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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Specializes in Med/surg, Quality & Risk.
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?

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.

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.

As crazy as that sounds — you're right.

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.

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.

After 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.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Commuter....again I can't like this enough!!!!!!!!

Specializes in ED, Long-term care, MDS, doctor's office.

I 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!

I 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)

Specializes in CCU, CVICU, Cath Lab, MICU, Endoscopy..

So 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!

Don'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.

Specializes in Psych, LTC/SNF, Rehab, Corrections.
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?

I noticed that, too...on occasion.

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.

Where 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!

I 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.