My hospital just started strongly enforcing nurses to not login to a patient's chart unless you have clocked in (7 min before start of shift). It hasn't been a big problem for me since I usually come into work around 6:50 or so. However, a lot of other nurses are having a difficult time with this and are trying to go around it (e.g. gathering the patient's info from the previous shift's logged in computer). We also just started bedside shift report and the oncoming shift doesn't know much about the patient before report and it can get pretty lengthy if you have to explain pmh, h&p, assessment, etc. The nurses have gotten pretty frustrated with it lately and bedside report isn't consistent anymore. I was wondering what other hospitals have implemented for nurses to gather information before the start of the shift without clocking in or have it considered "working off the clock." I have read that some hospitals record the report on a tape or have a kardex. Any other suggestions?? Thanks!