Common use of Low Census Clause in Contracts

Low Census. 18 A. In the event of nurses not working all or part of one of their scheduled working 19 days at the request of the Medical Center, the following order for assigning time off shall 20 be used, provided the nurse remaining on the unit is qualified to perform the 21 assignment: 22 1. Agency or traveler nurses, followed by Sharecare nurses, will be assigned 23 time off. 25 2. Regular nurses eligible for any time-and-one-half or other premium (for 26 example, overtime and/or incentive pay) for working on the shift of the 27 patient care unit and/or cluster (for those units in a cluster) affected will be 28 assigned such time off using a system of rotation. 30 3. Volunteers to take the time off (both regular and per diem nurses) shall be 31 sought in the shift of the patient care unit, then the cluster (for those units 32 in a cluster) affected, and then all medical surgical units together (for 33 medical surgical units only) using the “Wants Off” list. For purposes of the 34 preceding sentence, a “same shift and unit” and/or cluster (for those units 35 in a cluster)” exists where both the volunteer and the per diem nurse on a 1 shift of the same patient care unit and/or cluster (for those units in a 2 cluster) have the same starting and ending times for that shift. 4 4. Regular nurses working an extra shift on the shift of the patient care unit 5 and/or cluster (for those units in a cluster) affected will be assigned such 6 time off using a system of rotation listed below. (a) Lists of requested voluntary Low Census will be maintained in the 8 patient care unit and/or staffing office (for those units using the 9 staffing office); 11 (b) Volunteers will have the option of indicating preference for taking 12 the full shift off, partial shift, or being placed on standby, as follows 13 i. The nurse must designate his or her preference related to 14 Xxxxxxx at the time the nurse places his or her name on the 15 list. 16 ii. Such preference will be considered by the Medical Center in 17 determining which nurse will be given the Low Census, 18 based on the determination as to the standby needs for the 19 unit then the cluster (for those units in a cluster) (e.g., with or 20 without standby). Where multiple requests are received for 21 the same status of voluntary low census (e.g., with or without 22 standby), the earliest request(s) will be given preference and 23 the order will be viewable by nurses on-line from a nurse’s 24 home, provided that a nurse on the same unit or cluster is 25 qualified to perform the work of the nurse given the time off. 26 a. The parties agree that a nurse may not file a grievance if 27 he/she was not selected for voluntary low census 28 because the Medical Center determined that it needed a 29 nurse who was willing to be on standby. 31 b. The parties also acknowledge that the Medical Center 32 may assign Low Census to a nurse in the categories 33 below, if the only volunteer does not indicate the standby 34 preference needed by the Medical Center 1 c. The Medical Center is responsible for calling nurses on 2 standby, if they are needed to work. 4 d. A nurse from a medical surgical unit who elects voluntary 5 standby will be on standby for any medical surgical unit. 7 5. Per diem nurses on the shift of the patient care unit and/or cluster (for 8 those units in a cluster) affected will be assigned such time off using a 9 system of rotation. 11 6. No nurse will be asked to take mandatory low census beyond a cap of 12 twenty four (24) hours per scheduling period, and not to exceed one 13 hundred sixty eight (168) hours in a calendar year, with the exception of 14 emergency situations. It is the responsibility of the nurse to inform the 15 nurse’s manager that the cap on low census has been reached in the 16 scheduling period. 18 7. The remaining regular nurses on the shift of the patient care unit and/or 20 all Med-Surg units will be counted together) will be assigned based on 21 who has the lowest “Factor” on the low census list and who has not 22 reached their cap for the scheduling period or year: 23 (a) For the purpose of mandatory low census the clusters are (a) all 24 medical/surgical together and (b) all critical care units together. If 25 there are no opportunities to work within the cluster the nurse may 26 be assigned to work any responsibilities within nursing services.

Low Census. 18 A. In the event of nurses not working all or part of one of their scheduled working 19 days at the request of the Medical Center, the following order for assigning time off shall 20 be used, provided the nurse remaining on the unit is qualified to perform the 21 assignment: 22 1. Agency or traveler nurses, followed by Sharecare nurses, will be assigned 23 time off. 25 2. Regular nurses eligible for any time-and-one-half (1 ½ ) or other greater premium (for 26 example, overtime and/or incentive pay) for working on the shift of the 27 patient care unit and/or cluster (for those units in a cluster) affected will be 28 assigned such time off using a system of rotation. 30 3. Regular nurses working an extra shift on the shift of the patient care unit and/or cluster (for those units in a cluster) affected will be assigned such time off using a system of rotation. 4. Volunteers to take the time off (both regular and per intermittently employedper diem nurses) shall be 31 sought in the shift of the patient care unit, then the cluster (for those units 32 in a cluster) affected, and then all medical surgical units together (for 33 medical surgical units only) using the “Wants Off” list). For purposes of the 34 preceding sentence, a “same shift and unit” unit and/or cluster (for those units 35 in a cluster)” exists where both the volunteer and the per intermittently employedper diem nurse on a 1 shift of the same patient care unit and/or cluster (for those units in a 2 cluster) have the same starting and ending times for that shift. 4 4. Regular nurses working an extra shift on the shift of the patient care unit 5 and/or cluster (for those units in a cluster) affected will be assigned such 6 time off using a system of rotation listed below. (a) Lists of requested voluntary Low Census will be maintained in the 8 patient care unit and/or staffing office (for those units using the 9 staffing office); 11 ; (b) Volunteers will have the option of indicating preference for taking 12 the full shift off, partial shift, or being placed on standby, as follows: 13 i. The nurse must designate his or her preference related to 14 Xxxxxxx Standby at the time the nurse places his or her name on the 15 list. 16 ii. Such preference will be considered by the Medical Center in 17 determining which nurse will be given the Low Census, 18 based on the determination as to the standby needs for the 19 unit then the cluster (for those units in a cluster) (e.g., with or 20 without standby). Where multiple requests are received for 21 the same status of voluntary low census (e.g., with or without 22 standby), the earliest request(s) will be given preference and 23 the order will be viewable by nurses on-line from a nurse’s 24 home, provided that a nurse on the same unit or cluster is 25 qualified to perform the work of the nurse given the time off. 26 a. The parties agree that a nurse may not file a grievance if 27 he/she was not selected for voluntary low census 28 because the Medical Center determined that it needed a 29 nurse who was willing to be on standby. 