Off Hours Service- Part 2
Wada, Maurice
Description
Collection
Title:
Off Hours Service- Part 2
Creator:
Wada, Maurice
Date:
1/30/2014
Text:
And here are the rest of the responses:
Our call schedule goes from 8am to 8am, 24 hours per call day. It is split between our three regular clinicians-- we rotate which days we are on. For example, I might be on Friday 8am until Tuesday 8am, then the next person would be on Tuesday 8am to Friday 8am. As for compensation, it is considered part of our regular job when it is during the week (even if a must be fit now call comes at 3am from the Emergency Department). For those on call weekends, for each weekend they receive a blanket fee of $350 (before taxes), whether or not they receive any calls.
Our managers are fairly understanding, however; for example, our cut-off to order custom TLSOs is 6pm (we are in Alaska and the fab facility is on the east coast); if we get a call to measure the patient and it won't make any difference to when we receive it whether we measure it that night or the next morning, we are typically fine to go the next morning.
As to how often one is called and must go in between 8pm and 8am, it seems to vary. Typically not very often, it goes in spurts-- those calls are generally emergency department (though not always), as most other things are called in either during the day or at predictable times like after MD rounds or shift change (often at 7:45am or 5:30-6pm). Other times are random; for example, I got called at 4am today by an MRI technician with a question (thankfully, I didn't have to go in!). Sometimes with call, I may not get home for the evening until 9 or 10pm but usually I'm home about 7:30 or 8pm.
At my previous job, we had a hospital department (Phoenix, AZ); calls were accepted between 8am and 8pm only, that included weekends but excluded HALO call, which was 24 hours.
I work at an acute hospital in a major Australian city. We have also struggled with on-call service issues in recent years.
Our department works like this:
- We only provide service 8am - 4.30pm Mon to Friday.
- We are proactive at communicating with wards to ensure that we know about any impending discharges and any braces that are required for the day.
- We provide training to nurses and physios in Emergency to fit Philadelphia Collars and Cam walkers after-hours. (These were the biggest requests we had when we had an on-call service).
- We have outsourced the service for fitting Halos.
- If doctors complain about us not being able to fit braces in evenings/weekends, we explain the issue of budgets, encourage them to be more organized (in the case of evening referrals) and that it won't do the patient harm in most cases to rest in bed for an extra day waiting for their brace.
- This means out department no longer has an after-hours service, which is better for the hospital budget, and better for the work/life balance of our Orthotists - everyone is happy!
We have 24 hour coverage and rotate call between 8-10 practitioners.
> On average we take one rotating week day evening from 5:00PM to
> 7:30AM which is about every 8-10 days. We then rotate weekend call
> from Friday 5:30 to Monday 7:30AM every 8 weeks or so. We do have a
> Saturday practitioner who takes the daytime coverage. Holidays are rotated.
>
> We are compensated at $3.00 for being on call. If you get called in
> then we subtract the $3.00 rate and are paid at normal salary if less
> than 40 hours worked and 1.5x if over 40 hours worked during the week
> period. We can either be paid for the time or bank it as comp time.
> Unused comp time is paid out every year. We do NOT get travel time
> which sucks for those of us that live the farthest away.
>
> We are allowed up to two hours to make it in for a deemed worthy call.
> I try with all my might to not come in but inevitably you have to for
> those E.D and discharges.
>
> During May to September Sundays can be a full day with all the trauma.
> Week days are usually only Emergency Department or discharge calls
> perhaps one to two times a week total.
>
> We all have work cell phones that are text paged for all inpatient and
> E.D orders. On call, we only call in if the call is labeled urgent or stat.
> However they normally page us too if they want it that evening or weekend.
We are in a similar situation, and have one person on call each week to cover the off hours and hospital calls. I was wondering if you received any responses as to what other companies are doing to address this.
I have been on call for over 10 years every third week 24/7 at three different Hospital systems and they all handle it differently. The week on call is hard to handle but, with the proper compensation I did it and still doing.
1 .Flat rate per week on call. and mileage
.
2. Flat rate no millage
3.Hourly rate for each call. From the time you get the call until your return home. And mileages
Thanks again,
-Maurice
Maurice Wada, CO
Director, Prosthetics and Orthotics
UCLA Health System
<Email Address Redacted> <mailto:<Email Address Redacted>>
(424) 259-8551
Confidentiality Notice: This email message, including any attachments, is for the sole purpose of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please contact the sender by email and destroy all copies of the original message.
Maurice Wada, CO
Director, Prosthetics and Orthotics
UCLA Health System
<Email Address Redacted>
(424) 259-8551
Confidentiality Notice: This email message, including any attachments, is for the sole purpose of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please contact the sender by email and destroy all copies of the original message.
________________________________
IMPORTANT WARNING: This email (and any attachments) is only intended for the use of the person or entity to which it is addressed, and may contain information that is privileged and confidential. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner. Unauthorized redisclosure or failure to maintain confidentiality may subject you to federal and state penalties. If you are not the intended recipient, please immediately notify us by return email, and delete this message from your computer.
