Common use of SURGICAL SERVICES PROVISIONS Clause in Contracts

SURGICAL SERVICES PROVISIONS. 21 1. Surgical Services departments shall be comprised of the Operating Room, 22 Post Anesthesia Care Unit, Cardiac Cath Lab, and Short Stay/Endoscopy. 24 2. Surgical Services nurses will be available to assist in units within Surgical 25 Services areas and will not be assigned outside of Surgical Services to 26 take a patient assignment. 28 3. On-call is required for nurses covered by this section. However, Per Diem 29 nurses shall not be required to be scheduled for on call on holidays. On- 30 call pay shall continue during periods of call-back. The number of hours 32 number of hours assigned as the on call period. 1 4. OR nurses' share of the number of OR call shifts shall be proportional to 2 their FTE regular shifts. The total number of call shifts may vary according 3 to the number of nurses available to take call. Volunteers may arrange 4 additional on-call shifts or trades with co-workers from their unit in 5 accordance with Medical Center policy provided it does not set up 6 additional overtime liability for the departments. Additional call shifts, if 7 any, shall not be considered under the proportionality rule. 9 5. Short Stay and PACU nurses shall equally divide the number of call shifts 10 available for their respective units. The total number of call shifts may vary 11 according to the number of nurses available to take call. Volunteers may 12 arrange additional on-call shifts or trades with co-workers from their unit in 13 accordance with Medical Center policy provided it does not set up 14 additional overtime liability for the departments. Additional call shifts, if 15 any, shall not be considered part of the equal division. 17 6. An ongoing rotational holiday call schedule will be established in writing by 18 each individual unit within Surgical Services. 20 7. Nurses who agree to pick up an “Orphan Call” (a previously assigned on 21 call shift) which has become available due to illness, injury, 22 termination/resignation shall be compensated for that on call shift at a rate 23 of eight ($8.00) dollars per on call hour. If no one volunteers to take the 24 orphan call, it will be assigned on a rotational basis with consideration 25 given to extenuating circumstances. 27 8. The nurse's work on call back during his/her on-call shift shall be paid at 28 the rate of time and one half (1½) the nurse’s straight time rate of pay plus 29 weekend differential, if applicable. If a nurse is called back to work during 30 his/her on-call shift, or required to stay beyond sixty (60) minutes past the 31 end of the previous shift, the nurse shall be given not less than three (3) 32 hours of work or equivalent pay for each such call back. If the nurse is still 33 required to work, then call back shall be deemed to have begun at the end 34 of the regular shift and a payroll adjustment sheet shall be completed and 1 submitted to the manager. A nurse who is called back to work while on call 2 shall check with the department manager or shift supervisor before leaving 3 the Medical Center. 4 9. A nurse who has worked call back during a scheduled on call period such 5 that the nurse has not received ten (10) consecutive hours off since the 6 last regular shift worked may request the next shift off without pay.

SURGICAL SERVICES PROVISIONS. 21 1. Surgical Services departments shall be comprised of the Operating Room, 22 Post Anesthesia Care Unit, Cardiac Cath Lab, and Short Stay/Endoscopy.. Page 7 of 9 Date Accepted / / 24 2. Surgical Services nurses will be available to assist in units within Surgical 25 Services areas and will not be assigned outside of Surgical Services to 26 take a patient assignment. 28 3. On-call is required for nurses covered by this section. However, Per Diem 29 nurses shall not be required to be scheduled for on call on holidays. On- 30 On-call pay shall continue during periods of call-back. The number of hours 32 paid at the call back rate of time and one half (1 ½) shall not exceed the number of hours assigned as the on call period. 1 4. OR nurses' share of the number of OR call shifts shall be proportional to 2 their FTE regular shifts. The total number of call shifts may vary according 3 to the number of nurses available to take call. Volunteers may arrange 4 additional on-call shifts or trades with co-workers from their unit in 5 accordance with Medical Center policy provided it does not set up 6 additional overtime liability for the departments. Additional call shifts, if 7 any, shall not be considered under the proportionality rule. 9 5. Short Stay and PACU nurses shall equally divide the number of call shifts 10 available for their respective units. The total number of call shifts may vary 11 according to the number of nurses available to take call. Volunteers may 12 arrange additional on-call shifts or trades with co-workers from their unit in 13 accordance with Medical Center policy provided it does not set up 14 additional overtime liability for the departments. Additional call shifts, if 15 any, shall not be considered under the proportionality rule. 5. Short Stay and PACU nurses shall equally divide the number of call shifts available for their respective units. The total number of call shifts may vary according to the number of nurses available to take call. Volunteers may arrange additional on-call shifts or trades with co-workers from their unit in accordance with Medical Center policy provided it does not set up additional overtime liability for the departments. Additional call shifts, if any, shall not be considered part of the equal division.. Page 8 of 9 Date Accepted / / 17 6. An ongoing rotational holiday call schedule will be established in writing by 18 each individual unit within Surgical Services. 