31 b. The parties also acknowledge that the Medical Center 32 may assign Low Census to a nurse in the categories 33 below, if the only volunteer does not indicate the standby 34 preference needed by the Medical Centerneeded 1 c. The Medical Center is responsible for calling nurses on 2 standby, if they are needed to work. 4 d. A nurse from a medical surgical unit who elects voluntary 5 standby will be on standby for any medical surgical unit. 7 5. Per Intermittently employedPer diem nurses on the shift of the patient care unit and/or cluster (for 8 those units in a cluster) affected will be assigned such time off using a 9 system of rotation. 11 6. No nurse will be asked to take mandatory low census beyond a cap of 12 twenty four (24) hours per scheduling period, and not to exceed one 13 hundred sixty eight (168) hours in a calendar year, with the exception of 14 emergency situations. It is the responsibility of the nurse to inform the 15 nurse’s manager that the cap on low census has been reached in the 16 scheduling period. 18 7. The remaining regular • Regular nurses eligible for any time-and-one-half or greater premium for working on the shift of the patient care unit and/or 20 all Med-Surg cluster (for those units will be counted togetherin a cluster) affected will be assigned based on 21 who has the lowest “Factor” such time off using a system of rotation. • Regular nurses working an extra shift on the low census list and who has not 22 reached their cap shift of the patient care unit and/or cluster (for the scheduling period or year: 23 (athose units in a cluster) For the purpose of mandatory low census the clusters are (a) all 24 medical/surgical together and (b) all critical care units together. If 25 there are no opportunities to work within the cluster the nurse may 26 affected will be assigned to work any responsibilities within nursing servicessuch time off using a system of rotation.

Low Census. 18 22 A. In the event of nurses not working all or part of one of their scheduled working 19 days at 23 the request of the Medical Center, the following order for assigning time off shall 20 be used, 24 provided the nurse remaining on the unit is qualified to perform the 21 assignment: 22 25 1. Agency or traveler nurses, followed by Sharecare nurses, will be assigned 23 time 26 off. 25 28 2. Regular nurses eligible for any time-and-one-half (1 ½ ) or other premium (for 26 example, overtime and/or incentive pay) for working on the shift of the 27 patient care unit and/or cluster (for those units in a cluster) affected will be 28 assigned such time off using a system of rotation.for 30 33 3. Volunteers to take the time off (both regular and per diem nurses) shall be 31 sought 34 in the shift of the patient care unit, then the cluster (for those units 32 in a cluster) affected, 35 and then all medical surgical units together (for 33 medical surgical units only) using the “Wants Off” list). For 36 purposes of the 34 preceding sentence, a “same shift and unit” unit and/or cluster (for those units 35 1 in a cluster)” exists where both the volunteer and the per diem nurse on a 1 shift of the 2 same patient care unit and/or cluster (for those units in a 2 cluster) have the same starting 3 and ending times for that shift. 4 5 4. Regular nurses working an extra shift on the shift of the patient care unit 5 and/or cluster (for those units in a cluster) affected will be assigned such 6 time off using a 7 system of rotation listed below. rotation. 8 (a) Lists Li 9 ca 10 (b) X 00 xx 00 x. 00 00 00 ii. 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 sts of requested voluntary Low Census will be maintained in the 8 patient care re unit and/or staffing office (for those units using the 9 staffing office); 11 (b) Volunteers olunteers will have the option of indicating preference for taking 12 the full shift ift off, partial shift, or being placed on standby, as follows 13 i. : The nurse must designate his or her preference related to 14 Xxxxxxx Standby at the time the nurse places his or her name on the 15 list. 16 ii. Such preference will be considered by the Medical Center in 17 determining which nurse will be given the Low Census, 18 based on the determination as to the standby needs for the 19 unit then the cluster (for those units in a cluster) (e.g., with or 20 without standby). Where multiple requests are received for 21 the same status of voluntary low census (e.g., with or without 22 standby), the earliest request(s) will be given preference and 23 the order will be viewable by nurses on-line from a nurse’s 24 home, provided that a nurse on the same unit or cluster is 25 qualified to perform the work of the nurse given the time off. 26 a. a) The parties agree that a nurse may not file a grievance if 27 he/she was not selected for voluntary low census 28 because the Medical Center determined that it needed a 29 nurse who was willing to be on standby. 31 b. b) The parties also acknowledge that the Medical Center 32 may assign Low Census to a nurse in the categories 33 below, if the only volunteer does not indicate the standby 34 preference needed by the Medical Center. 1 c. c) The Medical Center is responsible for calling nurses on 2 standby, if they are needed to work. 4 d. A nurse from a medical surgical unit who elects voluntary 5 standby will be on standby for any medical surgical unit. 7 5. Per diem nurses on the shift of the patient care unit and/or cluster (for 8 those units in a cluster) affected will be assigned such time off using a 9 system of rotation. 11 6. No nurse will be asked to take mandatory low census beyond a cap of 12 twenty four (24) hours per scheduling period, and not to exceed one 13 hundred sixty eight (168) hours in a calendar year, with the exception of 14 emergency situations. It is the responsibility of the nurse to inform the 15 nurse’s manager that the cap on low census has been reached in the 16 scheduling period. 18 7. The remaining regular nurses on the shift of the patient care unit and/or 20 all Med-Surg units will be counted together) will be assigned based on 21 who has the lowest “Factor” on the low census list and who has not 22 reached their cap for the scheduling period or year: 23 (a) For the purpose of mandatory low census the clusters are (a) all 24 medical/surgical together and (b) all critical care units together. If 25 there are no opportunities to work within the cluster the nurse may 26 be assigned to work any responsibilities within nursing services.

