akdEM Posted February 27, 2014 Share Posted February 27, 2014 I'm just curious how long it usually takes to tie up loose ends and actually leave the building after your shift. Does a 10 hour shift really mean an 11 hour shift? Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted February 27, 2014 Moderator Share Posted February 27, 2014 I try to document as I go so when the shift is over I leave. if it is really busy I will stick around and help but I don't beklieve in documenting after the shift AKA working for free. Link to comment Share on other sites More sharing options...
Moderator True Anomaly Posted February 27, 2014 Moderator Share Posted February 27, 2014 I'm pretty much done with everything by the time my shift ends- I've rarely had to stay late- it's either the **** is hitting the fan right when I'm supposed to leave, or there's a procedure to do or need to sign out the patient and am just waiting for a callback. But the vast majority of the time I'm on my way out the door. I've gotten very efficient at documenting as I go during the shift. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted February 27, 2014 Moderator Share Posted February 27, 2014 one of my physician colleagues does most of his documentation at home which makes no sense to me. I worked with him last weekend and he had 63 charts to do at home on his day off after working 2 12 hr shifts. as fasr as I am concerned documenting off the clock is the same as paying yourself less per hour. if I stay late to do anything(except maybe see a cool procedure or participate in something very new and interesting for my own edification) I bill for it. Link to comment Share on other sites More sharing options...
Moderator True Anomaly Posted February 27, 2014 Moderator Share Posted February 27, 2014 one of my physician colleagues does most of his documentation at home which makes no sense to me. I worked with him last weekend and he had 63 charts to do at home on his day off after working 2 12 hr shifts. as fasr as I am concerned documenting off the clock is the same as paying yourself less per hour. if I stay late to do anything(except maybe see a cool procedure or participate in something very new and interesting for my own edification) I bill for it. If I were to try to bill for my extra time spent working, whether that be staying a couple hours late or doing charts at home, I'd just get laughed at Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted February 27, 2014 Moderator Share Posted February 27, 2014 If I were to try to bill for my extra time spent working, whether that be staying a couple hours late or doing charts at home, I'd just get laughed at I can bill for any extra time spent at the facility on clinically related stuff but not for documenting from home. typically if I stay less than an hr over to finish up I don't bother billing for it but if I stay over 4 hrs on a 12 hr shift like I did last week due to huge er volume I bill for it. Link to comment Share on other sites More sharing options...
Emerson Posted February 28, 2014 Share Posted February 28, 2014 Unless it's busy, I also will get all my charting done during my shift. There will be periods when I get behind, but typically when I hit my final hour I make sure that I am caught up and any new patients I see will be charted as I go. We use PICIS, so I have created several macros that for the most part generate my entire ROS/PE/MDM and that usually keeps me up to speed. Link to comment Share on other sites More sharing options...
meaux Posted February 28, 2014 Share Posted February 28, 2014 I echo EMED and True, I chart as I go so I can get the hell out of the ED when its time. I occassionally will finish chats at home but no more than 4-5, so it doesnt take too long. I definitely bill my group if I stay over b/c of volume, or anything Pt related. Link to comment Share on other sites More sharing options...
RetNavyPAC Posted March 4, 2014 Share Posted March 4, 2014 I like to zip out when the shift ends (e.g. 'on time'). You put in a full days work for a full day's pay - why the hell not? But typically no more than 20-30 minutes after shift end to clean things up (making sure the attending doesn't get socked with any extra work they don't need for any patients I signed out to him/her, ensuring any admissions are arranged, discharging & talking to the last few patients, finishing touches on a couple of charts. . . ) Chart as I go. Dot phrases and templates/macros in Epic ASAP make it faster & easier If the department is burning down of course I'll stay for as long as it takes until the wheels aren't coming off - but we get paid for it. Link to comment Share on other sites More sharing options...
RetNavyPAC Posted March 4, 2014 Share Posted March 4, 2014 I like to zip out when the shift ends (e.g. 'on time'). You put in a full days work for a full day's pay - why the hell not? But typically no more than 20-30 minutes after shift end to clean things up (making sure the attending doesn't get socked with any extra work they don't need for any patients I signed out to him/her, ensuring any admissions are arranged, discharging & talking to the last few patients, finishing touches on a couple of charts. . . ) Chart as I go. Dot phrases and templates/macros in Epic ASAP make it faster & easier If the department is burning down of course I'll stay for as long as it takes until the wheels aren't coming off - but we get paid for it. Link to comment Share on other sites More sharing options...
RetNavyPAC Posted March 4, 2014 Share Posted March 4, 2014 Mi dispiace! Don't know why it double-posted. Link to comment Share on other sites More sharing options...
ajnelson Posted March 6, 2014 Share Posted March 6, 2014 I'm usually out within 15-20 minutes of the end of my shift. These past few weeks have been busy, so I've actually put in for some 14-15 hour days to help clean up before I leave. But, I always put in for my extra time (usually anything more than 30 mins...). I also chart along the way. There are days (when you have sick or critical patients that make it more difficult, but in general, charting only takes me 5-7 minutes for a complicated chart. In my opinion, charting after the fact makes it much easier to leave out important details, conversations with consultants, etc Link to comment Share on other sites More sharing options...
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