Common use of Professional Responsibility Clause in Contracts

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 (Article 8.01 applies to employees covered by an Ontario College under the Regulated Health Professions Act only.) 8.01 The parties agree that resident patient care is enhanced if concerns relating to professional practice practice, patient acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Hospital assigns a number of residents patients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. . ii) If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Hospital (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence of occurrence, the workload issue, complain nurse(s) will discuss the issue with her or his Manager or designate on the manager’s or designate’s next working day. iv) Complain in writing to the UnionAssociation-Management Hospital Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson Chair of the Union-Management Association- Hospital Committee shall convene a meeting of the UnionAssociation-Management Hospital Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response (Article 8.01(a) (v),(vi), (vii) and (viii) and 8.01(b) applies to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues.nurses only) v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the UnionAssociation-Management Committee, Hospital Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.three

Professional Responsibility. 19.01 (Article 8.01 applies to employees covered by an Ontario College under the Regulated Health Professions Act only.) 8.01 The parties agree that resident patient care is enhanced if concerns relating to professional practice practice, patient acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Hospital assigns a number of residents patients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. . ii) If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Hospital (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence of occurrence, the workload issuenurse(s) will discuss the issue with her or his Manager or designate on the next day that the Manager (or designate) and the nurse are both working or within five (5) calendar days, complain whichever is sooner. iv) Complain in writing to the UnionAssociation-Management Hospital Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson Chair of the UnionAssociation-Management Hospital Committee shall convene a meeting of the UnionAssociation-Management Hospital Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response parties and report the outcome to the Union, with a copy to the ONA representation within ten (10) calendar daysparties. iiiv) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union Association may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or Chief Nursing Executive. For professionals regulated by the Administrator. iv) At any time during this processRHPA, other than nurses, the parties Association may agree forward a written report outlining the complaint and recommendations to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed appropriate senior executive as designated by the parties.Hospital. (Article 8.01(a) (vi),(vii), (viii) and (ix) and 8.01(b) applies to nurses only) vi) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the UnionAssociation-Management Committee, Hospital Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home Hospital and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following completion of its hearing. viii) It is understood and agreed that representatives of the Ontario Nurses' Association, including the Labour Relations Officer(s), may attend meetings held between the Hospital and the Association under this provision. ix) Any complaint lodged under this provision shall be on the form set out in Appendix 6. (b) i) The list of Independent Assessment Committee Chairpersons Chairs is attached as Appendix “B”2. During the term of this Agreement, the central parties shall meet as necessary to review and amend by agreement the list of chairs of Professional Responsibility Assessment Committees. The members parties agree that should a Chair be required, the Ontario Hospital Association and the Ontario Nurses' Association will be contacted. They will provide the name of the panel shall sit in rotation as agreed by person to be utilized on the partiesalphabetical listing of Chairs. If a panel member The name to be provided will be the top name on the list of Chairs who has not been previously assigned. Should the Chair who is unable scheduled to sit within serve decline when requested, or it becomes obvious that she or he would not be suitable due to connections with the time limit stipulatedHospital or community, the panel member next scheduled to sit person on the list will be appointed by the partiesapproached to act as Chair.

Professional Responsibility. 19.01 (Article 8.01 applies to employees covered by an Ontario College under the Regulated Health Professions Act only.) 8.01 The parties agree that resident patient care is enhanced if concerns relating to professional practice practice, patient acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Hospital assigns a number of residents patients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. . ii) If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Hospital (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence of occurrence, the workload issue, complain nurse(s) will discuss the issue with her or his Manager or designate on the manager’s or designate’s next working day. iv) Complain in writing to the UnionAssociation-Management Hospital Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson Chair of the UnionAssociation-Management Hospital Committee shall convene a meeting of the UnionAssociation-Management Hospital Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response (Article 8.01(a) (v),(vi), (vii) and (viii) and 8.01(b) applies to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues.nurses only) v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the Union-Management Committee, Association- Hospital Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home Hospital and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. viivi) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.fourteen

Professional Responsibility. 19.01 (Article 8.01 applies to employees covered by an Ontario College under the Regulated Health Professions Act only.) 8.01 The parties agree that resident care is enhanced if concerns relating to professional practice practice, resident acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Health Centre assigns a number of residents or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident care needs using current resources. . ii) If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Health Centre (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence occurrence, the nurse(s) will discuss the issue with her or his Manager or designate on the manager’s or designate’s next working day. The program manager will respond in writing as per sec.7 of the workload issueONA Professional Responsibility Workload Report Form (Appendix 3) to the complaint(s), complain with a written copy to the Bargaining Unit President. iv) Any settlement arrived at under (a) v) shall be signed by the parties. v) Complain in writing to the UnionLabour-Management Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson Chair of the UnionLabour-Management Committee shall convene a meeting of the UnionLabour-Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the UnionLabour-Management Committee, Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home Health Centre and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following completion of its hearing. viii) It is understood and agreed that representatives of the Ontario Nurses' Association, including the Labour Relations Officer and the Nursing Practice Officer, may attend meetings held between the Health Centre and the Association under this provision. ix) Any complaint lodged under this provision shall be on the form set out in Appendix 3. (b) i) The list of Independent Assessment Committee Chairpersons Chairs is attached as Appendix “B”2. During the term of this Agreement, the parties shall meet as necessary to review and amend by agreement the list of chairs of Professional Responsibility Assessment Committees. The members parties agree that should a Chair be required, the Health Centre and the Ontario Nurses' Association will be contacted. They will provide the name of the panel shall sit in rotation as agreed by person to be utilized on the partiesalphabetical listing of Chairs. If a panel member The name to be provided will be the top name on the list of Chairs who has not been previously assigned. Should the Chair who is unable scheduled to sit within serve decline when requested, or it becomes obvious that she or he would not be suitable due to connections with the time limit stipulatedHealth Centre or community, the panel member next scheduled to sit person on the list will be appointed by the partiesapproached to act as Chair.

Professional Responsibility. 19.01 (Article 8.01 applies to employees covered by an Ontario College under the Regulated Health Professions Act only.) 8.01 The parties agree that resident patient care is enhanced if concerns relating to professional practice practice, patient acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner. This provision is intended to appropriately address employee concerns relative to their workload issues in the context of their professional responsibility. In particular, as set out below; the parties encourage nurses to raise any issues that negatively impact their workload or patient care, including but not limited to: • Gaps in continuity of care • Balance of staff mix • Access to contingency staff • Appropriate number of nursing staff In the event that the Home Hospital assigns a number of residents patients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. . ii) If necessary, using established lines of communicationcommunication as identified by the hospital, seek immediate assistance from an individual(s) identified by (who could be within the Home bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence or if the issue is ongoing the nurse(s) will discuss the issue with her or his Manager or designate on the next day that the Manager (or designate) and the nurse are both working or within ten (10) calendar days whichever is sooner. When meeting with the manager, the nurse(s) may request the assistance of a Union representative to support/assist her/him at the meeting. iv) Complete the ONA/Hospital professional Responsibility Workload Report Form. The manager (or designate) will provide a written response on the ONA/Hospital Professional Responsibility Workload Report Form to the nurse(s) within ten (10) calendar days of receipt of the form with a copy to the Bargaining Unit President, Chief Nursing Executive, and the Senior Clinical Leader (if applicable). When meeting with the manager, the nurse(s) may request the assistance of a Union representative to support/assist her/him at the meeting. v) Every effort will be made to resolve workload issues at the unit level. A Union representative shall be involved in any resolution discussions at the unit level. The discussions and actions will be documented. vi) Failing resolution at the time of occurrence of unit level, submit the workload issue, complain in writing ONA/Hospital Professional Responsibility Workload Report Form to the Union-Management Hospital- Association Committee within twenty (20) calendar days from the date of the alleged improper assignment. Manager’s response or when she or he ought to have responded under (iv) above. vii) The chairperson Chair of the UnionHospital-Management Association Committee shall convene a meeting of the UnionHospital-Management Association Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.ONA/

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Employer assigns a number of residents patients or a workload to an individual employee nurse or group of employeesnurses, such that she the nurse or they have cause to believe that she the nurse or they are being asked to perform more work than is consistent with proper resident patient care, she the nurse or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Union Management Committee within twenty thirty (2030) calendar days of the alleged improper assignment. The chairperson of the Union-Union Management Committee shall convene a meeting of the Union-Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. viii) Failing resolution of the complaint within twenty five (205) calendar days of the meeting of the Union-Union Management Committee, the complaint shall be forwarded to an independent Assessment Committee Committee, composed of three (3) registered nurses; one (1) chosen by the Ontario Nurses' Association, and one (l) chosen by the Home University, and one one (1) chosen from a panel of four (4) independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. viiiii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess necessary, and make what decisions it finds appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, findings in writing, to the parties within twenty (20) calendar days following completion and shall forward a copy of its hearingreport to the Associate Vice-President Student Affairs of the University. (biv) Any complaint lodged under this provision shall be on the form set out in Appendix “E”. i) The list of Independent Chairpersons - Assessment Committee Chairpersons is attached to Schedule "B" and forms part of this Agreement. Should the Chairperson who is selected to serve decline when required, or it becomes obvious that s/he would not be suitable due to connections with the University or community, the next person on the list will be approached to act as Appendix “B”. The members Chairperson. ii) Each party will bear the cost of its own nominee and will share equally the fee of the panel shall sit in rotation as agreed Chairperson, and whatever other expenses are included by the parties. If a panel member is unable to sit within Assessment Committee, in the time limit stipulated, the panel member next scheduled to sit will be appointed by the partiesperformance of its responsibilities as set out herein.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Employer assigns a number of residents patients or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “"B”" and forms part of this Agreement. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit limits stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 9.01 The parties agree that resident patient care is enhanced if concerns relating to professional practice practice, patient acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home assigns a number of residents patients or a workload to an individual employee nurse or group of employeesnurses, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. . ii) If necessary, using established lines of communicationcommunication as identified by the home, seek immediate assistance from an individual(s) identified by (who could be within the Home bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence or if the issue is ongoing the nurse(s) will discuss the issue with her or his Manager (or designate) on the next day that the Manager (or designate) and the nurse are both working or within five (5) calendar days whichever is sooner. The nurse(s) will submit her issue to the employer, in writing. The manager (or designate) will provide a written response to the nurse(s) within five (5) days of receipt of the workload issue, with a copy being forwarded to the Bargaining Unit President. iv) When meeting with the manager, the nurse(s) may request the assistance of a Union representative to support/assist her/him at the meeting. v) Every effort will be made to resolve workload issues at the unit level. A Union representative shall be involved in any resolution discussions at the unit level. The discussions and actions will be documented. vi) Failing resolution at the time of occurrence of unit level, submit the workload issue, complain in writing written complaint to the UnionHome-Management Association Committee within twenty (20) calendar days from the date of the alleged improper assignmentManager’s response or when she or he ought to have responded under (iii) above. The chairperson Chair of the UnionHome-Management Association Committee shall convene a meeting of the UnionHome-Management Association Committee within twenty fifteen (2015) calendar days of the filing of the written complaint. The Union-Management Committee shall hear and attempt to resolve the complaint issue(s) to the satisfaction of both parties. The Employer will provide a written response parties and report the outcome to the Union, with a copy to the ONA representation within ten (10) calendar daysnurse(s). iiivii) Prior to the complaint issue(s) being forwarded to the Independent independent Assessment Committee, the Union may forward a written report outlining the complaint issue(s) and recommendations to the Director of Resident Care and/or the AdministratorCare. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. vviii) Any settlement arrived at under 19.01 Article 9.01 (a) i) – iii), iv), or v) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list the panel of Independent Assessment Committee Chairpersons chairpersons is attached as Appendix “B”. The and the members of the that panel shall sit in rotation as agreed by the partiesalphabetically. If a panel member is unable to sit within the time limit limits stipulated, the panel member next scheduled to sit will be appointed by the parties. The parties agree that should a chairperson be required, the Ontario Nurses’ Association and the Employer will be contacted. They will provide the name of the person to be utilized on the list of chairpersons.

