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Clock out by 8am or get reprimanded!!!



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No. 60
from psalm
Old Nov 27, 2008, 08:54 PM

Default Re: Clock out by 8am or get reprimanded!!!
Originally Posted by Emma Peel View Post
I am a new grad and I do come in early to read charts before I clock in, and sometimes stay after I clock out to finish up what I couldn't finish during the shift. I only clock out before finishing if what I am finishing is regular charting I know I should have been able to do during the shift. If something happens, like a discharge right at shift change, I stay clocked in. I don't feel my employer is taking advantage of me. I come in early and stay after for my own peace of mind. I am still struggling with getting organized and learning time management. I am getting better, but it will be a while before I am up to speed. I work on a busy, fast, surg/tele unit. The staff are very supportive, as is management. When I truly "get it", I think I will be able to get my job done on time most of the time. And if I can't because of hospital issues (as opposed to my own time management issues), I will stay clocked in every time.

But for now, I need the extra time. Not for management, for me. I need to read up on the pts so I don't get overwhelmed. So I know what's going on. So I can get better at being a nurse. I WILL get there, but it is taking some extra time in the charts. I am giving myself that extra time because I know I need it and I deserve to have it.

Now, when I am an experienced nurse and I am working hard and I feel they are trying to squeeze too much work out of me, I will not put up with that. But for right now, I feel like I am still in school and I do what I did in school when I had a hard class. I spend more time studying and figuring things out. But they are not asking me to do that. I am doing it on my own. I guess that is the reason I don't feel bullied.

Emma "can't wait to be bored" Peel
...I think you should really think about this. You ARE still learning lots of the ropes of nursing; you ARE an employee and should be clocked in, imo. Your supervisor should take it into consideration that you are new to nursing and may need extra time to chart properly, etc. Management needs to see and feel reality.

...when someone does work off the clock, it gives a false impression that all is well on your floor; plus as mentioned before, there are legalities to consider.

...sure there will be people who seem to always be ahead of the shift; but you deal with YOUR patients that YOU are responsible for: meds; treatments; progress; blood sugars; whatever. And it is YOUR license; so don't waste time, while on the clock but don't feel pressured into clocking out and finishing ANYTHING. You don't want to find out later it wasn't legal/acceptable/etc.
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No. 61
from lrhicp
Old Dec 01, 2008, 11:38 AM

Default Re: Clock out by 8am or get reprimanded!!!
You'll get there.
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No. 62
from lrhicp
Old Dec 01, 2008, 11:42 AM

Default Re: Clock out by 8am or get reprimanded!!!
Originally Posted by herring_RN View Post
I bolded "nationally excepted standards" because if they exist I've never seen them.
Does anyone know what these standards are?
There are a number of staff/patient ratio matrix systems out there, but each facility needs to adjust them to fit their own staffing patterns
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No. 63
from lrhicp
Old Dec 01, 2008, 11:46 AM

Default Re: Clock out by 8am or get reprimanded!!!
You are right, it is the NM fault.
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No. 64
from lrhicp
Old Dec 01, 2008, 11:52 AM

Default Re: Clock out by 8am or get reprimanded!!!
Originally Posted by dialysis12041999 View Post
OK I guess that I may be alone on this one but here goes... Just remember that their are two sides to every story but I am on the other side of the over time situation. You see, I am one of the people that get the overtime list and nasty e-mails from the corporate office when the nursing budget is over time.

If every nurse stays one or two hours overtime each night, do you know how many extra staff you could add to each shift with their overtime?
Sorry.. but Nurses need to hold the nurse that is signing off to you that they have done their job and they need to be ready to give you your shift report when you come in. I work with a lot of nurses that are very poor planners and they wait til the end of the shift to chart instead of doing it while they work. They bring in their breakfast and sit down to eat before they write the CNA's assignments. They are text mess their friends.. I can go on.
While I work with some nurse that are wonderful, I also supervise some that are easy distracted. They dont ask for help when they fall behide.

When I worked for an Nursing Agency, you were paid only for 8 hours and if you were not done, you didnt get paid. I was always done.