Low Census. 18 A. In the event of nurses not working all or part of one of their scheduled working 19 days at the request of the Medical Center, the following order for assigning time off shall 20 be used, provided the nurse remaining on the unit is qualified to perform the 21 assignment: 22 1. Agency or traveler nurses, followed by Sharecare nurses, will be assigned 23 time off. 25 2. Regular nurses eligible for any time-and-one-half (1 ½ )½) or other greater premium (for 26 example, overtime and/or incentive pay) for working on the shift of the 27 patient care unit and/or cluster (for those units in a cluster) affected will be 28 assigned such time off using a system of rotation. 30 3. Volunteers to take the time off (both regular and per diem nurses) shall be 31 sought in the shift of the patient care unit, then the cluster (for those units 32 in a cluster) affected, and then all medical surgical units together (for 33 medical surgical units only) using the “Wants Off” list. .. For purposes of the 34 preceding sentence, a “same shift and unit” and/or cluster (for those units 35 in a cluster)” exists where both the volunteer and the per diem nurse on a 1 shift of the same patient care unit and/or cluster (for those units in a 2 cluster) have the same starting and ending times for that shift. 4 4. Regular nurses working an extra shift on the shift of the patient care unit 5 and/or cluster (for those units in a cluster) affected will be assigned such 6 time off using a system of rotation listed below. (a) Lists of requested voluntary Low Census will be maintained in the 8 patient care unit and/or staffing office (for those units using the 9 staffing office); 11 ; (b) Volunteers will have the option of indicating preference for taking 12 the full shift off, partial shift, or being placed on standby, as follows: 13 i. The nurse must designate his or her preference related to 14 Xxxxxxx Standby at the time the nurse places his or her name on the 15 list. 16 ii. Such preference will be considered by the Medical Center in 17 determining which nurse will be given the Low Census, 18 based on the determination as to the standby needs for the 19 unit then the cluster (for those units in a cluster) (e.g., with or 20 without standby). Where multiple requests are received for 21 the same status of voluntary low census (e.g., with or without 22 standby), the earliest request(s) will be given preference and 23 the order will be viewable by nurses on-line from a nurse’s 24 home, provided that a nurse on the same unit or cluster is 25 qualified to perform the work of the nurse given the time off. 26 a. The parties agree that a nurse may not file a grievance if 27 he/she was not selected for voluntary low census 28 because the Medical Center determined that it needed a 29 nurse who was willing to be on standby. 31 b. The parties also acknowledge that the Medical Center 32 may assign Low Census to a nurse in the categories 33 below, if the only volunteer does not indicate the standby 34 preference needed by the Medical Center. 1 c. The Medical Center is responsible for calling nurses on 2 standby, if they are needed to work. 4 d. A nurse from a medical surgical unit who elects voluntary 5 standby will be on standby for any medical surgical unit. 7 5. Per diem nurses on the shift of the patient care unit and/or cluster (for 8 those units in a cluster) affected will be assigned such time off using a 9 system of rotation. 11 6. No nurse will be asked to take mandatory low census beyond a cap of 12 twenty four (24) hours per scheduling period, and not to exceed one 13 hundred sixty eight (168) hours in a calendar year, with the exception of 14 emergency situations. It is the responsibility of the nurse to inform the 15 nurse’s manager that the cap on low census has been reached in the 16 scheduling period. 18 7. The remaining regular nurses on the shift of the patient care unit and/or 20 all Med-Surg units will be counted together) will be assigned based on 21 who has the lowest “Factor” on the low census list and who has not 22 reached their cap for the scheduling period or year: 23 (a) For the purpose of mandatory low census the clusters are (a) all 24 medical/surgical together and (b) all critical care units together. If 25 there are no opportunities to work within the cluster the nurse may 26 be assigned to work any responsibilities within nursing services.

