Acuity Staffing. The Medical Center will make a good faith effort (seeking extra staff, contacting per diems, etc.) to see that reasonable acuity staffing levels are met in nursing units where appropriate subject to the judgment of the appropriate nursing manager and availability of resources. Nurses may raise concerns through the NPC.
Acuity Staffing. Sixty (60) days after ratification, the parties will form a labor management committee to discuss acuity and staffing in the technical department.
Acuity Staffing. A patient classification system/staffing plan will be maintained to address the specific needs of the targeted patient population. The criteria used by this plan to assign nursing staff members to meet defined patient care needs will include but not be limited to shift-to-shift variables, admissions, transfers, discharges, and emergency situations. Given the complexity and dynamics of the nursing care needs of patients served, the Hospital will take all reasonable steps to help assure that there are sufficient numbers of qualified nursing staff members available at all times to meet the nursing care needs of patients in all applicable units, areas, or departments. The criteria for employment, deployment, and assignment of nursing staff members will be in accordance with the staffing plan. This plan will address criteria as it relates to: The number and mix of nursing personnel required to meet the identified patient requirements for nursing care in each unit, area, or department providing nursing care to patients; The number of qualified registered nurses required to deliver nursing care to those patients who require a specific level of care to coordinate the care of patients, and to supervise and direct nursing care provided to patients by other nursing staff members; and A process for evaluating, at least as part of the Hospital's annual budget review process, the plan's success in providing for the effective and efficient delivery of nursing care to patients. This plan will be based on a mechanism that demonstrates validity and inter rater reliability and is used for identifying current patient requirements for nursing care. The parties will meet quarterly at the PNPC to discuss, evaluate and seek to rectify in accordance with the standards set by Nursing Administration, quarterly reliability studies and will meet annually at the PNPC to discuss annual validity results.
Acuity Staffing. The parties will form a labor-management committee to discuss acuity in the Respiratory Department and the Cardiac Catheterization Department.
Acuity Staffing. Section 1. The Employer will promote working conditions that will enable employees to meet their responsibilities. Such commitment is in recognition of the mutual desires of the parties to maintain staffing consistent with quality patient care. The Employer commits to maintain and adhere to its staffing plans in accordance with applicable law. The Parties understand that there may be exigent circumstances, such as fluctuations in patient census, sick calls or emergencies that may require deviations from the plans. In such cases, the Employer maintains staffing levels that provide for patient and staff safety, and strive to maintain staffing levels to enable staff to take meal and rest breaks and their accrued paid time off.
Section 2. Sixty (60) days after ratification, the parties will form a labor management committee to discuss acuity and staffing in the technical department in the units below.
Acuity Staffing. Section 1. A validated patient classification system will be maintained. Staffing ratios in the critical care areas shall be based on patient acuity and specific ratios as regulated in N.J.A.C. 8:43G- 9.7, as may be amended from time to time by the state.
Section 2. The parties agree that HCAHPS and NDNQI scores need to be improved and maintained at a high level, provided nursing staff is given adequate resources (i.e. nursing staff, ancillary staff, and equipment.) The employer and Union will mutually work to
Section 3. If short staffing occurs as defined by the Acuity System, an appropriate form will be filed with the Chief Nursing Executive or her designee by the nurse(s) affected. The Chief Nursing Executive or her designee will have the incident investigated and a report generated stating the reasons giving rise to the staffing shortage. This report will be submitted to the Short-Staffing chairperson one (1) week in advance of the bi-monthly meeting between the employer and the Union.
Section 4. In units where ratios are not codified, the Union and Management will meet and discuss staffing levels. They will discuss staffing levels including appropriate charge nurse assignments, if necessary, as agreed to by the parties. Staffing levels will be mutually established 3 months after the implementation of
