Can nurses in the US really work a straight 24 hour shift?? - page 4
I was reacently watching an episode of Dr Phil (yes I know I need a new hobby :p ) about women who are overworked/overscheduled etc. There was a story of a woman who is a nurse in a neo natal... Read More
May 6, '04Mandatory overtime is not permitted in my hospital, as agreed in their contract with the Nurses' Union in my state.
I've heard horror stories of nurses being REQUIRED to work an extra shift if there is low staffing -- if a nurse in this situation refuses, it is considered a safety violation & the nurse's license is in jeopardy.
California has outlawed mandatory overtime. I believe that ALL states should follow suit. Hospitals should be responsible for hiring adequate staffing. :angryfire
May 6, '04There are many CRNA positions with 24 hour shifts, but they also involve an assigned call room to sleep in when there's a chance.
May 6, '04EMTI19 is right, I work 24's at the fire department, those two days off really only feel like one when you get slammed. I have had shifts with 21 calls in a 24 hour period, and it sucks to say the least. I don't mind running call after call all shift, if they are "real" calls. It just angers me that more then half of those calls are BS on a 3 (lights and sirens)...people abuse 911 way too much. I don't care who you are, but leg pain for two weeks is NOT an emergency.
I don't know how we get those IV's or let alone drive to those calls... but we manage.
Even with the BS though, I still love my job.
Red Bull is awesome, to say the least.
May 7, '04I think there is still the mentality of higher-ups doing their residency/first years that way. But times are changing, and so should those limits.
Now I get to laugh at myself for saying this but never working as a nurse.
May 7, '04Quote from RustyhammerI work in LTC-an Alzheimer's center at that- if my relief doesnt show up, the appropriate phone calls are made and the keys are left with a nurse on another unit. We are human, and if adequate rest isnt taken, we can not function to our full capacity. Ive worked 16's, but that was with adequate rest beforhand. Ive stayed a few hours past my shift to help out. But I will not be the fall guy for someone that decided their time was more important than mine. Its my license at stake if Im too tired and make that mistake that the next nurse should have been there for.I've done a few 24's. In LTC you don't leave until the relief shows up. If they don't come, you don't go.
May 7, '04Quote from HannasMomStaffing isnt the responsibility of the nurses. When relief doenst show up, the DON is contacted and its his responibility to find relief. If he fails to do so, HE often comes in, or the ADON, since they are both RN's. If the DON or ADON fail to respond to calls, higher ups are called. Its all a matter of what you will tolerate. If you let the responsible people get away with slacking off their jobs, they will take advantage of it. There is a REASON they have a PRN list of nurses! Its their job to call them!Rusty, I work with a nurse at my facility that doesn't stay if her relief doesn't show up. Since I work the night shift on 1st floor, I end up responsible for call ins on MY floor. She thinks that includes her floor too. She works the evening shift on 2nd floor. If her relief doesn't show up she calls me to do report and count narcs on 2nd, then says, I'm sorry so and so didn't show up, but I have to get home. "Hope you find someone to work on 2nd." Guess what if I can't find someone I end up working both floors...60 some residents. This has only happened to me once. I became really upset by this the other night and I wasn't going to be stuck with 60 residents, when my floor is the skilled nursing floor. I run all night on this floor.
I called the DNS and reported her right then and there, plus told her I was calling agency and I did. 60 residents is as dangerous as working 24 hrs straight. Residents do not sleep all night. Usually that's when they become really ill. Thanks for letting me vent.
May 7, '04Maryland does not allow mandatory OT. Hospitals cannot ask you to work more than 16 hours per shift, but (not totally sure on this) you can volunteer to. Of course emergencies are a different matter, such as major snowstorms, floods, etc.
Last year there was bad blizzard, lucky for me I wasn't at the hospital at the time, and people had to live there a few days. However, even then, staff had to have 8 hours minimum off for every 16 worked. The people who were stuck said things went pretty well. They were told to just take care of the basic care needed.
Interns and residents are not allowed to work more than 80 hours a week.