Call schedule

[americanTrain]

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?

[pixie120]

There are good and lazy MDS nurses. I have one now that is only working 24 to 32 of her schedule 40 hrs per week(of her own admittance) and questions why I am asking her to cut her hours. We are a small facility with only 7 on medicare caseload. The ICP team complete their own sections and input them into the computer. They do their own care plans and even assist in the CAAs. She has it made, so while I understand what you all are saying. It drives me crazy that she is sitting in offices chatting and doing nothing while I am working 50+ hours a week. Sorry just venting.

You forgot Crazy MDS nurses, lol...plenty of them out there. Ihave a good friend who was one such one, perfect 2.0 MDS, flipped out, walked out, 3.0 and tried so hard to go back to floor, but had been MDS for over 10 years, literally made her crazy... I cannot even hire her cuz she walked out of THIS building..sad.

[pixie120]

Hello. I have a LTC DON pal who has these on call rotation and heavy weekly work hour issues, too. Are there any guidelines at your facility regarding maximum work hours per week for a DON? In the case of my DON pal, there does not seem to be any protection policy to limit weekly work hours including on call duty. It is my understanding that in some critical service jobs such as fire fighters and nurses there are exemptions from some of the USA federal labor laws. I have learned that in the U.K. there is a labor directive of a "maximum average work week including overtime of no more than 48 hours per week in a 17 week period". Best wishes to you.

LOL, when I was hired as DNS, I was told, seriously "YOu are hired to work 40, but the expectation is 80, and then.....". It is exhausting truth be told. My administrator left every Thursday at about noon, usually without telling me, and I then had the pleasure to run the building for Thursday, Friday and weekend, while he left the state... and when he returned on MOnday, he spent the morning meeting attacking me and my team. SO... I brought home a great survey, and they thanked me by saving, I mean firing me.. welcome to hell....and I won't soon take such a position. currently working as an RCM, and couldn't be happier.