Common use of Low Census Clause in Contracts

Low Census. A. In the event of nurses not working all or part of one of their scheduled working days at the request of the Medical Center, the following order for assigning time off shall be used, provided the nurse remaining on the unit is qualified to perform the assignment: 1. Agency or traveler nurses, followed by Sharecare nurses, will be assigned time off. 2. Regular nurses eligible for any time-and-one-half (1 ½ ) or greater premium (for example, overtime and/or incentive pay) for working 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. 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 intermittently employedper diem nurses) shall be sought in the shift of the patient care unit, then the cluster (for those units in a cluster) affected, and then all medical surgical units together (for medical surgical units only). For purposes of the preceding sentence, a “same shift and unit and/or cluster (for those units in a cluster)” exists where both the volunteer and the intermittently employedper diem nurse on a shift of the same patient care unit and/or cluster (for those units in a cluster) have the same starting and ending times for that shift. (a) Lists of requested voluntary Low Census will be maintained in the patient care unit and/or staffing office (for those units using the staffing office); (b) Volunteers will have the option of indicating preference for taking the full shift off, partial shift, or being placed on standby, as follows: i. The nurse must designate his or her preference related to Standby at the time the nurse places his or her name on the list. ii. Such preference will be considered by the Medical Center in determining which nurse will be given the Low Census, based on the determination as to the standby needs for the unit then the cluster (for those units in a cluster) (e.g., with or without standby). Where multiple requests are received for the same status of voluntary low census (e.g., with or without standby), the earliest request(s) will be given preference and the order will be viewable by nurses on-line from a nurse’s home, provided that a nurse on the same unit or cluster is qualified to perform the work of the nurse given the time off. a. The parties agree that a nurse may not file a grievance if he/she was not selected for voluntary low census because the Medical Center determined that it needed a nurse who was willing to be on standby. b. The parties also acknowledge that the Medical Center may assign Low Census to a nurse in the categories below, if the only volunteer does not indicate the standby preference needed c. The Medical Center is responsible for calling nurses on standby, if they are needed to work. d. A nurse from a medical surgical unit who elects voluntary standby will be on standby for any medical surgical unit. 5. Intermittently employedPer diem nurses 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. • 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 assigned such time off using a system of rotation. • 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.

Low Census. A. In the event of nurses not working all or part of one of their scheduled working days at the request of the Medical Center, the following order for assigning time off shall be used, provided the nurse remaining on the unit is qualified to perform the assignment: 1. Agency or traveler nurses, followed by Sharecare nurses, will be assigned time off. 2. Regular nurses eligible for any time-and-one-half (1 ½ ) or greater premium (for example, overtime and/or incentive pay) for working 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. 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 intermittently employedper diem employed nurses) shall be sought in the shift of the patient care unit, then the cluster (for those units in a cluster) affected, and then all medical surgical units together (for medical surgical units only). For purposes of the preceding sentence, a “same shift and unit and/or cluster (for those units in a cluster)” exists where both the volunteer and the intermittently employedper diem employed nurse on a shift of the same patient care unit and/or cluster (for those units in a cluster) have the same starting and ending times for that shift. (a) Lists of requested voluntary Low Census will be maintained in the patient care unit and/or staffing office (for those units using the staffing office); (b) Volunteers will have the option of indicating preference for taking the full shift off, partial shift, or being placed on standby, as follows: i. The nurse must designate his or her preference related to Standby at the time the nurse places his or her name on the list. ii. Such preference will be considered by the Medical Center in determining which nurse will be given the Low Census, based on the determination as to the standby needs for the unit then the cluster (for those units in a cluster) (e.g., with or without standby). Where multiple requests are received for the same status of voluntary low census (e.g., with or without standby), the earliest request(s) will be given preference and the order will be viewable by nurses on-line from a nurse’s home, provided that a nurse on the same unit or cluster is qualified to perform the work of the nurse given the time off. a. The parties agree that a nurse may not file a grievance if he/she was not selected for voluntary low census because the Medical Center determined that it needed a nurse who was willing to be on standby. b. The parties also acknowledge that the Medical Center may assign Low Census to a nurse in the categories below, if the only volunteer does not indicate the standby preference neededneeded by the Medical Center. c. The Medical Center is responsible for calling nurses on standby, if they are needed to work. d. A nurse from a medical surgical unit who elects voluntary standby will be on standby for any medical surgical unit. 53. Intermittently employedPer diem employed nurses 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. • 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 assigned such time off using a system of rotation. 5. • 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. 6. The remaining regular nurses on the shift of the patient care unit and/or cluster (for those units in a cluster) affected will be assigned based on who has the lowest “Factor” on a “Mandatory List”: (a) For the purpose of mandatory low census the clusters are (a) all medical/surgical together and (b) all critical care units together.

