Floating Assignment Guidelines. In situations where nursing needs 6 cannot be met from the nursing resource team or on duty RNs or volunteers on shift, 7 the Hospital will make floating assignments under the following guidelines. 8 Where staff availability permits, RRMC will attempt to make floating assignments 9 based on the following clinical groupings:
Floating Assignment Guidelines. In situations where nursing needs 8 cannot be met from the Nursing Resource Team or on duty RNs or volunteers on shift, 9 the Hospital will make floating assignments under the following guidelines. 10 When float assignments are necessary, considerations will be made for services, 11 clinical groupings, and stand alone units. Services will include clinical groupings with 12 similar competencies but differing patient populations/acuity. Clinical groupings, within 13 services, will include units that have similar competencies and similar patient 14 populations/acuity. Stand alone units have unique competencies and patient populations 15 that are not like another unit. 16 18 Clinical Groupings within Services
Floating Assignment Guidelines. In situations where nursing needs cannot be met from the nursing resource team or on duty RNs or volunteers on shift, the Hospital will make floating assignments under the following guidelines. Where staff availability permits, RRMC will attempt to make floating assignments based on the following clinical groupings: CCU/ICU/IMCU Infusion Services/Vascular Access Women’s and Children’s Services Medical Surgery Units: General Medicine, Medical Oncology Post Surgical, Orthopedics/Neuroscience Behavior Health Cardiac Center Cath Lab CVR Emergency Room Endoscopy Imaging Impatient Rehab MRI Nuclear Medicine Operating Room PACU Radiation Oncology Short Stay Unit The Labor-Management Committee, in cooperation with the Staffing Committee, may reconfigure stand alone and buddy units during the contract term. Floating assignments will be made within the above groupings by assigning a nurse to float from another unit within a group. Floating assignments will be made with appropriate regard for the orientation of available nurses, excess staff in units, and patient care needs. Each nursing unit scheduling committee will decide equitable Float Rotation procedures pursuant to Article 15.5 procedures, and such unit decisions will not be subject to the grievance and arbitration procedure. It is understood that RRMC retains the basic management right to require RNs to float subject to specific restrictions in the labor agreement. Nursing personnel are requested to float, in judgment of clinical managers and charge nurses, when patient care and safety requires additional personnel in a particular unit. When a RN is not adequately cross-trained or oriented in a specific nursing unit, the RN will float to that unit as a clinical resource nurse, so informing the charge nurse, or clinical manager, or nursing supervisor, and will receive modified patient care assignment. RNs will normally float to a buddy unit with a full load, in accordance with Staffing Committee guidelines, and outside a buddy unit as a CRN, subject in both situations to RN’s personal judgment as to the patient care responsibilities that can safely be assumed. The staff members to be floated have demonstrated competency for the tasks/assignments they are given and can provide care within the scope of their license and/or capabilities. The nurse who is floated functions under the supervision of a regular nurse who is assigned as his/her “Care Partner” resource. The Charge Nur...
Floating Assignment Guidelines. In situations where nursing needs cannot be met 7 from the Nursing Resource Team or on duty RNs or volunteers on shift, the Hospital will 8 make floating assignments under the following guidelines. 9 10 When float assignments are necessary, considerations will be made for services, clinical 11 groupings, and stand-alone units. Services will include clinical groupings with similar 12 competencies but differing patient populations/acuity. Clinical groupings, within services, 13 will include units that have similar competencies and similar patient populations/acuity. 14 Stand-alone units have unique competencies and patient populations that are not like 15 another unit.
17 A. Clinical Groupings within Services: 18 • Adult Inpatient Services 19 • Critical Care Units (Closed): 20 o CVICUCCU/ICU/IMCU (These units include Critical Care patients boarded 21 in alternate care areas and Cardiac Step-Down Unit designated patients) 22 • Medical Surgical Units: 23 o General Medicine 24 o Medical Oncology 25 o Post-Surgical 26 o Orthopedics-Neuroscience
Floating Assignment Guidelines. In situations where nursing needs 27 cannot be met from the Nursing Resource Team or on duty RNs or 28 volunteers on shift, the Hospital will make floating assignments under the 29 following guidelines. 31 When float assignments are necessary, considerations will be made for 32 services, clinical groupings, and stand-alone units. Services will include 33 clinical groupings with similar competencies but differing patient 34 populations/acuity. Clinical groupings, within services, will include units that 1 have similar competencies and similar patient populations/acuity. Stand- 2 alone units have unique competencies and patient populations that are not 3 like another unit.
4 A. Clinical Groupings within Services:
17 A. There are no traveler RN’s available to be assigned
19 B. There are no staff RN’s available to float within the clinical grouping.
21 C. Additional staff offered critical needs incentive have not volunteered to 22 work
24 D. There are no staff RN’s available to float from another clinical 25 grouping in the service
27 E. When all other attempts have been made to meet the staffing needs, 28 (including CNA’s or patient safety monitors), an RN may be required 29 to float to another service if additional RN’s are available and not 30 needed within their own clinical grouping/service. When doing so, 31 they will not be required to take a regular patient care assignment.
32 1. Appropriate assignments will be provided and may include the 33 sitter role or providing assistance to other RN’s in completing 34 tasks. For RN’s from Women and Children’s service line, an 1 appropriate assignment typically shall be serving as a sitter in 2 an observer role only, with the understanding that additional 3 emergent intervention may be necessary. 5 Each RN defines their own scope of practice based on the RN’s 6 education, knowledge, competencies, and experience.
8 2. Nurses floating outside their service will be paired with a core 9 RN who will be the primary care nurse for any patient assigned. 11 Each nursing unit scheduling committee will decide equitable 12 Float Rotation procedures pursuant to Article 15.5 procedures, 13 and such unit decisions will not be subject to the grievance and 14 arbitration procedure. It is understood that ARRMC retains the 15 basic management right to require RNs to float subject to 16 specific restrictions in the labor agreement. 18 Nursing personnel are requested to float, in judgment of clinical 19 managers and charge nurses, wh...