Low Census. 18 14 A. In the event of nurses not working all or part of one (1) of their scheduled 15 working 19 days at the request of the Medical Center, the following order for 16 assigning time off shall 20 be used, provided the nurse remaining on the unit is 17 qualified to perform the 21 assignment: 22 18 1. Agency or traveler nurses, followed by Sharecare nurses, will be assigned 23 time off. 25 2. Regular nurses eligible for any time-and-one-half or other premium (for 26 example, overtime and/or incentive pay) for working on the shift of the 27 patient care unit and/or cluster (for those units in a cluster) affected will be 28 assigned such time off using a system of rotation. 30 3. Volunteers to take the time off (both regular and per diem nurses) shall be 31 sought in the shift of the patient care unit, then the cluster (for 20 those units 32 in a cluster) affected, and then all medical surgical units 21 together (for 33 medical surgical units only) using the “Wants Off” list. For 22 purposes of the 34 preceding sentence, a “same shift and unit” and/or 23 cluster (for those units 35 in a cluster)” exists where both the volunteer 24 and the per diem nurse on a 1 shift of the same patient care unit and/or cluster (for those units in a 2 cluster) have the same starting and ending times for that shift. 4 4. Regular nurses working an extra shift on the shift of the patient care unit 5 and/or 25 cluster (for those units in a cluster) affected will be assigned such 6 time off using a system of rotation listed have the same starting and ending 26 times for that shift, consistent with Section B below. (a) Lists of requested voluntary Low Census 28 2. Agency or traveler nurses, followed by Sharecare nurses, will be maintained in the 8 patient care unit and/or staffing office (for those units using the 9 staffing office); 11 (b) Volunteers will have the option of indicating preference for taking 12 the full shift off, partial shift, or being placed on standby, as follows 13 i. The nurse must designate his or her preference related to 14 Xxxxxxx at the time the nurse places his or her name on the 15 list. 16 ii. Such preference will be considered by the Medical Center in 17 determining which nurse will be given the Low Census, 18 based on the determination as to the standby needs for the 19 unit then the cluster (for those units in a cluster) (e.g., with or 20 without standby). Where multiple requests are received for 21 the same status of voluntary low census (e.g., with or without 22 standby), the earliest request(s) will be given preference and 23 the order will be viewable by nurses on-line from a nurse’s 24 home, provided that a nurse on the same unit or cluster is 25 qualified to perform the work of the nurse given the 29 assigned time off. 26 a. The parties agree that a nurse may not file a grievance if 27 he/she was not selected for voluntary low census 28 because the Medical Center determined that it needed a 29 nurse who was willing to be on standby. 31 b. The parties also acknowledge that the Medical Center 32 may assign Low Census to a nurse in the categories 33 below, if the only volunteer does not indicate the standby 34 preference needed by the Medical Center 1 c. The Medical Center is responsible for calling nurses on 2 standby, if they are needed to work. 4 d. A nurse from a medical surgical unit who elects voluntary 5 standby will be on standby for any medical surgical unit. 7 53. Per diem and Regular nurses eligible for any time-and-one-half (1½) 32 or other premium (for example, overtime and/or incentive pay) for 1 working on the shift of the patient care unit and/or cluster (for 8 those 2 units in a cluster) affected will be assigned such time off using a 9 3 system of rotation. Per diem nurses shall be assigned low census 4 prior to regular nurses. 11 66 4. No nurse will be asked to take mandatory low census beyond a cap of 12 twenty Per diem nurses who have worked twenty-four (24) hours per scheduling period, and in a week 7 will be assigned low census prior to Per diem nurses who have not to exceed one 13 hundred sixty eight yet 8 worked twenty-four (16824) hours in a calendar yearweek. When no per diem nurse has 9 worked twenty-four (24) hours in a week, with per diem nurses will be 10 assigned low-census using the exception system of 14 emergency situations. It is rotation visible to all nurses 11 on the responsibility of the nurse to inform the 15 nurse’s manager that the cap on low census has been reached in the 16 scheduling periodProvidence Employee Intranet. 18 713 5. The remaining regular nurses on the shift of the patient care unit 14 and/or 20 cluster (for those units in a cluster) affected (for the Med-Surg 15 units only, all Med-Surg units will be counted together) will be 16 assigned mandatory low census based on 21 who has the lowest “Factor” 17 on the low census list and who has not 22 reached their cap for the 18 scheduling period or year: 23 19 (a) For the purpose of mandatory low census the clusters are (a) all 24 20 medical/surgical together and (b) all critical care units together (c) 21 all maternal/child units together (d) all mental health units 22 together. If 25 there are no opportunities to work within the cluster the 23 nurse may 26 be assigned to work any responsibilities within nursing services.24 services consistent with the terms of Article 9, Floating. 25

