Simple, put the start of the shift, the end of the shift, and other pertinent times in the shift report, usually in the narrative. I also used to put times at the check-off points. For example: if I started a tube feed at 1400 and it went until 1445, I would write "1400-1445" next to tube feed with rest of notation, such as kind of formula. If I gave a back rub at 1700, "1700" next to the notation for back rub. In the narrative, "1100- Assumed care. Vital signs taken: blah, blah.....Assessment done per flow sheet, noting ..blah, blah. 1400-Enteral feeding blah, blah. 1450-Called Dr. Smith, notified blah, blah. 1800-Blah, blah 0330-Relinquished care to Suzy Q, RN. Departed home. All one has to do is to put times all over the nurses note, paying strict attention to start and finish times for the shift. Don't have specific examples to send, but I think this isn't difficult to deal with. Don't know what their problem is, unless the notes don't show times at all.