Getting patient information before shift - page 2

by AikoRN | 5,122 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


  1. 1
    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.
    texasmum likes this.
  2. 0
    Quote from nursie_nursie_415
    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.
    AND... 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.
  3. 6
    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.
    kmarie724, prinsessa, hiddencatRN, and 3 others like this.
  4. 1
    Quote from nu rn
    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.
    Have 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.
    anotherone likes this.
  5. 2
    Quote from wooh
    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.
    Ditto. 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.
    morte and wooh like this.
  6. 1
    Like someone else said, they can get you on a HIPAA violation if you log in off the clock. You should never do anything off the clock.
    morte likes this.
  7. 0
    Quote from wooh
    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.
    Agreed. No wonder so many facilities unofficially expect this from nurses.
  8. 1
    With 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?
    wooh likes this.
  9. 0
    Nothing 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.
  10. 0
    Starting 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


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