Professional Responsibility. 19.01 ‌ (Article 8.01 applies to employees covered by an Ontario College under the Regulated Health Professions Act only.) 8.01 The parties agree that resident patient care is enhanced if concerns relating to professional practice practice, patient acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner. This provision is intended to appropriately address employee concerns relative to their workload issues in the context of their professional responsibility. In particular, as set out belowthe parties encourage nurses to raise any issues that negatively impact their workload or patient care, including but not limited to: • Gaps in continuity of care; • Balance of staff mix; • Access to contingency staff; • Appropriate number of nursing staff. In the event that the Home Hospital assigns a number of residents patients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. . ii) If necessary, using established lines of communicationcommunication as identified by the hospital, seek immediate assistance from an individual(s) identified by (who could be within the Home bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence or if the issue is ongoing the nurse(s) will discuss the issue with their Manager or designate on the next day that the Manager (or designate) and the nurse are both working or within ten (10) calendar days whichever is sooner. When meeting with the manager, the nurse(s) may request the assistance of a Union representative to support/assist them at the meeting. iv) Complete the ONA/Hospital professional Responsibility Workload Report Form. The manager (or designate) will provide a written response on the ONA/Hospital Professional Responsibility Workload Report Form to the nurse(s) within ten (10) calendar days of receipt of the form with a copy to the Bargaining Unit President, Chief Nursing Executive, and the Senior Clinical Leader (if applicable). When meeting with the manager, the nurse(s) may request the assistance of a Union representative to support/assist them at the meeting. v) Every effort will be made to resolve workload issues at the unit level. A Union representative shall be involved in any resolution discussions at the unit level. The discussions and actions will be documented. vi) Failing resolution at the time of occurrence of unit level, submit the workload issue, complain in writing ONA/Hospital Professional Responsibility Workload Report Form to the UnionHospital-Management Association Committee within twenty (20) calendar days from the date of the alleged improper assignment. Manager’s response or when they ought to have responded under (iv) above. vii) The chairperson Chair of the UnionHospital-Management Association Committee shall convene a meeting of the UnionHospital-Management Association Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.ONA/

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; 20.01 In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, employees such that he/she or they have cause to believe that he/she or they are being asked to perform more work than is consistent with proper resident care, he/she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain Complain in writing to the Union-Management Committee Director of Care and administrator within twenty ten (2010) calendar days of the alleged improper assignment. The chairperson Chairperson of the Union-Joint Labour Management Committee shall convene a meeting of the Union-Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to . iii) Failing resolution of the Union, with a copy to the ONA representation complaint within ten (10) calendar days. iii) Prior to days of the complaint being forwarded to meeting of the Independent Assessment Joint Labour Management Committee, the Union may forward complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Employer, and one chosen from a written report outlining panel of seven (7) independent registered nurses who are well respected within the complaint and recommendations to profession. The member of the Director Committee chosen from the panel of Resident Care and/or the Administrator.independent registered nurses shall act as Chairperson. The list of Assessment Committee Chairpersons is attached as Schedule B. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 20.01 (a) i) – iii) shall be signed by the partiesparties and be subject to the grievance/arbitration process. vi) Failing resolution of The Assessment Committee shall conduct a hearing into the complaint within twenty fourteen (2014) calendar days of its appointment and shall be empowered to investigate as is necessary and make what decisions it finds appropriate in the meeting circumstances. The Assessment Committee shall report its decisions in writing to the parties within fourteen (14) calendar days following completion of its hearing. The decisions of the Union-Management Committee, the complaint Assessment Committee shall be forwarded to an independent Assessment Committee composed of three (3final and binding upon the parties. i) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from The parties shall select a panel of four (4) independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in a rotation as agreed upon by the parties. If a panel member is unable to sit within the time limit stipulated, stipulated the panel member next scheduled to sit will be appointed by the parties. ii) Each party will bear the cost of its own nominee, and each will share equally the fee of the Chairperson and whatever other expenses are incurred by the Assessment Committee in the performance of its responsibilities as set out herein.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Employer assigns a number of residents patients or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Union- Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “"B”" and forms part of this Agreement. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit limits stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 18.01 The parties agree that resident care is client services are enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, manner as set out below; : In the event that the Home Employer assigns a number of residents clients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident client care, she or they shall: (i) At the time the workload issue occurs, discuss the issue within the Home team/site/program to develop strategies to meet resident the care needs of clients using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Manager or designate, as soon as possible. Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Labour Relations Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson Chairperson of the Union-Management Labour Relations Committee shall convene a meeting of the Union-Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation representative within ten (10) calendar daysdays of the meeting. iii(ii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the AdministratorChief Executive Officer. iv(iii) At any time during this process, the parties may agree to the use of a mediator Mediator to assist in the resolution of the Professional Practice professional practice issues. v(iv) Any settlement arrived at under 19.01 18.01 (a) (i) – - (iii) above, shall be signed by the parties. vi(v) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Labour Relations Committee, the complaint shall be forwarded to an independent Independent Assessment Committee composed of three (3) registered nurses; one (1) chosen by the Ontario Nurses' ’ Association, one (1) chosen by the Home Employer and one (1) chosen from a panel of three (3) independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”Chair. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.following alphabetical rotation:

Professional Responsibility. 19.01 ‌ (Article 8.01 applies to employees covered by an Ontario College under the Regulated Health Professions Act only.) 8.01 The parties agree that resident patient care is enhanced if concerns issues relating to professional practice practice, patient acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner. This provision is intended to appropriately address employee concerns relative to their workload issues in the context of their professional responsibility. In particular, as set out below; the parties encourage nurses to raise any issues that negatively impact their workload or patient care, including but not limited to: • Gaps in continuity of care. • Balance of staff mix. • Access to contingency staff. • Appropriate number of nursing staff. In the event that the Home Hospital assigns a number of residents patients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. . ii) If necessary, using established lines of communicationcommunication as identified by the hospital, seek immediate assistance from an individual(s) identified by (who could be within the Home bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue(s) at the time of occurrence or if the issue(s) is ongoing the nurse(s) will discuss the issue with their manager (or designate) on the next day that the manager (or designate) and the nurse are both working or within ten (10) calendar days whichever is sooner. When meeting with the manager, the nurse(s) is/are entitled to be represented by a Union representative if requested by the nurse(s) to support/assist them at the meeting. iv) Complete the ONA/Hospital Professional Responsibility Workload Report Form. The manager (or designate) will provide a written response on the ONA/Hospital Professional Responsibility Workload Report Form to the nurse(s) within ten (10) calendar days of receipt of the form with a copy to the Bargaining Unit President, Chief Nursing Executive, and the Senior Clinical Leader (if applicable). When meeting with the manager, the nurse(s) is/are entitled to be represented by a Union representative if requested by the nurse(s) to support/assist them at the meeting. v) Every effort will be made to resolve workload issues at the unit level. A Union representative shall be involved in any resolution discussions at the unit level. The discussions and actions will be documented. vi) Failing resolution at the time of occurrence of unit level, submit the workload issue, complain in writing ONA/Hospital Professional Responsibility Workload Report Form to the UnionHospital-Management Association Committee within twenty (20) calendar days from the date of the alleged improper assignment. manager’s response or when they ought to have responded under (iv) above. vii) The chairperson Chair of the UnionHospital-Management Association Committee shall convene a meeting of the UnionHospital-Management Association Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.ONA/

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Corporation assigns a number of residents or a workload workload, to an individual employee Nurse or group of employees, Nurses such that she or they have cause to believe that she or they are being asked to perform more an amount of work than is consistent with proper resident carewhich prevent her or them from fulfilling her professional responsibilities, she or they shall: i) At the time that the workload issue occurs, discuss the issue within nurse will notify the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines Nursing Manager or on call Supervisor of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issuestheir concerns. ii) Failing resolution at the time of occurrence of the workload issue, issue after notifying the Nursing Manager or the on call Supervisor of their workload issue the nurse shall complain in writing to the Union-ONA - Management Committee within twenty five (205) calendar days of the alleged improper assignment. The chairperson Chairman of the Union-ONA- Management Committee shall convene a meeting of the Union-Management ONA -Management Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the Union-ONA - Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one Registered Nurses: One (1) chosen by the Ontario Nurses' Association, one (1) chosen by the Home Corporation, and one (1) chosen from a panel of four (4) independent registered nurses Registered Nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses Registered Nurses shall act as a Chairperson. viiiv) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what decisions it finds appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, decisions in writing, writing to the parties within twenty thirty (2030) calendar days following completion of its hearing. (b) i) The list parties shall select a panel of Independent Assessment Committee Chairpersons is attached as Appendix “B”four (4) independent Registered Nurses who are well-respected within the profession. The members of the panel shall sit in on a rotation as agreed upon by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties. ii) Each party will bear the cost of its own nominee and will share equally the fee of the Chairperson and whatever other expenses are incurred by the Assessment Committee in the performance of its responsibilities as set out herein.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; 20.01 In the event that the Home Employer assigns a number of residents patients or a workload to an individual employee nurse or a group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At Submit the time complaint to the workload issue occursimmediate supervisor forthwith. Failing settlement, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, she may complain in writing to the Union-Management Management- Association Liaison Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson Chairperson of the UnionManagement-Management Association Liaison Committee shall convene a meeting of the UnionManagement-Management Association Liaison Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. viii) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the UnionManagement-Management Association Liaison Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one (1) chosen by the Ontario Nurses' Association, one (1) chosen by the Home Employer, and one (1) chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. viiiii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following completion of its hearing. iv) It is understood and agreed that representatives of the Ontario Nurses' Association, including Labour Relations Officer and the Labour Relations Officer - Professional Practice, may attend meetings held between the Employer and the Association under this provision. v) Any complaint lodged under this provision shall be on the form (Notification of Improper Work Assignment) set out in Appendix "D". (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”Schedule "C". The members parties agree that should a Chairperson be required, the Employer and the Association will be contacted. They will provide the name of the panel shall sit in rotation as agreed by person to be utilized on the partiesalphabetical listing of Chairpersons. If a panel member The name to be provided will be the top name on the list of Chairpersons who has not been previously assigned. Should the Chairperson who is unable scheduled to sit within serve decline when requested, or it becomes obvious that she would not be suitable due to connections with the time limit stipulatedEmployer or community, the panel member next scheduled to sit person on the list will be appointed by the partiesapproached to act as Chairperson.

Professional Responsibility. 19.01 10.01 The parties agree that resident patient care is enhanced if concerns relating to professional practice practice, patient acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Manor assigns a number of residents patients or a workload to an individual employee or group of employees, employees such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. . ii) If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Manor (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence of occurrence, the workload issueemployee(s) will discuss the issue with her or his Manager or designate on the next day that the Manager (or designate) and the employee are both working or within five (5) calendar days, complain whichever is sooner. The manager will provide a written response to the complainant(s), with a copy to the Bargaining Unit President. iv) Complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson Chair of the Union-Management Committee shall convene a meeting of the Union-Union Management Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response parties and report the outcome to the Union, with a copy to the ONA representation within ten (10) calendar daysparties. iiiv) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union Association may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the AdministratorCare. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. vvi) Any settlement arrived at under 19.01 10.01 (a) iiv) – iiior v) shall be signed by the both parties. vivii) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the Union-Management Committee, Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home Manor and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. viiviii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following completion of its hearing. ix) It is understood and agreed that representatives of the Ontario Nurses' Association, including the Labour Relations Officer(s), may attend meetings held between the Manor and the Union under this provision. x) Any complaint lodged under this provision shall be on the form set out in Appendix D. (b) i) The list of Independent Assessment Committee Chairpersons Chairs is attached as Appendix “B”C. The parties agree that should a Chair be required, the Manor and the Ontario Nurses' Association will be contacted. They will provide the name of the person to be utilized on the alphabetical listing of Chairs. The members name to be provided will be the top name on the list of Chairs who has not been previously assigned. Should the panel shall sit in rotation as agreed by Chair who is scheduled to serve decline when requested, or it becomes obvious that she or he would not be suitable due to connections with the parties. If a panel member is unable to sit within the time limit stipulatedManor or community, the panel member next scheduled to sit person on the list will be appointed by the partiesapproached to act as Chair.

Professional Responsibility. 19.01 (Article 8.01 applies to employees covered by an Ontario College under the Regulated Health Professions Act only.) 8.01 The parties agree that resident patient care is enhanced if concerns relating to professional practice practice, patient acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner. This provision is intended to appropriately address employee concerns relative to their workload issues in the context of their professional responsibility. In particular, as set out below; the parties encourage nurses to raise any issues that negatively impact their workload or patient care, including but not limited to:  Gaps in continuity of care  Balance of staff mix  Access to contingency staff  Appropriate number of nursing staff In the event that the Home Hospital assigns a number of residents patients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. . ii) If necessary, using established lines of communicationcommunication as identified by the hospital, seek immediate assistance from an individual(s) identified by (who could be within the Home bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence or if the issue is ongoing the nurse(s) will discuss the issue with her or his Manager or designate on the next day that the Manager (or designate) and the nurse are both working or within ten (10) calendar days whichever is sooner. When meeting with the manager, the nurse(s) may request the assistance of a Union representative to support/assist her/him at the meeting. iv) Complete the ONA/Hospital professional Responsibility Workload Report Form. The manager (or designate) will provide a written response on the ONA/Hospital Professional Responsibility Workload Report Form to the nurse(s) within ten (10) calendar days of receipt of the form with a copy to the Bargaining Unit President, Chief Nursing Executive, and the Senior Clinical Leader (if applicable). When meeting with the manager, the nurse(s) may request the assistance of a Union representative to support/assist her/him at the meeting. v) Every effort will be made to resolve workload issues at the unit level. A Union representative shall be involved in any resolution discussions at the unit level. The discussions and actions will be documented. vi) Failing resolution at the time of occurrence of unit level, submit the workload issue, complain in writing ONA/Hospital Professional Responsibility Workload Report Form to the Union-Management Hospital- Association Committee within twenty (20) calendar days from the date of the alleged improper assignment. Manager’s response or when she or he ought to have responded under (iv) above. vii) The chairperson Chair of the UnionHospital-Management Association Committee shall convene a meeting of the UnionHospital-Management Association Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.ONA/

Professional Responsibility. 19.01 10.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she she/he or they have cause to believe that she she/he or they are being asked to perform more work than is consistent with proper resident care, she she/he or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the UnionEmployer-Management Union Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the UnionEmployer-Management Union Committee shall convene a meeting of the UnionEmployer-Management Union Committee within twenty (20) calendar days of the filing of the complaint. The UnionEmployer-Management Union Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 10.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the UnionEmployer-Management Union Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B2”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Employer assigns a number of residents or a workload to an individual employee nurse or group of employeesnurses, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution within the unit/program at the time of occurrence the occurrence, the nurse will discuss the issue with the Director of Care on the workload issue, complain next day that the Manager and nurse are working. iii) Complain in writing on the Professional Responsibility Complaint Form, Appendix “D”, to the Union-Association/Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson Chairperson of the Union-Association/Management Committee shall convene a meeting of the Union-Management Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response parties and report the outcomes to the Union, with a copy to the ONA representation within ten (10) calendar daysparties. iiiiv) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union Association may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issuesCare. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the Union-Association/Management Committee, the complaint shall be forwarded to an independent Assessment Committee assessment committee, composed of three (3) registered nurses; one (1) chosen by the Ontario Nurses' Association, one (1) chosen by the Home and one (1) chosen from a panel of four (4) independent registered nurses who are well respected within the profession. The member of the Committee committee chosen from the panel of independent registered nurses shall act as Chairpersonchairperson. viivi) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess necessary, and make what findings as are appropriate under the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, findings in writing, to the parties within twenty twenty-one (2021) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “"B”" and forms part of this agreement. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 (Article 8.01 applies to employees covered by an Ontario College under the Regulated Health Professions Act only.) 8.01 The parties agree that resident care is enhanced if concerns relating to professional practice practice, resident acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Employer assigns a number of residents or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. . ii) If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Employer (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence of occurrence, the workload issuenurse(s) will discuss the issue with her or his Manager or designate on the next day that the Manager (or designate) and the nurse are both working or within five (5) calendar days, complain whichever is sooner. The Manager will provide a written response to the complainant(s), with a copy to the Bargaining Unit President. iv) Complain in writing to the UnionAssociation-Management Employer Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson Chair of the UnionAssociation-Management Employer Committee shall convene a meeting of the UnionAssociation-Management Employer Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response parties and report the outcome to the Union, with a copy to the ONA representation within ten (10) calendar daysparties. iiiv) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union Association may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the partiesCare. vi) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the UnionAssociation-Management Committee, Employer Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home Employer and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following completion of its hearing. viii) It is understood and agreed that representatives of the Ontario Nurses' Association, including the Labour Relations Officer(s), may attend meetings held between the Employer and the Association under this provision. ix) Any complaint lodged under this provision shall be on the form set out in Appendix 6. (b) i) The list of Independent Assessment Committee Chairpersons Chairs is attached as Appendix “B”2. During the term of this Agreement, the central parties shall meet as necessary to review and amend by agreement the list of chairs of Professional Responsibility Assessment Committees. The members parties agree that should a Chair be required, the Employer and the Ontario Nurses' Association will be contacted. They will provide the name of the panel shall sit in rotation as agreed by person to be utilized on the partiesalphabetical listing of Chairs. If a panel member The name to be provided will be the top name on the list of Chairs who has not been previously assigned. Should the Chair who is unable scheduled to sit within serve decline when requested, or it becomes obvious that she or he would not be suitable due to connections with the time limit stipulatedEmployer or community, the panel member next scheduled to sit person on the list will be appointed by the partiesapproached to act as Chair.

