Common use of Use of PTO Clause in Contracts

Use of PTO. a. PTO may be used as soon as it is earned. PTO may not be used in advance and may not be used on regularly scheduled days off. b. PTO, as with all other time off, such as absent time, must, except in unusual circumstances, be requested in writing in advance of the time off desired, and approved in writing by the Supervisor, except for an emergency or illness. Approval will be based upon the Employer’s determination of its staffing needs. When time off is requested without prior approval due to an emergency or illness, a specific reason for the request is to be given and accrued PTO time must be used. A Nurse requiring time off without prior approval must call at least two (2) hours before the start of the assigned shift. If the department is not open before the start of the shift, the employee has sixty (60) minutes after the opening of the office within which to call. If the Nurse does not have approval for each day of absence, it shall be considered an unpaid, unexcused absence. Such absences can become cause for disciplinary action. The Employer may request a doctor’s certificate of illness, to be documented by a treating licensed healthcare provider and/or require the Nurse to be seen by the Employer’s designated Physician or Nurse Practitioner if the amount of time off due to illness is deemed excessive by the Employer. c. The Employer shall use its best efforts to provide Regular Nurses rotating off the night shift to the day shift with a schedule which allows two (2) consecutive unpaid twenty-four (24) hour periods off between shifts. In the event two (2) consecutive unpaid twenty-four (24) hour periods off are not scheduled, the Regular Nurse may request, at her/his option, either Absent Days or PTO. Such scheduling and such requests shall be given preferential treatment over other PTO requests. Such requests shall not affect the Regular Nurse’s rights to receive premium pay for weekends when appropriate under the terms of this Agreement. d. PTO or an absent day may be offered to and accepted by a Regular Nurse if such Nurse is extra on her/his respective unit and cannot in the determination of the Employer be utilized elsewhere to meet a staffing need. e. In units where there is prolonged low census, those Regular Nurses who have depleted their PTO will be eligible, depending on operational needs, for up to two weeks of vacation annually without pay. CRONA and Nursing Administration will mutually agree on the definition of a period of prolonged low census. f. PTO shall be granted to Regular Nurses having Herpes who are assigned to specialty units (Delivery Room, Nurseries), and cannot be utilized in other areas. g. Nurses not allowed to work because of on-the-job exposure to a communicable disease are entitled to be compensated under the terms of the workers’ compensation policy provided by the Employer for the duration of the incubation period or until such time that the Employer determines is appropriate for protecting the health and safety of the Nurse, coworkers-workers, and patients. Accrued PTO may be used during the waiting period for workers’ compensation until the Regular Nurse becomes eligible for ESL, and may be used to supplement any such workers’ compensation payments to equal the Nurse’s regular earnings (at regular hourly rate of pay), after ESL has been exhausted. h. If a holiday falls within an orientation period and a new hire is not sufficiently oriented to be assigned work for the day, the new hire will be scheduled for PTO if desired, if sufficient PTO has been accrued. Otherwise the new hire will be scheduled for absent days. i. Accrued PTO may be used during any waiting period for State Disability Insurance or Workers’ Compensation for which ESL is not available and may be used to supplement any such disability payments during a period of disability to equal the Nurse’s regular earnings (at regular hourly rate of pay) after ESL has been exhausted. j. If work is not available on a holiday, the Nurse may use either PTO or Absent time. k. Regular Nurses will accrue PTO hours up to five hundred twenty (520) hours. If a Nurse’s PTO accrual reaches five hundred twenty (520) hours, further accrual will cease until the Nurse utilizes PTO hours and reduces the accrual to below five hundred twenty (520) hours. As an exception, if a Nurse who accrues a balance of four hundred eighty (480) hours of PTO has made three (3) or more attempts within a calendar year to schedule PTO in advance, in writing and in accordance with departmental procedures, including alternative date requests, and all of the Nurse’s requests for PTO within that same calendar year were denied, then upon the Nurse’s prompt request, he/she will be granted PTO in an amount equal to the greatest amount of PTO requested in any one of the previously denied requests, up to eighty (80) hours. The PTO will be granted within ninety (90) days, but at a time consistent with operational needs to the extent possible, and not during the period between December 10th and January 5th. The Nurse and his or her manager will work together to attempt to schedule PTO in a manner that accommodates the interests of both the Nurse and the Hospital.

