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Discussion

NO oncall coverage

I am currently you an NNP. We have to do 3 12 hour shifts a week and we also have to do oncall coverage where we sign up to cover shifts if someone calls out. The number we have to cover fluctuates depending on how many NNPs we have on staff. Because we already don't staff well for our busy NICU we have recently lost a lot of NNPs therefore our number of on all shifts we have to cover has increased. We do not have a cap on the number oncall shifts they can require us to sign up for. I have brought this up which has now earned me a meeting with management. So I am trying to collect data for how oncall works for NPs at other institutes.

Thanks

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I used to work in Adult Critical Care Medicine and we had a similar on-call commitment.

Large group of APPs working 3 12-hr shifts a week with days and nights rotation (nights is by percentage based on seniority -> high seniority = less nights or no nights at all). Hospital is in CA and APPs are union represented.

We had the whole year of call pretty much scheduled but our turn-over was not bad. It's usually just 2 on-call nights a month as a way to cover that night shift when an APP calls in sick (we did not need on-call for sick calls during the day as it's easy to pull a resident who is on jeopardy).

Per our union rules, on-call gets paid half of hourly pay multiplied by the number of hours you are on call and waiting at home for the possibility of being called to work (which would be 12 hours). If you get asked to come in to work, that becomes time and half for all hours you worked.

I got too old for the nights and days and doing Hospitalist Cardiology on straight days now.

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