For instance, Robert Wood Johnson Foundation research shows that even though state mandates are helping to curb mandatory nurse overtime, "regulations targeting hospital compliance overlook regulating nurses themselves, who can choose to increase their work hours (and fatigue) by working multiple jobs."
An 'Ethical Responsibility' to Consider Fatigue
An ANA position statement says that "Registered nurses should consider the impact that multiple jobs have on their level of fatigue and ability to practice safely" and that "all registered nurses have an ethical responsibility to carefully consider their level of fatigue [PDF] when deciding whether to accept any assignment extending beyond their regularly scheduled work day or week." (ANA is revising its position statement on nurse fatigue; the public comment period is open until February 10).
ANA spokesperson Adam Sachs tells me via email that: [The] "ANA does not know of any laws or regulations prohibiting nurses from working second jobs. We have heard anecdotes about employers requiring employees to fill out a form to notify them prior to taking a second job. There also may be organizations that prohibit nurses from taking second jobs by contract, but we can't verify that."
One nurse leader who's had experience with nurses working multiple jobs is Kathryn Hughes MSN, RN, program coordinator, nursing administration at University Medical Center in Las Vegas. She tells me via email that as a clinical manager, she often sees nurses who have multiple jobs, such as ones who have two full-time jobs; work per diem at several different locations; work full-time at one job and per diem elsewhere; or work as both a full-time nurse and a nursing instructor.