20 7. Nurses who agree to pick up an “Orphan Call” (a previously assigned on 21 call shift) which has become available due to illness, injury, 22 termination/resignation shall be compensated for that on call shift at a rate 23 of double the stand by rate eight ($8.00) dollars per on call hour. If no one volunteers to take the 24 orphan call, it will be assigned on a rotational basis with consideration 25 given to extenuating circumstances. 27 8. The nurse's work on call back during his/her on-call shift shall be paid at 28 the rate of time and one half (1½) the nurse’s straight time rate of pay plus 29 weekend differential, if applicable. If a nurse is called back to work during 30 his/her on-call shift, or required to stay beyond sixty (60) minutes past the 31 end of the previous shift, the nurse shall be given not less than three (3) 32 hours of work or equivalent pay for each such call back. If the nurse is still 33 required to work, then call back shall be deemed to have begun at the end 34 of the regular shift and a payroll adjustment sheet shall be completed and 1 submitted to the manager. A nurse who is called back to work while on call 2 shall check with the department manager or shift supervisor before leaving 3 the Medical Center. 4 9. A nurse who has worked call back during a scheduled on call period such 5 that the nurse has not received ten (10) consecutive hours off since the 6 last regular shift worked may request the next shift off without pay.. Page 9 of 9 Date Accepted / /

SURGICAL SERVICES PROVISIONS. 21 1. Surgical Services departments shall be comprised of the Operating Room, 22 Post Anesthesia Care Unit, Cardiac Cath Lab, and Short Stay/Endoscopy. 24 2. Surgical Services nurses will be available to assist in units within Surgical 25 Services areas and will not be assigned outside of Surgical Services to 26 take a patient assignment. 28 3. On-call is required for nurses covered by this section. However, Per Diem 29 nurses shall not be required to be scheduled for on call on holidays. On- 30 On-call pay shall continue during periods of call-back. The number of hours 32 paid at the call back rate of time and one half (1 ½) shall not exceed the number of hours assigned as the on call period. 1 4. OR nurses' share of the number of OR call shifts shall be generally proportional to 2 their FTE regular shifts. The total number of call shifts may vary according 3 to the number of nurses available to take call. Volunteers may arrange 4 additional on-call shifts or trades with co-workers from their unit in 5 accordance with Medical Center policy provided it does not set up 6 additional overtime liability for the departments. Additional call shifts, if 7 any, shall not be considered under the proportionality rule. 9 5. Short Stay and PACU nurses shall equally divide the number of call shifts 10 available for their respective units. The total number of call shifts may vary 11 according to the number of nurses available to take call. Volunteers may 12 arrange additional on-call shifts or trades with co-workers from their unit in 13 accordance with Medical Center policy provided it does not set up 14 additional overtime liability for the departments. Additional call shifts, if 15 any, shall not be considered under the proportionality rule. 5. Short Stay and PACU nurses shall equally divide the number of call shifts available for their respective units. The total number of call shifts may vary according to the number of nurses available to take call. Volunteers may arrange additional on-call shifts or trades with co-workers from their unit in accordance with Medical Center policy provided it does not set up additional overtime liability for the departments. Additional call shifts, if any, shall not be considered part of the equal division. 17 6. An ongoing rotational holiday call schedule will be established in writing by 18 each individual unit within Surgical Servicesunit. The implementation of the OR holiday call schedule will be posted as soon as possible following ratification. For the initial implementation of the OR call, previously granted PTO will be honored. 20 7. Nurses who agree to pick up an “Orphan Call” (( a previously assigned on 21 call shift) which has become available due to illness, injury, 22 termination/resignation shall be compensated for that on call shift at a rate 23 of seven dollars and fifty cents ($7.50 ) per on call hour. Effective 7-1-08, the rate for orphan call shall be eight ($8.00) dollars per on call hour. If no one volunteers to take the 24 orphan call, it will be assigned on a rotational basis with consideration 25 given to extenuating circumstances. 27 8. The nurse's work on call back during his/her on-call shift shall be paid at 28 the rate of time and one half (1½) the nurse’s straight time rate of pay plus 29 weekend differential, if applicable. If a nurse is called back to work during 30 his/her on-call shift, or required to stay beyond sixty (60) minutes past the 31 end of the previous shift, the nurse shall be given not less than three (3) 32 hours of work or equivalent pay for each such call back. If the nurse is still 33 required to work, then call back shall be deemed to have begun at the end 34 of the regular shift and a payroll adjustment sheet shall be completed and 1 submitted to the manager. A nurse who is called back to work while on call 2 shall check with the department manager or shift supervisor before leaving 3 the Medical Center. 4 9. A nurse who has worked call back during a scheduled on call period such 5 that the nurse has not received ten (10) consecutive hours off since the 6 last regular shift worked may request the next shift off without pay.

