lmsBSN

I am an RN case manager for a home health agency. We are paid hourly, typically see between 4-8 patients per day. We are expected to complete the majority of our charting in the patients home, but charting off-hours is allowed, since documenting notes, orders, certs ect takes extra time. We also are on call 2-3 days per week from quitting time (1630) until next business day (0800). If any of our patients has an issue, such as wound vac stops working, plugged cath, etc, if we are on call we go out at any hour to fix the issue. We also are on call Friday from 1630 until Monday 0800 every third weekend. Weekend work includes daily dressing change, admitting referals that were received friday, and any issues that might crop up. I've had many instances of getting a page at 0200 for a dressing that came off, low blood sugars, etc that require either phone consultation, or more frequently, a middle of the night visit. I'm wondering if any of you other home health nurses get paid shift or weekend differential like is paid in the hospital? I started thinking about this last week when I got called to a patients home at 0330 to change a double-ostomy/wound vac that had leaked. I had a scheduled PTO day that week, so the time spent with my patient in the middle of the night, which totally messed me up for the next day of work, just counted as regular time at work, since it didn't put me into overtime, and we are not paid shift/weekend diff. Any info you might have would be great, as I want to bring this up to my manager, but want some sources to cite!