Guest guest Posted March 4, 2010 Report Share Posted March 4, 2010 Hi all! I am looking for feedback from other hospital systems on how they staff coverage for Acute Care patients on the weekends. Some of the questions I'm seeking input for include... 1. Do you use both outpatient and inpatient Rehab staff to cover weekends? If so how many weekends a month might they work? 2. If your regular M-F staff work weekends, do they get a day off during the week to compensate for the weekend or do they get overtime? 3. If they get time off during the week, do you find that it is a patient dissatisfier for the outpatient rehab patients as their scheduled days may be disrupted? 4. Do your productivity expectations change for weekend acute care or are they as high as your regular M-F staff? Any input is appreciated! Thank you, Ferreira Director of Rehab Mercy Memorial Hospital System Michigan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 4, 2010 Report Share Posted March 4, 2010 - I am responding from the perspective of a 38 bed inpatient rehab hospital with 4 outpatient facilities. As an inpatient Rehab facility, we staff Saturdays at 75% of M-F and Sundays 1 PT ( vs 7) on call only (no speech or OT) , using BOTH our inpatient rehab and outpatient staff. We do have a moderate sized prn pool ( mostly former staff) who take at least 1 weekend shift per month. The rest is split between inpatient rehab and outpatient staff. They work on average every 4-6 weeks. When we had a SNF unit, they also participated in the weekend rotation for covering acute rehab. We try not to go into overtime. Our full time staff get a day off in the week before the weekend they work. The rest of the staff generally get extra pay, or if we have patient coverage for their caseloads, the option of time off. We have developed a float pool and prn coverage that help us cover those " scheduled days off " and vacations. Since the therapists know their weekend schedule 2-3 months in advance, they are responsible for letting their patient know they will be off. This is also true for vacations- it is simply a matter of professionalism in preparing the patient for handoff to another provider. We have found that by preparing the patient, talking up the therapist who will cover, that things go smoother. But there are always patients who do not like to be seen by anyone other than " their " PT who will grumble and complain. And yes, on outpatient, there are some that cancel that appointment. Our outpatient therapists are essential in this process and we greatly appreciate their help. The other key to this is a well oriented,competent, and consistent prn pool. If these two groups were not involved in the weekend coverage, we would be working 3 or 4 weekends a month. Yuck. Good luck! Marcy Stalvey, PT, NCS Therapy Supervisor Edwin Shaw Rehabilitation Institute Cuyahoga Falls, OH 44221 >>> " kristinferreira " 3/4/2010 4:27 PM >>> Hi all! I am looking for feedback from other hospital systems on how they staff coverage for Acute Care patients on the weekends. Some of the questions I'm seeking input for include... 1. Do you use both outpatient and inpatient Rehab staff to cover weekends? If so how many weekends a month might they work? 2. If your regular M-F staff work weekends, do they get a day off during the week to compensate for the weekend or do they get overtime? 3. If they get time off during the week, do you find that it is a patient dissatisfier for the outpatient rehab patients as their scheduled days may be disrupted? 4. Do your productivity expectations change for weekend acute care or are they as high as your regular M-F staff? Any input is appreciated! Thank you, Ferreira Director of Rehab Mercy Memorial Hospital System Michigan ------------------------------------ In ALL messages to PTManager you must identify yourself, your discipline and your location or else your message will not be approved to send to the full group. Physician Self Referal/Referral for Profit {POPTS} is a serious threat to our professions. PTManager is not available to support POPTS-model practices. The description of PTManager group includes the following: " PTManager believes in and supports Therapist-owned Therapy Practices ONLY " Messages relating to " how to set up a POPTS " will not be approved PTManager encourages participation in your professional association. Join APTA, AOTA or ASHA and participate now! Follow Kovacek, PT on Facebook or Twitter. Quote Link to comment Share on other sites More sharing options...
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