Low Census. 18 2 A. In the event of nurses not working all or part of one of their scheduled 3 working 19 days at the request of the Medical Center, the following order for assigning time 4 off shall 20 be used, provided the nurse remaining on the unit is qualified to perform the 21 5 assignment: 22 6 1. Agency or traveler nurses, followed by Sharecare nurses, will be assigned 23 time off. 25 2. Regular Intermittently employed nurses eligible for any time-and-one-half or other premium (for 26 example, overtime and/or incentive pay) for working on the shift of the 27 patient care unit and/or cluster (for those units in a cluster) affected will be 28 assigned such time off using a system of rotation. 30 3. Volunteers to take the time off (both regular and per diem nurses) shall be 31 sought in the shift of the patient care unit, then the cluster (for those units 32 in a cluster) affected, and then all medical surgical units together (for 33 medical surgical units only) using the “Wants Off” list. For purposes of the 34 preceding sentence, a “same shift and unit” and/or cluster (for those units 35 in a cluster)” exists where both the volunteer and the per diem nurse on a 1 shift of the same patient care unit and/or cluster (for those units in a 2 cluster) have the same starting and ending times for that shift. 4 4. Regular nurses working an extra shift on the shift of the patient care unit 5 7 and/or cluster (for those units in a cluster) affected will be assigned such 6 time off 8 using a system of rotation listed belowrotation. 9 2. Volunteers to take the time off shall be sought in the shift of the 10 patient care unit and/or cluster (afor those units in a cluster) affected. The Medical 11 Center and a regular nurse volunteer may agree that the nurse will take the time 12 off ahead of an intermittently employed nurse on the same shift and unit and/or 13 cluster (for those units in a cluster). For purposes of the preceding sentence, a 14 “same shift and unit and/or cluster (for those units in a cluster)” exists where both 15 the volunteer and the intermittently employed nurse on a shift of the same patient 16 care unit and/or cluster (for those units in a cluster) have the same starting and 17 ending times for that shift. 18 a. For the purpose of voluntary low census the clusters are 20 b. a. Lists of requested voluntary Low Census will be maintained 21 in the 8 patient care unit and/or staffing office (for those units using the 9 22 staffing office); 11 (b) . Sign up will be made available when schedules are 23 posted per Article 9 of this agreement. 24 c. b. Volunteers will have the option of indicating preference for 25 taking 12 the full shift off, partial shift, or being placed on standby, as follows: 13 i. 26 1. The nurse must designate his or her preference related 27 to 14 Xxxxxxx Standby at the time the nurse places his or her name 28 on the 15 list. 16 ii1 2. Such preference will be considered by the Medical 2 Center in 17 determining which nurse will be given the Low 3 Census, 18 based on the determination as to the standby 4 needs for the 19 unit then the and/or cluster (for those units in a 5 cluster) (e.g., with or 20 without standby). Where multiple 6 requests are received for 21 the same status of voluntary 7 low census (e.g., with or without 22 standby), the earliest 8 request(s) will be given preference and 23 the order will be 9 viewable by nurses on-line from a nurse’s 24 home, 10 provided that a nurse on the same unit or cluster is 25 11 qualified to perform the work of the nurse given the time 12 off. 26 13 a. The parties agree that a nurse may not file a 14 grievance if 27 he/she was not selected for voluntary low 15 census 28 because the Medical Center determined that it 16 needed a 29 nurse who was willing to be on standby. 31 17 b. The parties also acknowledge that the Medical Center 32 18 may assign Low Census to a nurse in the categories 33 19 below, if the only volunteer does not indicate the 20 standby 34 preference needed by the Medical Center. 1 21 c. The Medical Center is responsible for calling nurses 22 on 2 standby, if they are needed to work. 4 d. A nurse from a medical surgical unit who elects voluntary 5 standby will be on standby 23 3. Regular nurses eligible for any medical surgical unit. 7 5. Per diem nurses time-and-one-half or greater 24 premium for working on the shift of the patient care unit and/or cluster (for 8 those 25 units in a cluster) affected will be assigned such time off using a 9 system of 26 rotation. 27 4. Regular nurses working an extra shift on the shift of the patient care 28 unit and/or cluster (for those units in a cluster) affected will be assigned such 29 time off using a system of rotation. 11 6. No nurse will be asked to take mandatory low census beyond a cap of 12 twenty four (24) hours per scheduling period, and not to exceed one 13 hundred sixty eight (168) hours in a calendar year, with the exception of 14 emergency situations. It is the responsibility of the nurse to inform the 15 nurse’s manager that the cap on low census has been reached in the 16 scheduling period. 18 71 5. The remaining regular nurses on the shift of the patient care unit 2 and/or 20 all Med-Surg cluster (for those units will be counted togetherin a cluster) affected will be assigned based on 21 3 who has the lowest “Factor” on the low census list and who has not 22 reached their cap for the scheduling period or yeara “Mandatory List”: 23 (a) 4 a. For the purpose of mandatory low census the clusters are (a) all 24 medical/surgical together and (b) all critical care units together. If 25 there are no opportunities to work within the cluster the nurse may 26 be assigned to work any responsibilities within nursing services.clusters

Low Census. 18 ‌ 11 A. In the event of nurses not working all or part of one (1) of their scheduled 12 working 19 days at the request of the Medical Center, the following order for 13 assigning time off shall 20 be used, provided the nurse remaining on the unit is 14 qualified to perform the 21 assignment: 22 15 1. Agency or traveler nurses, followed by Sharecare nurses, will be assigned 23 time off. 25 2. Regular nurses eligible for any time-and-one-half or other premium (for 26 example, overtime and/or incentive pay) for working on the shift of the 27 patient care unit and/or cluster (for those units in a cluster) affected will be 28 assigned such time off using a system of rotation. 30 3. Volunteers to take the time off (both regular and per diem nurses) 16 shall be 31 sought in the shift of the patient care unit, then the cluster (for 17 those units 32 in a cluster) affected, and then all medical surgical units 18 together (for 33 medical surgical units only) using the “Wants Off” list. For 19 purposes of the 34 preceding sentence, a “same shift and unit” and/or 20 cluster (for those units 35 in a cluster)” exists where both the volunteer 21 and the per diem nurse on a 1 shift of the same patient care unit and/or cluster (for those units in a 2 cluster) have the same starting and ending times for that shift. 