define no call no show
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Ok heres the story. It snowed last night so a 3rd shift nurse didnt call or show up to work...she only texted the other 3rd shift nurse. When a 2nd shift nurse tried to call her...got no answer...talked to the Don about it who said that since an attempt was made to call that 3rd shift nurse it wasnt considered a no call no show. I say Bull****. its self explanatory. Our policy is that a no call no show is to be terminated.....which has never happened b/c mgmt is so lax on policies. The prn nurses that we have are just worthless.....we call them ...they never come in. I dont see the pt in even keeping them on the payroll! I think its just ridiculous to expect another nurse to stay over and then nothing be said or done to the nurse who was in the wrong! Not even a write up or nothing! I worked @ least a double a month last yr..sometimes more...sometimes 2 in a row and got absolutely nothing for it...no overtime...no incentive pay...not even a thank you. Ive suggested to mgmt multiple times that we get something in return for picking up others slack and that when they hire prn people to put them on an on call rotation 2 wks out of a month and rotate it btw at least 2 prn nurses and if they still dont come in.....terminate them. All they are is a name on a phone number list...thats it...nothing else. 9 out of 10 wont even answer the phone! And those of us who always have to stay over.....it becomes expected and like a guarantee to mgmt.. Their mind set is ....nurse x is on 2nd tonight so if theres a call in on 3rd then she'll stay...its automatic with them. This causes major burnout and frustration to those of us who are always there. We cant even get a day nurse to come in early so that they can relieve us from a full 16+ hrs. And a day nurse never stays when we are short a nurse. Our day crew is very very slack....they dont complete and alot of times wont even start an admission that comes in @ 11am...so @ 6 or 7pm is when we find it wasnt done on 2nd. They are chronic call ins too. They never chart what they should chart on....falls, incidents, new antibiotics etc...which are supposed to be done x 72hrs. They leave things in a mess...otc meds are unstocked, 0 insulin syringes, expired or d/c'd or changed meds are left on the carts for my shift to find and dispose of properly, the desk is always a mess with charts here and there and papers strewn about all over...they never call in labs...esp important ones like pt inrs....and after a while of going in to this day after day it gets old. The only reason I stay is b/c its very close to my home and Im accustomed to the chaos..plus...i love my residents. How does other facilities handle this kind of mess. Please share stories and suggestions.