Hello fellow nurses! I am hoping someone out there has some experience with home health. I am in my first year as a home health nurse and wondering if anyone else has any advice on how to handle demands that could put a nursing license in jeopardy. At the company I currently work for we are required to take on call 3 times a year. This involves being available 24 hours a day for 7 straight days and doing a full time patient load . If a pt calls with an emergent need we are supposed to go see them. This means that you work 8-5 and answer calls all night for 7 days in a row. I had my turn on call this week and by day six I was irritable and delirious from lack of sleep. I missed one call at 1 am that night because I could not stay awake any longer. I received a reprimand by email the next morning. I think this is horrible for the patient who did not get the call answered. Luckily the patient improved at home and did not require a visit. I feel this puts my license at risk. I have heard that being overly tired is worse than driving drunk. Has anyone else had this problem with home health nursing? Do all companies do on call this way? Can you invoke safe harbor to protect your license in this situation?