Forced to work longer than scheduled hours.... - page 3

I am a new RN at a long term care facility. I was called in after midnight on Friday to come in to work that Saturday morning to work for a few hours because they were short staffed. Even though it... Read More

  1. Visit  joanna73 profile page
    2
    Possibly. Although I'm not sure how they could classify leaving pt abandonment when they asked for certain hours that are agreed upon. Then again, many places are slippery and underhanded, so to be safe, get it in writing.
    JZ_RN and 1southernbelle like this.
  2. Visit  chevyv profile page
    0
    In Wisconsin once you clock in you are accepting an assignment. The facility counters that after you accepted to come, in the person who was supposed to come in to relieve you wouldn't or couldn't, leaving the facility short staffed. If you can't report off to someone, it's pt abandonment and is reportable to state. That's how they mandate me.
  3. Visit  jadelpn profile page
    1
    Quote from PrincessO
    Thank you JZ_RN for replying.

    I thought maybe I was missing something because I am a new RN. The other supervisors have always taken responsibility for the floor if we are short staffed(which we always are), but in this particular case the supervisor refused because she knew she would also be short staffed from 3-11. She works 7-3 and 3-11 on weekends because she no longer wants to work during the weekday. Whether I stayed or left she would still be there 7-11, but usually at the desk. I thought by me coming in it would save her from at least not working the floor during the heavy morning med pass. Her beef should have been with the company and not with me. I am a new RN with no supervisory authority or pay so could not understand why she thought it would be my responsibility to deal with staffing issues. As you have stated, my "obligations are not any"more" than the supervisor". The coordinator and the DON called to tell her she had to take the keys, but she still refused until they found someone to stay over from 3-11. I have learned a valuable lesson....never to accept a partial shift. Had I just walked off and left the keys I'd be in trouble for abandoning my shift as I had nothing in writing saying that I was only supposed to work half a shift. This was a very uncomfortable situation and I could not understand how they allow this type of stuff to go on there. I am going to call the DON to make an appointment to speak with her about this in person as I feel like I was tricked. Do you have any advice? Should I type a statement or write an incident report?
    I hope that the meeting will also include the staffing person. Even if the staffing person needs to call in to the meeting if she is off site. The agreement you made was with the staffing person, not the DON. I would ask to see the handbook that the DON has under lock and key. I would also be specific in that you agreed to come in on your day off for 4 hours to help out, not to take the entire shift, and the staffing person agreed to that. Otherwise, not sure what can be done at this point, and the supervisor was already spoken to by DON and management. So that is between them. Also between the staffing person and management. Now that you have the knowledge that you are more than likely going to be forced to stay longer than anticipated, unless you want the overtime and want to do that, I would not accept. The supervisor is responsible for the activities of the floor under her watch. She should negotiate for more staff should there be a short staffing issue. The staffing person should not negotiate with RN's partial shifts if that is not going to work, and she needs to be held accountable for that decision--but to the supervisor and DON. The handbook should determine what is the acceptable amount of hours in a 24 hour period someone can work. Should also have language about overtime, mandatory overtime, and if a nurse can work a partial shift or not. Ask for a copy. You should have one on hand. Sounds like you were caught up in a managment power struggle. I would be clear with the DON that you do not appreciate being put in that position when you were willing to come in for med pass to help out in good faith, to have a supervisor not allow you to be clocked out within the agreed time frame. And to think outside the box for a minute, it would be just as much money to hire part time med nurses for the off shifts than it is to pay you overtime. But in order for that to work, they need to change their practices of force stay overs, unless that is part of the handbook it is mandatory in your facility.
    chevyv likes this.
  4. Visit  forbidden2know profile page
    0
    Possible solution to this problem.

    I'm thinking of becoming a CNA and after reading and researching these post, I was wondering if there is such a thing as applying
    at several different places, to be used for fill-in's only. If this is a common problem at hospitals and nursing homes, other-words, look at it as kind of same as a substitute teacher, only not a teacher but a CNA that fills in when no one is available to work that shift.

    Is there anything like that, that already exist ?
  5. Visit  forbidden2know profile page
    0
    I'M new, so please explain, what is the name of this "handbook" and why would it be kept under lock and key?
  6. Visit  PrincessO profile page
    0
    Quote from joanna73
    You were helping them out. Staffing is the facility's problem, not yours. In future, should you accept a partial shift, before you have report, say, "I've agreed to such and such time. I need to leave by...Thanks." So everyone is clear that you aren't staying. The end.
    That was my full intention. I made sure all the nurses that were there on time knew that I was only staying for 4 hours, but the supervisor came in late as usual so by the time she had come in I had already accepted the keys and started my shift.
  7. Visit  PrincessO profile page
    1
    Quote from chevyv
    I would also add to joanna73, to get it in writing before you punch in. Once you punch in, it may be considered pt abandonment.
    Quote from joanna73
    Possibly. Although I'm not sure how they could classify leaving pt abandonment when they asked for certain hours that are agreed upon. Then again, many places are slip
    pery and underhanded, so to be safe, get it in writing.
    These are very good ideas. I will definately get it in writing next time because who know what they would have tried. They are very sneaky and seem to always have staffing issues.
    chevyv likes this.
  8. Visit  PrincessO profile page
    0
    Quote from forbidden2know
    Possible solution to this problem.

