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On-Call Pay

Title 38 for Nurses and Allied Health Employees

Purpose of Authority

To provide 24-hour coverage for medically necessary patient care or related services.

Who is Eligible?

Title 38 employees through the GS-12 level who are in designated occupations for which a Clinical Center department has an approved on-call plan. (See the Title 38 Occupational Coverage Chart.) Eligibility for use of on-call pay is extended to an occupation only after a needs determination has been made.

Provisions

On-call is a "special" Title 38 premium pay whereby an employee receives 10% of his/her basic overtime rate for each hour of on-call duty outside his/her regular work hours.

An employee who is on-call must be (1) accessible by telephone or beeper; (2) available to return to the worksite within a designated response time; and (3) in a physical condition that allows him/her to perform duty assignments.

In the event of incapacitation or unavailability during a period of on-call duty, an employee must promptly contact the designated supervisory official to be released from on-call duty.

On-call pay is suspended during periods of actual call-back to the worksite. On-call duty resumes after the call-back period is complete, if there is any scheduled on-call duty remaining.

Restrictions

Individual Clinical Center employees are limited to 176 hours of on-call duty in any pay period. Department Heads may authorize exceptions to this limit in extenuating circumstances.

Employees may not be scheduled for on-call duty during the same hours they are in a leave status. In the Clinical Center, an employee who has been on leave must return to work before being eligible to be placed in an on-call duty status.

Record-Keeping

When an employee returns to the Clinical Center for call-back duty, he/she must sign in and out, recording the date, time, reason for call-back, and the amount of call-back duty worked. Departments should maintain records of on-call and call-back service by their employees for a period of three years.

Approval Process for Use of On-Call Authority

Before employees can be scheduled for paid on-call duty, the occupation must be approved for on-call coverage and the Clinical Center department must develop and receive approval for plans outlining how, why, and when on-call will be used. The Clinical Center Director approves the application of on-call pay to an occupation and a department's plan for use of on-call pay.

Definitions

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