Common use of Staffing Concerns Clause in Contracts

Staffing Concerns. The parties recognize that as hospital care is reformed, hospital based professional nursing practice will undergo a transformation. In the future there will be different skill demands on the staff nurses and those with whom they work. Patient focus care, changes in skill mix, and acuity classifications are among these changes. The parties recognize that nurse staffing is an essential component of quality care delivery. It is also acknowledged that healthcare is a dynamic business. As needs change, both parties will work collaboratively in the spirit of the Xxxxxxxxxxx xxxx and through the established Nurse Staffing Committee to jointly assess and evaluate nurse staffing. The parties agree that a process which involves input from and collaboration of staff nurses in adapting to these changes is in the interest of patients, staff and the Hospital. To respond appropriately to changes, the processes of collaboration must, of necessity, be flexible. It is also recognized that the process must be economical in the use of the time of staff nurses and managers. There are certain issues where the appropriate process may involve the Nursing Practice Committee and in others the Conference Committee, and in others the staff nurses on the unit and their unit manager and in still others, the unit based quality assurance/quality improvement committees. The parties will work together to determine how to best meet these needs. 5.10.1 A nurse questioning the level of staffing on his or her assigned unit is encouraged to communicate this concern in the following manner: a) The nursed should discuss by discussing the concern with the person responsible for the shift’s staffing who will assess the staffing levels and when it is determined to be required, reallocate clinical unit resources when possible. When no adjustments are possible within the unit, the person in charge will contact his or her immediate supervisor on duty; b) The supervisor as he/she determines appropriate will utilize available management resources to attempt to resolve the situation. c) If the nurse is dissatisfied with the decision of the supervisor, the nurse may initiate an Assignment Despite Objection (ADO) form. d) If there is no mutually satisfactory resolution to the staffing problem, and the problem appears to be one which will be reoccurring, the nurse may submit his/her documentation to the unit staff meeting. Upon request, the issue will be placed on the agenda. e) If the staffing problem is unresolved, the nurse may submit the documentation to the Nurse Staffing Nursing Practice Committee or Conference Committee, as the Association designates, for consideration and recommendation. Where Assignment Despite Objection forms are a part of the documentation, the parties shall insure that patient confidentiality standards are fully met. f) The Nurse Staffing Practice or Conference Committee will meet promptly to discuss the staff problem raised. The Committee will report its conclusions and its recommended solution to the nurse who submitted the issue to the Nurse Staffing Practice or Conference Committee. g) Recurring staffing issues not resolved by the process outlined above may be brought by a union-designated nurse representative directly to the Chief Nursing Officer. The Chief Nursing Officer agrees to a standing monthly meeting, if requested with the nurse representative (meeting time to be compensated per Article 14.

Staffing Concerns. The parties recognize that as hospital care is reformed, hospital based professional nursing practice will undergo a transformation. In the future there will be different skill demands on the staff nurses and those with whom they work. Patient focus care, changes in skill mix, and acuity classifications are among these changes. The parties recognize that nurse staffing is an essential component of quality care delivery. It is also acknowledged that healthcare is a dynamic business. As needs change, both parties will work collaboratively in the spirit of the Xxxxxxxxxxx xxxx and through the established Nurse Staffing Committee to jointly assess and evaluate nurse staffing. The parties agree that a process which involves input from and collaboration of staff nurses in adapting to these changes is in the interest of patients, staff and the Hospital. To respond appropriately to changes, the processes of collaboration must, of necessity, be flexible. It is also recognized that the process must be economical in the use of the time of staff nurses and managers. There are certain issues where the appropriate process may involve the Nursing Practice Committee and in others the Conference Committee, and in others the staff nurses on the unit and their unit manager and in still others, the unit based quality assurance/quality improvement committees. The parties will work together to determine how to best meet these needs. 