Low Census. ‌ 11 A. In the event of nurses not working all or part of one (1) of their scheduled 12 working days at the request of the Medical Center, the following order for 13 assigning time off shall be used, provided the nurse remaining on the unit is 14 qualified to perform the assignment: 15 1. Agency or traveler nurses, followed by Sharecare nurses, will be assigned time off. 2. Regular nurses eligible for any time-and-one-half (1 ½ ) or greater premium (for example, overtime and/or incentive pay) for working 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. 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 intermittently employedper per diem nurses) 16 shall be sought in the shift of the patient care unit, then the cluster (for 17 those units in a cluster) affected, and then all medical surgical units 18 together (for medical surgical units only)) using the “Wants Off” list. For 19 purposes of the preceding sentence, a “same shift and unit unit” and/or 20 cluster (for those units in a cluster)” exists where both the volunteer 21 and the intermittently employedper per diem nurse on a shift of the same patient care unit and/or 22 cluster (for those units in a cluster) 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 patient care unit and/or staffing office (for those units using the staffing office); (b) Volunteers will have the option of indicating preference for taking the full shift off, partial shift, or being placed on standby, as follows: i. The nurse must designate his or her preference related to Standby at the time the nurse places his or her name on the list. ii. Such preference will be considered by the Medical Center in determining which nurse will be given the Low Census, based on the determination as to the standby needs for the unit then the cluster (for those units in a cluster) (e.g., with or without standby). Where multiple requests are received for the same status of voluntary low census (e.g., with or without standby), the earliest request(s) will be given preference and the order will be viewable by nurses on-line from a nurse’s home, provided that a nurse on the same unit or cluster is qualified to perform the work of the nurse given the 26 assigned time off. a. The parties agree that a nurse may not file a grievance if he/she was not selected for voluntary low census because the Medical Center determined that it needed a nurse who was willing to be on standby. b. The parties also acknowledge that the Medical Center may assign Low Census to a nurse in the categories below, if the only volunteer does not indicate the standby preference needed c. The Medical Center is responsible for calling 28 3. Per diem and Regular nurses on standby, if they are needed to work. d. A nurse from a medical surgical unit who elects voluntary standby will be on standby eligible for any medical surgical unit. 5. Intermittently employedPer diem nurses 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 those 31 units in a cluster) affected will be assigned such time off using a 1 system of rotation. • Regular Per diem nurses eligible for any timeshall be assigned low census 4 4. Per diem nurses who have worked twenty-andfour (24) hours in a week 5 will be assigned low census prior to Per diem nurses who have not yet 6 worked twenty-onefour (24) hours in a week. When no per diem nurse has 7 worked twenty-half or greater premium for working four (24) hours in a week, per diem nurses will be 8 assigned low-census using the system of rotation visible to all nurses 9 on the Providence Employee Intranet. 11 5. The remaining regular nurses on the shift of the patient care unit 12 and/or 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 such time off using a system of rotation. • Regular nurses working an extra shift mandatory low census based on who has the lowest “Factor” 15 on the shift low census list and who has not reached their cap for the 16 scheduling period or year: 17 (a) For the purpose of mandatory low census the patient clusters are (a) all 18 medical/surgical together and (b) all critical care unit and/or units together (c) 19 all maternal/child units together (d) all mental health units 20 together. If there are no opportunities to work within the cluster (for those units in a cluster) affected will the 21 nurse may be assigned such time off using a system to work any responsibilities within nursing 22 services consistent with the terms of rotation.Article 9, Floating. 23