Come on, you know that you have worked with nurses that are just slow workers some even goofed off! Perhaps that environment is not for them.
I know that this may not be the popular thought, there is a method to the madness.
I don't think it is ever fair to not pay someone when they are working. Addressing the quality/quantity of work while on the clock is fine. Plus, like almost everyone else has said, it is illegal to have a policy to not pay for work that was done outside the expected time frame.
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No. 65
from herring_RN
Old Dec 01, 2008, 06:46 PM

Default Re: Clock out by 8am or get reprimanded!!!

Originally Posted by herring_RN
I bolded "nationally excepted standards" because if they exist I've never seen them. Does anyone know what these standards are?
Originally Posted by lrhicp View Post
There are a number of staff/patient ratio matrix systems out there, but each facility needs to adjust them to fit their own staffing patterns
I know one standard in the state of California. But how is it nationally accepted when there are a number of them?
It seems to me, each unit and each shift of each hospital would have a different standard. That seems like thousands of standards.

California State law:

http://www.cdph.ca.gov/services/DPOP...ation_Text.pdf
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No. 66
Old Dec 01, 2008, 10:22 PM

Default Re: Clock out by 8am or get reprimanded!!!
Originally Posted by Kymmi View Post
Bottom line is you have 3 different situations/scenerios :
1) The nurse who has poor time management skills and is always clocking out late due to inability to finish her work in the scheduled shift...
2) The nurse that routinely stays late to "milk the clock"...
3) The nurse who is ususally out on time however had a very bad day...
There is one more- the conscientious nurse. The nurse who really tries to do his/her job correctly.
Examples that we all see:
UA was ordered for days- the patient had a foley...
Stool spec needed for days- but no hat in the bathroom...
Pt skin very dry and flaky- no lotion in the room- pt never had any...
No toothbrush or paste in the room- inpatient for days!...
Breakdown for days- all it takes is getting an order from the Doc for the special beds and wound nurse...why wasn't it done when first indicated?

Management should really look at all angles.
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No. 67
from wonderbee
Old Dec 16, 2008, 06:52 PM

Default Re: Clock out by 8am or get reprimanded!!!
I think management turns a blind eye to shortcuts to keep within budget constraints as long as no one raises a stink... if you don't see it, it doesn't exist. But the minute one of those shortcuts results in a problem, time management isn't a consideration anymore. It can't be both ways.
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No. 68
Old Dec 26, 2008, 08:37 PM
Updated Dec 26, 2008 at 08:43 PM by rabbitgirrl

Default Re: Clock out by 8am or get reprimanded!!!
Dialysis says:
"If every nurse stays one or two hours overtime each night, do you know how many extra staff you could add to each shift with their overtime?
Sorry.. but Nurses need to hold the nurse that is signing off to you that they have done their job and they need to be ready to give you your shift report when you come in. I work with a lot of nurses that are very poor planners and they wait til the end of the shift to chart instead of doing it while they work. They bring in their breakfast and sit down to eat before they write the CNA's assignments. They are text mess their friends.. I can go on.
While I work with some nurse that are wonderful, I also supervise some that are easy distracted. They dont ask for help when they fall behide.
When I worked for an Nursing Agency, you were paid only for 8 hours and if you were not done, you didnt get paid. I was always done.
Come on, you know that you have worked with nurses that are just slow workers some even goofed off! Perhaps that environment is not for them."




So, Dialysis, what do you think is the ratio of lazy nurses to greedy employers?

Does corporate know what constitutes good nursing practice? And budgets... well, they are arbitrary, abstract, and profit-driven... but a sick person is not abstract standard unit. "I'm sorry, you only recieve $0.47 worth of butt-wiping today. You've already had your alotment... If nothing else, remember that you are building the healthcare system that you will spend your own old age in.

It saddens me that it only takes a few bucks and a title to make some nurses betray others.

I wish you happiness, prosperity, and courage to find what is important and stand by it.
I hope by the end of your life, you can look back with real pride at what you've done.
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No. 69
from bsndeedee
Old Jun 26, 2009, 09:51 PM

Default Re: Clock out by 8am or get reprimanded!!!
I feel like it is my fault if I am not done. I also have an undisclosed disability that makes me slower than the average person and am not sure what to do about it
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