Professional Responsibility. 19.01 9.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she she/he or they have cause to believe that she she/he or they are being asked to perform more work than is consistent with proper resident care, she she/he or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Union- Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation representative within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 9.01 (a) i) – iii) shall be signed by the partiesparties and be subject to the grievance / arbitration process. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Union- Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating pertaining to professional practice practice, resident acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Employer assigns a number of residents or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) I. At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident care needs using current resources. II. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home (who could be within the Bargaining Unit) who has responsibility for timely resolution of workload issues. ii) III. Failing resolution of the workload issue at the time of occurrence occurrence, the nurse(s) will notify Director of Nursing within seventy-two (72) hours. Nurses will complete the PRC form within twenty-four (24) hours and notify the Bargaining Unit President or Grievance Representative. IV. The nurse will submit the form to Director of Nursing within seven (7) days of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the UnionNurse-Management Committee shall convene a meeting of the Union-Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management meeting will include Director of Nursing, Human Resources Consultant, Bargaining Unit President, Grievance Representative and the nurse filing the workload issue. The Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) V. Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the UnionNurse-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nursesRegistered Nurses; one chosen by the Ontario Nurses' ’ Association, one chosen by the Home Corporation and one chosen from a panel of independent registered nurses Registered Nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. vii) VI. The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons VII. It is attached as Appendix “B”. The members understood and agreed that representatives of the panel shall sit in rotation as agreed by Ontario Nurses’ Association, including the parties. If a panel member is unable to sit within Labour Relations Officer, may attend meetings held between the time limit stipulated, Home and the panel member next scheduled to sit will be appointed by the partiesAssociation under this provision.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; 24.01 In the event that the Home Region assigns a number of residents or a workload work load to an individual employee Nurse or a group of employees, Nurses such that she she/he or they have cause to believe that she she/he or they are being asked to perform more work than is consistent with proper resident care, she she/he or they shall: (i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. (ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the UnionAssociation-Management Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson of the UnionAssociation-Management Committee shall convene a meeting of the UnionAssociation-Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint issue to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. (iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint issue within twenty fifteen (2015) calendar days of the meeting of the UnionAssociation-Management Committee, the complaint issue shall be forwarded to an independent Independent Assessment Committee composed of three (3) registered nurses; Registered Nurses, one (1) chosen by the Ontario Nurses' Association, one (1) chosen by the Home Region, and one (1) chosen by the other two (2) from a panel of independent registered nurses Registered Nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairpersonchairperson. vii(iv) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess the merits of the complaintissue. The Independent Assessment Committee shall report its findings, findings in writing, writing to the parties within twenty thirty (2030) calendar days following completion of its the hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members to and forms part of this Agreement. (ii) Each party will bear the cost of its own nominee and will share equally the fee of the panel shall sit in rotation as agreed Chairperson and whatever other expenses are incurred by the parties. If a panel member is unable to sit within Independent Assessment Committee in the time limit stipulatedperformance of its responsibility as set out herein. (i) Time limits fixed in this process may be extended only by written, the panel member next scheduled to sit will be appointed by mutual consent of the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Union- Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. During the term of this Agreement, the central parties shall meet as necessary to review and amend by agreement the list of Chairs of Independent Assessment Committees. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 (Article 8.01 applies to employees covered by an Ontario College under the Regulated Health Professions Act only). 8.01 The parties agree that resident patient care is enhanced if concerns relating to professional practice practice, patient acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Hospital assigns a number of residents patients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. . ii) If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Hospital (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence of occurrence, the workload issuenurse(s) will discuss the issue with her or his Manager or designate on the next day that the Manager (or designate) and the nurse are both working or within five (5) calendar days, complain whichever is sooner. iv) Complain in writing to the UnionAssociation-Management Hospital Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson Chair of the UnionAssociation-Management Hospital Committee shall convene a meeting of the UnionAssociation-Management Hospital Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response , and report the outcome to the Unionparties. (Article 8.01 (a) v), with a copy vi), vii) and viii) and 8.01 (b) applies to the ONA representation within ten (10) calendar days.nurses only) iiiv) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union Association may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the AdministratorChief Nursing Executive. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within with the Home Assistant Director of Resident Care or Director of Resident Care to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues.; ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days.days of the meeting; iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator.Executive Director; iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues.; v) Any settlement resolution arrived at under 19.01 (a) i) – iii) shall be signed by the parties.; vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson.; vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. ; The members of the panel shall sit next on the list in rotation as are agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.;

Professional Responsibility. 19.01 9.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she she/he or they have cause to believe that she she/he or they are being asked to perform more work than is consistent with proper resident care, she she/he or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Union- Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the partiesparties and be subject to the grievance/arbitration process. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.twenty

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; 20.01 In the event that the Home assigns a number of residents patients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shallshall submit the complaint to her immediate supervisor forthwith, failing settlement, she may: i(1) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain Complain in writing to the UnionAssociation-Management Home Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson Chairperson of the UnionAssociation-Management Home Committee shall convene a meeting of the UnionAssociation-Management Home Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi2) Failing resolution settlement of the complaint within twenty fifteen (2015) calendar days of the meeting of the UnionAssociation-Management Committee, Home Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one (1) chosen by the Home Home, and one (1) chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii(3) The Independent Assessment Committee shall set a date to conduct a hearing Hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following completion of its hearing. (b) i1) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”Schedule "D". The members parties agree that should a Chairperson be required, the Home and the Ontario Nurses' Association will be contacted. They will provide the name of the panel shall sit in rotation person to be utilized on the list of Chairpersons. Should the Chairperson who is scheduled to serve decline when requested, or it becomes obvious that she would not be suitable due to connections with the Home or community, the next person on the list will be approached to act as agreed Chairperson. (2) Each party will bear the cost of its own nominee and will share equally the fee of the Chairperson and whatever other expenses are incurred by the parties. If Assessment Committee in the performance of its responsibilities as set out herein. (c) The parties will exchange a panel member is unable to sit list of names of persons for the position of Chairperson of the Assessment Committee within two (2) weeks of ratification of the time limit stipulated, the panel member next scheduled to sit will be appointed by the partiesAgreement.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Employer assigns a number of residents patients or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Union- Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “"B”" and forms part of this Agreement. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit limits stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 9.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 9.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”2. During the term of this Agreement the parties shall meet as necessary to review and amend by agreement the list of Chairs of Independent Assessment Committees. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Employer assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this the process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' ’ Association, one chosen by the Home Employer and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 (Article 8.01 applies to employees covered by an Ontario College under the Regulated Health Professions Act only.) 8.01 The parties agree that resident patient care is enhanced if concerns relating to professional practice practice, patient acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Hospital assigns a number of residents patients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. . ii) If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Hospital (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence of occurrence, the workload issuenurse(s) will discuss the issue with her or his Manager or designate on the next day that the Manager (or designate) and the nurse are both working or within five (5) calendar days, complain whichever is sooner. The manager will provide a written response to the complainant(s), with a copy to the Bargaining Unit President. iv) Complain in writing to the UnionHospital-Management Association Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson Chair of the UnionHospital-Management Association Committee shall convene a meeting of the Union-Hospital-Management Association Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response parties and report the outcome to the Union, with a copy to the ONA representation within ten (10) calendar daysparties. iiiv) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or Chief Nursing Executive. For professionals regulated by the AdministratorRHPA, other than nurses, the Union may forward a written report outlining the complaint and recommendations to the appropriate senior executive as designated by the Hospital. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. vvi) Any settlement arrived at under 19.01 8.01 (a) iiv) – iiior v) shall be signed by the parties.. (Article 8.01(a) (vii),(viii), (ix) and (x) and 8.01(b) applies to nurses only) vivii) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the UnionHospital-Management Committee, Assocation Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home Hospital and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. viiviii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following completion of its hearing. ix) It is understood and agreed that representatives of the Ontario Nurses' Association, including the Labour Relations Officer(s), may attend meetings held between the Hospital and the Union under this provision. x) Any complaint lodged under this provision shall be on the form set out in Appendix 6. Alternately, the local parties may agree to an electronic version of the form and a process for signing. (b) i) The list of Independent Assessment Committee Chairpersons Chairs is attached as Appendix “B”2. During the term of this Agreement, the central parties shall meet as necessary to review and amend by agreement the list of chairs of Professional Responsibility Assessment Committees. The members parties agree that should a Chair be required, the Ontario Hospital Association and the Ontario Nurses' Association will be contacted. They will provide the name of the panel shall sit in rotation as agreed by person to be utilized on the partiesalphabetical listing of Chairs. If a panel member The name to be provided will be the top name on the list of Chairs who has not been previously assigned. Should the Chair who is unable scheduled to sit within serve decline when requested, or it becomes obvious that she or he would not be suitable due to connections with the time limit stipulatedHospital or community, the panel member next scheduled to sit person on the list will be appointed by the partiesapproached to act as Chair.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating Employer shall recognize one (1) Professional Responsibility representative per home from the bargaining unit to assist nurses in filing and attending meetings related to professional practice and responsibility workload are resolved in a timely and effective manner, as set out below; reporting forms. In the event that the Home Employer assigns a number of residents residents, or a workload workload, to an individual employee nurse or group of employees, nurses such that she the nurse or they nurses have cause to believe that she she/he or they are being asked to perform more an amount of work than is consistent with proper resident carewhich prevents her/him or them from fulfilling their professional responsibilities, she the nurse or they nurses shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain Complain in writing to the Union-Nurse Management Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson Chairperson of the Union-Nurse Management Committee shall convene a meeting of the Union-Nurse Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. viii) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the Union-Nurse Management Committee, Committee the complaint shall be forwarded to an independent Independent Assessment Committee composed of three (3) registered nurses; : one chosen by the Ontario Nurses' Association, one chosen by the Home Employer and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. viiiii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make such findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following the completion of its the hearing. (b) iiv) The following nurses shall constitute the panel of chairpersons: The name to be provided will be the first name on the List of Chairpersons who has not been previously assigned. When the last name on the list has been reached, the first name on the list will be the next approached, and so on in rotation. Should the Chairperson who is scheduled to serve, decline when requested, the next person on the list will be approached to act as Chairperson. v) Each party will bear the cost of Independent its own nominee and will share equally the fee of the Chairperson and whatever other expenses are incurred by the Assessment Committee Chairpersons is attached in the performance of its responsibilities as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the partiesset out herein.

Professional Responsibility. 19.01 9.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Employer assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Employer who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing (using the form at Appendix 3) to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Union- Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the AdministratorCEO. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 9.01 (a) i) – iii) shall be signed by the parties. viv) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home Employer and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. viivi) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The parties shall meet to develop a list of Independent Assessment Committee Chairpersons is attached Chairpersons. During the term of this Agreement, the parties shall meet as Appendix “B”necessary to review and amend by agreement the list of chairs of the Professional Responsibility Assessment Committees. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; 10.01 In the event that the Home Employer assigns a number of residents patients or a workload to an individual employee Registered Nurse or group of employees, Registered Nurses such that she she/he or they have cause to believe that she she/he or they are being asked to perform more work than is consistent with proper resident patient care, she she/he or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain : Complain in writing to the Union-Management Nursing Professional Committee (this Committee consists of the Nursing Committee as set out in Article 6.01 (c) plus representatives of the Employer) within twenty five (205) calendar days of the alleged improper assignment. The chairperson Chairperson of the Union-Management Nursing Professional Committee shall convene a meeting of the Union-Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide In the event that a written response to workload complaint cannot be resolved internally through the Unionmechanism established by the parties above, with a copy to the ONA representation within ten (10) calendar daysan external Committee as set out below shall then apply. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the a workload complaint within twenty five (205) calendar days of the meeting of the Union-Management Nursing Professional Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nursesRegistered Nurses; one (1) chosen by the Ontario Nurses' Association, one (1) chosen by the Home Centre, and one (1) chosen from a panel of four (4) independent registered nurses Registered Nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses Registered Nurses shall act as Chairperson. vii(b) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, findings in writing, writing to the parties within twenty fourteen (2014) calendar days following completion of its hearing. (b) ic) The list panel of Independent Assessment Committee Chairpersons is attached as four (4) independent Registered Nurses who are well respected within the profession selected by the parties are named in Appendix “B”. A. The members of the panel shall sit in rotation as agreed by the partiesin this memorandum. If a panel member is unable to sit within the time limit limits stipulated, the panel member next scheduled to sit will be appointed by the parties. (d) Each party will bear the cost of its own nominee and will share equally the fee of the Chairperson and whatever other expenses are incurred by the Assessment Committee in the performance of its responsibilities as set out herein. 10.02 The assignment of patient care duties, shall be in accordance with the Regulated Health Professions Act and related statutes and regulations and in accordance with guidelines established by the College of Nurses of Ontario from time to time, and any Employer policy related thereto shall meet those requirements.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Employer assigns a number of residents patients or a workload to an individual employee nurse or group of employeesnurses, such that she the nurse or they have cause to believe that she the nurse or they are being asked to perform more work than is consistent with proper resident patient care, she the nurse or they shall: i) At the time Put the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain concern in writing to the Union-Union Management Committee within twenty thirty (2030) calendar days of the alleged improper assignment. The chairperson of the Union-Union Management Committee shall convene a meeting of the Union-Management Committee within twenty ten (2010) calendar days of the filing of the complaintworkload concern. The Union-Management Committee shall hear and attempt to resolve the complaint workload concern to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. viii) Failing resolution of the complaint workload concern within twenty five (205) calendar days of the meeting of the Union-Union Management Committee, the complaint workload concern shall be forwarded to an independent Assessment Committee Committee, composed of three (3) registered nurses; one (1) chosen by the Ontario Nurses' Association, and one (1) chosen by the Home University, and one (1) chosen from a panel of four (4) independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. viiiii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, workload concern within twenty fourteen (2014) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess necessary, and make what decisions it finds appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, findings in writing, to the parties within twenty (20) calendar days following completion and shall forward a copy of its hearingreport to the Associate Vice-President Student Affairs of the University. iv) Any workload concern lodged under this provision shall be on the ONA Professional Responsibility Workload Report Form. (b) i) The list of Independent Chairpersons - Assessment Committee Chairpersons is attached as Appendix “to Schedule "B”" and forms part of this Agreement. The members of Should the panel shall sit in rotation as agreed by Chairperson who is selected to serve decline when required, or it becomes obvious that s/he would not be suitable due to connections with the parties. If a panel member is unable to sit within the time limit stipulatedUniversity or community, the panel member next scheduled to sit person on the list will be appointed by the partiesapproached to act as Chairperson.

