I've been a home care RN for 8 years now. At first, I did a lot more work after I was off the clock. Now, I do my reports that I didn't write in the home, and calls in the am before visits, on my next working day. When I get home, the only thing I do is to fax supply orders and reports written earlier in the day. All else can wait.
Most of my patients are chronic, stable or palliative. If it was urgent, I dealt with it during the visit or via hands-free cell phone
calls. If I can't reach a doctor, I send a fax which I try to write in the home at the time.
I don't answer work calls, emails etc when I'm on my days off. At first, the office kept expecting me to do it, but I kept my responses short, discouraged further calls by making it clear I was NOT working. If they want me to work - they need to pay me.
I explain to pt's that there is an on-call nurse - 24/7. I'm not that nurse. I will respond to calls when I am working, there is a safety net for when I'm not available.
Nurses need to set limits. No other profession works off the clock. Not setting limits leads to burnout, errors and job dissatisfaction.