4 4. Regular nurses working an extra shift on the shift of the patient care unit 5 and/or 22 cluster (for those units in a cluster) affected will be assigned such 6 time off using a system of rotation listed have the same starting and ending 23 times for that shift, consistent with Section B below. (a) Lists of requested voluntary Low Census 25 2. Agency or traveler nurses, followed by Sharecare nurses, will be maintained in the 8 patient care unit and/or staffing office (for those units using the 9 staffing office); 11 (b) Volunteers will have the option of indicating preference for taking 12 the full shift off, partial shift, or being placed on standby, as follows 13 i. The nurse must designate his or her preference related to 14 Xxxxxxx at the time the nurse places his or her name on the 15 list. 16 ii. Such preference will be considered by the Medical Center in 17 determining which nurse will be given the Low Census, 18 based on the determination as to the standby needs for the 19 unit then the cluster (for those units in a cluster) (e.g., with or 20 without standby). Where multiple requests are received for 21 the same status of voluntary low census (e.g., with or without 22 standby), the earliest request(s) will be given preference and 23 the order will be viewable by nurses on-line from a nurse’s 24 home, provided that a nurse on the same unit or cluster is 25 qualified to perform the work of the nurse given the 26 assigned time off. 26 a. The parties agree that a nurse may not file a grievance if 27 he/she was not selected for voluntary low census 28 because the Medical Center determined that it needed a 29 nurse who was willing to be on standby. 31 b. The parties also acknowledge that the Medical Center 32 may assign Low Census to a nurse in the categories 33 below, if the only volunteer does not indicate the standby 34 preference needed by the Medical Center 1 c. The Medical Center is responsible for calling nurses on 2 standby, if they are needed to work. 4 d. A nurse from a medical surgical unit who elects voluntary 5 standby will be on standby for any medical surgical unit. 7 53. Per diem and Regular nurses eligible for any time-and-one-half (1½) 29 or other premium (for example, overtime and/or incentive pay) for 30 working on the shift of the patient care unit and/or cluster (for 8 those 31 units in a cluster) affected will be assigned such time off using a 9 1 system of rotation.. Per diem nurses shall be assigned low census 11 64 4. No nurse will be asked to take mandatory low census beyond a cap of 12 twenty Per diem nurses who have worked twenty-four (24) hours per scheduling period, and in a week 5 will be assigned low census prior to Per diem nurses who have not to exceed one 13 hundred sixty eight yet 6 worked twenty-four (16824) hours in a calendar yearweek. When no per diem nurse has 7 worked twenty-four (24) hours in a week, with per diem nurses will be 8 assigned low-census using the exception system of 14 emergency situations. It is rotation visible to all nurses 9 on the responsibility of the nurse to inform the 15 nurse’s manager that the cap on low census has been reached in the 16 scheduling periodProvidence Employee Intranet. 18 711 5. The remaining regular nurses on the shift of the patient care unit 12 and/or 20 cluster (for those units in a cluster) affected (for the Med-Surg 13 units only, all Med-Surg units will be counted together) will be 14 assigned mandatory low census based on 21 who has the lowest “Factor” 15 on the low census list and who has not 22 reached their cap for the 16 scheduling period or year: 23 17 (a) For the purpose of mandatory low census the clusters are (a) all 24 18 medical/surgical together and (b) all critical care units together (c) 19 all maternal/child units together (d) all mental health units 20 together. If 25 there are no opportunities to work within the cluster the 21 nurse may 26 be assigned to work any responsibilities within nursing services.22 services consistent with the terms of Article 9, Floating. 23

Low Census. 18 A. In the event of nurses not working all or part of one of their scheduled working 19 days at the request of the Medical Center, the following order for assigning time off shall 20 be used, provided the nurse remaining on the unit is qualified to perform the 21 assignment: 22 1. Agency or traveler nurses, followed by Sharecare nurses, will be assigned 23 time off. 25 2. Regular nurses eligible for any time-and-one-half or other premium (for 26 example, overtime and/or incentive pay) for working on the shift of the 27 patient care unit and/or cluster (for those units in a cluster) affected will be 28 assigned such time off using a system of rotation. 30 3. Volunteers to take the time off (both regular and per diem intermittently employed nurses) shall be 31 sought in the shift of the patient care unit, then the cluster (for those units 32 in a cluster) affected, and then all medical surgical units together (for 33 medical surgical units only) using the “Wants Off” list). For purposes of the 34 preceding sentence, a “same shift and unit” unit and/or cluster (for those units 35 in a cluster)” exists where both the volunteer and the per diem intermittently employed nurse on a 1 shift of the same patient care unit and/or cluster (for those units in a 2 cluster) have the same starting and ending times for that shift. 4 4. Regular nurses working an extra shift on the shift of the patient care unit 5 and/or cluster (for those units in a cluster) affected will be assigned such 6 time off using a system of rotation listed below. (a) Lists of requested voluntary Low Census will be maintained in the 8 patient care unit and/or staffing office (for those units using the 9 staffing office); 11 ; (b) Volunteers will have the option of indicating preference for taking 12 the full shift off, partial shift, or being placed on standby, as follows: 13 i. The nurse must designate his or her preference related to 14 Xxxxxxx Standby at the time the nurse places his or her name on the 15 list. 16 ii. Such preference will be considered by the Medical Center in 17 determining which nurse will be given the Low Census, 18 based on the determination as to the standby needs for the 19 unit then the cluster (for those units in a cluster) (e.g., with or 20 without standby). Where multiple requests are received for 21 the same status of voluntary low census (e.g., with or without 22 standby), the earliest request(s) will be given preference and 23 the order will be viewable by nurses on-line from a nurse’s 24 home, provided that a nurse on the same unit or cluster is 25 qualified to perform the work of the nurse given the time off. 26 a. The parties agree that a nurse may not file a grievance if 27 he/she was not selected for voluntary low census 28 because the Medical Center determined that it needed a 29 nurse who was willing to be on standby. 