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Facility-Mandated Extra Shifts

What to do when a facility requests you to continue working upon the end of your scheduled shift.

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Written by Erica Rodriguez
Updated today

As a ShiftMed healthcare professional, you are never obligated to work beyond your scheduled shift. Your well-being and patient safety are our top priorities.

LPNs and RNs: Do not leave your post until a proper clinical hand-off is completed with a relieving nurse. This includes transferring keys, giving a report, and counting medications.

Leaving before a hand-off is complete constitutes patient abandonment, a serious violation reportable to your State Board of Nursing.


Key Guidelines

  • You Have the Right to Decline: You may refuse to stay for an additional shift for any reason, especially if you feel fatigued. Protecting your license and ensuring patient safety is paramount.

    • If you are an LPN or RN, you must complete a proper hand-off before leaving your post. This does not mean you're required to work an additional shift, but you must ensure there is a relieving nurse on duty before leaving.

  • Mandatory Restrictions: For safety and compliance, you are not permitted to work if:

    • You have exceeded 16 consecutive hours in a 24-hour period.

    • You have worked more than 56 hours in the current week.


If You Are Asked to Stay for an Additional Shift

If You CAN and CHOOSE to Stay

  • You must contact the ShiftMed Care Center at (800) 485-9002 immediately. This ensures the additional hours are properly authorized and entered into our system so you are paid correctly.

If You CANNOT or DO NOT WANT to Stay

  • Politely inform the facility that, per ShiftMed policy, you are unable to work beyond your scheduled shift. You are not required to provide a reason.


Special Circumstances: Nursing Supervisor Shifts

If you are acting as a nursing supervisor and your relief does not arrive, you must take the following steps:

  1. Request Contact Information: Obtain the contact details for the facility's Director of Nursing (DON), Assistant Director of Nursing (ADON), or Administrator.

  2. Escalate to Facility Leadership: Contact these individuals directly to resolve the coverage issue.

  3. Contact ShiftMed: If facility leadership is unresponsive, immediately call our Care Center for assistance.

Remember, all LPNs and RNs MUST complete a proper hand-off prior to leaving your post.

Leaving before a hand-off is complete constitutes patient abandonment, a serious violation reportable to your State Board of Nursing.


Questions?

If you have any questions, reach out to us in chat by going into the ShiftMed App > Menu > Help Center > Chat & Help Articles > Ask a Question!

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