Speaking of... Getting to work early - page 2
by jrsmrs | 9,155 Views | 47 Comments
Reading another thread got me thinking about this...I always get to work at least a half hour before my shift starts. Do I want to or like to work for free? Hell no! But I really don't know how else I would ever get out on the... Read More
- 0Nov 19, '12 by AnonRNCI agree w/PP nurse2033: You are working for free & are making other nurses look bad.
Perhaps you could streamline the essential info you need to start your rounds/medpass...then go back later for the details.
I don't think anyone on my unit does this BUT I concede that NICU is very different from many other environments.
- 1Nov 19, '12 by BostonTerrierLoverRNLol, I do everything in my power to get to work on time! I work ED, so I know as soon as they catch the first sign of my presence- they are going to scatter like a covey of frightened Quail to the Exits, lol (if their are no patients)- otherwise, I've had report start at the time clock 5 minutes early, with my lunch, drinks, and other junk in tow.
I understand your reasoning, agree with previous posters. Besides, I never knew who my crew would be before report at any facility I worked at on the floors except one, and I didn't want to be there a second longer than required.
- 0Just to be clear, a good 90% of the nurses where I work come in early. The ones who don't are more or less skipping chart checks from what I can tell (although I'm usually too busy to really pay a lot of attention), but i think i can only name maybe 3 nurses that i know of that don't come in til right on time. And I never do patient care before shift, just prep work going over charts, etc. This really is the status quo here, so I'm surprised to hear otherwise. And no, we do not have any aids here. I work in Canada, on a cardiac unit, and I've got 5 pts all to myself during the day. Sometimes a pick-up as well so I end up with 6. We also do get our assignments way ahead. We don't do assignments based on acuity, they are based on room #. Schedules are done a good week in advance so we all know what section we are in ahead of time.
- 2Nov 19, '12 by BostonTerrierLoverRNA week ahead?
I'd say this is impossible in 90% of healthcare facilities. But, if coming in 30min-1hr early unpaid, working off the clock despite how many do it, and it is not getting you in trouble-knock yourself out!
I'm sure your employer loves the cheap labor, and they won't even have to take the time to discover a way to fix this problem(I.e. hiring UAP's, getting night shift to do a few baths, etc.). If a problem isn't brought to their attention- I can guarantee that if they see no problems, that the status quo will continue. Your question was do others do this practice- me No Way without Pay
- 0Nov 19, '12 by redhead_NURSE98!Quote from jrsmrsBreaks? What are breaks? That's where you're winning on this deal!There is no way if I spent a half hour-45 mins prepping after start of shift that I would ever get all my stuff done on time and get out for breaks.
I get there about 15 min early just because I want to be on time in the event of traffic etc. But when I'm in charge I hate when people are there early because they just stand at the nurse's station staring at me as I make out the assignment, or placing "McDonald's type orders" for "I don't want Room 13, give me the same people I had five days ago (um this is a hospital, all of those people have been discharged), don't put me on two hallways" etc.
- 0Nov 19, '12 by hherrnQuote from nurse2033I see this one a lot. Got any examples of people who lost licenses from starting work early?You are to be applauded for your dedication but you are enabling poor management. If you can't get your job done in the time allotted you should bring this to the attention of your boss and work for a solution. Are you being paid for the time? If not, not are not covered under your employers liability because you are not actually working. It is illegal for you to work without being paid. You are putting your license at risk. You are also making the other nurses who do show up on time look like they can't do their work. After all, you get things done... I think you are making a big mistake.
Agree 100% with the rest. If this is common practice in your unit, managent knows, and tacitly aproves.
- 0Do you all have overlap of shifts, or....? We don't have any overlap, so even if I only wanted to get report, I'd still have to go in a few mins early or else the previous shift would have to stay late to give me report.For those that don't do chart checks at start of shift, when do you do them?
- 1Also, since there is no overlap of shifts, at 0730 (or whenever my shift starts), it is me and only me who is responsible for those pts. If I don't know anything about them, what if the doo-doo hits the fan? I wouldn't know anything about their dx, code status, hx, nothing. Last night for example, I picked up a pt at 1930 after someone called in sick, and literally as I was printing off his tele strip at 1930, his tele cut out. Went to check on him, he was hunched over the end of his bed, hard to rouse etc. Had I not already done my research on this guy and knew his story, I would have been working in the dark. I wouldn't want to walk into that with no background.
As an aside, the guy went down the shiitter fast. Had to call rapid response, portable tele battery died on the run upstairs to icu. Plugged it in when we got there and he was in vfib. Literally, the guy had been talking to us just seconds before. Bad night
- 0Nov 19, '12 by PediLove2147I get to work at 0700. The assignment is done on the previous shift so I grab my patient list and start looking through their HPI and MAR. Everything is on the computer, no chart checks to do. We start getting report at 0715. We then have safety huddle at 0745. I rarely see a patient before 0800 unless there is a reason for it. We have aids that do blood sugars, vitals, and AM care. We have a few people that get to work early, most people get they're on time or late.
I personally like getting there 15 or so minutes early, I like reading about my patients prior to getting report so I can ask questions but I can't get up early enough so on time it is!