't cancel you. I have one facility that cancels almost every shift scheduled and another that has never cancelled.

There are also contracts usually available which are a good option if you want to give up some flexibility, but know for sure you won't get cancelled.

Good luck....In my opinion working agency is the best!!!!!!!

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  #5  
Old Mar 16, 2006, 03:23 PM
Registered User
Join Date: Jan 2006
Re: What exactly does "per diem" mean?

I meant to say also that most of the time it is the agencies job to call you when you are cancelled. The type of phone call you can expect to recieve is....This is so and so from agency A this hospital has cancelled you, but I have needs at this hospital.

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  #6  
Old Mar 16, 2006, 06:23 PM
Registered User
Join Date: Mar 2006
Re: What exactly does "per diem" mean?

From what i know the per diem is your employment type. It is a day by day work schedule. I thought it was how you got paid

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  #7  
Old Mar 16, 2006, 07:19 PM
Registered User
Join Date: Nov 1999
Re: What exactly does "per diem" mean?

i worked agency for some time and really loved it. pay is almost always better than being on staff, but as mentioned before you will be cancelled first in low census situations.

i now work per diem. i am on staff at a hospital, kind of like an in-house agency. i am first to go on low-census days, have no vacation or sick leave bennies, but i make my own schedule, can be available only when i want to be. my only obligation is to be available one weekend a month, and most times regular staff fills those needs. on low census days, i am not required to take call. my paycheck is either really nice or non-existent, but it works for me.

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  #8  
Old Mar 16, 2006, 07:30 PM
Registered User
Join Date: Jan 2006
Re: What exactly does "per diem" mean?

I thought about doing registry at a hospital,but I really like having the option of going to another hospital if census is low.

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  #9  
Old Mar 16, 2006, 08:42 PM
Registered User
Join Date: Nov 1999
Re: What exactly does "per diem" mean?

that's the beauty of being per diem where i work. if i am put on lowcensus, i have the option of being called off (my choice) and if ialso took agency assignments, i could call them to see if they had work. that is exactly why we fight every negotiating time to keep that benefit for all rn's.

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  #10  
Old Jan 24, 2008, 07:57 PM
Registered User
Join Date: Jul 2005
Re: What exactly does "per diem" mean?

Being a per diem nurse-with such a huge shortage in nursing I wonder why anyone would want to take on a position other than per diem. You have so much flexibility and so many options.. The pay is higher, you can work overtime, but take vacations without answering to anyone. In my opinion I wouldn't want anything other than per diem.

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