Low Census Procedure. When patient census and acuity create a need to 26 reduce nurse staffing after the schedule has been posted, individual nurses will be 27 subject to call off pursuant to the following procedures. In the application of the factors 28 described below relating to call off decisions, the primary considerations shall be the 29 maintenance, at all times, of safe patient care, continuity of care by the nurse currently 30 assigned to such activities, and the maintenance of adequate nursing staff to serve 31 Hospital patients. The appropriate mix of skill sets, certifications required to care for the 32 immediate patient census and continuity of nursing care will be evaluated and 33 determined by Nursing Leadership. 1 17.6.1. Low census call offs may occur for a portion of a scheduled shift 2 (including a decision to delay the start time of a previously scheduled nurse) or for the 3 entire scheduled shift. Nurses who are designated to be called off by Nursing 4 Leadership will be provided notice of such call off no less than one (1) hour in advance 5 of the nurse’s scheduled shift by way of a documented telephone call or acknowledged 6 text to the telephone number provided by the nurse to Nursing Leadership. Employees 7 may utilized Paid Time Off (PTO) at the employee’s discretion for all low census hours. 9 17.6.2. After evaluation of the factors described above, nurse call offs shall 10 occur in the following manner: 12 17.6.2.1. The nurse to be called off shall be any nurse scheduled to work or 13 actually working overtime or premium shifts; 15 17.6.2.2. If permitted by the terms of the Agreement between the Hospital 16 and the agency or traveler nurse, agency, traveler or locum tenens shall be the first 17 nurses called off under this procedure. If the Hospital is required to continue to pay 18 agency traveler or locum tenens nurses even if such individuals are called off, such 19 nurses will not be called off pursuant to these procedures but neither shall they displace 20 a nurse working their regularly scheduled and positioned hours; 22 17.6.2.3. The Hospital shall continue to maintain a Hospital wide list of 23 volunteers which will be updated no less than once per quarter. Nurses who have 24 signed the volunteer call off list will be called off next. 26 17.6.2.4. Gray matter nurses shall be next called off;
Appears in 1 contract
Samples: Collective Bargaining Agreement
Low Census Procedure. When patient census and acuity create a need to 26 reduce nurse staffing after the schedule has been posted, individual nurses will be 27 subject to call off pursuant to the following procedures. In the application of the factors 28 described below relating to call off decisions, the primary considerations shall be the 29 maintenance, at all times, of safe patient care, continuity of care by the nurse currently 30 assigned to such activities, and the maintenance of adequate nursing staff to serve 31 Hospital patients. The appropriate mix of skill sets, certifications required to care for the 32 immediate patient census and continuity of nursing care will be evaluated and 33 determined by Nursing Leadership.serve
1 17.6.1. a. Low census call offs may occur for a portion of a scheduled shift 2 (including a decision to delay the start time of a previously scheduled nurse) or for the 3 entire scheduled shift. Nurses who are designated to be called off by Nursing 4 Leadership Hospital management will be provided notice of such call off no less than one (1) hour in advance 5 of the nurse’s scheduled shift by way of a documented telephone call or acknowledged 6 text to the telephone number provided by the nurse to Nursing Leadership. Employees 7 may utilized Paid Time Off (PTO) at the employee’s discretion for all low census hoursHospital management.
9 17.6.2. b. After evaluation of the factors described above, nurse call offs shall 10 occur in the following manner:
12 17.6.2.11. The nurse Hospital shall continue to maintain a Hospital wide list of volunteers which will be updated no less than once per quarter. Nurses who have signed the volunteer call off list will be the first nurses called off shall be any nurse scheduled to work or 13 actually working overtime or premium shiftsoff;
15 17.6.2.22. If permitted by the terms of the Agreement between the Hospital 16 and the agency or traveler nurse, agency, traveler or locum tenens shall be the first 17 nurses called off under this procedure. If the Hospital is required to continue to pay 18 agency traveler or locum tenens nurses even if such individuals are called off, such 19 nurses will not be called off pursuant to these procedures but neither shall they displace 20 a nurse working their regularly scheduled and positioned hoursprocedures;
22 17.6.2.33. The Hospital shall continue next nurse to maintain a Hospital wide list of 23 volunteers which will be updated no less than once per quarter. Nurses who have 24 signed the volunteer call off list will be called off next.shall be any nurse scheduled to work or actually working overtime or premium shifts;
26 17.6.2.44. Gray Xxxx matter nurses shall be next called off;
