Home Health Nurses, do you get paid shift/weekend differential?

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I am an RN case manager for a home health agency. We are paid hourly, typically see between 4-8 patients per day. We are expected to complete the majority of our charting in the patients home, but charting off-hours is allowed, since documenting notes, orders, certs ect takes extra time. We also are on call 2-3 days per week from quitting time (1630) until next business day (0800). If any of our patients has an issue, such as wound vac stops working, plugged cath, etc, if we are on call we go out at any hour to fix the issue. We also are on call Friday from 1630 until Monday 0800 every third weekend. Weekend work includes daily dressing change, admitting referals that were received friday, and any issues that might crop up.

I've had many instances of getting a page at 0200 for a dressing that came off, low blood sugars, etc that require either phone consultation, or more frequently, a middle of the night visit.

I'm wondering if any of you other home health nurses get paid shift or weekend differential like is paid in the hospital?

I started thinking about this last week when I got called to a patients home at 0330 to change a double-ostomy/wound vac that had leaked. I had a scheduled PTO day that week, so the time spent with my patient in the middle of the night, which totally messed me up for the next day of work, just counted as regular time at work, since it didn't put me into overtime, and we are not paid shift/weekend diff.

Any info you might have would be great, as I want to bring this up to my manager, but want some sources to cite!

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I have never heard of home health nurses being paid a weekend or shift differential. For that matter, I have been denied overtime and show up pay many times. Overtime and show up pay are required by labor laws in my state, but employers for the most part, don't pay them.

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That sounds horrible! Sounds like slave labor! Where is this happening? Call the state labor department. We have a regular working day. Staff volunteer for on-call. And yes we get paid for overtime.

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We get $150 for being oncall on the weekend and paid per visit. Lately the weekends have been very busy really need 2 nurses on the weekend. And we do not get another day off during the week.

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I am an RN case manager for a home health agency. We are paid hourly, typically see between 4-8 patients per day. We are expected to complete the majority of our charting in the patients home, but charting off-hours is allowed, since documenting notes, orders, certs ect takes extra time. We also are on call 2-3 days per week from quitting time (1630) until next business day (0800). If any of our patients has an issue, such as wound vac stops working, plugged cath, etc, if we are on call we go out at any hour to fix the issue. We also are on call Friday from 1630 until Monday 0800 every third weekend. Weekend work includes daily dressing change, admitting referals that were received friday, and any issues that might crop up.

I've had many instances of getting a page at 0200 for a dressing that came off, low blood sugars, etc that require either phone consultation, or more frequently, a middle of the night visit.

I'm wondering if any of you other home health nurses get paid shift or weekend differential like is paid in the hospital?

I started thinking about this last week when I got called to a patients home at 0330 to change a double-ostomy/wound vac that had leaked. I had a scheduled PTO day that week, so the time spent with my patient in the middle of the night, which totally messed me up for the next day of work, just counted as regular time at work, since it didn't put me into overtime, and we are not paid shift/weekend diff.

Any info you might have would be great, as I want to bring this up to my manager, but want some sources to cite!

Wow...I live in New Jersey and just started with a great home health care agency. We have to have "X" amount of credits each week, with the kind of visit we do tied to the number of credits. For instance, an admission is worth more than a revisit. If I have six patients, which is the maximum we could have, and am done at 1pm I am outa there. Also, we get paid for anything above the number of credits we are required to do each week, plus are paid extra for weekends. You are getting screwed. Find another place!

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Wow...I live in New Jersey and just started with a great home health care agency. We have to have "X" amount of credits each week, with the kind of visit we do tied to the number of credits. For instance, an admission is worth more than a revisit. If I have six patients, which is the maximum we could have, and am done at 1pm I am outa there. Also, we get paid for anything above the number of credits we are required to do each week, plus are paid extra for weekends. You are getting screwed. Find another place!

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