Professional Responsibility. 19.01 9.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Union- Management Committee shall convene a meeting of the Union-Union- Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 9.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.three

Professional Responsibility. 19.01 20.01 The parties agree that resident care is enhanced if concerns relating to professional practice practice, resident acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Employer assigns a number of residents or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: (i) At the time the workload issue occurs, discuss the issue within the Home unit/Lodge to develop strategies to meet resident care needs using current resources. . (ii) If necessary, using established lines of communicationcommunication as identified by the Employer, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii(iii) Failing resolution of the workload issue at the time of occurrence or if the issue is ongoing the nurse(s) will discuss the issue with her or his Manager or designate on the next day that the Manager (or designate) and the nurse are both working or within five (5) calendar days whichever is sooner. Complete the ONA/Employer professional Responsibility Workload Report Form. The manager (or designate) will provide a written response on the ONA/Employer Professional Responsibility Workload Report Form to the nurse(s) within 5 days of receipt of the form with a copy to the Bargaining Unit President. When meeting with the manager, the nurse(s) may request the assistance of a Union representative to support/assist her/him at the meeting. (iv) Every effort will be made to resolve workload issues at the unit/Lodge level. A Union representative shall be involved in any resolution discussions at the unit/Lodge level. The discussions and actions will be documented. (v) Failing resolution at the time of occurrence of unit/Lodge level, submit the workload issue, complain in writing ONA/Employer Professional Responsibility Workload Report Form to the Union-Labour Management Committee within twenty (20) calendar days from the date of the alleged improper assignmentManager’s response or when she or he ought to have responded under (iii) above. The chairperson Chair of the Union-Labour Management Committee shall convene a meeting of the Union-Labour Management Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.ONA/

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; 24.01 In the event that the Home Region assigns a number of residents or a workload work load to an individual employee Nurse or a group of employees, Nurses such that she she/he or they have cause to believe that she she/he or they are being asked to perform more work than is consistent with proper resident care, she she/he or they shall: (i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. (ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the UnionAssociation-Management Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson of the UnionAssociation-Management Committee shall convene a meeting of the UnionAssociation-Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint issue to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. (iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint issue within twenty fifteen (2015) calendar days of the meeting of the UnionAssociation-Management Committee, the complaint issue shall be forwarded to an independent Independent Assessment Committee composed of three (3) registered nurses; Registered Nurses, one (1) chosen by the Ontario Nurses' Association, one (1) chosen by the Home Region, and one (1) chosen by the other two (2) from a panel of independent registered nurses Registered Nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairpersonchairperson. vii(iv) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess the merits of the complaintissue. The Independent Assessment Committee shall report its findings, findings in writing, writing to the parties within twenty thirty (2030) calendar days following completion of its the hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members to and forms part of this Agreement. (i) Each party will bear the cost of its own nominee and will share equally the fee of the panel shall sit in rotation as agreed Chairperson and whatever other expenses are incurred by the parties. If a panel member is unable to sit within Independent Assessment Committee in the time limit stipulatedperformance of its responsibility as set out herein. (i) Time limits fixed in this process may be extended only by written, the panel member next scheduled to sit will be appointed by mutual consent of the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating pertaining to professional practice practice, resident acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Employer assigns a number of residents or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) I. At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident care needs using current resources. II. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home (who could be within the Bargaining Unit) who has responsibility for timely resolution of workload issues. ii) III. Failing resolution of the workload issue at the time of occurrence occurrence, the nurse(s) will notify Director of Care within seventy-two (72) hours. Nurses will complete the PRC form within twenty-four (24) hours and notify the Bargaining Unit President or Grievance Representative. IV. The nurse will submit the form to Director of Care within seven (7) days of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the UnionNurse-Management Committee shall convene a meeting of the Union-Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management meeting will include Director of Care, Human Resources Consultant, Bargaining Unit President, Grievance Representative and the nurse filing the workload issue. The Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) V. Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the UnionNurse-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nursesRegistered Nurses; one chosen by the Ontario Nurses' ’ Association, one chosen by the Home Corporation and one chosen from a panel of independent registered nurses who are well respected within the profession. Registered Nurses listed in Appendix C. The member of the Committee shall be chosen on a rotational basis from the panel of independent registered nurses and shall act as ChairpersonChair. vii) VI. The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons VII. It is attached as Appendix “B”. The members understood and agreed that representatives of the panel shall sit in rotation as agreed by Ontario Nurses’ Association, including the parties. If a panel member is unable to sit within Labour Relations Officer, may attend meetings held between the time limit stipulated, Home and the panel member next scheduled to sit will be appointed by the partiesAssociation under this provision.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; 26.01 In the event that the Home Corporation assigns a number of residents clients or a workload to an individual employee nurse or group of employees, nurses such that she (s)he or they have cause to believe that she (s)he or they are being asked to perform more work than is consistent with proper resident client care, she (s)he or they shall: (i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain Complain in writing to the Union-Nurse Management Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson Chairperson of the Union-Nurse Management Committee shall convene a meeting of the Union-Nurse Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. viii) Failing resolution of the complaint within twenty five (205) calendar days of the meeting of the Union-Nurse Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, ; one chosen by the Home Regional Corporation and one chosen by the other two (2) from a panel of four (4) independent registered nurses who are well well-respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii(iii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, findings in writing, writing to the parties within twenty thirty (2030) calendar days following completion of its hearing. (b) i) The list List of Independent Chairpersons - Assessment Committee Chairpersons is attached as to and forms part of this Agreement. (See Appendix “B”. The members "A") (ii) Each party will bear the cost of its own nominee and will share equally the fee of the panel shall sit in rotation as agreed Chairperson and whatever other expenses are incurred by the parties. If a panel member is unable to sit within Assessment Committee in the time limit stipulated, the panel member next scheduled to sit will be appointed by the partiesperformance of its responsibilities as set out herein.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating Employer shall recognize one (1) Professional Responsibility representative per home from the bargaining unit to assist nurses in filing and attending meetings related to professional practice and responsibility workload are resolved in a timely and effective manner, as set out below; reporting forms. In the event that the Home Employer assigns a number of residents residents, or a workload workload, to an individual employee nurse or group of employees, nurses such that she the nurse or they nurses have cause to believe that she she/he or they are being asked to perform more an amount of work than is consistent with proper resident carewhich prevents her/him or them from fulfilling their professional responsibilities, she the nurse or they nurses shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain Complain in writing to the Union-Nurse Management Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson Chairperson of the Union-Nurse Management Committee shall convene a meeting of the Union-Nurse Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. viii) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the Union-Nurse Management Committee, Committee the complaint shall be forwarded to an independent Independent Assessment Committee composed of three (3) registered nurses; : one chosen by the Ontario Nurses' Association, one chosen by the Home Employer and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. viiiii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make such findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following the completion of its the hearing. (b) iiv) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of following nurses shall constitute the panel shall sit in rotation as agreed by the partiesof chairpersons: 1. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.Xxxxx Xxxxxx 2. Xxxxxxx Plain 3. Xxxxxx Xxxxxxxxx

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Employer assigns a number of residents or a workload to an individual employee nurse or group of employeesnurses, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution within the unit/program at the time of occurrence the occurrence, the nurse will discuss the issue with the V.P. Nursing or designate on the next day that the Manager and nurse are working. When meeting with the manager, the nurse(s) may request the assistance of a Union representative to support/assist her/him at the meeting. iii) Every effort will be made to resolve workload issue, complain issues at the unit level. A Union representative shall be involved in any resolution discussions at the unit level. The discussions and actions will be documented. iv) Complain in writing on the Professional Responsibility Complaint Form, Appendix “D”, to the Union-Association/Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson Chairperson of the Union-Association/Management Committee shall convene a meeting of the Union-Management Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response parties and report the outcomes to the Union, with a copy to the ONA representation within ten (10) calendar daysparties. iiiv) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union Association may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the partiesVP Nursing. vi) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the Union-Association/Management Committee, the complaint shall be forwarded to an independent Assessment Committee assessment committee, composed of three (3) registered nurses; one (1) chosen by the Ontario Nurses' Association, one (1) chosen by the Home and one (1) chosen from a panel of four (4) independent registered nurses who are well respected within the profession. The member of the Committee committee chosen from the panel of independent registered nurses shall act as Chairpersonchairperson. If one of the parties fails to appoint its nominee within a period of forty-five (45) calendar days of giving notice to proceed to the Independent Assessment Committee, the process will proceed. This will not preclude either party from appointing their nominee prior to the commencement of the Independent Assessment Committee hearing. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess necessary, and make what findings as are appropriate under the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, findings in writing, to the parties within twenty forty-five (2045) calendar days following completion of its hearing. viii) The Chief Nursing Executive, Bargaining Unit President and the Home-Association Committee will jointly review the recommendations of the Independent Assessment Committee and develop an implementation plan for mutually agreed changes. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “"B”" and forms part of this agreement. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 10.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; . In the event that the Home Manor assigns a number of residents or a workload to an individual employee or group of employees, employees such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home Manor to develop strategies to meet resident care needs using current resources, when appropriate. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Manor who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty fourteen (2014) calendar days of the alleged improper assignment. The chairperson of the Union-Union- Management Committee shall convene a meeting of the Union-Management Committee within twenty fourteen (2014) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation Bargaining Unit President within ten fourteen (1014) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty fourteen (2014) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home Manor and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. viiiv) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty fourteen (2014) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty fourteen (2014) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members During the term of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulatedthis Agreement, the panel member next scheduled parties shall meet as necessary to sit will be appointed review and amend by agreement the partieslist of Chairs of Independent Assessment Committees.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she she/he or they have cause to believe that she she/he or they are being asked to perform more work than is consistent with proper resident care, she she/he or they shallmay: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Home Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Home Committee shall convene a meeting of the Union-Management Home Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Home Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will Within ten (10) calendar days of the meeting, the Committee shall provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar daysrepresentative, and the Director of Care and/or the Administrator. The response shall either set out the resolution of the Committee or the fact that a resolution was not achieved, with reasons. iii) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator, and the Employer may provide a written response to the Union with a copy to the ONA representative. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice workload issues. v) Any settlement arrived at under 19.01 (a) i) – iii) this Article shall be signed by the partiesparties and any alleged breach of such settlement shall be subject to the grievance/arbitration process. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Home Committee, the complaint shall be forwarded to an independent Independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons Chairperson is attached as Appendix “B2”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Employer assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: (i) At the time the workload issue occurs, discuss the issue within the Home with Nursing Management to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. (ii) Failing resolution at the time of occurrence of the workload issueIf unresolved, complain report in writing or by submitting a completed ONA/Long Term Care Professional Responsibility workload Report Form (PRWRF) to the Union-Management Committee Director of Care within twenty ten (2010) calendar days of the alleged improper assignment. The chairperson of the Union-Union - Management Committee shall convene a meeting of the Union-Management Committee committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. . (iii) The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. (iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) . Any settlement arrived at under 19.01 9.01 (a) i) – - iii) shall be signed by the partiesparties and be subject to the grievance/arbitration process. vi(v) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the Union-Union - Management Committee, the complaint shall be forwarded to an independent Assessment Committee assessment committee composed of three (3) registered nurses; one (1) chosen by the Ontario Nurses' Association, one (1) chosen by the Home Employer and one (1) chosen from a panel of five (5) independent registered nurses who are well respected within the professionprofession and have experience in the field of Homes for the Aged. The member of the Committee committee chosen from the panel of independent registered nurses shall act as Chairpersonchairperson. vii(vi) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty twenty-one (2021) calendar days of its appointment, and shall be empowered to investigate as is necessary necessary, and to properly assess make what findings as are appropriate under the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, findings in writing, to the parties within twenty twenty-one (2021) calendar days following completion of its hearing. (bi) Time limits fixed in this process may be extended only by written, mutual consent of the parties. (ii) In all steps of this process, either party may be accompanied by or represented by their Union or Employer representative. (c) (i) The list of Independent the Assessment Committee Chairpersons is attached as Appendix “Schedule "B”" and forms part of this Agreement. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable or unwilling to sit within the time limit stipulated, the panel member next scheduled to sit on the list will be appointed by the parties.

