OK Managment you win. Nurses are leaving on time now. - page 2

by Blackcat99

2,855 Views | 18 Comments

The nurses at my LTC got tired of "getting in trouble" for staying overtime. So they are leaving on time now. However, there is one big problem now. The patient's charts are practically empty !!!!! The nurses aren't doing their... Read More


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    I think all of the shifts are "very busy". A few times I have reported that I didn't get such and such done and could someone help me out. They will usually say "OK I will try to get it done." I return the next day and ALWAYS the task has still not been done.I am not criticizing the other shifts. I am sure that they had other stuff that they had to do too. My biggest problem is getting all of my "required charting" done. I really can't ask the next shift to do "my charting." They did not work that shift, I did. I don't know the solutions to these many problems.
    Not_A_Hat_Person and teeniebert like this.
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    Quote from cienurse
    You all need to realize that we in management DO understand what nursing is about-we've all been where you are, how do you think we got these jobs?! It's just as frustrating for us to have to enforce the company policies by staying within budget for staffing, supplies, food, utility bills, etc. just like you do at your own home. Nursing has 3 shifts and the object is to do what you can, including charting, and then pass on to the next shift. I know everyone gets caught up in "I don't want to leave ANYTHING for the next shift to do" but that's the old way of thinking from the days when companies didn't worry so much about overtime and going over budget. In this economy, every penny counts, even in the long term care business. Consider all the cuts from Medicare and Medicaid-companies are being asked to provide more services with less reimbursement. So how do you suppose the company should make up for the loss? They make up for it by asking people to punch in and out on time, to use supplies economically, and to use "teamwork" to provide care to the residents. So instead of blaming management, try thinking outside the box as the whys and what fors. We're not sending you off duty on time just to be mean or to see you fail at your job. There's a bigger picture to be seen if you would only step back and take a look at it.
    Too many of us see money being spent on things that have nothing to do with patient care, I doubt many readers are going to see your post and think, "I'm wrong, management is right, and why didn't I think of that?" The same month we were told that there was a hiring freeze and a halt to any pay increases, the local magazine published an article about our CEO's lovely, elegant beach house. As for having been where we are, then why do managers all act like they sign the paperwork in HR and then head off to the neuro unit for a quick lobotomy after they get hired? Nursing is a 24 hour job, but the OP is not talking about night shift nurses staying over to do AM care to ride the clock. I've never known a manager that cared as much about my license as I do, so I will do what is required of me, legally and ethically.
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    Wow that's scary. What happens if you get investigated by the state and you have no charting to back you up?

    I know it's hard to look for a job now but I would be looking for a new one if I were you. Your license is not safe.

    Good luck.
    Blackcat99 and LTCNS like this.
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    I left a job in LTC because they wanted the nurses to clock out and finish charting. I politely told management I understood they had corporate bosses to answer to and have to play by the rules or be shown the door, but I was not willing to work off the clock. I expect to be paid for the work I do. Period.
    LTCangel and Blackcat99 like this.
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    Clocking out on time is also an issue where I work. We are not supposed to have overtime, but we are not allowed to clock off the chart either. In my 8 hour shift I cant chart on everyone if something goes wrong. I had spent the majority of my shift in 1 room and ended up sending my resident back to hospital, that resident was the only one I charted on that night. I see lots of blanks where charting should have been done, but with the number of residents we have, unless everyone is well and the night goes very smoothly it is impossible to chart on everyone. About passing work on to the next shift - this mainly has to do with the treatment books. There is too much to do in any one shift to get it all done, this means always passing the buck, how do we ever catch up? It would help if the CNA had a TX book with the duties that they could carry out, such as checking alarms or putting a warm compress on someones arm, or recording in the Food Acceptance Record. It takes me as long to do these things myself as to find the CNA or get the supplies for them.
    Blackcat99 likes this.
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    We put all the tx within the CNA scope of practice onto flow sheets that the aides initial every shift. Foley care, magic butt cream, elevating heels off bed, checking tab alarms.... all this stuff is within their scope. And there's absolutely no reason they can't sign off on it. None of this stuff has to be initialed by a licensed nurse.
    Rach823RN and Blackcat99 like this.
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    At my facility no one leaves without completing their charting (at least not on purpose, or all the time) but they must clock out at the designated time unless there is a special circumstance. For example, during our recent state evaluation, plenty of nurses and CNA's were asked to stay late for several "projects" or to help out the next shift. In those cases, we did not clock out until we left, and were allowed to accrue this overtime. Otherwise, on a regular day, if any documentation isn't done, one is to clock out at the appropriate time and stick around 'till everything is complete...
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    In most states, asking you to clock out on time and then stay to complete your work is illegal. Most state labor laws require you to be paid for all the time you are spent working-which is why it is frowned upon for you to take work home, unless you are a salaried employee. I would check in your state what the laws about that are-somebody might owe you quite a bit of money if you can prove you were asked to work off the clock.
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    Clocking out but staying to finish work is bad...bad....bad, not to mention illegal! Once you clock out you're employer is no longer 'responsible' for you. If you get hurt during your time 'off the clock' guess what..you're on your own, even if the facility was at fault. Once you clock out, you are no longer an employee and are not covered by anything an on the clock employee is.

    I would never clock out without doing my required charting...didn't chart it, didn't do it. Now something happens and they investigate something that occured on your shift. You may have done what was necessary (interventions, tx etc) but with no formal charting on it, you will be seen as not doing anything.

    Do not ever not chart!
    thenursemandy and BrandonLPN like this.


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