SURGICAL SERVICES PROVISIONS. 21 1. A. Surgical Services departments shall be comprised of the Operating RoomRoom (OR), 22 Post Anesthesia Care UnitUnit(PACU), Cardiac Cath Lab, Cardiac Cath Lab Recovery, Short Stay(Ambulatory Surgery), and Short Stay/Endoscopythe Ambulatory Surgery Center. 24 2. B. Surgical Services nurses will be available to assist in units within Surgical 25 Services areas and will not be assigned outside of Surgical Services to 26 take a patient assignment. 28 3. C. On-call is required for nurses covered by this sectionsection with the exception of Cardiac Cath Lab Recovery and the Ambulatory Surgery Center. However, Per Diem 29 nurses shall not be required to be scheduled for on call call, but may volunteer to be scheduled for on holidays. On- 30 call pay shall continue during periods of call-back. The number of hours 32 number of hours assigned as the on call period. 1 4. D. OR and Cardiac Cath Lab nurses' share of the number of OR call shifts shall be proportional hours for their respective departments proportionate to 2 their FTE regular shiftsFTE. The total number of call shifts hours may vary according 3 to the number of nurses within each specialty team available to take call. Volunteers may arrange additional on-call hours or trades with co-workers from their unit in accordance with Medical Center policy provided it does not set up additional overtime liability for the departments. Additional call hours, if any, shall not be considered under the proportionality rule. E. Short Stay (Ambulatory Surgery) and PACU nurses shall equally divide the number of call hours available for their home units. The total number of call hours may vary according to the number of nurses available to take call. Volunteers may arrange 4 additional on-call shifts hours or trades with co-workers from their unit in 5 accordance with Medical Center policy provided it does not set up 6 additional overtime liability for the departments. Additional call shiftshours, if 7 any, shall not be considered under the proportionality rule. 9 5. Short Stay and PACU nurses shall equally divide the number of call shifts 10 available for their respective units. The total number of call shifts may vary 11 according to the number of nurses available to take call. Volunteers may 12 arrange additional on-call shifts or trades with co-workers from their unit in 13 accordance with Medical Center policy provided it does not set up 14 additional overtime liability for the departments. Additional call shifts, if 15 any, shall not be considered part of the equal division. 17 6. F. An ongoing rotational holiday call schedule will be established in writing by 18 each individual unit within Surgical Services. 20 7. G. Nurses who agree to pick up an “Orphan Call” (a previously assigned on 21 call shifthours) which has become available due to illness, injury, 22 termination/resignation shall be compensated for that those on call shift hours at a rate 23 of eight ($8.00) dollars double the on-call rate per on call hour. If no one volunteers to take the 24 orphan call, it will be assigned on a rotational basis with consideration 25 given to extenuating circumstances. 27 8. The nurse's work on call back during his/her on-call shift shall be paid at 28 the rate of time and one half (1½) the nurse’s straight time rate of pay plus 29 weekend differential, if applicable. H. If a nurse is called back to work during 30 his/her on-on call shifthours, or required to stay beyond sixty (60) minutes past the 31 end of the previous shift, the nurse shall be given not less than three (3) 32 hours of work or equivalent pay for each such call back. If the nurse is still 33 required to work, then call back shall be deemed to have begun at the end 34 of the regular shift and a payroll adjustment sheet shall be completed and 1 submitted to the manager. A nurse who is called back to work while on call 2 shall check with the department manager or shift supervisor before leaving 3 the Medical Center. 4 9. I. A nurse who has worked call back during a scheduled on call period hours such 5 that the nurse has not received ten (10) consecutive hours off since the 6 last regular shift worked may request the next shift off without pay. J. If the RN works between 11 pm to 7 am callback and the RN is assigned an MA and does not complete his/her regularly scheduled shift, the RN will be paid ½ the RNs hourly base rate per hour for the remaining hours of the RNs regularly scheduled shift.

