Do Not Work Off The Clock, Nurses! - page 3
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... Read More
Aug 25, '12Quote from redhead_NURSE98!I think the place would threaten to sue for "patient abandonment" counting on you knuckling under to being bullied. I think if you pushed back with a lawyer, they would most certainly be the ones to loose.Seriously. If I started getting pushed for being past the clock, I'd start putting notes in each patient's file: "Unable to chart I&O's due to requirement of clocking out by 19:30." See how they like that one in there during quality review.
Aug 25, '12After working hard for my RN, I worked in a series of situations (ICU stepdown, LTC, many agency jobs) that required giving sub-standard care via understaffing and careless staffing, and underequiping. Once, I was sent back to an agency job that I had worked before and left for these reasons. When I arrived and found it to be unchanged, I refused assignment. Threatened with "abandoning patients", but they never carried through, as I had refused during the first part of report.
After only 4 years, I quit nursing. I would rather work at Starbucks or McDonald's than let some filthy beancounters use my hands to hurt people and other nurses (by being tolerant of these practices). I ran a small ebay business for 11 months.
I am now back at nursing with an arm of a company that staffs fully and is fair to pts and nurses. When they stop doing that, if they stop doing that, I will walk, and not look back.
We nurses are the only line that protects patients from understaffing. Unless you want your family and yourself in an understaffed hospital, prison, nursing home or daycare, WE have to unite to stop this from happening. Its totally up to us.
Aug 25, '12I advise that if anyone gets a write up for staying over to complete your work to write this directly above your signature: "As a professional nurse (CNA or whatever your title is), I was required to work past my shift due to inadequate staffing (heavy workload, emergent situations, or whatever applies). Failure to have worked over in these conditions would have resulted in patient neglect, safety issues, and potential documentation errors (or whatever applies)." My guess is this write up will then end up in the shred box...We must stick together!! Thank you for this wonderful article!
Aug 25, '12I can't say it enough- It is critical that each and every one an insident like this happens to - document it for your records with name, date time, brief senerio of what occured and manager involved AND report it to your state Dept of Labor If there are other factors involved for example: if you feel age discrimination( other nurses are not recieving the same reprimands you are and you are over 40 yr old) this needs to be reported to the EEOC as well as the Dept of Labor. Please explore and read and familiarize yourself with their web site content. That is why those websites are set up to 'educate' us on our rights- and Yes!!!! nurses have rights too!!!!! just like every one else.
If you feel, a nawing gut feeling or are peed off because of a situation with a patient care issue. patient safety- report it!!! to your state Dept of Health. The state dept of health is under obligation by law to investigate !!!!! every complaint it receives. I did and received a wonderful victorious letter of response back( chalk one up for a crusty mean old bat RN who knows her nursing laws, nursing practice act and regulations) The letter I received stated my complaint was investigated and the facility was found in violation and will be receiving deficiencies for nursing practice issues and patient safety by allowing unlicensed personel to perform nursing tasks without a license!!!!!!!!!!! This was an ambulatory care clinic.
Nurses- we have got to speak up. We are not only working with those with in the 4 walls wall of our facilites/workplaces, we are also working with our regulation bodies in our states and the federal government- the deptartments of health, the EEOC, the dept of labor. They can't help us if they don't know about a situation!!!
Don't cover up for these people anymore.
If your write a letter of complaint and you receive retaliation up to an including termination, from 'anyone', including managment, notify the EEO immediately- that is against the law also.(whistleblower protection)Last edit by kcmylorn on Aug 25, '12
Aug 25, '12So sorry y'all, huh....this sounds like terrible work conditions!......y'all welcome to work at the Houston Texas medical center:-)....if you don't mind the humidity!
Aug 25, '12Don't work for free. We are not volunteering while we are at work. And please note - - it will be considered a HIPAA violation to be in those charts while you are off the clock. Tell your boss you are so sorry that you cannot finish your charting because of HIPAA regulations.
If some emergency were to happen while you were still there, and off the clock, go explain it to management - and everyone who can see you sitting at the desk - why you couldn't assist in any way, shape or form. Not answer the desk phones, not answer the call lights, not give directions to the lost visitor.
And, oh, someone spilled their water and you slipped in the puddle, but you clocked out 45 minutes ago. Broke your wrist, but the hospital attorney says you had ample time to leave after you clocked out so they are denying your workers' comp application.
All that and more.
Do not clock out until you are ready to leave the premises, and don't start 'chatting' with your coworkers and hanging around when you have clocked out.
Stop working off the clock.
Aug 25, '12Quote from nguyency77I noticed that, too...on occasion.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?
The nurses being late with charting and all. They don't clock out until done, though. I know. In fact, they were ranting at the nurse's station some days back about this same issue. LOL
When I was an aide, they told us to clock out at a certain time as well, but...
If I stayed to help out an extra 10-20 minutes, I didn't clock out.
No one does it on purpose. We work understaffed. Sometimes, things don't get done and we're all just trying to ensure proper transfer of care, here.
Anyway - I like THECOMMUTER'S thread.
It pretty goes along with everything that I stand for. LOL
Being paid for my time.
Our time is all that we have and it IS valuable.
Aug 25, '12Where I worked as an RA they had policies against unaproved overtime that were strictly enforced. They also had policies against working off the clock that were not inforced. They wanted it all done with out paying a penny of overtime, even though the facility was very profitable. Once I become a nurse I will not work off the clock, I'd be so afraid of loosing my license!
Aug 25, '12I love this article. I recently left a job where, in order to keep my $0.50/hr attendance bonus, I had to clock out on time. This included many nights where I clocked out and worked almost 2 hours over. I started to realize the money I forfeited by clocking out later, once my charting was completed, didn't amount to the money I was missing by "losing" those hours. And how was corporate to know I wasn't adequately staffed with me clocking out on time. Not to mention the legal ramifications.
I plan to share this with everyone I know. Hopefully this will open more nurses eyes to ways we can "speak" out against such unlawful practices. Thank you.
Aug 25, '12Quote from lorren2002Amen. Exactly how I work and feel about this issue. So sad to me as a new nurse!I work thru my lunch breaks and never go to the bathroom during my shift. I make sure all of my "floor work" is complete, and then I go find some cubby to hide in to do my charting. I am not sure when things got so bad... I know they say it's a nursing shortage, but it sure does not seem that way where I live, you have 10 nurses waiting to take your job if you want to complain about anything. P.s. I am not trying to be negative; I am just telling the truth about what I have experienced.
Aug 26, '12Now dont you know that this is USUALLY when accidents happen, patient falls while under your care, or you pull your back out while catching a falling patient, and one could go on and on..its Karma..pay attention..your family needs you..go home..and make sure your car insurance is paid, cause thats when you have accidents..when it ran out..and if you died while on your way home from working later, not covered under workers comp, and hospital wont even send a sympathy card, attend your funeral, or send money owed you to your family, whoops they forgot..dont let your heart rule your head..family comes first..
Aug 28, '12From the management side, we have our bosses too, who hold us accountable for being over budget with overtime and over supplies. You must admit, that supplies are not always used cost-effectively and that there is alot of time spent complaining about staffing and workload when the time could be better used just getting the job done. I'm in management because I paid my dues working on the floors for 30 years and I know exactly where you're coming from. It isn't because we don't care or don't want to hear it. It's because we're being held accountable for doing our jobs. Unless a non-profit organization, most health care facilities are in business to make money-that's the plain truth of it. And you can't make money when the profits are eaten up by wasteful use of supplies and working overtime because of time being wasted.