Do you think this is appropriate? (Sick time)

Nurses General Nursing

Published

Today, while in the office, several of us were siting there calling our pt's setting up visits for the day, and our supervisor came up to us, and said, "So, are you both feeling OK? Healthy, and everything?" Huh?? We looked at each other and looked at her, like, well, we're here, and we look OK don't we? My co-worker and I just said "yeah...why do you ask?" And she said, "Well, the weekend staffing is very tight, and we just want to be sure no one is feeling ill or thinking about calling out sick on Saturday."

Now, I don't know about you, but I was a little peeved at this line of questioning. First of all, no one ever plans to get sick, sometimes 24-hour bugs really DO come on fast, or you spike a temp, get food poisoning, or your child gets sick, or you have another emergency. So, if I am trapped into saying "Yes, I feel great," then something happens and I had to call out sick, would they then call me a liar?? Mind you I have no plans to call out sick for mental health purposes or anything. But, it just seems to me that by going around and asking everyone how they are feeling, is just somehoe inappropriate. We are given 10 sick days and 11 personal days, and they are ours to use, regardless of the agencies short-staffing.

The supervisor explained they are trying to determine how many new pt's they should accept, and that is good, but I don't think it is wise to cut it that close. If there is even a question we will not be able to handle the load, we shouldn't take it, we need a cushion, b/c you just never know. Esp in HH, there have been rare occassions when I have had to park my car on streets w a lot of broken glass, I could get a flat, cars die, nurses have been in accidents. You just cannot make a foolproof plan by going around and asking each nurse if they will be sure to be well enough to show up.

We have had a tremendous amount of call-outs lately, maybe this is due to the incredible stress we have been under by taking too many cases, though in fairness, management did cut the number of new pt's taken dramatically this week, and it was a very pleasant week of working I might add, all my pt's were actually seen, and no one had to be pushed on to the weekend. I am caught up on all my paperwork too.

Anyway, back to the subject, they have already implemented a sick pay-out once a month you can get an extra sick day paid to you in your pay if you don't use sick time. That should be it. OK, some people will still take their mental health days, and frankly, if they feel that stressed, I say they should take it. Even tho it creates more stress for everyone else as we scramble to cover their pt's. When a nurse is that stressed, her pt's don't need to hear about it, and they are not always pleasant to be around, so if they need that day, leave them be. What do you think?

Specializes in cardiac, diabetes, OB/GYN.

It seems as equally inappropriate to me as if they came around and asked if anyone in your immdiate family was in danger of dying so no bereavement time would have to be taken...

For those of you working home health, what does your agency require of you in terms of weekend coverage?

Do you rotate?

How many visits per day?

Do you get time and a half?

Are you guaranteed one day off the week before and the week after?

It makes one wonder what steps administrators are taking to retain their staffs.

Also makes one wonder how these people got their administrative positions in the first place!! Tee hee hee...

Specializes in Home Health.

KP, copy and paste your post in the HH nursing forum, it has been fairly active.

But to answer your ?'s

No rotation, one night late call (until 6p) each week in case a late new admit, otherwise no call

6-7 visits q day 1 new = 2 visits

yes we get OT, we are hourly, not per visit (would never take a per visit rate position)

For weekends, we have to work q other, OR can choose q sat, which is what I do. Our pay week starts on a saturday (very weird, I know), so in case the w/e is slow, they cancel nurses, and the nurse can choose to take vaca or work a weekday instead, which is what most do to save vaca time. NO guarantee of having a day next to a weekend off. My schedule is fixed, I have q wed and Sun off. I like it b/c I can make appointments for wednesdays and never have to worry about it.

What are they doing to retain staff? Nothing in my opinion. Well, not monetarily anyway. They did actually call a slowing of new admits, b/c everyone has at least 30 cases in their case loads, and we are only supposed to have 25. We had a few weeks where several pt's were missed entirely for a visit in a week, so they knew we were bursting at the seams. Several nurses have openly announced, loudly, that they are "interviewing everywhere." One nurse stated she would take the first good offer she got. So, in that respect, they did give us a break. If we lose even one nurse right now, that would mean each of us would have to absorb that many more cases, and there isn't any cushion right now.

micro....is good child!! :)

shay, completely understandable, it is frustrating! But then maybe the sup should ask just the coq's how they are feeling?? But even still, it is not appropriate to ask, I guess not even the coq's!

And yes, how sad that we can miss one day, and our whole eval reflects less than average!

I didn't read it as the supervisor wanting to make sure she won't have to cover. I read it as a thinly veiled threat. "Don't call in sick, or else. I saw you here and I know you were not sick when I saw you, so if you call in sick, you will face judgement by your superivisors."

If anybody calls in sick, they should make sure to have a doctors note, for sure!

People get sick when they get sick. Not all illnesses require a doc visit. Do YOU wanna go to the doc and say you were so stressed that you needed a 'mental health day'?

For myself... I have Fibromyalgia complete with secondary Sjogren's Syndrome. I have no clue when I'm gonna wake up that morning feeling like something the cat threw back OUT! Most of the time I simply take my meds, go in and do my job regardless. But there are some days that is not possible. When everything you pick up falls out of your hand, you can't think straight, see straight, or walk to the bathroom without hurting yourself... that NOT a day to go in... or drive.

Unless I'm in a full-blown Crisis (and I have warning on those) I don't need to see the doc, just a bit more rest, a bit less stress, some down time/me time.

Gillian

Specializes in Transplant, homecare, hospice.

Yeah, I tend to agree....to ask you this line of questioning seems inappropriate....but some people do PLAN on calling out a day in advance....

Who me? :rolleyes: NEVER! I would never do this! Never....

For someone who's never done this, I would be slightly offended...but like someone else said....maybe your supervisor had plans....you'll have to let us know....:p

Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

Y'all note that this thread is from 2002.

We have had a tremendous amount of call-outs lately

Sounds to me like they were trying to plan a schedule and needed to let folks know it would be a great problem if the nurses called in sick.

Specializes in Peds Cardiology,Peds Neuro,Pedi ER,PICU, IV Jedi.
I had that happen last week...and I wasn't sure how to take it....I was running a 101 temp on Wed morning so I called in and told them I would not be in that night the next day I was feeling somewhat better...no temp I came in for a meeting and they asked me if I was feeling better and sure I could work that night....I said yeah, but then thought what if in a couple of hours before shift I'm not better and am feeling worse? I did end up going in and did start spiking a low grade temp again in the middle of the night...all I could do was tough it out... but what an odd question...if I had called in I would have felt like they were calling me a liar.

In your case Cameron...I'd have called in pronto. You're sick, spiking a temp, and wondering about someone's reaction to you calling in sick?? No brainer. Call the charge nurse and tell them the truth, then go home and get better.

Don't risk the health of your patients or coworkers by coming in when you KNOW you are sick, administration be damned. They'll FIND someone to work for you if they need to. Make sure to take care of yourself...you can't take care of others if you're as sick or sicker than they are.

Do yourself a favor...always do the best job you can - and don't worry about what others think.

Have a great day:)

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