Do Not Work Off The Clock, Nurses!

Employees who regularly work 'off the clock' could experience dire consequences. This article attempts to explain why nurses and other non-exempt healthcare workers should do everything in their power to avoid working off the clock. Nurses Professionalism Article

The economic climate in this country still remains somewhat sluggish several years after the official end of the Great Recession. In addition, dwindling reimbursement rates from Medicare and private insurance companies have placed an undeniable pinch on the financial bottom line of healthcare facilities across the United States.

Managerial and administrative personnel at hospitals, nursing homes, and other types of entities that provide patient care are under pressure to find ways to slash expenses at every corner to adhere to fiscal budgets. Some questionable methods to keep costs under control may include short staffing, skimping on supplies, and implicitly pressuring hourly workers to get 'off the clock' by a certain time. It is common for many facilities to have written policies explicitly stating that staff members are to clock in no earlier than seven minutes prior to the start of their shifts, and must clock out no later than seven minutes after the scheduled end of each shift.

The practice of working off the clock is all too common in the healthcare industry. According to Osman (2011), the US Department of Labor ("DOL") has pledged to investigate compensation practices throughout the health care industry after finding that many hospitals and nursing homes were not properly paying their health care workers in violation of the Fair Labor Standards Act ("FLSA"). In addition, it is difficult to know how many nurses and other healthcare workers work while off the clock because employees are generally reluctant to discuss this issue out in the open. In other words, the full scope of the problem remains unknown.

Non-exempt employees who receive hourly pay should do everything in their power to refrain from working off the clock under any circumstances because negative consequences might arise. First of all, working off the clock is illegal. Secondly, most companies have policies that strictly forbid the practice of working off the clock. Third, most nursing policies do not cover nurses for any work performed while not clocked in, which would leave the nurse vulnerable in the event of future litigation.

Fourth, healthcare facilities may file HIPAA violations against employees who are working while not on the the clock. For example, many nurses review patient charts prior to punching in for their shifts, but this activity could get them into trouble if someone decides to pursue the issue any further. Also, numerous nurses remain at their workplaces after their shifts have ended to chart while off the clock, which could get them into trouble. Furthermore, any injuries sustained while the healthcare worker was not on the clock may not be covered under worker's compensation policies.

Finally, working while off the clock allows short staffing to continue because companies save money through unpaid work. It leaves administrative staff at healthcare facilities under the impression that a massive workload can actually be completed during the course of an 8 or 12-hour shift. After all, everyone is clocking out on time if they work off the clock. Right? Sure!

Nurses and other healthcare workers who routinely work off the clock are placing themselves in vulnerable positions. If every single worker remained on the clock to complete unfinished work, this might force corporations to confront staffing issues, heavy workloads, and other issues that hinder people from leaving on time. It is time to be paid for all of the services rendered. Do not work if you are not clocked in!

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Am I wrong, or did it not used to be commendable that a nurse (or in my case at the time, a CNA) would tie up all her loose ends before punching out?

It was considered a death knell to your percieved work ethic and reputation to leave stupid things for your on-coming staff.

Management expected us to stay and they paid us for it.

What on earth has happened?

Please, stop being martyrs!

Work has never given me money for free and I'll be darned if I'll give them work for free.

That's not how this relationship is supposed to work!

I hear everything you're saying, and I agree whole heartedly, but here where I live depending on where you work, after being written up 3 times for overtime, you will be terminated. They do expect you to get your work done before you leave, and if you pass it on, then you have to deal with being ridiculed by the other nurses. You should see some of the stuff some of the nurses do to clock out on time... As for me, I plan on returning to research/ education positions.

Specializes in Certified Wound Care Nurse.

That's exactly what I heard at my last place of employment. I was told that I couldn't stay past the end of the shift - and yet - I had to complete my charting, LPNs assessment charting (sometimes as many as five or six additional patients - and do the work of a CNA when short staffed...

I was told I'd be written up if the charting wasn't done - and if I stayed - I'd also be written up. Needless to say, when staffing levels became not just frustrating - but frustratingly dangerous - I left. The longer I'm gone, the more I realize how right I have ALWAYS been about this.

1 Votes
Specializes in OR.

I must be spoiled where I work. This has never been an issue for me, and if my workplace decided to make it an issue, I'd be gone in a second. Nowhere did I say I'll work for free, and if they don't give me enough time to finish everything I need to do, then that's their problem. It amazes me how much money these hospitals make, yet they'll try to get rid of you over the extra $5 you deserve for completing your work. They're so short staffed, but they'll have all of these meetings to let everyone know the patient comes first. When are they ever going to realize you can't have it both ways?

Cant you sue the company that terminates you for staying extra on the clock to finish up work? I think thats quite illegal for the employer to do that

Specializes in Peds Homecare.

Don't know where you are all from, but a call to the New York State Labor Board will stop this quick. I don't work for free, never have and never will.

1 Votes

Nurses- we really need to start calling in the complaints to our labor boards.!!!. Or these corporate CEO's and their Nurse manager entourages will soon have a free workforce!!!

They have the young nurses, new nurses desperate and groveling for positions - free work for clinical experince so they can start their first paid nursing position, they have us old nurses groveling for positions- any positions, now matter what the wage even it it is far below our experience worth, to drive down wages.

They have got this far with threats and intimidation and god knows how many have been terminated for overtime. Only these administrators are too ingenious to call it terminated for over time. They will write youup for ridiculous and bogus stuff and then terminate you on the thrid write up. They are deceiptful, illegal, dishonest and unethical.

Thank you Commuter for another insightful article- good article.

Don't know where you are all from, but a call to the New York State Labor Board will stop this quick. I don't work for free, never have and never will.

So true- these CEO's don't work for free, why are we nurses????

Specializes in PCCN.
Have you ever noticed that Nursing is full of no-win situations for nurses?

you're not kidding!!!!

Specializes in PCCN.
So true- these CEO's don't work for free, why are we nurses????

Quite obvious- we are the ****- ants of the hospital. The rich get richer - and do less, and the poor get poorer- and get dumped on.

Underlings will always be dumped on. That's the way it is, and always will be

I'm just a CNA, but I see nurses do this a lot at my work. Many of them stay way past 10 o'clock, which is when our evening shift is supposed to end. One nurse told me she stayed til 11:45 to give report and chart!

I thought it was normal and expected, but at a recent staff meeting the managers came down quite hard on us for working off the clock. My facility has 74 beds. On a normal day, our census is about 65-70, give or take a few. We have two nurses. So that's like what... 20-something/30-something patients to one nurse? Ridiculous.

There's this other CNA who works day shift. She's great and always tries to stay and help the evening shift get situated but I usually have to beg her to go home. No sense in working for free, and what if she got hurt?

Specializes in Oncology.

How timely. My unit has been a zoo lately and most days in the last 2 weeks I've been staying a half hour or more past the end of my shift to wrap things up. We don't clock in and out, but rather fill out an OT form if we stay late. I have been doing it because, like you, I firmly believe that management will get the idea that this is acceptable staffing if I don't do it. Tonight I again stayed late when I ended up with a 4 patient assignment that my hospital's own acuity rating system said that each patient should have been part of a 2 patient assignment. With no aid, of course, either. I didn't fill out the form tonight. I didn't want management to think I have been making a habit out of staying late, and actually, just didn't want to deal with more paper work after 13 hours of it.

Specializes in Med/surg, Quality & Risk.
In some facilities, if you raise a fuss about it, you will be fired. It's a sad situation. That is one area where a union contract might be of help.

Aaaaaaand then I'll have a retaliation lawsuit on top of the FLSA lawsuit!