Pay for Performance

  1. Has anyone developed skill sets for pay for performance? This is something new we are trying to develope to reward our nurses. Example: Level 1--able to start IV's, Level 2--Can do PICC lines,
    Level 3--Can D/C epidural caths.
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    About caregiver11

    Joined: Jan '03; Posts: 10
    Pt. Care Coordinator


  3. by   susanmary
    I've never heard of an RN taking out an epidural cathetar -- does this actually happen? In my facility, only an anesthesiologist removes the cathetar.
  4. by   caregiver11
    Yes, we have an IV team that receives specialized training in removing these.
  5. by   susanmary
    Any other hospitals use RNs or IV teams to remove epidural cathers? Can't believe it's covered in the nurse practice act.
  6. by   B.Wilhelm
    The facility I used to work for had just started letting the RNs remove the epidural catheters on post op patients before I transferred to Surgery. The Anesthesiologists would come to the floor and explain what we needed to examine on D/Cing epidurals. Many of us were not comfortable in this practice, but we were pretty much told to do it. Still, many of us wouldn't.
  7. by   ceecel.dee
    I love the idea of pay for performance. Unfortunately, our nurses practice under a contract, and this allows for little "creativity" in financial rewards.
  8. by   fergus51
    I took out epidural caths. We had to be certified to do it, just like with chest tube removal. At our hospital there were a bunch of things you had to get certified for at certain intervals. Like at 6 months you had to be able to do x, y and z. Since our pay went up with experience it had the same effect as rewarding us for more skills.