Hello Judy, my nurses carrying a caseload of 8 to 12 patients. We request they see 4-5 pts a day and this depends on meetings and admissions. Admissions are concidered like two visits and meetings are concidered one visit. We try and keep the nurses in one location but if they travel more than 40 minutes that could be concidered two patients, depends on the patient. When it comes to on call, my nurses and myself do the call. We try and tuck our patients in by the end of the day but things do come up and we use our prn staff or the person on call goes. I do have two LPN's I use for call and this has been a great thing. We are currently attempting to go pay per visit and wasnt sure if you or anyone else has some advice, pay scales or anything to share??? The company I work for is pushing for it and my staff are a bit resistive and I have some reserve. My RN's have been with me awhile and their productivity has become a big problem. Any advice or information would be greatly appreciated!! Renae