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Nursing care facilities may pay overtime over 40 hours each 7 day week, or, under an 8 and 80agreement with employees, pay overtime over 8 hours a day and 80 hours every 14 days.
In 2004, the Institute of Medicine recommended that state regulators prohibit nurses from working more than 12 hours in a 24-hour period, and over 60 hours in a seven-day period. These recommendations apply to any combination of scheduled shifts and mandatory or voluntary overtime.et while scheduling less shifts with longer hours might seem appealing, in the long run the study found that nurses two worked shifts of 10 hours or more were more likely to experience burnout, job dissatisfaction and leave nursing compared to nurses who worked shorter shifts.