Quote from NotFlo
Yeah I have a few ideas but I'm sure you wont like them.
Some questions, is everyone else really leaving on time or are they punching out and staying late? Is everyone else really completing their work? Sure there are nurses at my job who leave every day at 3pm. They must be the best nurses in the building, right? Well the DON and bean counters sure think so. It really doesn't matter that after a day off I find most of my dressings still on that were have supposed to have been changed the day before, most of the charting not done at all or totally inadequate and tons and tons of holes in the MAR. If they happen to get an admission only the bare bones will be done, none of the wounds measured, and all the paperwork stuffed in the front of the chart. But hey, at least they punched out on time!
Pressure to fit 12 hrs of work into 8 hrs is the worst.
Agreed about this. I'd get out on time a lot more often if I only had to worry about doing my own job. I also agree about figuring out if people are clocking out and then coming back to finish charting - maybe the late nurses haven't figured out that this is what everyone is doing, or just refuse to play that game.
Are there commonalities in the nurses who are late? Are they new employees, recent grad nurses, or nurses who are new to LTC? Or following nurses who are one of those? Do they all work the same floor? There's one floor where I'll almost always be out on time (and often sitting around doing make-work for half the afternoon), and another where I'm almost always out late - the distribution simply isn't equal, both in terms of numbers and acuity (ie. 30 total care vs. 20 walkie-talkie). Is it nurses who are on with particular CNAs? Is the late nurse doing an excellent job of finding/reporting problems which require time-consuming follow-up (charting, reporting to MD and family, etc)?
What do the nurses themselves say is the problem? If I were asked why I stay late, I could tell you exactly why (and, I admit, sometimes that includes talking too much or other poor time management).