SURGICAL SERVICES PROVISIONS. 21 8 1. Surgical Services departments shall be comprised of the Operating Room, 22 9 Post Anesthesia Care Unit, Cardiac Cath Lab, and Short Stay/Endoscopy. 24 11 2. Surgical Services nurses will be available to assist in units within Surgical 25 12 Services areas and will not be assigned outside of Surgical Services to 26 13 take a patient assignment. 28 15 3. On-call is required for nurses covered by this section. However, Per Diem 29 16 nurses shall not be required to be scheduled for on call on holidays. On- 30 17 call pay shall continue during periods of call-back. The number of hours 32 18 paid at the call back rate of time and one half (1 ½) shall not exceed the 19 number of hours assigned as the on call period. 1 21 4. OR nurses' share of the number of OR call shifts shall be proportional to 2 22 their FTE regular shifts. The total number of call shifts may vary according 3 23 to the number of nurses available to take call. Volunteers may arrange 4 24 additional on-call shifts or trades with co-workers from their unit in 5 25 accordance with Medical Center policy provided it does not set up 6 26 additional overtime liability for the departments. Additional call shifts, if 7 27 any, shall not be considered under the proportionality rule. 9 29 5. Short Stay and PACU nurses shall equally divide the number of call shifts 10 30 available for their respective units. The total number of call shifts may vary 11 31 according to the number of nurses available to take call. Volunteers may 12 32 arrange additional on-call shifts or trades with co-workers from their unit in 13 33 accordance with Medical Center policy provided it does not set up 14 34 additional overtime liability for the departments. Additional call shifts, if 15 35 any, shall not be considered part of the equal division. 17 1 6. An ongoing rotational holiday call schedule will be established in writing by 18 2 each individual unit within Surgical Services. 20 4 7. Nurses who agree to pick up an “Orphan Call” (a previously assigned on 21 5 call shift) which has become available due to illness, injury, 22 6 termination/resignation shall be compensated for that on call shift at a rate 23 7 of eight ($8.00) dollars double the on-call rate per on call hour. If no one volunteers to take the 24 8 orphan call, it will be assigned on a rotational basis with consideration 25 9 given to extenuating circumstances. 27 11 8. The nurse's work on call back during his/her on-call shift shall be paid at 28 12 the rate of time and one half (1½) the nurse’s straight time rate of pay plus 29 13 weekend differential, if applicable. If a nurse is called back to work during 30 14 his/her on-call shift, or required to stay beyond sixty (60) minutes past the 31 15 end of the previous shift, the nurse shall be given not less than three (3) 32 16 hours of work or equivalent pay for each such call back. If the nurse is still 33 17 required to work, then call back shall be deemed to have begun at the end 34 18 of the regular shift and a payroll adjustment sheet shall be completed and 1 submitted to the manager. A nurse who is called back to work while on call 2 20 shall check with the department manager or shift supervisor before leaving 3 21 the Medical Center. 4 23 9. A nurse who has worked call back during a scheduled on call period such 5 24 that the nurse has not received ten (10) consecutive hours off since the 6 25 last regular shift worked may request the next shift off without pay. 27 10. If the RN works between 11 pm to 7 am callback and the RN is assigned 28 an MA and does not complete his/her regularly scheduled shift, the RN will 29 be paid ½ the RNs hourly base rate per hour for the remaining hours of 30 the RNs regularly scheduled shift.