5.10.1 A nurse questioning the level of staffing on his or her assigned unit is encouraged to communicate this concern in the following manner: a) The nursed nurse should discuss by discussing the concern with the person responsible for the shift’s staffing who will assess the staffing levels and when it is determined to be required, reallocate clinical unit resources when possible. When no adjustments are possible within the unit, the person in charge will contact his or her immediate supervisor on duty; b) The supervisor as he/she determines appropriate will utilize available management resources to attempt to resolve the situation. c) If the nurse is dissatisfied with the decision of the supervisor, the nurse may initiate an Assignment Despite Objection (ADO) form. d) If there is no mutually satisfactory resolution to the staffing problem, and the problem appears to be one which will be reoccurring, the nurse may submit his/her documentation to the unit staff meeting. Upon request, the issue will be placed on the agenda. e) If the staffing problem is unresolved, the nurse may submit the documentation to the Nurse Staffing Nursing Practice Committee or Conference Committee, as the Association designates, for consideration and recommendation. Where Assignment Despite Objection forms are a part of the documentation, the parties shall insure that patient confidentiality standards are fully met. f) The Nurse Staffing Practice or Conference Committee will meet promptly to discuss the staff problem raised. The Committee will report its conclusions and its recommended solution to the nurse who submitted the issue to the Nurse Staffing Practice or Conference Committee. g) Recurring staffing issues not resolved by the process outlined above may be brought by a union-designated nurse representative directly to the Chief Nursing Officer. The Chief Nursing Officer agrees to a standing monthly meeting, if requested with the nurse representative (meeting time to be compensated per Article 14.

Staffing Concerns. The parties recognize that as hospital care is reformed, hospital based professional nursing practice will undergo a transformation. In the future there will be different skill demands on the staff nurses and those with whom they work. Patient focus care, changes in skill mix, and acuity classifications are among these changes. The parties recognize that nurse staffing is an essential component of quality care delivery. It is also acknowledged that healthcare is a dynamic business. As needs change, both parties will work collaboratively in the spirit of the Xxxxxxxxxxx xxxx and through the established Nurse Staffing Committee to jointly assess and evaluate nurse staffing. The parties agree that a process which involves input from and collaboration of staff nurses in adapting to these changes is in the interest of patients, staff and the Hospital. To respond appropriately to changes, the processes of collaboration must, of necessity, be flexible. It is also recognized that the process must be economical in the use of the time of staff nurses and managers. There are certain issues where the appropriate process may involve the Nursing Practice Committee and in others the Conference Committee, and in others the staff nurses on the unit and their unit manager and in still others, the unit based quality assurance/quality improvement committees. The parties will work together to determine how to best meet these needs. 5.10.1 A nurse questioning the level of staffing on his or her assigned unit is encouraged to communicate this concern in the following manner: a) The nursed should discuss by discussing the concern with the person responsible for the shift’s staffing who will assess the staffing levels and when it is determined to be required, reallocate clinical unit resources when possible. When no adjustments are possible within the unit, the person in charge will contact his or her immediate supervisor on duty; b) The supervisor as he/she determines appropriate will utilize available management resources to attempt to resolve the situation. c) If the nurse is dissatisfied with the decision of the supervisor, the nurse may initiate an Assignment Despite Objection (ADO) form. d) If there is no mutually satisfactory resolution to the staffing problem, and the problem appears to be one which will be reoccurring, the nurse may submit his/her documentation to the unit staff meeting. Upon request, the issue will be placed on the agenda. e) If the staffing problem is unresolved, the nurse may submit the documentation to the Nurse Staffing Nursing Practice Committee or Conference Committee, as the Association designates, for consideration and recommendation. Where Assignment Despite Objection forms are a part of the documentation, the parties shall insure that patient confidentiality standards are fully met. f) The Nurse Staffing Practice or Conference Committee will meet promptly to discuss the staff problem raised. The Committee will report its conclusions and its recommended solution to the nurse who submitted the issue to the Nurse Staffing Practice or Conference Committee. g) Recurring Nurses who raise staffing issues not resolved by the process outlined above may shall be brought by a union-designated nurse representative directly to the Chief Nursing Officer. The Chief Nursing Officer agrees to a standing monthly meetingfree from restraint, if requested with the nurse representative (meeting time to be compensated per Article 14interference, discrimination or reprisal.

