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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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.

Amen. Exactly how I work and feel about this issue. So sad to me as a new nurse!

Now 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..

From 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.

Unfortunately, this would not force the corporation to do anything. What the corporation WILL do is fire the managers who are responsible for assuring that you get off duty on time and replace them with managers who will get the job done. This could include disciplinary action for those who consistently do not punch out on time and/or stay overtime. Corporations have large legal departments who advise them about what they can and cannot enforce in their facilities. I would be very careful before challenging a large corporation by purposefully violating their personell policies.

Unfortunately, this would not force the corporation to do anything. What the corporation WILL do is fire the managers who are responsible for assuring that you get off duty on time and replace them with managers who will get the job done. This could include disciplinary action for those who consistently do not punch out on time and/or stay overtime. Corporations have large legal departments who advise them about what they can and cannot enforce in their facilities. I would be very careful before challenging a large corporation by purposefully violating their personell policies.

That sounds like a threat.

No one in managment works for free why should the hourly paid staff nurses. if the CEO's would take a pay cut like the rest of us have had to do- there wouldn't be the money problems in hospital health that there are.

Look at the doctors in 2 articles posted on another thread on AN- doctorss and public health officals who are actually attacking the problems/causes of the high cost of health care- by attacking the problem= the chronicity and ravages of these chronic diseases by motovating better compliance of these patients and doing their jobs FOR the high risk expensive diseases their patients have. How did these doctors and public health officals manage to this. By using disease managment, case managment and healthcare informatics NOT cutting needed nurses and doctors: Not sucking the healthcare system dry of all it's funds including profits by bestowing lavish mega million dollar salaries and bonuses on CEO's with MBA who know nothing about 'HEALTH' CARE and DISEASE. These CEO's are lucky if they know how to brush their deceiptful, dishonest greedy teeth.!! And not by blaming the uninsured and under-insured for their fiscial mis managment and mishaps. It all boils down to: the MBA body of knowledge doesn't work any more and they don't have the brain power or the educational backround to know where to begin to fix the problem,so they keep doing what they have done in the past- cut staffing=save money mantra( in their delusional mind)never looking( let's use that trendy word that nursing seems to like now a days " and think for a moment and self reflect " :barf01:) to themselves and their horrendous paydays and punnish anyone who threatens their paydays!! The nursing executives continue to tickle the fancy, egos and any other body part that the CEO feels needs tickling instead of remembering - they too have RN licenses behind all those letters and advanced degrees and they too are accountable for the pee poor patient outcomes and the condition of this health care system disaster!!! More so than us pee- on hourly staff nurses.

I say Bull crap!!! If a nurse has to work overtime because of short staffing, we damn well should be paid for it!!

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
From 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 a lot 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.

Not for profit is a tax status......not an operating budget. The catholic church is not for profit and is is extremely wealthy. It's about the tax status and the appropriations of funds/profits because they do not pay taxes. Not for profits want to make a profit too......they just don't pay taxes like a profit does.

From 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.

Are you seriously saying that nurses are staying overtime to do their charting (and often not getting paid for it) because they're spending all the time on their shift that they should be charting complaining about uncompensated overtime?

Seriously? When they hardly have time for a bathroom break, and have no time to sit down and eat during a 12-your shift?

Seriously, cienurse?

Now tell me: Why are the top hospitals in the industrialized world all non-profit institutions?

Specializes in Med/surg, Quality & Risk.
Unfortunately, this would not force the corporation to do anything. What the corporation WILL do is fire the managers who are responsible for assuring that you get off duty on time and replace them with managers who will get the job done. This could include disciplinary action for those who consistently do not punch out on time and/or stay overtime.

No one really knows what "this" is because you didn't quote or reference the post you're replying to. If I start consistently getting forced out the door before my charting is done, I will be writing the notes I said I'd write. The other day I documented that I didn't hang another bag of normal saline (on a healthy pt that probably didn't need their whopping 60/hr anyway) because we didn't have any. If the reason I can't do my job is my employer's fault, that's how it will be documented.

Corporations have large legal departments who advise them about what they can and cannot enforce in their facilities. I would be very careful before challenging a large corporation by purposefully violating their personell policies.

Corporations' large legal departments are often wrong. Check out all the FLSA class action lawsuits and settlements out there. Misclassification as exempt employee, forced clock outs, not paying for breaks, Chinese overtime....

Specializes in Med/surg, Quality & Risk.
From 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.

You can call all of our complaining our "paid 15 minute breaks" that we never get.

I dont want to work off the clock, but I am afraid of being terminated if I stay over and finish charting. We have been told many times we must clock out one hour after end of shift, no exceptions. We take up to seven patients per med surge shift-12 hrs. Usually the hr post shift is enough to finish my charting, however sometimes it is not. Especially when I have discharged, got admissions and still 7 pt per shift. Sometimes it takes more than one hour post shift and management says we can not stay clocked in past 8am. It is upsetting to me

Specializes in LTC Rehab Med/Surg.

I don't work off the clock, but I routinely work through the one hour lunch that's automatically substracted from my paycheck each shift.

I figured that up:

$26.00 an hr x 3 shifts a week = $78.00

a pay period = $156.00

a month = $312.00

a year = $3744.00

That's just one hour a day x 3 days for a year.

I'M BEING ROBBED!!!!!! I'm going to have to rethink "giving" my employer that extra hour and not filling out a missed lunch form.

and if the employer gives any guff or lip service- take it like a "good little nurses"(to their faces) and write their butts up/a complaint letter to your state Department of Labor-- Wage and Hour commission- you'll get your money owed you. And don't forget to write in your letter that you want to write this anomiously because you feel your job will be threatened.

No one now a days can afford to give to a greedy employer $3,700 per year/per nurse.

If you stole $3,700 per year from them- they would certainly charge you with larceny( larceny because it is over a certain amount)