Professional Responsibility. 19.01 18.01 The parties agree Employer recognizes that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; employees have obligations under the Regulated Health Professions Act. In the event that the Home Employer assigns a number of residents clients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident client care, she or they shall: i) At the time the a workload issue occurs, discuss occurs the issue matter will be discussed within the Home team/site/program to develop strategies to meet resident client care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues.needs; ii) Failing resolution at the time of occurrence of the workload issueoccurrence, complain the matter will be discussed with the Manager (or designate) on their next working day; iii) Failing resolution, the complaint shall be submitted in writing to the Union-Union Management Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson Chairman of the Union-Union Management Committee shall convene a meeting of the Union-Union Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the Union-Union Management Committee, Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nursespersons who have expertise in Public Health Nursing; one chosen by the Ontario Nurses' Association, Union: one chosen by the Home and one Health Unit and, the third person chosen by the first two from a panel the list of independent registered nurses who are well respected within the professionChairpersons named in Appendix “B”. The third member of the Assessment Committee chosen from to form the panel of independent registered nurses shall act as Chairperson. viiv) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, findings in writing, writing to the parties within twenty thirty (2030) calendar days following completion of its hearing. (b) i) The list If the Chairperson cannot be agreed upon, this will be settled by arbitration pursuant to the grievance procedure found in this collective agreement. ii) Each party will bear the cost of Independent its own nominee and will share equally the fee of the Chairperson and whatever other expenses are incurred by the Assessment Committee Chairpersons is attached in the performance of its responsibilities as Appendix “B”. The members set out herein. (c) Time limits may be extended by mutual agreement of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 20.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Employer assigns a number of residents or a workload to an individual employee worker or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than of a quality or in a manner that is in consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Union- Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. Failing resolution of the complaint within ten (10) calendar days of the meeting of the Union Management Committee, the complaint shall be forwarded to an independent assessment committee composed of three (3) registered nurses; one (1) chosen by the Ontario Nurses' Union, one (1) chosen by the Employer and one (1) chosen by a panel of four (4) independent registered nurses who are well respected within the profession. The member of the committee chosen from the panel of independent registered nurses shall act as chairperson. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' ’ Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, findings in writing, to the parties within twenty (20) calendar days following completion of its hearing. viii) Representatives of the Ontario Nurses' Union have the right to participate in all stages of a professional responsibility complaint. (b) i) The list of the Independent Assessment Committee Chairpersons is attached as Appendix “to Schedule "B”" and forms part of this Agreement. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 10.01 The parties agree that resident patient care is enhanced if concerns relating to professional practice practice, patient acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner. This provision is intended to appropriately address employee concerns relative to their workload issues in the context of their professional responsibility. In particular, as set out below; the parties encourage nurses to raise any issues that negatively impact their workload or patient care, including but not limited to: • Gaps in continuity of care • Balance of staff mix • Access to contingency staff • Appropriate number of nursing staff In the event that the Home Employer assigns a number of residents patients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall:; i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. . ii) If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Employer (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence, the nurse(s) will discuss the issue with their Manager or designate on the Manager’s or designate’ s next day that the Manager (or designate) and the nurse are both working or within ten (10) calendar days, whichever is sooner. Complete the ONA/Hospital professional Responsibility Workload Report Form, The manager (or designate) will provide a written response on the ONA/ Employer Professional Responsibility Workload Report Form to the nurses(s) within ten (10) days of receipt of the form with a copy to the Bargaining Unit President. iv) Failing resolution at the time of occurrence of unit level, submit the workload issue, complain in writing ONA/Hospital Professional Responsibility Workload Report Form to the UnionHospital-Management Association Committee within twenty (20) calendar days from the date of the alleged improper assignmentManager’s response or when they ought to have responded under (iii) above. The chairperson Chair of the UnionHospital-Management Association Committee shall convene a meeting of the UnionHospital-Management Association Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response parties and report the outcome to the Union, with a copy to the ONA representation within ten (10) calendar daysnurse(s). iiiv) Prior to the complaint being forwarded to the Independent Assessment Committeecommittee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the partiesChief Nursing Executive. vi) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the Union-Management Committee, Employer Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home Employer and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty forty-five (2045) calendar days following completion of its hearing. viii) It is understood and agreed that representatives of the Ontario Nurses' Association, including the Employment Relations Officer and the Nursing Practice Officer, may attend meetings held between the Employer and the Union under this provision. ix) Any complaint lodged under this provision shall be on the form set out in Appendix 6. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”2. The members parties agree that should a Chairperson be required, the Ontario Hospital Association and the Ontario Nurses’ Association will be contacted. They will provide the name of the panel shall sit in rotation as agreed by person to be utilized on the partiesalphabetical listing of Chairpersons. If a panel member The name to be provided will be the top name on the list of Chairpersons who has not been previously assigned. Should the Chairperson who is unable scheduled to sit within serve decline when requested, or it becomes obvious that the time limit stipulatedChair would not be suitable due to connections with the Employer or community, the panel member next scheduled to sit person on the list will be appointed by the partiesapproached to act as Chairperson.

Professional Responsibility. 19.01 9.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she she/he or they have cause to believe that she she/he or they are being asked to perform more work than is consistent with proper resident care, she she/he or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the partiesparties and be subject to the grievance/arbitration process. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B2”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; 17.01 In the event that the Home Employer assigns a number of residents or a workload to an individual employee nurse or group of employeesnurses, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: (a) (i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain Complain in writing to the Union-Management Committee Director of Residential Services within twenty ten (2010) calendar days of the alleged improper assignment. The chairperson Chairperson of the Union-Association Management Committee shall convene a meeting of the Union-Management Committee within twenty fourteen (2014) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. viii) Failing resolution of the complaint within twenty fourteen (2014) calendar days of the meeting of the Union-Association Management Committee, the complaint shall be forwarded to an independent Assessment Committee Committee, composed of three (3) registered nurses; one (1) chosen by the Ontario Nurses' Association, one one (1) chosen by the Home Employer, and one (1) chosen from a panel of four (4) independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairpersonchairperson. vii(iii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess necessary, and make what findings as are appropriate under the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, findings in writing, to the parties within twenty twenty-one (2021) calendar days following completion of its this hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “"B”" and forms part of this Agreement. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties. (ii) Each party will bear the cost of its own nominee and share equally the fee of the chairperson, and whatever other expenses are included by the Assessment Committee, in the performance of its responsibilities as set out herein.

Professional Responsibility. 19.01 28.01 The parties agree that resident care is client services are enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, manner as set out below; : In the event that the Home Employer assigns a number of residents clients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident client care, she or they shall: (i) At the time the workload issue occurs, discuss the issue within the Home team/site/program to develop strategies to meet resident the care needs of clients using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Manager or designate, as soon as possible. Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Labour Relations Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson Chairperson of the Union-Management Labour Relations Committee shall convene a meeting of the Union-Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation representative within ten (10) calendar daysdays of the meeting. iii(ii) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the AdministratorChief Executive Officer. iv(iii) At any time during this process, the parties may agree to the use of a mediator Mediator to assist in the resolution of the Professional Practice professional practice issues. v(iv) Any settlement arrived at under 19.01 Article 28 – Professional Responsibility, Sec. 28.01 (a) (i) – - (iii) above, shall be signed by the parties. vi(v) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Labour Relations Committee, the complaint shall be forwarded to an independent Independent Assessment Committee composed of three (3) registered nurses; one (1) chosen by the Ontario Nurses' ’ Association, one (1) chosen by the Home Employer. The third panel member will be selected by the Parties when required, and one chosen from a mutually agreed. The third panel of member will be an independent registered nurses nurse who are well is respected within the profession. The member of the Committee chosen from the panel of independent registered nurses , and shall act as Chairpersonchair. vii(vi) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty (20) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, findings in writing, writing to the parties within twenty thirty (2030) calendar days following completion of its hearing. (vii) The recommendation of the Assessment Committee shall be binding on both parties. (viii) Any complaint lodged under this provision shall be on the ONA Public Health Unit Professional Responsibility Workload Report Form (Appendix 1). (b) i) The list Each party will bear the cost of it’s own nominee and will share equally the fee of the Chairperson and whatever other expenses are incurred by the Independent Assessment Committee Chairpersons is attached in the performance of its responsibilities as Appendix “B”. The members set out herein. (i) Time limits fixed in the process may be extended only by written, mutual consent of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties. (ii) In all steps of this process, either party may be accompanied by or represented by their Union or Employer representative. (d) If the Union and the Employer are unable to agree upon the composition or rotation of the panel, these matters shall be considered in dispute and remitted to a Board of Arbitration in accordance with this Collective Agreement.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating pertaining to professional practice practice, resident acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Employer assigns a number of residents or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) I. At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident care needs using current resources. II. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home (who could be within the Bargaining Unit) who has responsibility for timely resolution of workload issues. ii) III. Failing resolution of the workload issue at the time of occurrence occurrence, the nurse(s) will notify Director of Care within seventy-two (72) hours. Nurses will complete the PRC form within twenty-four (24) hours and notify the Bargaining Unit President or Grievance Representative. IV. The nurse will submit the form to Director of Care within seven (7) days of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the UnionNurse-Management Committee shall convene a meeting of the Union-Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management meeting will include Director of Care, Human Resources Consultant, Bargaining Unit President, Grievance Representative and the nurse filing the workload issue. The Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) V. Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the UnionNurse-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nursesRegistered Nurses; one chosen by the Ontario Nurses' ’ Association, one chosen by the Home Corporation and one chosen from a panel of independent registered nurses who are well respected within the profession. Registered Nurses listed in Appendix B. The member of the Committee shall be chosen on a rotational basis from the panel of independent registered nurses and shall act as ChairpersonChair. vii) VI. The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons VII. It is attached as Appendix “B”. The members understood and agreed that representatives of the panel shall sit in rotation as agreed by Ontario Nurses’ Association, including the parties. If a panel member is unable to sit within Labour Relations Officer, may attend meetings held between the time limit stipulated, Home and the panel member next scheduled to sit will be appointed by the partiesAssociation under this provision.

Professional Responsibility. 19.01 ‌ 20.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Employer assigns a number of residents or a workload to an individual employee worker or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than of a quality or in a manner that is in consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. Failing resolution of the complaint within ten (10) calendar days of the meeting of the Union Management Committee, the complaint shall be forwarded to an independent assessment committee composed of three (3) registered nurses; one (1) chosen by the Ontario Nurses' Union, one (1) chosen by the Employer and one (1) chosen by a panel of four (4) independent registered nurses who are well respected within the profession. The member of the committee chosen from the panel of independent registered nurses shall act as chairperson. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' ’ Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, findings in writing, to the parties within twenty (20) calendar days following completion of its hearing. viii) Representatives of the Ontario Nurses' Union have the right to participate in all stages of a professional responsibility complaint. (b) i) The list of the Independent Assessment Committee Chairpersons is attached as Appendix “to Schedule "B”" and forms part of this Agreement. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 (Article 8.01 applies to employees covered by an Ontario College under the Regulated Health Professions Act only.) 8.01 The parties agree that resident patient care is enhanced if concerns relating to professional practice practice, patient acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Hospital assigns a number of residents patients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. . ii) If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Hospital (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence of occurrence, the workload issuenurse(s) will discuss the issue with her or his Manager or designate on the next day that the Manager (or designate) and the nurse are both working or within five (5) calendar days, complain whichever is sooner. iv) Complain in writing to the UnionAssociation-Management Hospital Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson Chair of the Union-Management Association- Hospital Committee shall convene a meeting of the UnionAssociation-Management Hospital Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response parties and report the outcome to the Union, with a copy to the ONA representation within ten (10) calendar daysparties. iiiv) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union Association may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or Chief Nursing Executive. For professionals regulated by the Administrator. iv) At any time during this processRHPA, other than nurses, the parties Association may agree forward a written report outlining the complaint and recommendations to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed appropriate senior executive as designated by the parties.Hospital. (Article 8.01(a) (vi),(vii), (viii) and (ix) and 8.01(b) applies to nurses only) vi) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the UnionAssociation-Management Committee, Hospital Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home Hospital and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following completion of its hearing. viii) It is understood and agreed that representati ves of the Ontario Nurses' Association, including the Labour Relations Officer(s), may attend meetings held between the Hospital and the Association under this provision. ix) Any complaint lodged under this provision shall be on the form set out in Appendix 6. (b) i) The list of Independent Assessment Committee Chairpersons Chairs is attached as Appendix “B”2. During the term of this Agreement, the central parties shall meet as necessary to review and amend by agreement the list of chairs of Professional Responsibility Assessment Committees. The members parties agree that should a Chair be required, the Ontario Hospital Association and the Ontario Nurses' Association will be contacted. They will provide the name of the panel shall sit in rotation as agreed by person to be utilized on the partiesalphabetical listing of Chairs. If a panel member The name to be provided will be the top name on the list of Chairs who has not been previously assigned. Should the Chair who is unable scheduled to sit within serve decline when requested, or it becomes obvious that she or he would not be suitable due to connections with the time limit stipulatedHospital or community, the panel member next scheduled to sit person on the list will be appointed by the partiesapproached to act as Chair.

Professional Responsibility. 19.01 10.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she she/he or they have cause to believe that she she/he or they are being asked to perform more work than is consistent with proper resident care, she she/he or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the UnionEmployer-Management Union Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the UnionEmployer-Management Union Committee shall convene a meeting of the UnionEmployer-Management Union Committee within twenty (20) calendar days of the filing of the complaint. The UnionEmployer-Management Union Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 10.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the UnionEmployer-Management Union Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B2”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 9.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Union- Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the partiesparties and be subject to the grievance/arbitration process. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.twenty

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Corporation assigns a number of residents or a workload workload, to an individual employee Nurse or group of employees, Nurses such that she or they have cause to believe that she or they are being asked to perform more an amount of work than is consistent with proper resident carewhich prevent her or them from fulfilling her professional responsibilities, she or they shall: (i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain Complain in writing to the Union-ONA - Management Committee within twenty five (205) calendar days of the alleged improper assignment. The chairperson Chairman of the Union-ONA- Management Committee shall convene a meeting of the Union-Management ONA -Management Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. viii) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the Union-ONA - Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one Registered Nurses: One (1) chosen by the Ontario Nurses' Association, one (1) chosen by the Home Corporation, and one (1) chosen from a panel of four (4) independent registered nurses Registered Nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses Registered Nurses shall act as a Chairperson. vii(iii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what decisions it finds appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, decisions in writing, writing to the parties within twenty thirty (2030) calendar days following completion of its hearing. (b) i) The list parties shall select a panel of Independent Assessment Committee Chairpersons is attached as Appendix “B”four (4) independent Registered Nurses who are well- respected within the profession. The members of the panel shall sit in on a rotation as agreed upon by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties. (ii) Each party will bear the cost of its own nominee and will share equally the fee of the Chairperson and whatever other expenses are incurred by the Assessment Committee in the performance of its responsibilities as set out herein.