Low Census. A. In the event of nurses not working all or part of one of their scheduled working days at the request of the Medical Center, the following order for assigning time off shall be used, provided the nurse remaining on the unit is qualified to perform the assignment: 1. Agency or traveler nurses, followed by Sharecare nurses, will be assigned time off. 2. Regular nurses eligible for any time-and-one-half (1 ½ ) or greater premium (for example, overtime and/or incentive pay) for working 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. 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 intermittently employedper per diem nurses) shall be sought in the shift of the patient care unit, then the cluster (for those units in a cluster) affected, and then all medical surgical units together (for medical surgical units only). For purposes of the preceding sentence, a “same shift and unit and/or cluster (for those units in a cluster)” exists where both the volunteer and the intermittently employedper per diem nurse on a shift of the same patient care unit and/or cluster (for those units in a cluster) have the same starting and ending times for that shift. 4. 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. (a) Lists of requested voluntary Low Census will be maintained in the patient care unit and/or staffing office (for those units using the staffing office); (b) Volunteers will have the option of indicating preference for taking the full shift off, partial shift, or being placed on standby, as follows: i. The nurse must designate his or her preference related to Standby at the time the nurse places his or her name on the list. ii. Such preference will be considered by the Medical Center in determining which nurse will be given the Low Census, based on the determination as to the standby needs for the unit then the cluster (for those units in a cluster) (e.g., with or without standby). Where multiple requests are received for the same status of voluntary low census (e.g., with or without standby), the earliest request(s) will be given preference and the order will be viewable by nurses on-line from a nurse’s home, provided that a nurse on the same unit or cluster is qualified to perform the work of the nurse given the time off. a. The parties agree that a nurse may not file a grievance if he/she was not selected for voluntary low census because the Medical Center determined that it needed a nurse who was willing to be on standby. b. The parties also acknowledge that the Medical Center may assign Low Census to a nurse in the categories below, if the only volunteer does not indicate the standby preference neededneeded by the Medical Center. c. The Medical Center is responsible for calling nurses on standby, if they are needed to work. d. A nurse from a medical surgical unit who elects voluntary standby will be on standby for any medical surgical unit. 5. Intermittently employedPer Per diem nurses 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. 6. • Regular The remaining 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 assigned such time off using based on who has the lowest “Factor” on a system “Mandatory List”: a) For the purpose of rotation. • Regular nurses working an extra shift on mandatory low census the shift of the patient clusters are (a) all medical/surgical together and (b) all critical care unit and/or cluster (for those units in a cluster) affected will be assigned such time off using a system of rotationtogether.

