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Hospital changes attendance policy



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Nov 05, 2009 10:16 PM

Hospital changes attendance policy

by mcpkin
Updated Nov 05, 2009 at 10:23 PM by mcpkin

The hospital where I work has recently changed our attendance policy. In that policy they re-enforced that you can only miss 6 days of work per year, and after you miss so many days you will be warned, then counseled then terminated. Just weeks prior to our new attendance policy, they tell you if you have a fever of 100.F or above coupled with either a sore throat or cough, you will have to stay home for seven days. I think they picked a bad time to tighten the attendance policy, as we are all concerned of the H1N1 spreading. I understand that people call in alot, however, are we now going to have staff coming to work sick because they don’t have enough PTO to stay home. We are a seasonal hospital, with census high in winter and low during summer months. I just wanted to get some opinions.


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19 Comments
No. 1
from OldnurseRN
Old Nov 05, 2009, 10:44 PM

Default Re: Hospital changes attendance policy
Our hospital is quite similar, both in policy and census. They assign a point for each infraction including the mandatory attendence of nurses meetings.
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No. 2
from RN-Cardiac
Old Nov 05, 2009, 11:00 PM

Default Re: Hospital changes attendance policy
Our policy is similar,....but it isn't 6 days,..it 6 absences,.if I call in 3 shifts in a row it is one absence,....we also have the "don't come to work with flu sx" rule.
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No. 3
from RNBSN09
Old Nov 06, 2009, 12:13 AM

Default Re: Hospital changes attendance policy
My work has that same policy! If you call in 3 times in 3 months its considered excessive. And to top it all off, the flu. If you have the flu you cannot come to work for 7 days, yet you get in trouble and it counts as 1 call in. Its stupid bc we have gone to this bc of other people who abuse calling in. What about the people that have children?? I understand why we have this policy but your going to go to work sick just so you wont get in trouble. Also if you work 10 hrs of your 12 hr shift and have n/v/d and you get sent home, that counts against you too. Its CRAZY!!
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No. 4
from mcpkin
Old Nov 06, 2009, 12:31 AM

Default Re: Hospital changes attendance policy
I just found this on the CDC website


Establish facility access control measures and triage procedures
  • Establish non-punitive policies that encourage or require ill health care personnel workers to stay home. This should include contractors as well as staff.
So I guess I was right in saying bad timing on their part. Now I know they need to have something in place, so staff would not abuse calling out. However I don't think anyone would be crying wolf, knowing they will have to miss 7 days of work. Still they should know if they truly have symptoms, they can stay home without, it going against you.
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No. 5
Old Nov 06, 2009, 01:11 AM

Default Re: Hospital changes attendance policy
If you are out 3 days, your employer is obligated to inform you of your rights under the Family Medical Leave Act, as well as any similar state provisions. They may (will, most likely) require that your doctor fill out paperwork certifying that your illness is qualifying, and H1N1 IS a SERIOUS illness, so it does qualify. If you have FMLA in place, you cannot be fired under law, although you may find yourself in a LWOP status if you don't accrue vacation or comp time benefits. But at least you have legal protection.

So my advice to anyone who is either afflicted with H1N1 or any other condition requiring that they or a family member be at home for 3 or more days is to be proactive and tell your employer that you are seeking FMLA protection. Similarly, if you or an immediate family member has a chronic or ongoing but unpredictable illness (migraine, for example) ask your HR department for FMLA paperwork. Have your doctor certify it, and specify that you qualify for intermittent FML. It's the best way to cover yourself, sometimes the only way, if you or a family member has a serious illness and you are forced to take more than your allotted sick leave.
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No. 6
from OldnurseRN
Old Nov 06, 2009, 02:24 AM

Default Re: Hospital changes attendance policy
I'm wondering if a number of you didn't get the flu vaccines? We were mandated to get the seasonal vaccine and the H1N1 was voluntary. The catch is if you didn't get the H1N1 you have to wear a mask at all times (except when eating) and the policy states reprimands will given if found without that mask at any time other than meals.
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No. 7
from Zookeeper3
Old Nov 06, 2009, 02:38 AM

Default Re: Hospital changes attendance policy
Originally Posted by OldnurseRN View Post
I'm wondering if a number of you didn't get the flu vaccines? We were mandated to get the seasonal vaccine and the H1N1 was voluntary. The catch is if you didn't get the H1N1 you have to wear a mask at all times (except when eating) and the policy states reprimands will given if found without that mask at any time other than meals.
The problem is that the vaccine does not prevent 100% of flu, just decreases the severity. So in my hospital, you of course still can't come to work with a temp and suspicious symptoms, even though you've had the vaccine. So vaccination status is irrelevant to the attendence policy for me (except the increased health protection).

My facility only allows THREE absences before a written warning, I've been suspended on my fourth absence in a rolling 12 months time. We are only told not to come to work sick, but there is no leway in the policy, nor does it matter what your vaccination status is. So sick people are coming in infecting others because they will face suspension. It is a mess!


My belief is that that CDC and gasp, the gov't, need to provide protection to employees that call in to protect everyone else from illness. Wether it's cleared by occupational health nurses of whatever the system, we can't have sick employees being suspended for calling in with flu symptoms n this crisis. I know... crazy thoughts What am I thinking?
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No. 8
from mcpkin
Old Nov 06, 2009, 02:52 AM

Default Re: Hospital changes attendance policy
They told us you either get the seasonal flu shot or wear the mask. From what I am seeing, seems like most have taken the seasonal flu shot. I have seen a few wear mask, one even went on her first night to the supervisors office to get a flu shot because she stated the mask was giving her a rash. The thing that gets me is we were told that we would wear sticker, that stated we were immunized for you protection, thus for those who were given the shot. Then for those that chose they did not want it, the sticker would say, we wear a mask for your protection. In the end they did neither, they put a little silver sticker on our badge, and then put signs up in the halls that goes something like this..... We here at ____ hospital care about your protection, and you see a picture of a yellow surgical mask. it goes on to say that because of Religious beliefs or serious medical issues, everyone can not get the shot.. Why its up there, who knows. But at least where I work, most who did not take or did not want the shot, basically just did not want to be told they had to do this or else.
As for my self, I have always taken the flu shot for about ten years or so, I just think it is funny that they would turn something that they are making "us" do into kudos for them. How come they did not just write, some don’t want to take the shot, so you will see them wearing mask, if they had to write anything at all. To me would make pts concerned about what is going on with their nurse.
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No. 9
Old Nov 06, 2009, 03:00 AM

Default Re: Hospital changes attendance policy
Originally Posted by OldnurseRN View Post
Our hospital is quite similar, both in policy and census. They assign a point for each infraction including the mandatory attendence attendance of nurses meetings.
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