Published Oct 27, 2004
You are reading page 2 of Hospice On Call Compensation Structure
aimeee, BSN, RN
For weekday on-call the nurses are paid only if they make a visit. We have a separate phone triage team. When they are on call during the weekend since they are being paid for working (2) 8 hour days, they have two days off (without pay) during the week so their total paid hours for the work week is 40.
At our agency we have nurses who are strictly 'on call nurses'. We get a flat salary for a week of being call after hours and all weekend. Census over 100. no extra pay for going out. but we do get milage pay.
We have full time on call nurses who are paid a salary, they work one week on and one week off, 5pm-8am during the week and all weekend, our case managers are paid $2/hr to carry the pager and then their hourly wage for any work they do(visits or calls), they don't do a lot of call though due to the full time call nurses.
Found this old thread and have a question...We get a very minimal hourly rate to carry the beeper. We average 4-5 calls in 6 weeks including a sat or sun. We get no compensation above beeper pay for time doing phone calls/triage. If we are actually called out we are paid 1 1/2 times our hourly rate from the time we leave home until returning to home. How do your employers handle the time you spend on triage/phone calls, including the paperwork? It seems to me if we are performing a service, it is work.
$2/h on call 5p-8:30a m-f, then $2/h on call 8:30asaturday morning through monday morning. $30/h with mileage-door to door. In essence, if you are called at 9pm, your hourly rate starts then, even if you have to go out. Even with a phone call, you get your $30/h. If my phone rings, even if it's just a 5 minute call, I bill for 15 minutes (because payroll person can't figure 1/10 of an hour, per her request).
Our nurses get time and 1/2 for all their time they are doing hospice related work. There is a minimum for going out- it is 3 hours at time and 1/2.
They also get mileage. Our census is 70 plus they also take call for the home health side. It's lucrative but it can kick your butt.
It's interesting to see the variations.
Thanks for your responses....We are pretty bummed out by these new policies. Not only did our beeper pay get cut to $2/hr, we will no longer be compensated for phone work...and it can add up, timewise. Is this the norm?
I get $3 per hour on call, door to door mileage, and $25 per each after hours admission. My weekend call starts 5 pm on Friday and ends 8 am on Monday. I only get weekend call once every five weeks. I get $4.50 per hour for call on holidays.
You only get 25.00 for an admission? Our admissions can take 3-4 hours for all of the paperwork and driving, etc. What are you doing for the admission?
Where I work if the case managers take call, they get $50 a night, and $100 for Sat or Sun plus mileage door to door. I just started as the only "on-call" nurse. I work 5pm to 8:30am Mon-thur then 5pm Fri to 8:30am Mon. Then I am off for 7 days, til the following Mon at 5pm. I am salaried, so I get a paycheck every week and get mileage door to door. The week I am off the case managers are taking call. We are a small office (40 patients), so during the week it is not too bad. But as of right now (7:25pm Fri) I have 2 admissions tomorrow, 3 follow-ups visits from the admissions today and heaven knows what will blow up over night. Then 2 follow-up visits for the admissions I will do tomorrow on Sun. We also have a weekend nurse who does reagular visits on Sat and Sun for the families who want to see an RN but are not available during the day Mon-Fri. She usually does not do the admissions, which is OK as she hates them, and I don't mind them. She does act as my back up on the weekend that I work so that if something is going on I know that we will have it covered. It seems to work so far. The only complaints I have heard about this (I am the first "on-call" nurse) is the loss of the "beeper money" the case managers have gotten use to. This works well for us, but like I said, we are a small office. One of our other offices keeps a census of around 100 patiens and has one on-call nurse at all times. (there are two and if needed they act as the others back up).
We have two on-call RN CM's that work 7 on and 7 off. We got the second RN when we hit 40. Before that we took call one night a week every other week for $2 an hour and $60 a visit unless it took over 2 1/2 hours and then it was $120, door-to-door mileage. Now we just do back up call on the weekend for $1 an hour with the same rate of pay as before for visits.
We all love it!!!!!!!!! I am spoiled and we all appreciate the fact that we're not being stretched so thin with taking call.
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