Low Census. 22 A. In the event of nurses not working all or part of one of their scheduled working days at 23 the request of the Medical Center, the following order for assigning time off shall be used, 24 provided the nurse remaining on the unit is qualified to perform the assignment: 25 1. Agency or traveler nurses, followed by Sharecare nurses, will be assigned time 26 off. 28 2. Regular nurses eligible for any time-and-one-half (1 ½ ) or greater other premium (for example, overtime and/or incentive pay) for working 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.for 33 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 intermittently employedper per diem nurses) shall be sought 34 in the shift of the patient care unit, then the cluster (for those units in a cluster) affected, 35 and then all medical surgical units together (for medical surgical units only). For 36 purposes of the preceding sentence, a “same shift and unit and/or cluster (for those units 1 in a cluster)” exists where both the volunteer and the intermittently employedper per diem nurse on a shift of the 2 same patient care unit and/or cluster (for those units in a cluster) have the same starting 3 and ending times for that shift. 5 4. Regular nurses working an extra shift on the shift of the patient care unit and/or 7 system of 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 patient care re unit and/or staffing office (for those units using the staffing office); (b) Volunteers ; olunteers will have the option of indicating preference for taking the full shift ift off, partial shift, or being placed on standby, as follows: i. : The nurse must designate his or her preference related to Standby at the time the nurse places his or her name on the list. ii. Such preference will be considered by the Medical Center in determining which nurse will be given the Low Census, based on the determination as to the standby needs for the unit then the cluster (for those units in a cluster) (e.g., with or without standby). Where multiple requests are received for the same status of voluntary low census (e.g., with or without standby), the earliest request(s) will be given preference and the order will be viewable by nurses on-line from a nurse’s home, provided that a nurse on the same unit or cluster is qualified to perform the work of the nurse given the time off. a. a) The parties agree that a nurse may not file a grievance if he/she was not selected for voluntary low census because the Medical Center determined that it needed a nurse who was willing to be on standby. b. b) The parties also acknowledge that the Medical Center may assign Low Census to a nurse in the categories below, if the only volunteer does not indicate the standby preference neededneeded by the Medical Center. c. c) The Medical Center is responsible for calling nurses on standby, if they are needed to work. d. A nurse from a medical surgical unit who elects voluntary standby will be on standby for any medical surgical unit. 5. Intermittently employedPer diem nurses 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. • 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 assigned such time off using a system of rotation. • 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.

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 greater 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. 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 intermittently employedper 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 intermittently employedper 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 Standby 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 neededneeded 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. Intermittently employedPer 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. • Regular 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 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 20 all Med-Surg units in a clusterwill be counted together) affected will be assigned such time off using a system of rotation. • Regular nurses working an extra shift based on 21 who has the lowest “Factor” on the shift 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 patient clusters are (a) all 24 medical/surgical together and (b) all critical care unit and/or units together. If 25 there are no opportunities to work within the cluster (for those units in a cluster) affected will the nurse may 26 be assigned such time off using a system of rotationto work any responsibilities within nursing services.

Low Census. 2 A. In the event of nurses not working all or part of one of their scheduled 3 working days at the request of the Medical Center, the following order for assigning time 4 off shall be used, provided the nurse remaining on the unit is qualified to perform the 5 assignment: 6 1. Agency or traveler nurses, followed by Sharecare nurses, will be assigned time off. 2. Regular Intermittently employed nurses eligible for any time-and-one-half (1 ½ ) or greater premium (for example, overtime and/or incentive pay) for working on the shift of the patient care unit 7 and/or cluster (for those units in a cluster) affected will be assigned such time off 8 using a system of rotation. 39 2. Regular nurses working an extra shift on Volunteers to take the time off shall be sought in the shift of the 10 patient care unit and/or cluster (for those units in a cluster) affected affected. The Medical 11 Center and a regular nurse volunteer may agree that the nurse will be assigned such time off using a system of rotation. 4. Volunteers to take the time 12 off (both regular ahead of an intermittently employed nurse on the same shift and intermittently employedper diem nurses) shall be sought in the shift of the patient care unit, then the unit and/or 13 cluster (for those units in a cluster) affected, and then all medical surgical units together (for medical surgical units only). 