Professional Responsibility. 19.01 9.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she she/he or they have cause to believe that she she/he or they are being asked to perform more work than is consistent with proper resident care, she she/he or they shall: i) At the time the workload issue occurs, discuss the issue within the unit and within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Union- Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within the ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 9.01 (a) i) – iii) shall be signed by the partiesparties and be subject to the grievance/arbitration process. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' ’ Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B2”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. (Clause 19.01 (a) i) and (ii) is applicable to Registered Nurses and Registered Practical Nurses. Remainder of Article is applicable to Registered Nurses Only) 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. During the term of this Agreement, the central parties shall meet as necessary to review and amend by agreement the list of Chairs of Independent Assessment Committees. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 ‌ (Article 8.01 applies to employees covered by an Ontario College under the Regulated Health Professions Act only.) 8.01 The parties Parties agree that resident care is enhanced if concerns relating to professional practice practice, resident acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Health Centre assigns a number of residents or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident care needs using current resources. . ii) If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Health Centre (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence occurrence, the nurse(s) will discuss the issue with her or his Manager or designate on the manager’s or designate’s next working day. The program manager will respond in writing as per sec.7 of the workload issueONA Professional Responsibility Workload Report Form (Appendix 3) to the complaint(s), complain with a written copy to the Bargaining Unit President. iv) Any settlement arrived at under (a) v) shall be signed by the Parties. v) Complain in writing to the UnionLabour-Management Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson Chair of the UnionLabour-Management Committee shall convene a meeting of the UnionLabour-Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the partiesParties. vi) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the UnionLabour-Management Committee, Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home Health Centre and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties Parties within twenty thirty (2030) calendar days following completion of its hearing. viii) It is understood and agreed that representatives of the Ontario Nurses' Association, including the Labour Relations Officer and the Nursing Practice Officer, may attend meetings held between the Health Centre and the Association under this provision. ix) Any complaint lodged under this provision shall be on the form set out in Appendix 3. (b) i) The list of Independent Assessment Committee Chairpersons Chairs is attached as Appendix “B”2. During the term of this Agreement, the Parties shall meet as necessary to review and amend by agreement the list of chairs of Professional Responsibility Assessment Committees. The members Parties agree that should a Chair be required, the Health Centre and the Ontario Nurses' Association will be contacted. They will provide the name of the panel shall sit in rotation as agreed by person to be utilized on the partiesalphabetical listing of Chairs. If a panel member The name to be provided will be the top name on the list of Chairs who has not been previously assigned. Should the Chair who is unable scheduled to sit within serve decline when requested, or it becomes obvious that she or he would not be suitable due to connections with the time limit stipulatedHealth Centre or community, the panel member next scheduled to sit person on the list will be appointed by the partiesapproached to act as Chair.

Professional Responsibility. (Clause 19.01 (a) (i) and (ii) is applicable to Registered Nurses and Registered Practical Nurses. Remainder of the Article is applicable to Registered Nurses Only) 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 9.01 The parties agree that resident care is enhanced if concerns relating to professional practice practice, resident acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home assigns a number of residents patients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within with the Home Director of Resident Services or delegate, using established lines of communication, as identified by the Home, to seek immediate assistance from an individual(s)who has responsibility for timely resolution of the workload issues, to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution of the workload issue at the time of occurrence or if issue is ongoing the nurse(s) will discuss the issue with the Administrator or designate on the next day that the Administrator and nurse are both working or within five (5) calendar days whichever is sooner. Complete the Professional Responsibility Workload Report Form. The Administrator or designate will provide a written response on the ONA/Home Professional Responsibility Workload Report Form to the nurse(s) within five (5) days of receipt of the workload issue, complain in writing form with a copy to the Union-Bargaining Unit President. iii) Every effort will be made to resolve workload issues. A Union representative shall be involved in any resolution discussions. The discussions and actions will be documented. iv) Failing resolution, submit the Professional Responsibility Workload Report Form to the Association Management Committee within twenty (20) calendar days from the date of the alleged improper assignmentAdministrator’s response or when they ought to have responded under ii) above. The chairperson A meeting of the Union-Association Management Committee shall convene a meeting of the Union-Management Committee be scheduled within twenty fifteen (2015) calendar days of the filing of the complaintProfessional Responsibility Workload Report Form. The Union-Management Committee shall hear and attempt to resolve the complaint issue(s) to the satisfaction of both partiesparties and report the outcome to the nurse(s). The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iiiv) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. ivvi) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. vvii) Any settlement arrived at under 19.01 (a) i) – iii) the above, shall be signed by the parties. viviii) Failing resolution of the complaint issue(s) within twenty the fifteen (2015) calendar days of the meeting of the Union-Association Management Committee, the complaint shall be forwarded to an independent Assessment Committee assessment committee composed of three (3) registered nurses; one (1) chosen by the Ontario Nurses' ’ Association, one (1) chosen by the Home Employer and one (1) chosen from by a panel of independent registered nurses who are well respected within the profession. The member of the Committee committee chosen from the panel of independent registered nurses shall act as Chairpersonchairperson. If one of the parties fails to appoint its nominee within a period of forty-five (45) calendar days of giving notice to proceed to the Independent Assessment Committee, the process will proceed. This will not preclude either party from appointing their nominee prior to the commencement of the Independent Assessment Committee hearing. viiix) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, and shall be empowered to investigate as is necessary necessary, and to properly assess make what findings as are appropriate under the merits of the complaintcircumstances. The Independent Assessment Committee shall report render its findings, decision in writing, to the parties within twenty forty-five (2045) calendar days following completion of its hearing. x) It is understood and agreed that representatives of the Ontario Nurses’ Association, including the Labour Relations Officer and the Professional Practice Officer, may attend meetings held between the Home and the Association under this provision. xi) Any issues lodged under this provision shall be on the Professional Responsibility Workload Form. Alternatively, the local parties may agree to an electronic version of the form and a process for signing. xii) The Administrator, Bargaining Unit President and the Association Management Committee will jointly review the recommendations of the Independent Assessment Committee and develop an implementation plan for mutually agreed changes. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the partiesalphabetically. If The parties agree that should a panel member is unable to sit within the time limit stipulatedChairperson be required, the panel member next Ontario Nurses’ Association and the Home will be contacted. They will provide the name of the person to be utilized on the list of Chairpersons. Should the Chairperson who is scheduled to sit serve decline when requested, or it becomes obvious that they would not be suitable due to connections with the Home or community, the next person on the list will be appointed by the partiesapproached to act as Chairperson. Chairpersons - Nursing Assessment Committee List of Professional Responsibility Assessment Committee Chairpersons to be agreed upon as needed.

Professional Responsibility. 19.01 10.01 The parties agree that resident patient care is enhanced if concerns relating to professional practice practice, patient acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Hospital assigns a number of residents patients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall:; i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. . ii) If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Hospital (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence of occurrence, the workload issuenurse(s) will discuss the issue with her or his Manager or designate on the Manager’s or designate’s next day that the Manager (or designate) and the nurse are both working or within five (5) calendar days, complain whichever is sooner. iv) Complain in writing to the Union-Management Hospital Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson Chair of the Union-Management Hospital Committee shall convene a meeting of the Union-Management Hospital Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response parties and report the outcome to the Union, with a copy to the ONA representation within ten (10) calendar daysparties. iiiv) Prior to the complaint being forwarded to the Independent Assessment Committeecommittee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the partiesChief Nursing Executive. vi) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the Union-Management Committee, Hospital Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home Hospital and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following completion of its hearing. viii) It is understood and agreed that representatives of the Ontario Nurses' Association, including the Employment Relations Officer and the Nursing Practice Officer, may attend meetings held between the Hospital and the Union under this provision. ix) Any complaint lodged under this provision shall be on the form set out in Appendix 6. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”2. The members parties agree that should a Chairperson be required, the Ontario Hospital Association and the Ontario Nurses’ Association will be contacted. They will provide the name of the panel shall sit in rotation as agreed by person to be utilized on the partiesalphabetical listing of Chairpersons. If a panel member The name to be provided will be the top name on the list of Chairpersons who has not been previously assigned. Should the Chairperson who is unable scheduled to sit within serve decline when requested, or it becomes obvious that the time limit stipulatedChair would not be suitable due to connections with the Hospital or community, the panel member next scheduled to sit person on the list will be appointed by the partiesapproached to act as Chairperson.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Union- Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the AdministratorChief Executive Officer. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home employer assigns a number of residents or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more xxxx work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain Complain in writing to the UnionNurse-Management Committee within twenty thirty (2030) calendar days of the alleged improper assignment. The chairperson Chairman of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20five ( 5 ) calendar days of the meeting of the Union-Management Committee, Committee the complaint shall be forwarded to an independent Independent Assessment Committee composed of three (3) registered nurses; : one chosen by the Ontario Nurses' Association, one chosen by the Home Employer and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses profession and who shall act as Chairperson. vii) . The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what decisions it finds appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, decisions in writing, writing to the parties within twenty thirty (2030) calendar days following the completion of its hearing. . The parties shall meet within fourteen (b14) idays of the release of this Award and select a panel of four (4) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”independent registered nurses. The members of the panel shall sit in a rotation as agreed upon by the parties. If a panel member is unable to sit within the time limit limits stipulated, the panel member next scheduled to sit will be appointed by the parties. If the parties are unable to agree upon the composition or rotation of the panel within sixty (60) days of the release of this Award, these matters shall be remitted to this Board of Arbitration for determination. Each party will bear the cost of its nominee and will share equally the fee of the Chairperson and whatever other expenses are incurred by the Assessment Committee in the performance of its responsibilities as set out herein.

Professional Responsibility. 19.01 20.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she she/he or they have cause to believe that she she/he or they are being asked to perform more work than is consistent with proper resident care, she she/he or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Nursing Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Nursing Committee shall convene a meeting of the Union-Management Nursing Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Nursing Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the AdministratorCEO. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 9.01 (a) i) – iii) shall be signed by the partiesparties and be subject to the grievance/arbitration process. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Nursing Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 10.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; . In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she she/he or they have cause to believe that she she/he or they are being asked to perform more work than is consistent with proper resident care, she she/he or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the UnionEmployer-Management Union Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the UnionEmployer-Management Union Committee shall convene a meeting of the UnionEmployer-Management Union Committee within twenty (20) calendar days of the filing of the complaint. The UnionEmployer-Management Union Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 10.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar 20)calendar days of the meeting of the UnionEmployer-Management CommitteeUnionCommittee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B2”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 20.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Employer assigns a number of residents or a workload to an individual employee worker or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than of a quality or in a manner that is in consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Union- Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. Failing resolution of the complaint within ten (10) calendar days of the meeting of the Union Management Committee, the complaint shall be forwarded to an independent assessment committee composed of three (3) registered nurses; one (1) chosen by the Ontario Nurses' Union, one (1) chosen by the Employer and one (1) chosen by a panel of four (4) independent registered nurses who are well respected within the profession. The member of the committee chosen from the panel of independent registered nurses shall act as chairperson. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' ’ Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, findings in writing, to the parties within twenty (20) calendar days following completion of its hearing. viii) Representatives of the Ontario Nurses' Union have the right to participate in all stages of a professional responsibility complaint. (b) i) The list of the Independent Assessment Committee Chairpersons is attached as Appendix “to Schedule "B”" and forms part of this Agreement. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 9.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she she/he or they have cause to believe that she she/he or they are being asked to perform more work than is consistent with proper resident care, she she/he or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Union- Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation representative within ten (10) calendar days. iii) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 9.01 (a) i) – iii) shall be signed by the partiesparties and be subject to the grievance / arbitration process. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Employer assigns a number of residents patients or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “"B”". During the term of this Agreement, the central parties shall meet as necessary to review and amend by agreement the list of Chairs of Independent Assessment Committees. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Employer assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Union- Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this the process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' ’ Association, one chosen by the Home Employer and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents patients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, : complain in writing to the Union-Management Nursing Committee within twenty fifteen (20) If' calendar days of the alleged improper assignment. The chairperson Chairman of the Union-Management Nursing Committee shall convene a meeting of the Union-Management Nursing Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty fifteen (20) calendar 15)calendar days of the meeting of the Union-Management Nursing Committee, the complaint shall be forwarded to an independent Independent Assessment Committee Committee, composed of three (3) registered nurses; one (1) chosen by the Ontario Nurses' Association, one chosen (I)chosen by the Home Hospital, and one chosen (I)chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) . The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what decisions it finds appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following completion of its hearing. (b) i) . It is understood and agreed that representatives of the Ontario Nurses' Association, including the Employment Relations Officer and the Nursing Practice may attend meetings held between the Hospital and the Association under this provision. Any complaint lodged under this provision shall be on the set out in Appendix The list of Independent Chairpersons (Assessment Committee) is attached to and forms part of this Agreement. The parties agree that should a Chairperson be required, the Ontario Hospital Association and the Ontario Nurses' Association will be contacted. They will provide the name of the person to be utilized on the alphabetical listing of Chairpersons. The name to be provided will be the top name on the list of Chairpersons who has not been previously assigned Should the Chairperson who is scheduled to serve decline when requested, or it becomes obvious that she would not be suitable due to connections with the Hospital or community the next person on the list will be approached to act as Chairperson. Each party will bear the cost of its own nominee and will share equally the fee of the Chairperson and whatever other expenses are incurred by the Assessment Committee Chairpersons is attached in the performance of its responsibilities as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the partiesset out herein.