    I'm thinking of becoming a CNA and after reading and researching these post, I was wondering if there is such a thing as applying
    at several different places, to be used for fill-in's only. If this is a common problem at hospitals and nursing homes, other-words, look at it as kind of same as a substitute teacher, only not a teacher but a CNA that fills in when no one is available to work that shift.

    Is there anything like that, that already exist ?
    Yes, there are agency CNA's that travel to different facillities and units that are short for that day(I used to do this) and there are per diem CNA's that are staffed by the facility to fill in when there is a need.
  9. Visit  PrincessO profile page
    0
    Quote from forbidden2know
    I'M new, so please explain, what is the name of this "handbook" and why would it be kept under lock and key?

    It is the Policy and Procedure Manual. I am not sure why my facility keeps it locked up. Most facilities usually have it readily available at each nursing station. It should be readily available as you may need to reference it for certain procedures. For instance, some facilities may say to hold the GT feeding and call the doctor if you get more than 250 residual back, while others may say to hold it if you get more than 200 back. I wanted to reference it in the situation I was in regarding the staffing issue, but could not because it is locked in the DON's office, which defeats the whole purpose of it!
  10. Visit  bluewillow7 profile page
    4
    As a new RN in a long term facility..worked nite shift. After one month came in and was told I would be responsible for two floors as they are short staffed. First floor had only two aides to care for patients, bed changes, etc and second floor had three aide, one of which was working with back injuries. Total of 59 patients... I had six seriously ill patients, two on thermoblankets for high fevers, two who were off the wall mentally, and had orders of .25mg of thorazine..which would not affect a flea, much less this three hundrend pound man who was manic and combative, and others were labeled "guarded".and "guarded" were more sick than all of the others....had meds for both floors..staff screaming they need more help..went to supervisor and she told me to go out onto the floor and help them..when I said it was impossible as I could not leave the the critical patients, and have meds, etc..she at first said she would try to get help. One hour later, staff asked me to call her again...when I did go to her office, found her sleeping. I said I see you are not busy, and understand by law, I can ask you to come upstairs and help.. as it was obvious she never called anyone..when she said to me..."are you refusing to help your staff " I answered, I have overload of work and and its impossible,.she answered "this sounds like insubordination..I remarked..you just used the wrong word with me...I reacted by taking the keys off my neck and put them around hers and said, now I have officially passed the responsibility of it all onto you where it belongs, and went home..also reminded her I did not abandon my patients..as she was now officially in charge and took the keys..I found better jobs and never even gave them as a reference..it was not worth my sanity...
    redhead_NURSE98!, chevyv, JZ_RN, and 1 other like this.
  11. Visit  uRNmyway profile page
    3
    Ugh, that is one of my pet-peeves about nursing. I lost my first job as a new grad because of agreeing to help out a fellow nurse and taking her 11-7, then being mandated to stay day shift (only found out later it was illegal for them to do so since I wasn't licensed yet!) I was exhausted and crying at the nursing station by noon.
    I then worked agency, and was a regular night shift nurse. I had a pretty much permanent position at one facility in particular, so I felt lots of camaraderie for my colleagues there. Occasionally I would stay for 4 hours of overtime if I felt like it, to take a load off them. I did get suckered once when they promised I could leave at 12, and there would be nursing students to help cover most of my patients. Of course, 1pm came around with no relief. I just told them I had had enough and was leaving. However, as an agency nurse, they couldn't force me to stay since I was technically not their employee. That is now one of the things I ask when applying to new positions. I should be starting a new agency job soon, and that was one of the first things I asked. They said that absolutely not, the hospital could not force me to stay...
    I think being mandated might be a necessary evil at times, but it becomes a pretty serious liability and danger to the patients after all is said and done!!
    Not_A_Hat_Person, JZ_RN, and fiveofpeep like this.
  12. Visit  Shannalynn profile page
    0
    When I worked 3-11 shift, my relief was ALWAYS late. After staying almost an hour over each time, I finally spoke up. I was told that my relief came from a job at another hospital and that management had made special exceptions for her. When I agreed to work the shift, I wasn't told i'd be covering her being late every shift. I don't mind covering for an emergency, but waking up and getting a small child ready for school and working til late late late every night wasn't for me. After being told the "supervisor had to take my key," I tried this approach to no avail! When I could find her, she would refuse, and one co worker even told me the supervisor had been hiding from me! I finally had to go to the DON about this and it rectifyed the situation. That supervisor hated me the rest of the time I worked there, but at least I got some sleep!
  13. Visit  NewRN2008 profile page
    0
    thats another reason for not doing LTC. they are so short right now where i am, and NOT safe in any manner or respect. we have one ltc that i could tell horror stories about,, but keep my mouth shut. i would demand to see the manual and copy it, if she refuses, i would tell her you are calling the state and they can come in and set things straight. you have rights just as much as anyone else, and you need to stand up for yourself. i know they say in nursing you need to have "thick skin" but you dont, you just need to have the guts to stand up for yourself to anyone anytime in a professional manner. kwim?

    i wish you all the luck in the world!

    -H-


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