Anonymous wrote:We also use Metro Parent Relief. It is pricey: $250 membership (think $20/month), plus $35/day on top of the nanny's hourly fee. HOWEVER, if you don't have the flexibility or local family/friends to cover things like a nanny's vacation or sick days, it's invaluable. She's been able to find coverage for me with less than 24 hours notice. Her nannies are also already interviewed, background-checked, etc..
One thing to remember is that while this is expensive right now, you're not talking about using the service very often or for too many years. And if you want to save money by taking some vacation time yourself to cover a few days, or bring grandma in for a couple of days, whatever, it's easier to use a service where you don't have to promise someone three solid weeks of work.
I'm the PP who mentioned MPR and I totally agree with all of this. Stacie will sometimes run a mid-year promotion where she prorates the annual membership fee so that could save you a bit, but the daily fees do ratchet up the cost. But I've had Stacie email me back at 10 pm when I've been in a real jam needing care - and the 3 different people I've used from her service have all been fine.