On call

For what this is worth, I think you 2 unit mgrs are being suckered. Everywhere I've ever been, on-call was shared with more mgt staff (ADON, Staff Devel, MDS, shift supervisors, DON (depends)).

What I see as a problem is that as you get pulled more & more to the floor, you'll not be able to complete your unit mgr responsibilities and that sets you up for failure. And as for being salaried, I'm sure they're not too liberal with handing out comp time for all the extra time you're doing.

Is the other unit mgr fairly new to the position also? Or has this been a long time occurrence. I think you're being stretched too thin.

JMHO and 3 cents.

She has only been in the position for 6 months. We are going to a corporate training event tomorrow and I was thinking of talking to her about it. I am interested in knowing how our other facilities handle on call and just who should be responsible for sharing that time. I'm just exhausted (I spent 4 hours of my 10 hr day on the cart again today because we are over our nursing hours with the current census). I still had reports and clinical issues to complete. I'm excited to make the facility better, but like you said, I don't want to be taken advantage of.

You are being taken advantage of. I would never do this to my staff. I am on call 24/7 although I do have a buffer on weekends. My managers take it rotationally....though I also take it on weekends too as we get paid to do w/e call but not during the week.

I am on call 24/7 for any and all problems that may happen in the building. I am not, however, part of the on-call rotation. We have 6 nurses rotate weekend on call. I have supervisor coverage 7 days a week and we have a manager on duty...one manager spends four hours in the building on weekend days. Of course when it's my turn I get all the nursing issues to deal with along with everything else. The on call nurses very rarely get called with anything but staffing issues. I get called for everything...and no, no on call pay for me.

Capecodmermaid, are you the DON or UM? My DON does get calls with every and any little issue. She never takes on-call (which i wouldn't expect her to). My question really was who exactly is included in the on-call rotation. After attending training this week I'm realizing that most of our other facilities include ADON, Risk Mgr, and Staff development. All of which are currently open positions at my facility for now, it's just the two of us. The best answer we have been able to come up with from our standpoint is to hire more PRN LPN's and to better document the excessive call-ins so we can clean house.

I am also on call 24/7 now that i have made it my own its getting better some days on the edge of burn out but i have a couple good nurses that step up for me when i need it