5. Next in order priority shall be per diem nurses;
6. Next in the order of call off priority shall be regular part time and/or regular full time nurses.
c. It is agreed and understood that in the event two (2) or more nurses are in the same category regarding the priority of call offs, once consideration of the nurses necessary skill mix, certifications, and continuity of patient care have been considered and two (2) or more nurses are considered equal under this evaluation, the call off decision will be made by seniority in the bargaining unit. The selection of the nurse to be sent home due to low census shall not be subject to a grievance unless the House supervisor/manager making the decision fails to follow the procedures described above and/or such decision is made by the manager in an arbitrary or capricious fashion.
Appears in 1 contract
Samples: Collective Bargaining Agreement
Low Census Procedure. When the Medical Center experiences a decline in patient care requirements that necessitates a temporary decrease in staff, the Medical Center will implement the low census procedures in the following order:
1) Where low census reductions are needed, nurse(s) will be assigned to float to available assignments in accordance with Section 9.12.1 of this Agreement.
2) On a shift to shift basis, voluntary low census days will be granted if possible within the clinical group, and staff will be floated to areas of need in accordance with Section 9.11.1 of this Agreement. Low census will be granted to volunteers including those who decline stand by status before assigning mandatory low census. If the Employer seeks a nurse(s) for partial low census and acuity create no nurse volunteers for partial low census, the Employer will grant requests for voluntary full low census, regardless of whether the nurse volunteering for the full low census is willing to take standby for the day, before assigning mandatory low census. A nurse assigned a need mandatory or granted a voluntary low census may not be required to 26 reduce return from low census so that a nurse staffing after from the schedule has been postednurse's unit can provide functional coverage (float) on another unit outside the unit's float group.
3) As assessed on a daily basis, individual nurses will be 27 subject assigned by management to call off take mandatory low census on an equitable rotation. A nurse assigned a mandatory or granted a voluntary low census pursuant to the following procedures. In the application of the factors 28 described below relating to call off decisions, the primary considerations this section shall be the 29 maintenancegiven credit toward seniority, at all timesPTO, of safe patient care, continuity of care by the nurse currently 30 assigned to such activities, EIT and the maintenance of adequate nursing staff to serve 31 Hospital patientsInsurance benefits. The appropriate mix maximum amount of skill sets, certifications required mandatory low census per nurse will not exceed the hourly equivalent of one shift per pay period not to care exceed forty eight (48) hours/year. Mandatory Low Census Hours shall be applied to the forty eight (48) hour limit. There will be a minimum of two (2) hours credited towards the nurse's forty eight hour limit for any Mandatory Low Census Hours assigned. Nurses assigned mandatory low census by management may refuse to return from low census for the 32 immediate patient census and continuity of nursing care will be evaluated and 33 determined by Nursing Leadership.
1 17.6.1. Low census call offs may occur for a portion of a scheduled shift 2 (including a decision to delay the start time of a previously scheduled nurse) or for the 3 entire scheduled shift. Nurses who are designated to be called off by Nursing 4 Leadership will be provided notice of such call off no less than one (1) hour in advance 5 remainder of the nurse’s scheduled shift by way of a documented telephone call or acknowledged 6 text to the telephone number provided by 's shift. The hours the nurse elects not to Nursing Leadership. Employees 7 may utilized Paid Time Off (PTO) at the employee’s discretion for all work will be considered mandatory low census hoursand count as part of the maximum mandatory hours as described above.
9 17.6.2. After evaluation of the factors described above4) First, nurse call offs shall 10 occur in the following manner:
12 17.6.2.1. The nurse to be called off supplemental nurses, and then nurses working extra shifts (i.e., scheduled on their normal day off) shall be any canceled on units prior to assigning a nurse scheduled a mandatory low census who is qualified to work or 13 actually working overtime or premium shifts;on that unit within the clinical float group. On a unit basis, supplemental nurses canceled due to low census shall be canceled in an equitable rotation, unless specialty skill requirements are needed.
