MIC36FLA

Thanks for the info. We all need a place to rant, sometimes its just easier to 'speak' with others that have the same problems. I'm hoping that our new branch manager will work out these kinks. She's a RN also. We need a 24 hours on call answering service that can triage the miscellaneous phone calls. I'm on call today and have received more phone calls from employee questions about their schedule than actual patients. Not to say I haven't had a bunch of patient calls today. OH well, eventually it to shall pass...

by MIC36FLA Registered User Age: 36 Years Exp: 6 Nursing Specialty: Wound care, IV, Med/Surg Join Date: Feb 2009 Posts: 3 I work in HHC in FLA and have some confusion about our on call procedure. Right now we rotate call between RNs and LPNs on weekends beginning Friday night at 5pm through Monday 8am. We have an on call nurse that does on call Monday through Thursday 5pm to 8am. She is off then Friday, Saturday and Sunday every weekend. Now having written this she works in the office and does not regularly see patients throughout the day. She takes physician calls and caregiver call all while inputting the OASIS D/C's. Now those of us that work the weekends have already worked a full 40 hour week +. I average seeing about 6-7 patients a day with travel up to 125 miles. Here's how our call breaks down: $75.00 for 24 hour call coverage, no day off during the week. Nurses are required to be available for those 24 hours to do all emergency calls. The nurses that work on the weekends with scheduled visits are paid either a per diem rate for those visits if they do not take a day off during the week or they are salary and have a day off during the week. Our supervisors are treating call as if it is just another day off for the nurse, we are a large office over 200 patients on census at any time. We average about 40-50 calls on Saturday alone. I am looking for someone who is willing to share what their call procedure is . My NEW branch manager has asked me to do some research and find a solutio to this prolem we have. Any suggestions would be greatly appreciated. Sorry such a long post!

Thank you!

You know nursing as a whole is wonderfully fulfilling. I work HHC and just seeing the patients is a reward, to know I helped them is wonderful. Overworked? Yeah, we all are. Its the office politics that stress me out, you know, the managers that have never seen a patient yet they are telling you who, when, and how many you can see each and every day. And documentaion...that in itself is horrible. How many of us have the need to go to the office supply store just to find the "perfect" pen so we can get otivated enough to document all the subjective and objective info they want to know about a patient they will never see in person. Yeah, burnout is prevelent, but if you enjoy nursing sometimes the rewards outweigh the negative.

I work in HHC in FLA and have some confusion about our on call procedure. Right now we rotate call between RNs and LPNs on weekends beginning Friday night at 5pm through Monday 8am. We have an on call nurse that does on call Monday through Thursday 5pm to 8am. She is off then Friday, Saturday and Sunday every weekend. Now having written this she works in the office and does not regularly see patients throughout the day. She takes physician calls and caregiver call all while inputting the OASIS D/C's. Now those of us that work the weekends have already worked a full 40 hour week +. I average seeing about 6-7 patients a day with travel up to 125 miles. Here's how our call breaks down: $75.00 for 24 hour call coverage, no day off during the week. Nurses are required to be available for those 24 hours to do all emergency calls. The nurses that work on the weekends with scheduled visits are paid either a per diem rate for those visits if they do not take a day off during the week or they are salary and have a day off during the week. Our supervisors are treating call as if it is just another day off for the nurse, we are a large office over 200 patients on census at any time. We average about 40-50 calls on Saturday alone. I am looking for someone who is willing to share what their call procedure is . My NEW branch manager has asked me to do some research and find a solutio to this prolem we have. Any suggestions would be greatly appreciated. Sorry such a long post!