Professional Responsibility. Applies to RNs Only (a) to (c) 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Union- Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. During the term of this Agreement, the central parties shall meet as necessary to review and amend by agreement the list of Chairs of Independent Assessment Committees. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Union- Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The Employer agrees to recognize the list of Independent Assessment Committee Chairpersons attached as Appendix “B” once the amended roster is agreed to and finalized by the Participating Nursing Homes and ONA during the term of this Agreement. The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. Applies to RNs Only (a) to (c) 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. During the term of this Agreement, the central parties shall meet as necessary to review and amend by agreement the list of Chairs of Independent Assessment Committees. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 (Article 8.01 applies to employees covered by an Ontario College under the Regulated Health Professions Act only.) 8.01 The parties Parties agree that resident care is enhanced if concerns relating to professional practice practice, resident acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Health Centre assigns a number of residents or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident care needs using current resources. . ii) If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Health Centre (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence occurrence, the nurse(s) will discuss the issue with her or his Manager or designate on the manager’s or designate’s next working day. The program manager will respond in writing as per sec.7 of the workload issueONA Professional Responsibility Workload Report Form (Appendix 3) to the complaint(s), complain with a written copy to the Bargaining Unit President. iv) Any settlement arrived at under (a) v) shall be signed by the Parties. v) Complain in writing to the UnionLabour-Management Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson Chair of the UnionLabour-Management Committee shall convene a meeting of the UnionLabour-Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the partiesParties. vi) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the UnionLabour-Management Committee, Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home Health Centre and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties Parties within twenty thirty (2030) calendar days following completion of its hearing. viii) It is understood and agreed that representatives of the Ontario Nurses' Association, including the Labour Relations Officer and the Nursing Practice Officer, may attend meetings held between the Health Centre and the Association under this provision. ix) Any complaint lodged under this provision shall be on the form set out in Appendix 3. (b) i) The list of Independent Assessment Committee Chairpersons Chairs is attached as Appendix “B”2. During the term of this Agreement, the Parties shall meet as necessary to review and amend by agreement the list of chairs of Professional Responsibility Assessment Committees. The members Parties agree that should a Chair be required, the Health Centre and the Ontario Nurses' Association will be contacted. They will provide the name of the panel shall sit in rotation as agreed by person to be utilized on the partiesalphabetical listing of Chairs. If a panel member The name to be provided will be the top name on the list of Chairs who has not been previously assigned. Should the Chair who is unable scheduled to sit within serve decline when requested, or it becomes obvious that she or he would not be suitable due to connections with the time limit stipulatedHealth Centre or community, the panel member next scheduled to sit person on the list will be appointed by the partiesapproached to act as Chair.

Professional Responsibility. 19.01 8.01 The parties agree that resident client care is enhanced if concerns relating to professional practice practice, client acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Employer assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident client care, she or they shall: ia) At the time the workload issue occurs, discuss the issue within the Home program to develop strategies to meet resident client care needs using current resources. . b) If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Employer (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iic) Failing resolution of the workload issue at the time of occurrence occurrence, the employee(s) will discuss the issue with her or his Regional Manager or designate within five (5) working days. The Regional Manager will provide a written response to the complainant(s), copied to the bargaining unit president within ten (10) calendar days. d) Failing resolution in (c) above and within ten (10) calendar days of receiving the workload issueresponse from the Regional Manager, complain the employee(s) may forward the complaint in writing to the Union-Management Committee Sr. Director, Client Services or designate who will discuss the issue within twenty five (205) working days. The Sr. Director, Client Services or designate will provide a written response to the complainant(s) within ten (10) calendar days, with a copy to the Bargaining Unit President. e) Failing resolution in (d) above and within ten (10) calendar days of receiving the alleged improper assignmentresponse from the Sr. Director, Client Services, the employee(s) may forward the complaint in writing to the Labour Management Committee. The chairperson Chair of the Union-Labour Management Committee shall convene a meeting of the Union-Labour Management Committee within twenty fifteen (2015) calendar days of the filing of complaint being forwarded to the complaintcommittee. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response parties and report the outcome to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If In the event a panel member satisfactory solution is unable to sit within not achieved the time limit stipulated, the panel member next scheduled to sit will matter may be appointed by the partiestaken up as a grievance.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating pertaining to professional practice practice, resident acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Employer assigns a number of residents or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) I. At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident care needs using current resources. II. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home (who could be within the Bargaining Unit) who has responsibility for timely resolution of workload issues. ii) III. Failing resolution of the workload issue at the time of occurrence occurrence, the nurse(s) will notify Director of Care within seventy-two (72) hours. Nurses will complete the PRC form within twenty-four (24) hours and notify the Bargaining Unit President or Grievance Representative. IV. The nurse will submit the form to Director of Care within seven (7) days of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the UnionNurse-Management Committee shall convene a meeting of the Union-Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management meeting will include Director of Care, Human Resources Consultant, Bargaining Unit President, Grievance Representative and the nurse filing the workload issue. The Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) V. Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the UnionNurse-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nursesRegistered Nurses; one chosen by the Ontario Nurses' ’ Association, one chosen by the Home Corporation and one chosen from a panel of independent registered nurses Registered Nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. vii) VI. The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons VII. It is attached as Appendix “B”. The members understood and agreed that representatives of the panel shall sit in rotation as agreed by Ontario Nurses’ Association, including the parties. If a panel member is unable to sit within Labour Relations Officer, may attend meetings held between the time limit stipulated, Home and the panel member next scheduled to sit will be appointed by the partiesAssociation under this provision.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the AdministratorChief Executive Officer. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Union- Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 (Article applies to employees covered by an Ontario College under the Regulated Health Professions Act only.) The parties agree that resident patient care is enhanced if concerns relating to professional practice practice, patient acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Hospital assigns a number of residents patients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident patient care needs using current resources. i If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Hospital (who could be within the bargaining unit) who has responsibility for responsibilityfor timely resolution of workload issues. ii) . Failing resolution of the workload issue at the time of occurrence of occurrence, the workload issue, complain will discuss the issue with her or his Manager or designate on the manager's or designate's next working day. Complain in writing to the Union-Management Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson Chair of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 Article (a) i) – iii) shall be signed by the parties. viand and applies to nurses only) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the Union-Management Committee, Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home Hospital and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 The parties agree that resident client care is enhanced if concerns relating to professional practice practice, fluctuating workloads and workload staffing are resolved in a timely and effective manner, as set out below; : In the event that the Home program assigns a number of residents clients or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home program to develop strategies to meet resident client care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home program who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain put concerns in writing to the UnionLabour-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the UnionLabour-Management Committee shall convene a meeting of the UnionLabour-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Union- Management Committee shall hear and attempt to resolve the complaint concern to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint concern being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint concern and recommendations to the Nurse Manager and/or Director of Resident Care and/or the AdministratorOperations. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) this Article shall be signed by the partiesparties and be subject to the grievance and arbitration process. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the UnionLabour-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' ’ Association, one chosen by the Home Program and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 10.01 The parties agree that resident patient care is enhanced if concerns relating to professional practice practice, patient acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Manor assigns a number of residents patients or a workload to an individual employee or group of employees, employees such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. . ii) If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Manor (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence of occurrence, the workload issueemployee(s) will discuss the issue with her or his Manager or designate on the next day that the Manager (or designate) and the employee are both working or within five (5) calendar days, complain whichever is sooner. The manager will provide a written response to the complainant(s), with a copy to the Bargaining Unit President. iv) Complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson Chair of the Union-Management Committee shall convene a meeting of the Union-Union Management Committee within twenty fifteen (2015) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response parties and report the outcome to the Union, with a copy to the ONA representation within ten (10) calendar daysparties. iiiv) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union Association may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the AdministratorCare. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. vvi) Any settlement arrived at under 19.01 10.01 (a) iiv) – iiior v) shall be signed by the both parties. vivii) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the Union-Management Committee, Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home Manor and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. viiviii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following completion of its hearing. ix) It is understood and agreed that representatives of the Ontario Nurses' Association, including the Labour Relations Officer(s), may attend meetings held between the Manor and the Union under this provision. x) Any complaint lodged under this provision shall be on the form set out in Appendix D. (b) i) The list of Independent Assessment Committee Chairpersons Chairs is attached as Appendix “B”C. The parties agree that should a Chair be required, the Manor and the Ontario Nurses' Association will be contacted. They will provide the name of the person to be utilized on the alphabetical listing of Chairs. The members name to be provided will be the top name on the list of Chairs who has not been previously assigned. Should the panel shall sit in rotation as agreed by Chair who is scheduled to serve decline when requested, or it becomes obvious that she or he would not be suitable due to connections with the parties. If a panel member is unable to sit within the time limit stipulatedManor or community, the panel member next scheduled to sit person on the list will be appointed by the partiesapproached to act as Chair.

Professional Responsibility. 19.01 9.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; . In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the unit and within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Union- Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within the ten (10) calendar days. iii) Prior Xxxxx to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 9.01 (a) i) – iii) shall be signed by the partiesparties and be subject to the grievance/arbitration process. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' ’ Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B2”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Hospital assigns a number of residents patients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain : Complain in writing to the UnionAssociation-Management Hospital Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson Chair of the UnionAssociation-Management Hospital Committee shall convene a meeting of the Union-Management Association- Hospital Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the UnionAssociation-Management Committee, Hospital Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home Hospital and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) Chair. The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (20) calendar 30)calendar days following completion of its hearing. (b) i) . It is understood and agreed that representatives of the Ontario Nurses' Association, including the Employment Relations Officer and the Nursing Practice Officer, may attend meetings held between the Hospital and the Association under this provision. Any complaint lodged under this provision shall be on the form set out in Appendix The list of Independent Assessment Committee Chairpersons Chairs is attached as Appendix “B”During the term of this Agreement, the central Nurses who displace other nurses in the event of a long-term layoff, nurses recalled from layoff, nurses whose probationary period has been extended under Article and nurses who are transferred on a permanent basis may be provided any orientation determined necessary by the Hospital for the purposes of allowing the nurse to assume satisfactorily the duties of such position. A request by such a nurse for orientation shall not be unreasonably denied. Both the Hospital and the Association recognize their joint responsibility and commitment to provide, and to participate in, in-service education. The members Association supports the principle of its members' responsibility for their own professional development and the Hospital will endeavour to provide programs related to the requirements of the panel Hospital. Available programs will be publicized, and the Hospital will endeavour to provide nurses with opportunities to attend such programs during their regularly scheduled working hours. The delegation of Added Nursing Skills and Sanctioned Medical Acts (Special Procedures) to nurses shall sit be in rotation as agreed accordance with guidelines established by the partiesCollege of Nurses from time to time and any approved Hospital policy related thereto. If When a panel member nurse is unable on duty and authorized to sit attend any in-service program within the time limit stipulatedhospital and during her or his scheduled working hours the nurse shall suffer no loss of regular pay. When a nurse is required by the Hospital to attend courses outside of her or his regularly scheduled working hours, the panel member next scheduled nurse shall be paid for all time spent in attendance on such courses at her or his regular straight time hourly rate of pay. Nurses may be required, as part of their regular duties, to sit supervise the activities of students and will be appointed informed in writing of their responsibilities in relation to these students. Any information that is provided to the Hospital by the partieseducational institution with respect to the skill level of the students will be made available to the nurses recruited to supervise the students. The Hospital undertakes to notify the Association in advance, so far as practicable, of any technological changes which the Hospital has decided to introduce which will significantly change the status of the nurse within the bargaining unit. The Hospital agrees to discuss with the Association the effect of such technological changes on the employment status of the nurses and to the probationary nurse and the President of the Local Association or designate, such Probationary period may be extended. Where the Hospital requests an extension of the probationary period, it will provide notice to the Association at least fourteen (14) calendar days prior to the expected date of expiration of the initial probationary period. It is understood and agreed that any extension to the probationary period will not exceed an additional sixty (60) tours (450 hours) worked and, where requested, the Hospital will advise the nurse and the Association of the basis of such extension. A nurse who transfers from casual or regular part-time to full-time status shall not be required to serve a probationary period where such nurse has previously completed one since her or his date of last hire. Where no such probationary period has been served, the number of tours worked (hours worked for nurses whose regular hours of work are other than the standard work day) during the nine months immediately precedingthe transfer shall be credited towards the probationary period. A nurse who transfers from casual part-time or full-time to regular part-time status shall not be required to a probationary period where such nurse has previously completed one since her or his date of last hire. Where no such probationary period has been served, the number of tours worked (hours worked for nurses whose regular hours of work are other than the standard work day) during the nine (9) months immediately preceding the transfer shall be credited towards the probationary period.

Professional Responsibility. 19.01 The parties agree that resident client care is enhanced if concerns relating to professional practice practice, fluctuating workloads and workload staffing are resolved in a timely and effective manner, as set out below; : In the event that the Home program assigns a number of residents clients or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home program to develop strategies to meet resident client care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home program who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain put concerns in writing to the UnionLabour-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Labour- Management Committee shall convene a meeting of the UnionLabour-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint concern to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint concern being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint concern and recommendations to the Nurse Manager and/or Director of Resident Care and/or the AdministratorOperations. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) this Article shall be signed by the partiesparties and be subject to the grievance and arbitration process. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the UnionLabour-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' ’ Association, one chosen by the Home Program and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 (Article 8.01 applies to employees covered by an Ontario College under the Regulated Health Professions Act only.) 8.01 The parties agree that resident care is enhanced if concerns relating to professional practice practice, resident acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Health Centre assigns a number of residents or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident care needs using current resources. . ii) If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Health Centre (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence of occurrence, the workload issue, complain nurse(s) will discuss the issue with her or his Manager or designate on the manager’s or designate’s next working day. iv) Complain in writing to the UnionLabour-Management Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson Chair of the UnionLabour-Management Committee shall convene a meeting of the UnionLabour-Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the UnionLabour-Management Committee, Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home Health Centre and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. viivi) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following completion of its hearing. vii) It is understood and agreed that representatives of the Ontario Nurses' Association, including the Labour Relations Officer and the Nursing Practice Officer, may attend meetings held between the Health Centre and the Association under this provision. viii) Any complaint lodged under this provision shall be on the form set out in Appendix 3. (b) i) The list of Independent Assessment Committee Chairpersons Chairs is attached as Appendix “B”2. During the term of this Agreement, the parties shall meet as necessary to review and amend by agreement the list of chairs of Professional Responsibility Assessment Committees. The members parties agree that should a Chair be required, the Health Centre and the Ontario Nurses' Association will be contacted. They will provide the name of the panel shall sit in rotation as agreed by person to be utilized on the partiesalphabetical listing of Chairs. If a panel member The name to be provided will be the top name on the list of Chairs who has not been previously assigned. Should the Chair who is unable scheduled to sit within serve decline when requested, or it becomes obvious that she or he would not be suitable due to connections with the time limit stipulatedHealth Centre or community, the panel member next scheduled to sit person on the list will be appointed by the partiesapproached to act as Chair.