Staffing Concerns. The parties recognize that as hospital care is reformed, hospital based professional nursing practice will undergo a transformation. In the future there will be different skill demands on the staff nurses and those with whom they work. Patient focus care, changes in skill mix, and acuity classifications are among these changes. The parties recognize that nurse staffing is an essential component of quality care delivery. It is also acknowledged that healthcare is a dynamic business. As needs change, both parties will work collaboratively in the spirit of the Xxxxxxxxxxx xxxx and through the established Nurse Staffing Committee to jointly assess and evaluate nurse staffing. The parties agree that a process which involves input from and collaboration of staff nurses in adapting to these changes is in the interest of patients, staff and the Hospital. To respond appropriately to changes, the processes of collaboration must, of necessity, be flexible. It is also recognized that the process must be economical in the use of the time of staff nurses and managers. There are certain issues where the appropriate process may involve the Nursing Practice Committee and in others the Conference Committee, and in others the staff nurses on the unit and their unit manager and in still others, the unit based quality assurance/quality improvement committees. The parties will work together to determine how to best meet these needs.staffing.‌ 5.10.1 A nurse questioning the level of staffing on his or her their assigned unit is encouraged to communicate this concern in the following manner: a) The nursed nurse should discuss by discussing the concern with the person responsible for the shift’s staffing who will assess the staffing levels and when it is determined to be required, reallocate clinical unit resources when possible. When no adjustments are possible within the unit, the person in charge will contact his or her their immediate supervisor on duty; b) The supervisor as he/she determines they determine appropriate will utilize available management resources to attempt to resolve the situation. c) If the nurse is dissatisfied with the decision of the supervisor, the nurse may initiate an Assignment Despite Objection (ADO) form. d) If there is no mutually satisfactory resolution to the staffing problem, and the problem appears to be one which will be reoccurring, the nurse may submit his/her their documentation to the unit staff meeting. Upon request, the issue will be placed on the agenda. e) If the staffing problem is unresolved, the nurse may submit the documentation to the Nurse Staffing Nursing Practice Committee or Conference Committee, as the Association designates, for consideration and recommendation. Where Assignment Despite Objection forms are a part of the documentation, the parties shall insure that patient confidentiality standards are fully met. f) The Nurse Staffing Practice or Conference Committee will meet promptly to discuss the staff problem raised. The Committee will report its conclusions and its recommended solution to the nurse who submitted the issue to the Nurse Staffing Practice or Conference Committee. g) Recurring staffing issues not resolved by the process outlined above may be brought by a union-designated nurse representative directly to the Chief Nursing Officer. The Chief Nursing Officer agrees to a standing monthly meeting, if requested with the nurse representative (meeting time to be compensated per Article 1415.3) to address unresolved recurring staffing issues in good faith and to discuss hospital responses. h) Nurses who raise staffing issues shall be free from restraint, interference, discrimination or reprisal.

Staffing Concerns. The parties recognize that as hospital care is reformed, hospital based professional nursing practice will undergo a transformation. In the future there will be different skill demands on the staff nurses and those with whom they work. Patient focus care, changes in skill mix, and acuity classifications are among these changes. The parties recognize that nurse staffing is an essential component of quality care delivery. It is also acknowledged that healthcare is a dynamic business. As needs change, both parties will work collaboratively in the spirit of the Xxxxxxxxxxx xxxx and through the established Nurse Staffing Committee to jointly assess and evaluate nurse staffing. The parties agree that a process which involves input from and collaboration of staff nurses in adapting to these changes is in the interest of patients, staff and the Hospital. To respond appropriately to changes, the processes of collaboration must, of necessity, be flexible. It is also recognized that the process must be economical in the use of the time of staff nurses and managers. There are certain issues where the appropriate process may involve the Nursing Practice Committee and in others the Conference Committee, and in others the staff nurses on the unit and their unit manager and in still others, the unit based quality assurance/quality improvement committees. The parties will work together to determine how to best meet these needs. 