I am a new RN (almost one year working) and I work for a home health agency. In the few months that I have worked at this agency, there have been many changes and many are controversial. Recently, our administrator was replaced by the office manager who is very unprofessional and she promptly did away with on-call nursing. There was a dispute over what the definition of on-call nursing was and when the DON told her it was to have someone taking calls until 9:00pm each day or on the weekends when the office is closed, the admin said she did not want to have the nurses being paid "just for that" and completely did away with on-call nursing altogether. Now, if someone calls after hours it just goes to an answering service and I'm not sure how they deal with it in the office. My questions:
A) What is on-call nursing supposed to entail for an HHA (medicare certified)? Is it supposed to be all through the night and is the RN expected to go to the pts home if needed?
B) Is there any law or resource stating that HHA's have to have a nurse on call?