What’s with “researching” patients before clocking in?! Is this a standard?

Nurses General Nursing

Updated:   Published

Hi all,

I’m a baby nurse (new grad) going into day 3 of orientation with my preceptor. She mentioned that she lives close (within 5 mins) to the hospital so she usually gets there early [at a time that places her 40 minutes earlier than the start of her shift] so that she can get her day started ahead of clocking in. When our shift was coming to an end, I hadn’t looked at the time so I thought it was time to go because I saw night shift staff all over... but no, we had at least 45 minutes to even give handoff. One person (still in her coat, who I realized was a nurse) was even there more than an hour before shift start. So I realized this was a majority thing.

But why? Is this a common trend? When my professors in nursing school mentioned this, most scoffed at the idea of working for free. Yes I’m a new nurse but I’m not fresh out of school entering the workforce for the first time. It just feels weird that the notion is - in order to be successful and get home on time we have to work off the clock. I do understand being there in time to get settled (lunch purse away lol, snack eaten, coffee refill, non-patient chit chat, etc.) and getting your ducks in a row, mentally, to begin your shift. I’m not really an early riser but I do get in early enough to be on the unit at an appropriate time. I just feel like I can’t compete with the nurse who’s there an hour early. It’s like I’ll look ill-prepared being on the unit only 15 minutes prior to starting.

I just figure - I’m here for 12 hours and of course I’m still learning time management as an RN but gooooodness! Isn’t half of a day enough?? And if not, why? Do you do this? Is it so that you are able to be ahead or question the nurse who’s giving you report? Is it a reflection of management that it’s allowed or even required in order to feel comfortable with your patients?

I hope this doesn’t come off as offensive or snooty but I am really curious and kinda nervous at the same time.

Specializes in Supervisor.
On 2/21/2020 at 5:36 AM, NurseOrBust13 said:

But why? Is this a common trend? When my professors in nursing school mentioned this, most scoffed at the idea of working for free.

This nurse lacks confidence and/or points to lack of experience if they need to "research" their assignment for 45 minutes. I used to do this as a newb nurse.

This is how it should go:

Be punctual. Show up 10-15 minutes early. Poop. Pee. Snack. Obtain assignment from charge. Stalk previous shift nurse to get your report ASAP. No one has time to dilly dally. Shift starts at 0800. Let's say you get 6 patients. Bed side report should complete in 20-30 minutes max. Get back to station. Write down details about each patient on your brain. Should take no more than 2 minutes per patient to get the extra details you need (Ie med pass times, scanning H&P, previous provider assessment, I/O, VS, nursing orders). Ideally be ready for med pass at 0845-0900.

For the love of all things holy, why would someone work 45 minutes FOR FREE EVERYDAY THEY WORK?!

That's >100 hours PER YEAR (assuming 3 shifts/week)! Oh heck no!

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