5.10.1 A nurse questioning the level of staffing on his or her their assigned unit is encouraged to communicate this concern in the following manner: a) The nursed nurse should discuss by discussing the concern with the person responsible for the shift’s staffing who will assess the staffing levels and when it is determined to be required, reallocate clinical unit resources when possible. When no adjustments are possible within the unit, the person in charge will contact his or her their immediate supervisor on duty; b) The supervisor as he/she determines they determine appropriate will utilize available management resources to attempt to resolve the situation. c) If the nurse is dissatisfied with the decision of the supervisor, the nurse may initiate an Assignment Despite Objection (ADO) form. d) If there is no mutually satisfactory resolution to the staffing problem, and the problem appears to be one which will be reoccurring, the nurse may submit his/her their documentation to the unit staff meeting. Upon request, the issue will be placed on the agenda. e) If the staffing problem is unresolved, the nurse may submit the documentation to the Nurse Staffing Nursing Practice Committee or Conference Committee, as the Association designates, for consideration and recommendation. Where Assignment Despite Objection forms are a part of the documentation, the parties shall insure that patient confidentiality standards are fully met. f) The Nurse Staffing Practice or Conference Committee will meet promptly to discuss the staff problem raised. The Committee will report its conclusions and its recommended solution to the nurse who submitted the issue to the Nurse Staffing Practice or Conference Committee. g) Recurring staffing issues not resolved by the process outlined above may be brought by a union-designated nurse representative directly to the Chief Nursing Officer. The Chief Nursing Officer agrees to a standing monthly meeting, if requested with the nurse representative (meeting time to be compensated per Article 1415.

Staffing Concerns. The parties recognize that as hospital care is reformed, hospital based professional nursing practice will undergo a transformation. In the future there will be different skill demands on the staff nurses and those with whom they work. Patient focus care, changes in skill mix, and acuity classifications are among these changes. The parties recognize that nurse staffing is an essential component of quality care delivery. It is also acknowledged that healthcare is a dynamic business. As needs change, both parties will work collaboratively in the spirit of the Xxxxxxxxxxx xxxx and through the established Nurse Staffing Committee to jointly assess and evaluate nurse staffing. The parties agree that a process which involves input from and collaboration of staff nurses in adapting to these changes is in the interest of patients, staff and the Hospital. To respond appropriately to changes, the processes of collaboration must, of necessity, be flexible. It is also recognized that the process must be economical in the use of the time of staff nurses and managers. There are certain issues where the appropriate process may involve the Nursing Practice Committee and in others the Conference Committee, and in others the staff nurses on the unit and their unit manager and in still others, the unit based quality assurance/quality improvement committees. The parties will work together to determine how to best meet these needs. 5.10.1 A nurse questioning the level of staffing on his or her their assigned unit is encouraged to communicate this concern in the following manner: a) The nursed nurse should discuss by discussing the concern with the person responsible for the shift’s staffing who will assess the staffing levels and when it is determined to be required, reallocate clinical unit resources when possible. When no adjustments are possible within the unit, the person in charge will contact his or her their immediate supervisor on duty; b) The supervisor as he/she determines they determine appropriate will utilize available management resources to attempt to resolve the situation. c) If the nurse is dissatisfied with the decision of the supervisor, the nurse may initiate an Assignment Despite Objection (ADO) form. d) If there is no mutually satisfactory resolution to the staffing problem, and the problem appears to be one which will be reoccurring, the nurse may submit his/her their documentation to the unit staff meeting. Upon request, the issue will be placed on the agenda. e) If the staffing problem is unresolved, the nurse may submit the documentation to the Nurse Staffing Nursing Practice Committee or Conference Committee, as the Association designates, for consideration and recommendation. Where Assignment Despite Objection forms are a part of the documentation, the parties shall insure that patient confidentiality standards are fully met. f) The Nurse Staffing Practice or Conference Committee will meet promptly to discuss the staff problem raised. The Committee will report its conclusions and its recommended solution to the nurse who submitted the issue to the Nurse Staffing Practice or Conference Committee. g) Recurring staffing issues not resolved by the process outlined above may be brought by a union-union- designated nurse representative directly to the Chief Nursing Officer. The Chief Nursing Officer agrees to a standing monthly meeting, if requested with the nurse representative (meeting time to be compensated per Article 1415.