Published
I take on-call once a month with three other administrative staff. They call me if needed on events of the unit and troubleshooting call-offs. If I am below the staffing levels then I go in(but its rare- may happen once or twice out of entire year). The aides rotate on-call for their weekends, but the licensed staff do not. We have never really had issues with licensed staff calling off on their weekend. Hope this helps.
My DON in on-call 24/7 & she mainly takes all calls during the week. We are fortunate & it's not really much of a big deal. She probably averages 1-2 calls/wk at most & the "easy" unit is required to attempt to cover alll call offs on their own. Again, this is not usually a problem. When she is on vacation a note goes up to the units that she is not to be called & they are then to call me as the ADON.
The weekend call rotation is split between ADON, MDS, medical records (who is a LPN), Staff development, and unit manager. When I take a week of call for DON's vacation, I am often taken out of the wkend rotation if it falls close together.
At my facility I am the DON and I take call Mon-Thurs. The other 4 managers take call (rotate) the weekends. We used to do it so all 5 managers took 1 week at a time. I recently changed this so I could be more up to date on what happens during the week. I still get calls on the weekends from the managers for troubleshooting and staffing Issues. I have had to work the floor as an STNA or Nurse. It is usually about once a month this happens.
Yes, state regs do say that DONs not to work floor if census over 60; well ours is 64. Do you think
corporate cares? I try my best to get out of it, but right now, we have 2 charge nurses to replace.
2-10 and 10-6. So Im sure Im next to work Friday night. When I do work, the staff still expects me
to be DON, you cant effectively do both. And the work load gets piled higher on higher on my desk.
americanTrain
110 Posts
I'm interested in how other LTCF's handle their on call rotations and who participates.
As DON, do you ever take on call for a week in the rotation with other staff for call offs
and make calls to find employees to work that needed shift?