Patient Care and Paperwork

I can see your point now that I am working in long term care.  But it seems the real question lies in management expectations.  If companies are requiring 95% to 100% productivity and not providing the tools to make it possible, then it is a management issue.  If other therapists are completing notes on their non-paid time or clocking in and out to meet productivity standards, then they probably should be taking on an extra load for someone who refuses to do this since it's promoting a false standard.   Unfortunately the "coaching and mentoring" given to the "slack" provider is often to do what the others shouldn't be doing to make there quota.   Where does the problem really lie?

Sounds like a management issue to me. If it is department wide, then something is wrong with scheduling and management has unrealistic expectations. If it is one, or a certain few people consistently, then management needs to step in, coach them and mentor them so they can come up to speed. If they don't improve then it is time for action plans and progressive discipline. Nothing breeds resentment and discontent in a department like having to consistently take up the slack someone else has created. If it is occasional due to staff illness, vacation absences, or unfilled vacancies, then management needs to assure the staff that the situation is temporary, appreciated, and that the team needs to work together to share the burden and ensure patient well being. The last option can only be used occasionally or the staff stops believing it and becomes resentful and unproductive.