Use of PTO. a. A. PTO days (or hours) may be used for vacation, holidays, short-term illness, family emergencies, religious observances, preventive health or dental care, personal business or other excused elective absences (except educational leave, jury duty, and bereavement leave, which are paid in addition to PTO days). B. PTO is paid at the Employee’s straight-time rate. C. PTO begins accruing on the date of employment and may be used as soon as it is earned. PTO may not be used in advance and may not be used on regularly scheduled days off. b. PTO, as with all other time off, such as absent time, must, except in unusual circumstances, be requested in writing in advance D. With the exception of the time off desired, and approved in writing by the Supervisor, except for an emergency or illness. Approval will be based upon the Employer’s determination of its staffing needs. When time off is requested without prior approval due to an emergency or illness, a specific reason for the request is to be given and accrued PTO time must be used. A Nurse requiring scheduled ahead of time off without prior with approval must call at least two (2) hours before the start of the assigned shift. If the department is not open before the start of the shift, the employee has sixty (60) minutes after the opening of the office within which to call. If the Nurse does not have approval for each day of absence, it shall be considered an unpaid, unexcused absence. Such absences can become cause for disciplinary action. The Employer may request a doctor’s certificate of illness, to be documented by a treating licensed healthcare provider and/or require the Nurse to be seen by the Employer’s designated Physician or Nurse Practitioner if the amount of time off due to illness is deemed excessive by the EmployerDepartment Director. c. The Employer shall E. Employees with over one (1) year of service are encouraged to use its best efforts to provide Regular Nurses rotating off the night shift to the day shift with a schedule which allows two (2) consecutive unpaid twenty-four (24) hour periods off between shifts. In the event two (2) consecutive unpaid twenty-four (24) hour periods off are not scheduled, the Regular Nurse may request, at her/his option, either Absent Days or PTO. Such scheduling and such requests shall be given preferential treatment over other PTO requests. Such requests shall not affect the Regular Nurse’s rights to receive premium pay for weekends when appropriate under the terms minimum of this Agreement. d. PTO or an absent day may be offered to and accepted by a Regular Nurse if such Nurse is extra on her/his respective unit and cannot in the determination of the Employer be utilized elsewhere to meet a staffing need. e. In units where there is prolonged low census, those Regular Nurses who have depleted their PTO will be eligible, depending on operational needs, for up to two weeks of vacation annually without pay. CRONA and Nursing Administration will mutually agree on the definition of a period of prolonged low census. f. PTO shall be granted to Regular Nurses having Herpes who are assigned to specialty units (Delivery Room, Nurseries), and cannot be utilized in other areas. g. Nurses not allowed to work because of on-the-job exposure to a communicable disease are entitled to be compensated under the terms of the workers’ compensation policy provided by the Employer for the duration of the incubation period or until such time that the Employer determines is appropriate for protecting the health and safety of the Nurse, coworkers-workers, and patients. Accrued PTO may be used during the waiting period for workers’ compensation until the Regular Nurse becomes eligible for ESL, and may be used to supplement any such workers’ compensation payments to equal the Nurse’s regular earnings (at regular hourly rate of pay), after ESL has been exhausted. h. If a holiday falls within an orientation period and a new hire is not sufficiently oriented to be assigned work for the day, the new hire will be scheduled for PTO if desired, if sufficient PTO has been accrued. Otherwise the new hire will be scheduled for absent days. i. Accrued PTO may be used during any waiting period for State Disability Insurance or Workers’ Compensation for which ESL is not available and may be used to supplement any such disability payments during a period of disability to equal the Nurse’s regular earnings (at regular hourly rate of pay) after ESL has been exhausted. j. If work is not available on a holiday, the Nurse may use either PTO or Absent time. k. Regular Nurses will accrue PTO hours up to five hundred twenty (520) hours. If a Nurse’s PTO accrual reaches five hundred twenty (520) hours, further accrual will cease until the Nurse utilizes PTO hours and reduces the accrual to below five hundred twenty (520) hours. As an exception, if a Nurse who accrues a balance of four hundred eighty (480) hours of PTO has made three (3) or more attempts within a calendar year to schedule PTO in advance, in writing and in accordance with departmental procedures, including alternative date requests, and all of the Nurse’s requests for PTO within that same calendar year were denied, then upon the Nurse’s prompt request, he/she will be granted PTO in an amount equal to the greatest amount of PTO requested in any one of the previously denied requests, up to eighty (80) hoursPTO hours per year. The This amount is prorated for regular part-time Employees based upon status. F. Other than the exceptions noted above, PTO will be used for all time off except that which is required to temporarily reduce staffing levels due to decreased work load, i.e., drop days. Such hours may be unpaid or PTO at the Employee’s option. G. All accrued PTO Plan (ESL and PTO) hours must be used first as part of a leave of absence granted an Employee. X. Xxxxxxxxx who fail to report emergency absences to their supervisor within ninety (90) days, but at a time consistent with operational needs frames prior to the extent possiblestart of their shift are subject to denial of their PTO for that absence. I. Upon request, Employees will have the discretion to not use PTO on Holidays. J. If an Employee’s vacation is cancelled by the Hospitals due to urgent operational needs, the Hospitals will reimburse the Employee for any out-of-pocket travel expenses (e.g., non- refundable airfare, non-refundable hotel reservations, etc.) that the Employee can prove through documentation were incurred after the vacation was approved and before it was cancelled. An Employee who had a vacation cancelled under this provision will be provided with priority to reschedule the vacation, although this priority will not during result in the period between December 10th and January 5th. The Nurse and his cancellation or her manager will work together to attempt to schedule PTO in a manner that accommodates the interests rescheduling of both the Nurse and the Hospitalany other Employee’s previously approved vacation.