15 17.6.2.2. If permitted by 5) In the terms event of the Agreement between the Hospital 16 and the mandatory low census, agency or traveler nurse, agency, traveler or locum tenens traveling nurses shall be released before any core staff from the first 17 nurses called off under this procedure. If the Hospital unit is required to continue to pay 18 agency traveler float or locum tenens nurses even if such individuals are called off, such 19 nurses will not be called off pursuant to these procedures but neither shall they displace 20 a nurse working their regularly scheduled and positioned hours;
22 17.6.2.3. The Hospital shall continue to maintain a Hospital wide list of 23 volunteers which will be updated no less than once per quarter. Nurses who have 24 signed the volunteer call off list will be called off nexttake low census.
26 17.6.2.4. Gray matter nurses shall be next called off;
Appears in 1 contract
Samples: Employment Agreement
Low Census Procedure. When patient census and acuity create a need to 26 7 reduce nurse staffing after the schedule has been posted, individual nurses will be 27 8 subject to call off pursuant to the following procedures. In the application of the factors 28 9 described below relating to call off decisions, the primary considerations shall be the 29 10 maintenance, at all times, of safe patient care, continuity of care by the nurse currently 30 11 assigned to such activities, and the maintenance of adequate nursing staff to serve 31 12 Hospital patients. The appropriate mix of skill sets, certifications required to care for the 32 13 immediate patient census and continuity of nursing care will be evaluated and 33 14 determined by Nursing LeadershipHospital supervisors/manager.
1 17.6.1. 16 a. Low census call offs may occur for a portion of a scheduled shift 2 (including 17 a decision to delay the start time of a previously scheduled nurse) or for the 3 entire 18 scheduled shift. Nurses who are designated to be called off by Nursing 4 Leadership Hospital management 19 will be provided notice of such call off no less than one (1) hour in advance 5 of the 20 nurse’s scheduled shift by way of a documented telephone call or acknowledged 6 text to the telephone number 21 provided by the nurse to Nursing Leadership. Employees 7 may utilized Paid Time Off (PTO) at the employee’s discretion for all low census hoursHospital management.
9 17.6.2. 23 b. After evaluation of the factors described above, nurse call offs shall 10 occur 24 in the following manner:
12 17.6.2.126 1. The nurse Hospital shall continue to maintain a Hospital wide list of 27 volunteers which will be updated no less than once per quarter. Nurses who have 28 signed the volunteer call off list will be the first nurses called off shall be any nurse scheduled to work or 13 actually working overtime or premium shiftsoff;
15 17.6.2.230 2. If permitted by the terms of the Agreement between the Hospital 16 31 and the agency or traveler nurse, agency, traveler or locum tenens shall be the first 17 32 nurses called off under this procedure. If the Hospital is required to continue to pay 18 33 agency traveler or locum tenens nurses even if such individuals are called off, such 19 34 nurses will not be called off pursuant to these procedures but neither shall they displace 20 a nurse working their regularly scheduled and positioned hoursprocedures;
22 17.6.2.32 3. The Hospital shall continue next nurse to maintain a Hospital wide list of 23 volunteers which will be updated no less than once per quarter. Nurses who have 24 signed the volunteer call off list will be called off next.shall be any nurse scheduled to 3 work or actually working overtime or premium shifts;
26 17.6.2.45 4. Gray Xxxx matter nurses shall be next called off;
7 5. Next in order priority shall be per diem nurses;
9 6. Next in the order of call off priority shall be regular part time and/or 10 regular full time nurses.
12 c. It is agreed and understood that in the event two (2) or more nurses are in 13 the same category regarding the priority of call offs, once consideration of the nurses 14 necessary skill mix, certifications, and continuity of patient care have been considered 15 and two (2) or more nurses are considered equal under this evaluation, the call off 16 decision will be made by seniority in the bargaining unit. The selection of the nurse to 17 be sent home due to low census shall not be subject to a grievance unless the House 18 supervisor/manager making the decision fails to follow the procedures described above 19 and/or such decision is made by the manager in an arbitrary or capricious fashion.
Appears in 1 contract
Samples: Collective Bargaining Agreement
