I am left handed so it may be different for the righters. I push the needle with my pointer on left hand and receive the holes on right hand corresponding finger. Then when pointer gets holes and is sore I go to the middle finger left to push still receiving pointer on right. And so on until I have holes or sores on all fingers. Then I quit for about a week. Takes that long to heal up.
During that week I cut out for next quilt or crochet. I am making a shell pattern afghan for my son's friend that is getting married this summer.