Overtime dependent nurses

Nurses Relations

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We have new edicts about overtime at our hospital that have some up in arms. Me, I do overtime about once a month, it's not really part of my budget though. I don't really like working more than full time, but if I do, I'm glad I get time and a half.

Some of my colleagues are utterly dependent on it. The top earners where I work are making $50 an hr. That means overtime adds up to $75 an hour. Then they are indignant that management wants to have more per diem nurses, wants to give extra shifts to newer nurses, wants people to clock out on time, not get double backs, etc and so forth.

Ironically, many of these nurses are free market advocates, outraged at liberal policies, irate when destitute people abuse the system. Yet they feel totally put out when hospital management is really making rational business decisions to avoid paying top earners big bucks. We are a union contract hospital where there is a step system that rewards longevity.

I'm grateful for it, personally. I'm fairly up there in earnings. But, on the other hand, I do understand that hospital administrations, as much as we loath their outrageous tactics, salaries, arrogance, do have a legitimate goal of reducing expenses.

What do you all think?

When I first started with nursing I got a taste of all the extra money I could make with the unlimited amount of OT my employer provided. It became a vicious cycle with me being burnt out with a lot of extra money that I was too tired to spend. I've scaled down dramatically and I'm enjoying my life more with less money. I looked at my last paystub and I only worked 36 hours of OT last year and I am perfectly ok with that. I'm not as grumpy and I get my rest.

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Specializes in Nursing Professional Development.
Personally, my unit wouldn't be able to run if it wasn't for OT. .

I doubt that -- at least in the long run. Any facility that depends on OT to remain safely staffed is making a mistake. If they need more staff, they should be hiring and training more people -- not burning out the ones they have. If those people were to leave, get sick or injured, etc. there would be no one to take their place. It'sa foolish way to run a department on a permanent basis.

Specializes in Forensic Psychiatry.
I doubt that -- at least in the long run. Any facility that depends on OT to remain safely staffed is making a mistake. If they need more staff, they should be hiring and training more people -- not burning out the ones they have. If those people were to leave, get sick or injured, etc. there would be no one to take their place. It'sa foolish way to run a department on a permanent basis.

I'm not trying to disagree with you, but my facility has been running like this since 1890. We try and try to recruit more nursing staff. In the past 4 months we hired an RN and 2 LPN- just for my unit- and all of them are already gone. I'm the only nurse that has been hired for this unit in the past 4 months (I started in float pool and lateral transferred to behavioral stabilization) that has stayed. Most nurses sadly aren't really thrilled to work with the criminally insane in the state hospital system. I was the ONLY one out of my nursing class of 80 that wanted to do this work. You get spit on, feces get thrown at you, they will sporadically attempt to assault you, many don't progress and most of them are axis II. So they're completely coherent. A lot of people find it depressing. The people that do stay are generally former corrections, former police and former military. To say the least we have a lot of male nurses. And yes we have a lot of burnout.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
I agree with you, and I hate that I'm overtime dependent. My boyfriend, friends, and family are all about 400 miles away and I could probably live on the income I made if I didn't make the drive once a month (which on average costs at least $80-$90 in gas each way, plus whatever costs I incur while I'm up there trying to maintain these relationships, and my boyfriend's job's hours prevent him from making the drive ever, so the costs there are very one-sided). Even then, I could probably still make the drive on my income without going into the red if I lived in a low-cost high-crime area of town. However, I think any job that requires a professional degree should at least provide enough for the employee to live an average blue-collar life in a good neighborhood without overtime. I only break even without overtime, and that's with careful budgeting. I get that it's really not about the base pay, but maybe nurses should make more than $20/hr in the first place.

I understand about your boyfriend's hours not allowing him to make the trip; but given that, he should be paying part of YOUR costs when you make the trip. If he isn't, are you sure he's really someone you want to spend so much time, effort and money trying to maintain in a relationship?

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

My husband works with a number of guys who bought McMansions and are dependent upon overtime to pay their mortgages. Meanwhile relationships fall apart (because they're always working and never see the families who live in those McMansions) and their kids become strangers. And when the overtime dries up, they can't pay their bills, so they see their families more but fight about money. It's a vicious cycle.

Specializes in Psych ICU, addictions.

If the hospital is willing to pay a nurse OT, it's not the nurse's fault in any way for earning it, and she/he should not feel--or be made to feel--guilty in the least.

However, IMO it's foolish to rely heavily on OT income to make ends meet. OT is not guaranteed and just because you (general) are getting it this week doesn't mean it'll be there next week...nor does the hospital owe OT to you or anyone. Such nurses really need to evaluate their employment situation and find something that offers a more secure income instead of relying on something uncertain.

Specializes in ER, Trauma, Med-Surg/Tele, LTC.

I don't consider myself as overtime dependent, as I only base my budget off 6 shifts per pay period, but I have certainly gotten used to having overtime included as I'm regularly scheduled 7 shifts per pay period. I put the extra money away in my savings to cover any cancellations from low census so I don't have to touch my PTO and can use my vacation hours for actual vacations.

From my totally subjective and limited point of view, nursing seems to have a higher than usual number of codependent/enablers/wannabe-saviors and suckers for drama kings and queens who keep falling down in life.

I hope I am alone in observing this but I suspect I am not.

No you're not alone. Was one then kicked them to the curb. Best decision ever made

Our hospital, during the height of the nursing shortage (yes, it really did exist not that long ago) went to a system of a huge shift differential for full time nights, and other differentials for weekend-only, etc. Nurses became dependent on the extra income- like their spending went up to match the big pay. Then when there no longer was a shortage, they cut the differential. People were scared, angry, etc. because they no longer had this extra income, rather than having saved it up or invested some. I think it's just human nature, but I do wonder what they're spending $75/hour on.

While being overtime dependent isn't smart, why not be dependent on your differential if you plan to continue working that shift? If you work nights, your base pay is actually base+differential. That's how much you make an hour, how much you agreed to work for. A cut in differential is just like a dayshifter having their base pay cut.

Specializes in Family Nurse Practitioner.

While ideally no one should count on OT to pay the bills it happens. Not at my house but for others. Its none of my business if someone else wants to work extra.

Coming from a single mother of 2 who lived off 300$ a month for 11 years, part-time pay is like rolling in the dough for me. I work full-time now and since I've become the master at making a dollar stretch, my savings account is growing like it's nobodies business.

I do know other people that just generate more costs to match the increase in pay. I understand things like better housing, new car (if you really need it), uniforms etc. but for some people money just burns a hole in their pocket.

Specializes in nursing education.
While being overtime dependent isn't smart, why not be dependent on your differential if you plan to continue working that shift? If you work nights, your base pay is actually base+differential. That's how much you make an hour, how much you agreed to work for. A cut in differential is just like a dayshifter having their base pay cut.

I agree that there are shift differentials for important reasons, and I really appreciated it when I worked nights- but this was a HUGE differential that could not last forever, closer to time and a half.

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