Getting patient information before shift - page 2
by AikoRN 4,977 Views | 23 Comments
My hospital just started strongly enforcing nurses to not login to a patient's chart unless you have clocked in (7 min before start of shift). It hasn't been a big problem for me since I usually come into work around 6:50 or so.... Read More
- 0Nov 16, '12 by KitkatPRNQuote from nursie_nursie_415AND... in 10 minutes you are ACTUALLY assigned to the patient ?? Ugh ... sometimes I feel like all I do is waste time to CMA & keep updated with the ever changing policies the facility makes to CTA.If you are not officially "clocked-in", not only is being in a patient's chart equivalent to working for free, it is quite possibly a violation of HIPAA.
- 1Nov 17, '12 by rita359Quote from nu rnHave been asking for such a report but no one has seen it as important enough to address yet. If I had that wouldn't have to get there early.We have pt care summaries which automatically print about an hour before shift change. They show name, DOB, admission date, dx, attending/consulting MDs, most recent VS, activity, diet, upcoming labs or testing, list of orders since admission date, & current meds with the most recent administration time. I rarely feel it necessary to log into the chart until after I've received report; it usually only happens if report gets delayed because RNs trying to finish up with pts. Also, most of us don't show up until about clock-in time anyway. Much earlier than that & pt assignments probably won't
be up yet.
- 2Nov 19, '12 by Aurora77Quote from woohDitto. Maybe I'm old and cynical, but I got burned by my old (non nursing) job. I'm fully prepared to give my 100% in return for my wage, but no way in the world am I giving more for free. If my job wants me to do something they'll pay me for it or it's not happening.I'm amazed at people that WANT to work for free. Hospital doesn't pay me to prepare for my shift? Then I won't be prepared.
- 1Nov 20, '12 by RNperdiemWith my first job, I always came in a few minutes to start gathering info for my "brains" sheet. With 6 patients the morning workload could be crushing sometimes and anything extra would help.
I also quickly realized that starting early, leaving late and skipping lunch most days to stay caught up was not a sustainable long-term strategy.
I don't work there anymore. I hear my old workplace is hiring right now. They are always hiring. Wonder why?
- 0Nov 21, '12 by withasmilelpnNothing for free! You don't do your workplace any favors either since there is an electronic trail showing you working off the clock. Someone complains about labor violations all employees histories are up for review - voluntarily or not you are owed $ for working and have set them up for expensive violations of the law. Supervisors should NEVER knowingly allow their employees to work off the clock (or eat an unpaid lunch while working) - they are liable too.
- 0Nov 22, '12 by tellelleStarting work before you officially start is always a recipe for legal disaster.I work in australia at a private hospital and all our pt charts are hard copy only thing that is electronic is our pt handover list with basic info updated each shift and our staffing system.based on acuity. interesting to see the difference between us and america. we are behind the times. if anyone wanted to come early to look at pt charts they could and nobody would even know unless someone saw them. and we have manually written timesheets. none of this computer clocking in and out business