31 b. The parties also acknowledge that the Medical Center 32 may assign Low Census to a nurse in the categories 33 below, if the only volunteer does not indicate the standby 34 preference needed by the Medical Center. 1 c. The Medical Center is responsible for calling nurses on 2 standby, if they are needed to work. 4 d. A nurse from a medical surgical unit who elects voluntary 5 standby will be on standby for any medical surgical unit. 7 53. Per diem Intermittently employed nurses on the shift of the patient care unit and/or cluster (for 8 those units in a cluster) affected will be assigned such time off using a 9 system of rotation. 11 64. No nurse Regular nurses eligible for any time-and-one-half or greater premium for working on the shift of the patient care unit and/or cluster (for those units in a cluster) affected will be asked to take mandatory low census beyond assigned such time off using a cap system of 12 twenty four rotation. 5. Regular nurses working an extra shift on the shift of the patient care unit and/or cluster (24) hours per scheduling period, and not to exceed one 13 hundred sixty eight (168) hours for those units in a calendar year, with the exception cluster) affected will be assigned such time off using a system of 14 emergency situations. It is the responsibility of the nurse to inform the 15 nurse’s manager that the cap on low census has been reached in the 16 scheduling periodrotation. 18 76. The remaining regular nurses on the shift of the patient care unit and/or 20 all Med-Surg cluster (for those units will be counted togetherin a cluster) affected will be assigned based on 21 who has the lowest “Factor” on the low census list and who has not 22 reached their cap for the scheduling period or yeara “Mandatory List”: 23 (a) For the purpose of mandatory low census the clusters are (a) all 24 medical/surgical together and (b) all critical care units together. If 25 there are no opportunities to work within the cluster the nurse may 26 be assigned to work any responsibilities within nursing services.

Low Census. 18 11 A. In the event of nurses not working all or part of one (1) of their scheduled 12 working 19 days at the request of the Medical Center, the following order for 13 assigning time off shall 20 be used, provided the nurse remaining on the unit is 14 qualified to perform the 21 assignment: 22 15 1. Agency or traveler nurses, followed by Sharecare nurses, will be assigned 23 time off. 25 2. Regular nurses eligible for any time-and-one-half or other premium (for 26 example, overtime and/or incentive pay) for working on the shift of the 27 patient care unit and/or cluster (for those units in a cluster) affected will be 28 assigned such time off using a system of rotation. 30 3. Volunteers to take the time off (both regular and per diem nurses) 16 shall be 31 sought in the shift of the patient care unit, then the cluster (for 17 those units 32 in a cluster) affected, and then all medical surgical units 18 together (for 33 medical surgical units only) using the “Wants Off” list. For 19 purposes of the 34 preceding sentence, a “same shift and unit” and/or 20 cluster (for those units 35 in a cluster)” exists where both the volunteer 21 and the per diem nurse on a 1 shift of the same patient care unit and/or cluster (for those units in a 2 cluster) have the same starting and ending times for that shift. 4 4. Regular nurses working an extra shift on the shift of the patient care unit 5 and/or 22 cluster (for those units in a cluster) affected will be assigned such 6 time off using a system of rotation listed have the same starting and ending 23 times for that shift, consistent with Section B below. (a) Lists of requested voluntary Low Census 25 2. Agency or traveler nurses, followed by Sharecare nurses, will be maintained in the 8 patient care unit and/or staffing office (for those units using the 9 staffing office); 11 (b) Volunteers will have the option of indicating preference for taking 12 the full shift off, partial shift, or being placed on standby, as follows 13 i. The nurse must designate his or her preference related to 14 Xxxxxxx at the time the nurse places his or her name on the 15 list. 16 ii. Such preference will be considered by the Medical Center in 17 determining which nurse will be given the Low Census, 18 based on the determination as to the standby needs for the 19 unit then the cluster (for those units in a cluster) (e.g., with or 20 without standby). Where multiple requests are received for 21 the same status of voluntary low census (e.g., with or without 22 standby), the earliest request(s) will be given preference and 23 the order will be viewable by nurses on-line from a nurse’s 24 home, provided that a nurse on the same unit or cluster is 25 qualified to perform the work of the nurse given the 26 assigned time off. 26 a. The parties agree that a nurse may not file a grievance if 27 he/she was not selected for voluntary low census 28 because the Medical Center determined that it needed a 29 nurse who was willing to be on standby. 