shell1bert

Hi all, I am an NP that works for a large hospital system in Senior care. I go to sub-acute rehabs, LTC, independent living, and assisted living (none of which are ran by the hospital system). All of the NP's in the system had a bonus clause in contracts- however, new contracts came out effective 1/2016 without any language re: a bonus. Recently, the CEO announced that "all employees" would be rec'ing a bonus (depending on status of empoyment: FT, PT, PD). Myself & other NP colleagues of mine did not receive said bonus. My lead physician contacted our VP who clarified that this bonus was for employees, not clinicians”. This has left me somewhat frustrated as they have taken out the opportunity for NP's to receive a bonus as they previously had been, and now we are being told that we are not eligible for a small bonus that the rest of the corporation (besides clinicians) has received. My question is, do other employers offer bonuses? What are your experiences with your employer in re: to same? Is the bonus obtainable? or does the employer make it quite difficult? My previous bonus clause was based on quality metrics”. The sole quality metric that this corporation uses for senior care is preventing hospital re-admissions w/ in 30 days. For anyone else that works in these types of environments (namely sub acute rehab), you may know that the level of acuity in these patients is much higher and the facilities do not seem to be adapting to this increase in acuity. Majority of Pt's have significant, complex medical problems with multiple co-morbidities. These Pt's are sometimes sent from the hospital in unstable or barley stable conditions. Quite frankly sometimes I feel as thought I'm working in a hospital! The few that I work in work with short staff all the time, it seems as though there is very little education for the nursing staff (mostly LPNs, few RNs) to help adapt to the increase in acuity, and I am noticing many accounts of what I would call negligence secondary to…. ? probable staffing issues. I could write a whole different topic on this subject, however I am mostly curious at this point about what others are experiencing re: bonuses. Also, for anyone working in these types of settings- have you been given an expectation of how many Pt's you should be seeing in a day? What is the average number of Pt's you see in a working day. Thank you all! I appreciate your input Michelle