Does any home IV nurse charge after hours rates??

[RNfromSA]

Hello

I understand that each company pays their contractors differently. I am a home IV infusion nurse and work for several agencies as a contractor (1099). One company frequently calls me for medicare OASIS start of care cases late in the evening like 8 or 9 or 10 pm because they cant find anyone else. Are we expected to go out at that hour and get paid the standard agency rate (on a Pay per case basis) like $80 here in California?

Do any of you independent contractors ask for after hours rates or charge extra for these late hour visits? If I was on call for a company I would get a call-out rate.

Kind thanks

Natasha

[Asystole RN]

Yes. I contract as a vascular access nurse and am paid for "after hours" cases. My home infusion gig where I am a vascular access and infusion nurse also pays "after hours" premium.

Depends upon your contract though and what you want.

BTW, my 1099 job does not pay an on-call rate.

[RNfromSA]

When does your "after-hours" start? Are weekends classified as after hours? What percentage in hourly rate are you paid above your regular hourly rate for after hours?

[RunBabyRN]

I'm not on-call through my agency, but I don't charge a different rate for weekends. I am also paid per hour, rather than per tx, with a minimum of 2 hours (which is good, because infusions can range from 30 minutes to 8 hours). Also in CA. I don't have after hours infusions, since we're a subcontracting agency, so when, say Coram or BioScrip doesn't have someone, we get contacted. I would definitely ask for more for after-hours, and pre-determine what time is considered "after-hours," even if the infusion starts BEFORE this window.

[RNfromSA]

Thanks RunBabyRN. BUt how can you charge/set your own rates then if you work through an agency? Dont they say they will pay you X-amount per hour regardless of time of day, and you can either take it or leave it? I have ne ver worked for any agency where I tell THEM what my rates are.

[RunBabyRN]

Thanks RunBabyRN. BUt how can you charge/set your own rates then if you work through an agency? Dont they say they will pay you X-amount per hour regardless of time of day, and you can either take it or leave it? I have ne ver worked for any agency where I tell THEM what my rates are.

I don't set the rate, but I do arrange with my patients when they have their infusions. I don't have call with my agency. They do have a rate range, but it's a narrow range. They will call and say they have a patient and I can choose whether or not to accept the work.