Our call schedule goes from 8am to 8am, 24 hours per call day. It is split between our three regular clinicians-- we rotate which days we are on. For example, I might be on Friday 8am until Tuesday 8am, then the next person would be on Tuesday 8am to Friday 8am. As for compensation, it is considered part of our regular job when it is during the week (even if a must be fit now call comes at 3am from the Emergency Department). For those on call weekends, for each weekend they receive a blanket fee of $350 (before taxes), whether or not they receive any calls.
Our managers are fairly understanding, however; for example, our cut-off to order custom TLSOs is 6pm (we are in Alaska and the fab facility is on the east coast); if we get a call to measure the patient and it won't make any difference to when we receive it whether we measure it that night or the next morning, we are typically fine to go the next morning.
As to how often one is called and must go in between 8pm and 8am, it seems to vary. Typically not very often, it goes in spurts-- those calls are generally emergency department (though not always), as most other things are called in either during the day or at predictable times like after MD rounds or shift change (often at 7:45am or 5:30-6pm). Other times are random; for example, I got called at 4am today by an MRI technician with a question (thankfully, I didn't have to go in!). Sometimes with call, I may not get home for the evening until 9 or 10pm but usually I'm home about 7:30 or 8pm.
At my previous job, we had a hospital department (Phoenix, AZ); calls were accepted between 8am and 8pm only, that included weekends but excluded HALO call, which was 24 hours.
I work at an acute hospital in a major Australian city. We have also struggled with on-call service issues in recent years.
Our department works like this:
- We only provide service 8am - 4.30pm Mon to Friday.
- We are proactive at communicating with wards to ensure that we know about any impending discharges and any braces that are required for the day.
- We provide training to nurses and physios in Emergency to fit Philadelphia Collars and Cam walkers after-hours. (These were the biggest requests we had when we had an on-call service).
- We have outsourced the service for fitting Halos.
- If doctors complain about us not being able to fit braces in evenings/weekends, we explain the issue of budgets, encourage them to be more organized (in the case of evening referrals) and that it won't do the patient harm in most cases to rest in bed for an extra day waiting for their brace.
- This means out department no longer has an after-hours service, which is better for the hospital budget, and better for the work/life balance of our Orthotists - everyone is happy!
We have 24 hour coverage and rotate call between 8-10 practitioners.
> On average we take one rotating week day evening from 5:00PM to
> 7:30AM which is about every 8-10 days. We then rotate weekend call
> from Friday 5:30 to Monday 7:30AM every 8 weeks or so. We do have a
> Saturday practitioner who takes the daytime coverage. Holidays are rotated.
>
> We are compensated at $3.00 for being on call. If you get called in
> then we subtract the $3.00 rate and are paid at normal salary if less
> than 40 hours worked and 1.5x if over 40 hours worked during the week
> period. We can either be paid for the time or bank it as comp time.
> Unused comp time is paid out every year. We do NOT get travel time
> which sucks for those of us that live the farthest away.
>
> We are allowed up to two hours to make it in for a deemed worthy call.
> I try with all my might to not come in but inevitably you have to for
> those E.D and discharges.
>
> During May to September Sundays can be a full day with all the trauma.
> Week days are usually only Emergency Department or discharge calls
> perhaps one to two times a week total.
>
> We all have work cell phones that are text paged for all inpatient and
> E.D orders. On call, we only call in if the call is labeled urgent or stat.
> However they normally page us too if they want it that evening or weekend.
We are in a similar situation, and have one person on call each week to cover the off hours and hospital calls. I was wondering if you received any responses as to what other companies are doing to address this.
I have been on call for over 10 years every third week 24/7 at three different Hospital systems and they all handle it differently. The week on call is hard to handle but, with the proper compensation I did it and still doing.
1 .Flat rate per week on call. and mileage
.
2. Flat rate no millage
3.Hourly rate for each call. From the time you get the call until your return home. And mileages
Thanks again,
-Maurice
Maurice Wada, CO
Director, Prosthetics and Orthotics
UCLA Health System
<Email Address Redacted> <mailto:<Email Address Redacted>>
(424) 259-8551
Confidentiality Notice: This email message, including any attachments, is for the sole purpose of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please contact the sender by email and destroy all copies of the original message.
Maurice Wada, CO
Director, Prosthetics and Orthotics
UCLA Health System
<Email Address Redacted>
(424) 259-8551
Confidentiality Notice: This email message, including any attachments, is for the sole purpose of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please contact the sender by email and destroy all copies of the original message.
________________________________
IMPORTANT WARNING: This email (and any attachments) is only intended for the use of the person or entity to which it is addressed, and may contain information that is privileged and confidential. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner. Unauthorized redisclosure or failure to maintain confidentiality may subject you to federal and state penalties. If you are not the intended recipient, please immediately notify us by return email, and delete this message from your computer.
Citation
Wada, Maurice, “Off Hours Service- Part 2,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/235974.
