Just when does a shift end???

That text is quite impossible to read.

In places I've worked, we are not covered by insurance if we're off the clock. I finish when my shift is over and my notes are written. Anything else, someone else can do.

Different facilities have different policies. Where I work, the policy is that you have to clock out within 7 minutes of your scheduled workday. I work at an Assisted Living Facility, and usually everything gets done during shift. I would ask your management what their policies are or maybe another nurse that you work with to see what they do.

At a skilled LTC I use to work we had the simple rule of fifteen minutes.

If an order was received by first shift by 2:45 pm then that shift took care of implementing the new order, taking the order off, beginning whatever the order was, and the second shift started their orders for 2:46 pm until 10:45 pm, then third shift was responsible for the orders on their shift starting at 10:46 pm until 6:45 a.m....a house rule initiated by the D.O.N. It clarified which shifts would stop with new orders so that they could then finish their charting, etc. before leaving the unit...otherwise you have no definitive times for staying over regarding new orders....afternoon admissions were started by first shift, continued by second shift...for example if a new admission arrived on the unit at 2:00 pm, the first shift nurse could in no way finish that admission even tho' it was on her clock, shift wise. It was understood she couldn't possibly be held there until admission was complete which usually takes about 2 hours.

I've also worked in SNF as CN and know exactly what you are going through.Just try your best to proritize . I would at least try to have my daily charting and last rounds done by the time the next shift arrived so that I would be ready to give report to the oncoming charge nurse. If a doctor had made rounds during the last half hour of my shift and there were new orders to be noted, carried out, etc., I would simply tell the next nurse that I didn't have time to start on the new orders and, of course,include this in my report to the oncoming nurse. This was a policy that worked well at our facility.Remember, nursing is 24 hr care. Ensure that your residents are safe, comfortable, and their immediate needs met. By reporting off to the oncoming nurse you will allow yourself time to finish up any charting etc., while the other nurse takes "responsibility" for the floor. Of course, I would be avaliable to assist staff if needed while I finished my shift, but ultimately this way allowed me to get off on time in most cases. Remember--TEAMWORK. Hope this helps.