I am having the same problem with NO OVERTIME!! I'm a chg nurse in a 78 bed facility. I do all the MD calls, updates ect. I try to get my faxes out if the fax machine works or calls by 10AM. Invarabily the Docs don't call back until 4:00pm or later. Now I take the orders, have to chart and do them put everything were it belongs and order the meds. I'm overtime!! What to I do?? My DON says to pass it along to the next shift, but I took the orders, some nurses will not do them or will they do them correctly. Either they don't get done until the next day which is not legal, I'm stuck!! Besides it the trickle down effect, then they are overtime doing my work. I don't have a lot of control over my day, it's never the same.
I also do admissions, most of the time they come late afternoon. Now what, no overtime
, an admission from start to finish takes about 3-4hrs if I do the Care Plan and orders are correct on the PPOC, I don't have to clarify to many of them with the MD.
My day is so stressfull, I have families, residents in my office to chat or address concerns, answer call lights, do all the MD rounds usually the first two weeks of the month. Help the other nurses with assessments and the DON with all her overwhelming jobs. She is excellent willing to help where ever she can if able.
I'm an older nurse, not quite retirement but close, I would hate to end my career by my licence being suspended or taken away for failure to be a my work properly and correctly eg: Negligence
I would even work off the clock but our administrator says that would be deciplinary action. I don't know what they expect, do 12hrs work in 8hrs but don't make a mistake!!
Hurry, Hurry, Hurry
I've worked in LTC for 25yrs, this is the worse it's been, the resident are sicker, we have many difficult dementia residents with behaviors. I'm just rambling now.
These are my thoughts, NO OVERTIME!!!