Apr 15, 201610 yr Why don't you get out on time? When your manager asks why, can you just imagine replying,'next time I'm extremely busy, should I omit giving meds to get out on time?'
Apr 15, 201610 yr Experts I'm almost never out on time. Doesn't matter how much I've gotten done by 5 or 6, something always happens or I haven't been able to chart much all day. Then the only time I have to focus uninterruptedly on charting, is when night shift has taken on my patients.
Apr 15, 201610 yr I'm out on time unless there's a last minute "event". It could be an admission, a critically low blood sugar, a fall, etc. Even then, my co-workers and I are good about switching into team mode and backing each other up ...so we all may leave a little late, but no one stays really late. We usually leave as a small group (there are only 2-3 of us on the unit).
Apr 15, 201610 yr I do, because I don't want to get out late. However, if I've been running my a** off all night I don't feel bad (and will explain to the manager) for staying clocked in while finishing my charting after I've given report. That usually only happens if there have been codes or something like that that has sucked my time up multiple times. There are managers who want you to clock out on time no matter what, though, and I don't. If someone is screwing around all night and chatting when they were supposed to be charting or doing pt care, then yeah, they should clock out because they wasted 4-5 hours of the 12 hour shift doing nothing.Otherwise, 99.99% of the time I get out on time.xo
Apr 15, 201610 yr My problem is when the next shift nurse shows up late and takes 10 minutes to put away her stuff. Then we can finally do handoff.
Apr 15, 201610 yr I'm a newish CMA but I've already learned if I work closing I won't get out on time. That last pt will always take more time than scheduled but I don't mind the ot and extra time to get other work done. Plus I start getting things prepared for the morning while the Dr is in there. If I work an early shift yes I get out on time. But I notice they give the staring shifts to the CMA's who have been there longest.
Apr 15, 201610 yr I'm usually a little late (15 min?), sometimes on time, sometimes quite late (1 hr or more). My current manager trusts us, but in the past yes I have said -- "I was completely swamped with pt care, even though my colleagues helped as much as they could. Between documentation and pt care, pt care will always come first. The computer can wait." That and "I could have gotten out on time if I'd skipped lunch, but I wasn't willing to skip lunch. Besides, I'd still be getting paid for that extra 1/2 hr had I skipped lunch. Said 1/2 hr just happened between 1530-1600, instead of between 1200-1230
Apr 15, 201610 yr I am almost always out on time unless the shift is particularly crazy or there is a last minute admit. The nurses I work with though usually have to stay at least an extra 10-15 minutes to finish bedside check and charting. It's very rare to see them leave on-time. Fortunately our manager is understanding and has been doing her best to implement changes that shorten the amount of OT the nurses are working.
Apr 15, 201610 yr Admin I leave on time with only a few exceptions:1. I'm on call and the surgeries aren't done. We don't have a second shift that takes over for cardiac surgery.2. Close to end of shift dire emergency. Because if I were the one on call, I'd appreciate the help getting an actively dying patient into the OR so surgery can get started.3. Volunteer when more surgeries than call teams are running. Don't do it every time, usually only when I'm looking for a little extra oomph in my paycheck.
Apr 15, 201610 yr This is something I am working on. I have a hard time finishing report on time (not for me being wordy but for report being involved and having to report to multiple people and basically having to wait my turn...). I do try my hardest to have all my charting done before report but the 5-7 hours are so busy that doesn't always happen. I also struggle with knowing when it's OK to not do something for the oncoming shift. I'm a relatively new nurse and I want the reputation of helpful and the nurse you want to follow. But I know I need to find the sweet spot there too. Anyways, Getting out on time is on my list of things to do better this year... I imagine it's practice makes better (never will be perfect!!).
Why don't you get out on time?
When your manager asks why, can you just imagine replying,
'next time I'm extremely busy, should I omit giving meds to get out on time?'