31 b. The parties also acknowledge that the Medical Center 32 may assign Low Census to a nurse in the categories 33 below, if the only volunteer does not indicate the standby 34 preference needed by the Medical Center 1 c. The Medical Center is responsible for calling nurses on 2 standby, if they are needed to work. 4 d. A nurse from a medical surgical unit who elects voluntary 5 standby will be on standby for any medical surgical unit. 7 53. Per diem and Regular nurses eligible for any time-and-one-half (1½) 29 or other premium (for example, overtime and/or incentive pay) for 30 working on the shift of the patient care unit and/or cluster (for 8 those 31 units in a cluster) affected will be assigned such time off using a 9 1 system of rotation.. Per diem nurses shall be assigned low census 11 64 4. No nurse will be asked to take mandatory low census beyond a cap of 12 twenty Per diem nurses who have worked twenty-four (24) hours per scheduling period, and in a week 5 will be assigned low census prior to Per diem nurses who have not to exceed one 13 hundred sixty eight yet 6 worked twenty-four (16824) hours in a calendar yearweek. When no per diem nurse has 7 worked twenty-four (24) hours in a week, with per diem nurses will be 8 assigned low-census using the exception system of 14 emergency situations. It is rotation visible to all nurses 9 on the responsibility of the nurse to inform the 15 nurse’s manager that the cap on low census has been reached in the 16 scheduling periodProvidence Employee Intranet. 18 711 5. The remaining regular nurses on the shift of the patient care unit 12 and/or 20 cluster (for those units in a cluster) affected (for the Med-Surg 13 units only, all Med-Surg units will be counted together) will be 14 assigned mandatory low census based on 21 who has the lowest “Factor” 15 on the low census list and who has not 22 reached their cap for the 16 scheduling period or year: 23 17 (a) For the purpose of mandatory low census the clusters are (a) all 24 18 medical/surgical together and (b) all critical care units together (c) 19 all maternal/child units together (d) all mental health units 20 together. If 25 there are no opportunities to work within the cluster the 21 nurse may 26 be assigned to work any responsibilities within nursing services.22 services consistent with the terms of Article 9, Floating. 23

Low Census. 18 A. In the event of nurses not working all or part of one of their scheduled working 19 days at the request of the Medical Center, the following order for assigning time off shall 20 be used, provided the nurse remaining on the unit is qualified to perform the 21 assignment: 22 1. Agency or traveler nurses, followed by Sharecare nurses, will be assigned 23 time off. 25 2. Regular nurses eligible for any time-and-one-half (1 ½ ) or other greater premium (for 26 example, overtime and/or incentive pay) for working on the shift of the 27 patient care unit and/or cluster (for those units in a cluster) affected will be 28 assigned such time off using a system of rotation. 30 3. Volunteers to take the time off (both regular and per diem nurses) shall be 31 sought in the shift of the patient care unit, then the cluster (for those units 32 in a cluster) affected, and then all medical surgical units together (for 33 medical surgical units only) using the “Wants Off” list). For purposes of the 34 preceding sentence, a “same shift and unit” unit and/or cluster (for those units 35 in a cluster)” exists where both the volunteer and the per diem nurse on a 1 shift of the same patient care unit and/or cluster (for those units in a 2 cluster) have the same starting and ending times for that shift. 4 4. Regular nurses working an extra shift on the shift of the patient care unit 5 and/or cluster (for those units in a cluster) affected will be assigned such 6 time off using a system of rotation listed belowrotation. (a) Lists of requested voluntary Low Census will be maintained in the 8 patient care unit and/or staffing office (for those units using the 9 staffing office); 11 ; (b) Volunteers will have the option of indicating preference for taking 12 the full shift off, partial shift, or being placed on standby, as follows: 13 i. The nurse must designate his or her preference related to 14 Xxxxxxx Standby at the time the nurse places his or her name on the 15 list. 16 ii. Such preference will be considered by the Medical Center in 17 determining which nurse will be given the Low Census, 18 based on the determination as to the standby needs for the 19 unit then the cluster (for those units in a cluster) (e.g., with or 20 without standby). Where multiple requests are received for 21 the same status of voluntary low census (e.g., with or without 22 standby), the earliest request(s) will be given preference and 23 the order will be viewable by nurses on-line from a nurse’s 24 home, provided that a nurse on the same unit or cluster is 25 qualified to perform the work of the nurse given the time off. 26 a. The parties agree that a nurse may not file a grievance if 27 he/she was not selected for voluntary low census 28 because the Medical Center determined that it needed a 29 nurse who was willing to be on standby. 31 b. The parties also acknowledge that the Medical Center 32 may assign Low Census to a nurse in the categories 33 below, if the only volunteer does not indicate the standby 34 preference needed by the Medical Center. 1 c. The Medical Center is responsible for calling nurses on 2 standby, if they are needed to work. 4 d. A nurse from a medical surgical unit who elects voluntary 5 standby will be on standby for any medical surgical unit. 7 5. Per diem nurses on the shift of the patient care unit and/or cluster (for 8 those units in a cluster) affected will be assigned such time off using a 9 system of rotation. 11 6. No nurse will be asked to take mandatory low census beyond a cap of 12 twenty four (24) hours per scheduling period, and not to exceed one 13 hundred sixty eight (168) hours in a calendar year, with the exception of 14 emergency situations. It is the responsibility of the nurse to inform the 15 nurse’s manager that the cap on low census has been reached in the 16 scheduling period. 18 7. The remaining regular nurses on the shift of the patient care unit and/or 20 all Med-Surg cluster (for those units will be counted togetherin a cluster) affected will be assigned based on 21 who has the lowest “Factor” on the low census list and who has not 22 reached their cap for the scheduling period or yeara “Mandatory List”: 23 (a) For the purpose of mandatory low census the clusters are (a) all 24 medical/surgical together and (b) all critical care units together. If 25 there are no opportunities to work within the cluster the nurse may 26 be assigned to work any responsibilities within nursing services.