Professional Responsibility. 19.01 “The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days.” iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution Employees are expected, as part of their regular duties to provide leadership, supervision, guidance and advice to members of the complaint within twenty (20) calendar days health care team. The parties agree that discipline of all bargaining unit and non-bargaining unit employees of the meeting Home is the responsibility of management. Nothing in this clause amends, modifies or clarifies any interpretation under Article 2.01, nor does prejudice the Union-Management Committee, employees’ continued membership in the complaint shall be forwarded bargaining unit or the employee’s entitlement to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home qualify and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearingreceive benefits under Article 22.05. (b) i) The list Nurses may be required, as part of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members their regular duties, to supervise activities of the panel shall sit in rotation as agreed by the parties. If nurses working with a panel member is unable to sit within the time limit stipulatedtemporary certificate of registration, the panel member next scheduled Director of Care or designate shall provide every nurse who is responsible to sit will be appointed by work with the partiestemporary registrant with the College of Nurses limitations/restrictions on her practice.

Professional Responsibility. 19.01 (Article 8.01 applies to employees covered by an Ontario College under the Regulated Health Professions Act only.) 8.01 The parties agree that resident patient care is enhanced if concerns relating to professional practice practice, patient acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Hospital assigns a number of residents patients or a workload to an individual employee nurse or group of employees, nurses such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. . ii) If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Hospital (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence of occurrence, the workload issue, complain nurse(s) will discuss the issue with her or his Manager or designate on the manager’s or designate’s next working day. iv) Complain in writing to the UnionAssociation-Management Hospital Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson Chair of the UnionAssociation-Management Hospital Committee shall convene a meeting of the UnionAssociation-Management Hospital Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response (Article 8.01(a) (v),(vi), (vii) and (viii) and 8.01(b) applies to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues.nurses only) v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the Union-Management Committee, Association- Hospital Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home Hospital and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. viivi) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following completion of its hearing. vii) It is understood and agreed that representatives of the Ontario Nurses' Association, including the Labour Relations Officer(s), may attend meetings held between the Hospital and the Association under this provision. viii) Any complaint lodged under this provision shall be on the form set out in Appendix 6. (b) i) The list of Independent Assessment Committee Chairpersons Chairs is attached as Appendix “B”2. During the term of this Agreement, the central parties shall meet as necessary to review and amend by agreement the list of chairs of Professional Responsibility Assessment Committees. The members parties agree that should a Chair be required, the Ontario Hospital Association and the Ontario Nurses' Association will be contacted. They will provide the name of the panel shall sit in rotation as agreed by person to be utilized on the partiesalphabetical listing of Chairs. If a panel member The name to be provided will be the top name on the list of Chairs who has not been previously assigned. Should the Chair who is unable scheduled to sit within serve decline when requested, or it becomes obvious that she or he would not be suitable due to connections with the time limit stipulatedHospital or community, the panel member next scheduled to sit person on the list will be appointed by the partiesapproached to act as Chair.

Professional Responsibility. 19.01 29.01 The parties agree that resident client care is enhanced if concerns relating to professional practice practice, client acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home employer assigns a number of residents or a workload to an individual employee or group of employees, such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident client care, she or they shall: ia) At the time the workload issue issue(s) occurs, the employee will discuss the issue within issue(s) with the Home program manager to develop strategies to meet resident client care needs using current resources. . b) If necessary, the employee will, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Employer (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iic) Failing resolution of the workload issue at the time of occurrence the occurrence, the employee(s) will further communicate the issue(s) with their Manager or designate within five (5) working days. The Manager will provide a written response to the complainant(s), copied to the bargaining Unit Vice President or designate within ten (10) calendar days. d) Failing resolution in (c) above and within ten (10) calendar days of receiving the workload issueresponse from the Manager, complain the employee(s) may forward the complaint in writing to the Union-Management Committee Vice President, Home and Community Care or designate who will discuss the issue within twenty five (205) working days. The Vice President, Home and Community Care or designate will provide a written response to the complainant(s) within ten (10) calendar days, with a copy to the bargaining Unit Vice President or designate. e) Failing resolution in (d) above and within ten (10) calendar days of receiving the alleged improper assignmentresponse from the Vice President, Home and Community Care the employee(s) may forward the complaint in writing to the Labour Management Committee. The chairperson Chair of the Union-Labour Management Committee shall convene a meeting of the Union-Labour Management Committee within twenty fifteen (2015) calendar days of the filing of complaint being forwarded to the complaintCommittee. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response parties and report the outcome to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If In the event a panel member satisfactory solution is unable not achieved the matter may be referred to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the partiesCEO for resolution.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home Employer assigns a number of residents patients or a workload to an individual employee nurse or group of employeesnurses, such that she the nurse or they have cause to believe that she the nurse or they are being asked to perform more work than is consistent with proper resident patient care, she the nurse or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Union Management Committee within twenty thirty (2030) calendar days of the alleged improper assignment. The chairperson of the Union-Union Management Committee shall convene a meeting of the Union-Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. viii) Failing resolution of the complaint within twenty five (205) calendar days of the meeting of the Union-Union Management Committee, the complaint shall be forwarded to an independent Assessment Committee Committee, composed of three (3) registered nurses; one (1) chosen by the Ontario Nurses' Association, and one (l) chosen by the Home University, and one one (1) chosen from a panel of four (4) independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as ChairpersonChair. viiiii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess necessary, and make what decisions it finds appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, findings in writing, to the parties within twenty (20) calendar days following completion and shall forward a copy of its hearingreport to the Associate Vice‐President Student Affairs of the University. (biv) Any complaint lodged under this provision shall be on the form set out in Appendix “E”. i) The list of Independent Chairpersons ‐ Assessment Committee Chairpersons is attached to Schedule "B" and forms part of this Agreement. Should the Chairperson who is selected to serve decline when required, or it becomes obvious that s/he would not be suitable due to connections with the University or community, the next person on the list will be approached to act as Appendix “B”. The members Chairperson. ii) Each party will bear the cost of its own nominee and will share equally the fee of the panel shall sit in rotation as agreed Chairperson, and whatever other expenses are included by the parties. If a panel member is unable to sit within Assessment Committee, in the time limit stipulated, the panel member next scheduled to sit will be appointed by the partiesperformance of its responsibilities as set out herein.

Professional Responsibility. 19.01 20.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she she/he or they have cause to believe that she she/he or they are being asked to perform more work than is consistent with proper resident care, she she/he or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Nursing Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Nursing Committee shall convene a meeting of the Union-Management Nursing Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Nursing Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the AdministratorCEO or designate. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 9.01 (a) i) – iii) shall be signed by the partiesparties and be subject to the grievance/arbitration process. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Nursing Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating Employer shall recognize one (1) Professional Responsibility representative per home from the bargaining unit to assist nurses in filing and attending meetings related to professional practice and responsibility workload are resolved in a timely and effective manner, as set out below; reporting forms. In the event that the Home Employer assigns a number of residents residents, or a workload workload, to an individual employee nurse or group of employees, nurses such that she the nurse or they nurses have cause to believe that she she/he or they are being asked to perform more an amount of work than is consistent with proper resident carewhich prevents her/him or them from fulfilling their professional responsibilities, she the nurse or they nurses shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain Complain in writing to the Union-Nurse Management Committee within twenty fifteen (2015) calendar days of the alleged improper assignment. The chairperson Chairperson of the Union-Nurse Management Committee shall convene a meeting of the Union-Nurse Management Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. viii) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the Union-Nurse Management Committee, Committee the complaint shall be forwarded to an independent Independent Assessment Committee composed of three (3) registered nurses; : one chosen by the Ontario Nurses' Association, one chosen by the Home Employer and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. viiiii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make such findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following the completion of its the hearing. (b) iiv) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of following nurses shall constitute the panel shall sit in rotation as agreed by the partiesof chairpersons: 1. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.Xxxxx Xxxxxx 2. Xxxxx Xxxxxx 3. Xxxxxx Xxxxxxxxx

Professional Responsibility. 19.01 10.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; . In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, employees such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources, when appropriate. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty fourteen (2014) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty fourteen (2014) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation Bargaining Unit President within ten fourteen (1014) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty fourteen (2014) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. viiiv) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty fourteen (2014) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty fourteen (2014) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she the Nurse or they have cause to believe that she the Nurse or they are being asked to perform more work than is consistent with proper resident care, she the Nurse or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Union- Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the parties. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B”. During the term of this Agreement, the central parties shall meet as necessary to review and amend by agreement the list of Chairs of Independent Assessment Committees. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.

Professional Responsibility. 19.01 9.01 The parties agree that resident patient care is enhanced if concerns relating to professional practice practice, patient acuity, fluctuating workloads and workload fluctuating staffing are resolved in a timely and effective manner, as set out below; . In the event that the Home Hospital assigns a number of residents patients or a workload to an individual employee or group of employees, employees such that she or they have cause to believe that she or they are being asked to perform more work than is consistent with proper resident patient care, she or they shall: i) At the time the workload issue occurs, discuss the issue within the Home unit/program to develop strategies to meet resident patient care needs using current resources. . ii) If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home Hospital (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues. iiiii) Failing resolution of the workload issue at the time of occurrence of occurrence, the workload issueemployee(s) will discuss the issue with her or his Manager or designate on the next day that the Manager (or designate) and the nurse are both working or within five (5) calendar days, complain whichever is sooner. iv) Complain in writing to the Union-Management Hospital/Union Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson Chairman of the Union-Management Hospital/Union Committee shall convene a meeting of the Union-Management Hospital/Union Committee within twenty ten (2010) calendar days of the filing of the complaint. The Union-Management Committee committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response parties and report the outcome to the Union, with a copy to the ONA representation within ten (10) calendar daysparties. iiiv) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the partiesChief Nursing Executive. vi) Failing resolution of the complaint within twenty fifteen (2015) calendar days of the meeting of the Union-Management Committee, Hospital/Union Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nursesemployees; one chosen by the Ontario Nurses' Association, one chosen by the Home Hospital and one chosen from a panel of independent registered nurses employees who are well respected within the profession. The member of the Committee chosen two representatives will choose a chairperson from the panel list which forms part of independent registered nurses shall act as Chairpersonthis collective agreement. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, complaint within twenty fourteen (2014) calendar days of its appointment, appointment and shall be empowered to investigate as is necessary to properly assess and make what findings as are appropriate in the merits of the complaintcircumstances. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty thirty (2030) calendar days following completion of its hearing. viii) It is understood and agreed that representatives of the Ontario Nurses' Association, including the Labour Relations Officer and the Nursing Practice Officer, may attend meetings held between the Hospital and the Union under this provision. ix) Any complaint lodged under this provision shall be on the form developed by the Union for such a purpose. (b) i) The list of Independent Chairpersons (Assessment Committee Chairpersons Committee) is attached as Appendix “B”to and forms part of this Agreement. The members Parties agree that should a Chairperson be required, the Ontario Hospital Association and the Ontario Nurses' Association will be contacted. They will provide the name of the panel shall sit in rotation as agreed by person to be utilized on the partiesalphabetical listing of Chairpersons. If a panel member The name to be provided will be the top name on the list of Chairpersons who has not been previously assigned. Should the Chairperson who is unable scheduled to sit serve decline when requested, or it becomes obvious that she would not be suitable due to connections within the time limit stipulated, Hospital or community the panel member next scheduled to sit person on the list will be appointed by the partiesapproached to act as Chairperson.

Professional Responsibility. 19.01 9.01 The parties agree that resident care is enhanced if concerns relating to professional practice and workload are resolved in a timely and effective manner, as set out below; In the event that the Home assigns a number of residents or a workload to an individual employee or group of employees, such that she she/he or they have cause to believe that she she/he or they are being asked to perform more work than is consistent with proper resident care, she she/he or they shall: i) At the time the workload issue occurs, discuss the issue within the Home to develop strategies to meet resident care needs using current resources. If necessary, using established lines of communication, seek immediate assistance from an individual(s) identified by the Home who has responsibility for timely resolution of workload issues. ii) Failing resolution at the time of occurrence of the workload issue, complain in writing to the Union-Management Committee within twenty (20) calendar days of the alleged improper assignment. The chairperson of the Union-Management Committee shall convene a meeting of the Union-Management Committee within twenty (20) calendar days of the filing of the complaint. The Union-Management Committee shall hear and attempt to resolve the complaint to the satisfaction of both parties. The Employer will provide a written response to the Union, with a copy to the ONA representation within ten (10) calendar days. iii) Prior to the complaint being forwarded to the Independent Assessment Committee, the Union may forward a written report outlining the complaint and recommendations to the Director of Resident Care and/or the Administrator. iv) At any time during this process, the parties may agree to the use of a mediator to assist in the resolution of the Professional Practice issues. v) Any settlement arrived at under 19.01 (a) i) – iii) shall be signed by the partiesparties and be subject to the grievance/arbitration process. vi) Failing resolution of the complaint within twenty (20) calendar days of the meeting of the Union-Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Home and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. vii) The Independent Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Independent Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. (b) i) The list of Independent Assessment Committee Chairpersons is attached as Appendix “B2”. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will be appointed by the parties.