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 employedper diem 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. (a) 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 patient care unit and/or staffing office (for those units using the 22 staffing office);. Sign up will be made available when schedules are 23 posted per Article 9 of this agreement. (b) 24 c. b. Volunteers will have the option of indicating preference for 25 taking the full shift off, partial shift, or being placed on standby, as follows: i. 26 1. The nurse must designate his or her preference related 27 to Standby at the time the nurse places his or her name 28 on the list. ii1 2. Such preference will be considered by the Medical 2 Center in determining which nurse will be given the Low 3 Census, based on the determination as to the standby 4 needs for the unit then the and/or cluster (for those units in a 5 cluster) (e.g., with or without standby). Where multiple 6 requests are received for the same status of voluntary 7 low census (e.g., with or without standby), the earliest 8 request(s) will be given preference and the order will be 9 viewable by nurses on-line from a nurse’s home, 10 provided that a nurse on the same unit or cluster is 11 qualified to perform the work of the nurse given the time 12 off. 13 a. The parties agree that a nurse may not file a 14 grievance if he/she was not selected for voluntary low 15 census because the Medical Center determined that it 16 needed a nurse who was willing to be on standby. 17 b. The parties also acknowledge that the Medical Center 18 may assign Low Census to a nurse in the categories 19 below, if the only volunteer does not indicate the 20 standby preference neededneeded by the Medical Center. 21 c. The Medical Center is responsible for calling nurses 22 on standby, if they are needed to work. d. A nurse from a medical surgical unit who elects voluntary standby will be on standby 23 3. Regular nurses eligible for any medical surgical unit. 5. Intermittently employedPer diem nurses time-and-one-half or greater 24 premium for working on the shift of the patient care unit and/or cluster (for those 25 units in a cluster) affected will be assigned such time off using a 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. 1 5. • Regular The remaining regular nurses eligible for any time-and-one-half or greater premium for working on the shift of the patient care unit 2 and/or cluster (for those units in a cluster) affected will be assigned such time off using based on 3 who has the lowest “Factor” on a system “Mandatory List”: 4 a. For the purpose of rotation. • Regular nurses working an extra shift on mandatory low census 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.clusters

Low Census. A. In the event of nurses not working all or part of one of their scheduled working days at the request of the Medical Center, the following order for assigning time off shall be used, provided the nurse remaining on the unit is qualified to perform the assignment: 1. Agency or traveler nurses, followed by Sharecare nurses, will be assigned time off. 2. Regular nurses eligible for any time-and-one-half (1 ½ )½) or greater premium (for example, overtime and/or incentive pay) for working 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. 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 intermittently employedper per diem nurses) shall be sought in the shift of the patient care unit, then the cluster (for those units in a cluster) affected, and then all medical surgical units together (for medical surgical units only). ) using the “Wants Off” list.. For purposes of the preceding sentence, a “same shift and unit unit” and/or cluster (for those units in a cluster)” exists where both the volunteer and the intermittently employedper per diem nurse on a shift of the same patient care unit and/or cluster (for those units in a cluster) have the same starting and ending times for that shift. 4. 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 listed below. (a) Lists of requested voluntary Low Census will be maintained in the patient care unit and/or staffing office (for those units using the staffing office); (b) Volunteers will have the option of indicating preference for taking the full shift off, partial shift, or being placed on standby, as follows: i. The nurse must designate his or her preference related to Standby at the time the nurse places his or her name on the list. ii. Such preference will be considered by the Medical Center in determining which nurse will be given the Low Census, based on the determination as to the standby needs for the unit then the cluster (for those units in a cluster) (e.g., with or without standby). Where multiple requests are received for the same status of voluntary low census (e.g., with or without standby), the earliest request(s) will be given preference and the order will be viewable by nurses on-line from a nurse’s home, provided that a nurse on the same unit or cluster is qualified to perform the work of the nurse given the time off. a. The parties agree that a nurse may not file a grievance if he/she was not selected for voluntary low census because the Medical Center determined that it needed a nurse who was willing to be on standby. b. The parties also acknowledge that the Medical Center may assign Low Census to a nurse in the categories below, if the only volunteer does not indicate the standby preference neededneeded by the Medical Center. c. The Medical Center is responsible for calling nurses on standby, if they are needed to work. d. A nurse from a medical surgical unit who elects voluntary standby will be on standby for any medical surgical unit. 5. Intermittently employedPer Per diem nurses 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. • 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 assigned such time off using a system of rotation. • 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.