24 hr on call

Nurses General Nursing

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Hi...I just started a new job at a non medical home care company. I was told in the interview that there would be "some rotating on call" and the need to be a "little flexible". Now that I have started I have been told that 24 hr on call 7 days a week is expected. I would not only have to answer calls after hours but also go see new hospice clients. I feel like I was tricked into the position and am wanting to quit. Anyone else ever have this happen and how did you handle it?

Basically what you are understanding is that you would be on call after your regular 8 hours or so and that the whole week/ all the time?

I would clarify and if they are positive about it go and find something else. That is not reasonable.

My fathers job has a rotating on call. Each person takes one week of on call. For that week they are the go to for anything that happens outside of business hours and they receive extra pay that week for compensation even if they don't get called out.

This doesn't sound like that. You may want to clarify. It is unreasonable to expect you to do this every week. What happens if you decide to have a night out and are drinking or you are watching your nieces and can't leave?

You our shouldn't be expected to be on call 24 hours a day 7 days a week.

ps. I would use the niece as an example not the drinking. Though I think both are valid. We all need time to let our hair down.

What is "a non medical home care company" ?

There are thousands of privately owned home care company's desperate for nurses to make money for them. They bill Medicare and insurance companies for 3 times your salary, the remainder goes to overhead and the private owner.

Agree you were "tricked". I have been there, done that. I handle it by quitting on the spot, as soon as I realized I was tricked.

If you want to do home care, go with a hospital based home care or the VNA.

Yes on call for calls and hospice visits everyday of the week including weekends. All the time. Can't visit relatives, can't go away for a weekend, can't do anything.

Can't visit relatives, can't go away for a weekend, can't do anything.

But you *can* turn this job down.

Non medical means no skilled nursing services are provided. Certified nursing assistants provide assistance with ADLs, companionship and housekeeping services. The nurse functions as the supervosor.

Specializes in school nurse.

Give them the courtesy due to people who have that type of integrity.

Quit.

Specializes in M/S, Pulmonary, Travel, Homecare, Psych..
What is "a non medical home care company" ?

There are thousands of privately owned home care company's desperate for nurses to make money for them. They bill Medicare and insurance companies for 3 times your salary, the remainder goes to overhead and the private owner.

Agree you were "tricked". I have been there, done that. I handle it by quitting on the spot, as soon as I realized I was tricked.

If you want to do home care, go with a hospital based home care or the VNA.

And that is the only solution to this.

All home visit agencies (as opposed to primary care) have to use on call. How well they deal with it is another story.

Most are fair, divide it up in a way that respects the pt's needs and is Fairborn the nurse. So never seem to get it under control.

You have to realize, no one wants to do it. All the other nurses will avoid doing their share if they can. Not to mention, managers will play favorites and let some go without doing any.

It's your job to negotiate how much you are willing to do. If you don't, they will take advantage of you.

When I interviewed with home visit companies, I made it clear: "I need at least (X amt) of visits during the pay period before I am available for on call." More than a few of them ran for the hills upon hearing this, but that is a perfectly acceptable outcome. I'm not interested in doing just on call while someone else takes all the visits.

Idk what you mean by non-medical, but either way, be firm about what on call time you are willing to offer and not.

And most certainly do not do any for this company until they clarify. Once they clarify, if you don't like what you hear be done with it all, on the spot.

Non medical means no skilled nursing services are provided. Certified nursing assistants provide assistance with ADLs, companionship and housekeeping services. The nurse functions as the supervosor.

So the company must have a registered nurse on call at all times, to legally cover everyone else's position.

They are making YOU do it 24/7.

I can hear the laughing from here.... and they are laughing all the way to the bank.

Specializes in M/S, Pulmonary, Travel, Homecare, Psych..
So the company must have a registered nurse on call at all times, to legally cover everyone else's position.

They are making YOU do it 24/7.

I can hear the laughing from here.... and they are laughing all the way to the bank.

And I can't help but wonder if she is getting on call pay even. 24×7 at on call rate lol

Had a company tell me "We don't pay for on call unless you have to make a visit." I followed that with "I don't do on call unless I'm paid to do so. Perhaps just leave me off the on call schedule and let me know if a visit must be made."

No, wasn't hired.

No, I didn't mind.

And I can't help but wonder if she is getting on call pay even. 24×7 at on call rate lol

Had a company tell me "We don't pay for on call unless you have to make a visit." I followed that with "I don't do on call unless I'm paid to do so. Perhaps just leave me off the on call schedule and let me know if a visit must be made."

No, wasn't hired.

No, I didn't mind.

:cyclops: Didn't pay ON CALL pay for being on call? It's amazing.. how many ways nurses get shafted.

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