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<title>Nurse Staffing</title>
<link>https://www.leadingagenc.org/forums/posts.aspx?topic=1192825</link>
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<lastBuildDate>Tue, 21 Jul 2026 04:12:11 GMT</lastBuildDate>
<pubDate>Fri, 12 Feb 2016 18:25:43 GMT</pubDate>
<copyright>Copyright &#xA9; 2016 LeadingAge North Carolina</copyright>
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<title>Nurse Staffing</title>
<link>https://www.leadingagenc.org/forums/posts.aspx?topic=1192825</link>
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<description><![CDATA[What kind of on-call rotation for nurse staffing does your community use, what compensation do you provide for being on-call, and what would you say the pros/cons are of your system?]]></description>
<pubDate>Mon, 25 Jan 2016 20:22:05 GMT</pubDate>
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<link>https://www.leadingagenc.org/forums/posts.aspx?topic=1192894</link>
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<description><![CDATA[We currently have our RN’s on call for 1 week at a time and they get $125 for being on call plus they get time and a half if they have to work above and beyond their 40 hours.  If it is a salaried RN, we will give her a day off when possible.]]></description>
<pubDate>Mon, 25 Jan 2016 22:07:10 GMT</pubDate>
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<link>https://www.leadingagenc.org/forums/posts.aspx?topic=1192895</link>
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<description><![CDATA[Our DON, ADON, SDC, MDS, and three RN supervisors share Nurse on Call responsibilities. We do not compensate them for on-call. Pros: an RN on call. Cons: We don’t pay them.]]></description>
<pubDate>Mon, 25 Jan 2016 22:07:31 GMT</pubDate>
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<link>https://www.leadingagenc.org/forums/posts.aspx?topic=1192896</link>
<guid>https://www.leadingagenc.org/forums/posts.aspx?topic=1192896</guid>
<description><![CDATA[The eight administrative nurses take one week of On Call at a time, starting Monday – Sunday.<br />  There is no dollar compensation for this it is a requirement of the job.<br /> <br />Pros of our rotation;<br />  We only do it once every 8 weeks<br />  We are on Call only 1 Holiday a year<br /> <br />Cons of our rotation;<br />  We do not receive any extra dollar compensation but we get to take the time back as a day off in the same pay period.<br />This works well for us.]]></description>
<pubDate>Mon, 25 Jan 2016 22:07:49 GMT</pubDate>
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<link>https://www.leadingagenc.org/forums/posts.aspx?topic=1193683</link>
<guid>https://www.leadingagenc.org/forums/posts.aspx?topic=1193683</guid>
<description><![CDATA[Our nurses are required to “sign-up” for on-call days on a monthly basis. Full-time nurses must take 3- 24 hour days, Part-time must take 1- 24 hour day, and PRN nurses may sign up for any day during the month. The nurses get paid $48 for a full day and $24 for half day regardless if they have to come to work or not. The pros are that the nurses get paid “on-call pay” whether they come in or not, they pick their own days, and we have coverage if someone calls out. One con that comes to mind is that the nurses have possibly work on their day off.]]></description>
<pubDate>Wed, 27 Jan 2016 14:30:00 GMT</pubDate>
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<link>https://www.leadingagenc.org/forums/posts.aspx?topic=1193684</link>
<guid>https://www.leadingagenc.org/forums/posts.aspx?topic=1193684</guid>
<description><![CDATA[At our community we have 1.0 FTE Assisted Living RN and 2.0 FTE Independing Living RNs. These three nurses cover both levels of care from 7A-7P, with backup from the RN who is director of our home care agency.  From 7P-7A and on weekends an RN from our skilled nursing facility provides emergency response services. The IL nurses and home care director take turns carrying the pager, which is turned in to the skilled nursing RN at 7). The AL, IL and Home Care director split the holidays to provide daytime coverage, with the skilled nursing RN picking up the evenings.<br /> <br />There is no additional compensation provided to the nurses. One of our challenges is that sometimes we have multiple simultaneous emergencies with all RNs deployed. We are looking at possibly adding a part-time RN to work in Assisted Living.]]></description>
<pubDate>Wed, 27 Jan 2016 14:30:44 GMT</pubDate>
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<link>https://www.leadingagenc.org/forums/posts.aspx?topic=1193685</link>
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<description><![CDATA[We don’t use an on-call rotation.  We have an RN assigned to the building 24/7 so they cover any issues that an on-call nurse would cover.]]></description>
<pubDate>Wed, 27 Jan 2016 14:31:19 GMT</pubDate>
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<link>https://www.leadingagenc.org/forums/posts.aspx?topic=1193687</link>
<guid>https://www.leadingagenc.org/forums/posts.aspx?topic=1193687</guid>
<description><![CDATA[Here at our community we have a weekly on-call rotation in place for our full-time nurses.  Each nurse is on-call for all shifts during the 7 day period of being on-call.  As an incentive, the nurse will receive an 8 hour paid day off.  We recently started a weekend on-call rotation schedule for our CNAs when we changed their work schedule to Monday through Friday.  The incentive for them is to not be scheduled to work every third weekend, or in some cases every other weekend as they were prior to starting the on-call weekend rotation.  If they are called in on the weekend and want to be off during the week, we give them another day off.  Some of them prefer the overtime.<br /> <br />The Pros of having an on-call rotation are many:<br />1.        It creates consistency with staffing<br />2.       Better continuity of care<br />3.       Decreases the need for agency staff.<br />4.       Decreases the likelihood of working under-staffed when there is a call-out.<br />5.       Offers some peace of mind to the Director of Nursing and all staff knowing that there is back up.<br /> <br />The cons are few:<br />1.        Making sure that the holidays are not falling on the same persons rotation.<br />2.       Replacing the on-call person when they are sick.]]></description>
<pubDate>Wed, 27 Jan 2016 14:32:06 GMT</pubDate>
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<link>https://www.leadingagenc.org/forums/posts.aspx?topic=1193836</link>
<guid>https://www.leadingagenc.org/forums/posts.aspx?topic=1193836</guid>
<description><![CDATA[We don’t have on call Rn’s but we do have PRN status. ]]></description>
<pubDate>Wed, 27 Jan 2016 18:52:49 GMT</pubDate>
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<link>https://www.leadingagenc.org/forums/posts.aspx?topic=1199452</link>
<guid>https://www.leadingagenc.org/forums/posts.aspx?topic=1199452</guid>
<description><![CDATA[In our nursing department I do run an on call from 7a Saturday morning until 7a Monday morning.  This is an RN that is a supervisor level (or cross trained to be a supervisor) that covers any call outs (that cannot  be covered) for the weekend.  We operate with 2 baylor supervisors on the weekends (7a-7p and 7p-7a).  If one of these supervisors call out, the on call would come in and supervisor – or if there is a staff nurse call out (again, that cannot be covered), the on call would come in and work.  Most of the individuals that rotate in this on call are exempt – so they receive no monetary on call pay.  However, there are a couple of nurses who participate that are hourly – they receive $50/per day to be on call – and then naturally are on the clock if they have to come in.  These nurses are the ones that are cross trained to supervise – so when they come in to cover one of the baylor supervisors they also receive an additional $4.00/hour.  In the event the on call nurse has to come in – I negotiate with them another day off.<br /> <br />During the week we have a staffing coordinator to staff all of nursing.  The manager on duty is responsible for covering any call outs after the staffing coordinator leaves for the day.  The  ADON and myself are “on phone call” 24hr/day, 7days/week. ]]></description>
<pubDate>Fri, 12 Feb 2016 19:25:43 GMT</pubDate>
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