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How often are you on-call; scheduled weekend visits?

Hospice   (4,137 Views 13 Comments)
by Caffeinated Caffeinated (New Member) New Member

1,962 Visitors; 30 Posts

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Hi. I'm just wondering how often other nurses are required to take call and how long a period of being on-call lasts. Also, I am curious how it is determined who will do scheduled weekend visits if they are planned.

I am first call roughly 50% of the time. Our on-call periods are from 5p-8a Mon-Fri. Weekend on-call is 8am-8am. :uhoh21: For the most part if I am not first call then I will be secondary. In response to complaints about on-call structure, the company reports that it a triage team is being considered to decrease the number of calls. If the team was ever actually formed the only calls the on-call would receive would require a visit for a specific reason.

I haven't quite figured out the "rule" for determining who is responsible for weekend visits if they get scheduled. I have done weekend visits when I was on-call, not on-call, when the patient is one of my primary patients and when the patient is not a person I generally visit.

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AtlantaRN has 13 years experience as a RN.

10,372 Visitors; 763 Posts

I think we work for the same company... We now have 4 nurses, I'm the only full time other than the administrator who doesn't take call.

We split the call up between the 4 of us. In the past, I would sign up for sunday through thursday, so then if i was in overtime, by thursday, i'd take friday off...but the other nurses are perdiem at hospitals, and our census is low, so they will take call 1/4 of the time...as of NOW, I have 52 hours for the week, so I wrote me boss a note letting her know i'll be "OFF on wednesday..."

I've been on call 5/11-5/14, then 18th-20th. This month is better than last month though...I'm on call 11 days, and that 4th nurse starts monday and she WANTS to take call every weekend because her husband will be home with her children on the weekends, so I hugged her neck when I met her (because working weekends can really be rough).

As for responsibility for weekend visits, I ONLY go out if it's a crisis, I NEVER schedule visits for the weekends...However, today I admitted a patient, so tomorrow I have to do the follow up visit. BUT, the daughter wants nursing visits on M,Tues & Thursday...BUT since I was out today, and Sunday (mothers day), I'm NOT going to go out again until Tuesday (because 3 visits a week will be sunday, tuesday and thursday this week).

When in doubt, go to the policy and procedures manual. If you don't understand it, have your manager sit down and explain it to you. Sometimes it just requires a second set of eyes to figureout "corporate speak".

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Hospice Nurse LPN has 15 years experience as a BSN, RN and specializes in LTC, Psych, Hospice.

16,513 Visitors; 1,472 Posts

Where I work, it is me and the DON. I take call 3 weeks (and weekends) and she does one. ANY call outs are made by the nurse on call. We don't schedule weekend visits. If an admit is done on Friday, the pt is called on Saturday. We RARELY have any calls, so it's not bad.

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10,851 Visitors; 932 Posts

Our census is 150 and we have a dedicated oncall team.

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chris_at_lucas_RN has 7 years experience.

13,494 Visitors; 1,895 Posts

We had a census of anywhere from 15 to 22 when I was PCC (DON).

I had two full time RN's. Neither wanted to take call, and the condition of one's hiring was that she would not take call. The other one just never would.

So it was me.

On call was from 5 p.m. til the following 8 a.m. for Monday evening to Friday morning. Then again from 5 p.m. Friday through Monday 8 a.m.

We were (OK, I was) paid $1.50 for being on call, $45 for a visit under 90 minutes, $55 for a visit over 90 minutes, and mileage from and back to my home.

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1 Article; 4,040 Visitors; 135 Posts

We have a dedicated on-call team. I am currently obligated for one weekend of scheduled visits (8-430) per month, but our manager is in process of hiring weekend only nurses...which means my weekend obligation will be even less :)

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4,446 Visitors; 154 Posts

We have a approx 20 pts. Right now we have 2 full time nurses, one parttime nurse and a referral nurse. We all take call. So we have call one night a week and one weekend every 4. Call starts at 4:30 pm to 8 am. Weekend call is 4:30 pm friday until 8 am monday. We also have one hospice house nurse who is helping us during the week for night call.

The biggest help at this time is that all calls go into our hospice house. The nurse in the house screens the call, tries to solve the problem and then calls us out if nothing else works or there is a death. So they say on call isn't that big of a deal. Ask me memorial weekend. That is my first on call.

Debblynn

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wonderbee is a BSN, RN and specializes in critical care; community health; psych.

1 Article; 12,676 Visitors; 2,212 Posts

Census of 130-140. We have a dedicated on call staff AND we all take call one weekend a month and two week nights, usually as back up.

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2,817 Visitors; 78 Posts

We have a census of 160-180 and have a dedicated oncall/urgent care team which I am a part of I work midnight to 8am Thurs thru Mon. two of the days I am primary oncall. There are usually three of us oncall around the clock. I get paid hourly if I make a visit or not. Some days Im busy and others I just hang out waiting on a call.

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589 Visitors; 2 Posts

Are you paid hourly or per visit when you make visits during the weekend?

Right now, we're paid $35 per visit, $70 if it's 2 hrs or more. $50 if it's an admission or death. And mileage at .40 per mile. It's the strangest call plan I've ever worked with. Luckily we're not on call that much.

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curiousauntie has 26 years experience and specializes in LTC, Sub-Acute, Hopsice.

4,373 Visitors; 167 Posts

Right now we have one nurse who does the 7 day on 7 day off thing for on call. On her week off we share on call. There are 2 of us who are full time, one is part time (4 days a week, who for a while was acting DON too) and another part time nurse. The two of us who are full time usually do 2 week nights (5 pm-8:30am) and we rotate one week-end day (8am-8am). The one part timer (who was also acting DON) does at least 1 week day and joins on the weekend rotation. The other part timer doesn't do any on call, and the other full timer and I have not figured out why she doesn't help. We just got a new DON and plan to ask her that question when she has been with us for a bit longer. I was on call 2 Sundays ago and was out for over 9 hours. We get $50 for week nights, $100 for weekends and $125 for holidays plus we are paid hourly for any time we have to leave the house, door to door. If this makes over 40 hours in a week, we get time and a half. If we can swing it we are allowed to take a day off, but since our census is climbing (was 24 when I started in Jan and is 48 now) that is usually not an option. I just take the OT pay and put it in my savings account, which for me is great as I have never been able to save money. Mileage is .44 per mile, door to door when you are on call. Just so you know, the IRS rate for mileage is .485. Remember this as you may be able to claim the mileage as a deduction on your taxes.

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RNorBust has 17 years experience and specializes in pedi-onc, Adult Acute care, LTC, more.

1,489 Visitors; 24 Posts

We have a cencus of about 230-240, sometimes it goes higher. We have 2 full time triage nurses (I'm one of them) and we have a full time evening 4pm-mn and a mn-8am nurse. WE have a 4-mn and MN-8 and Sat-Sun 8a-8p Cont care staff that can do call visits if we dont currently have a case going. We also have 2 FT w/e nurses that do fri, sat , sun on call visits only. The call goes to the service, the service calls us, then if we can't handle it over the phone, we send a nurse out. The w/e nurses are supplemented with 1-2 of the case managers each weekend on each day to assist with visits if it is too busy because we do have scheduled weekend visits. the Case Mgrs usually have to take 1 call shift a month. Some take more because they like the extra pay for the visits. The triage staff works 7days on 7 off running friday -thursday.

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