A lot of places now just do PTO - paid time off. It's a catch all for vacation and sick days. Under this system I think people may tend to get in trouble. They take the days as vacation and don't budget any for getting sick - and who can blame them, because in a lot of companies the PTO expires, so if you don't use it you lose it. So you use it - then if you get sick you get in trouble... (or you come in anyway and spread your disease to all of your co-workers)
When I worked for the federal government it was *not* like this. We got sick time. If you didn't use it, it accrued - forever. My first boss was even able to take a year or two's early retirement with all of his sick leave... You could also be nice and donate sick leave to a co-worker who was out and had used up all of their own sick leave, so that they could still be paid for time off when they had a grave illness, though I think there were limits to the amount that could be transferred.



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