Use of PTO. a. A. Full time or part time employees can request a “Cash Out” of their accrued PTO may be used as soon as it is earnedover one hundred (100) hours. PTO cash out will be authorized to a maximum of one hundred fifty (150) hours per calendar year. No cash out of paid hours from PTO will be permitted for work days during the pay period that a nurse has been suspended without pay. B. No allowance will be made for sickness occurring during scheduled PTO time off, unless an employee is hospitalized and provides verification of such hospitalization to the department manager. In such situation, the EIB twenty-four (24) hours waiting period shall apply, during which PTO hours will continue to be paid. C. Once commencing a PTO period, an employee will not be recalled to work unless a community medical emergency arises. This provision does not prohibit the organization from calling to work any employee who, while on PTO, advises the organization of their availability. If an employee is called to work, they will be granted their PTO day(s) at a time mutually agreed to by the employee and the department manager. PTO hours may not be used in advance and may not be used on regularly scheduled days offconjunction with work hours. b. PTOX. XXX requests should be submitted to the department manager as soon as possible but not prior to three (3) months in advance. A department manager may grant a PTO request time beyond three (3) months, provided this alternate time limit is agreed to by a majority of the department staff. In special circumstances, as with all other determined by the department manager (e.g., opportunity for special discounts for plane tickets or lodging reservations, etc.) and employee may request PTO time offprior to this three (3) month period, such as absent time, must, except in unusual circumstances, be requested in writing in advance or prior to the alternate time limit agreed to by a majority of the time off desired, and approved department staff. Those departments scheduled via defined procedures will adhere to the Scheduling Guidelines found in writing by the Supervisor, except for an emergency or illnessNursing Department Policy Manual. Approval will be based upon the Employer’s determination of its staffing needs. When time off is requested without prior approval due to an emergency or illness, a specific reason for the request is to be given and accrued PTO time must be used. A Nurse requiring time off without prior approval must call requests that are at least two (2) hours before the start weeks in advance of the assigned shift. If the department is not open before the start of the shift, the employee has sixty (60date(s) minutes after the opening of the office within which to call. If the Nurse does not have approval for each day of absence, it shall requested off must be considered an unpaid, unexcused absence. Such absences can become cause for disciplinary actionsubmitted in writing. The Employer may department manager must approve or deny the request a doctor’s certificate of illness, to be documented by a treating licensed healthcare provider and/or require the Nurse to be seen by the Employer’s designated Physician or Nurse Practitioner if the amount of time off due to illness is deemed excessive by the Employer. c. The Employer shall use its best efforts to provide Regular Nurses rotating off the night shift to the day shift with a schedule which allows in writing within two (2) consecutive unpaid twenty-four weeks from receipt of the PTO request. PTO requests that are presented by the employee less than two (242) hour periods off between shiftsweeks before the date(s) requested off, the department manager must notify the employee of approval/denial as soon as possible prior to the beginning date. Those departments scheduled via defined procedures will adhere to the Scheduling Guidelines found in the Nursing Department Policy Manual. E. PTO requests will be approved on a first come first serve basis within the three (3) month time line, or the alternate time line. In the event two (2) consecutive unpaid twenty-four (24) hour periods off are not scheduled, the Regular Nurse may request, at her/his option, either Absent Days or PTO. Such scheduling and such requests shall be given preferential treatment over other PTO requests. Such requests shall not affect the Regular Nurse’s rights to receive premium pay for weekends when appropriate under the terms of this Agreement. d. PTO or an absent day may be offered to and accepted by a Regular Nurse if such Nurse is extra on her/his respective unit and cannot in the determination of the Employer be utilized elsewhere to meet a staffing need. e. In units where there is prolonged low census, those Regular Nurses who have depleted their PTO will be eligible, depending on operational needs, for up to two weeks of vacation annually without pay. CRONA and Nursing Administration will mutually agree on the definition of a period of prolonged low census. f. PTO shall be granted to Regular Nurses having Herpes who are assigned to specialty units (Delivery Room, Nurseries), and cannot be utilized in other areas. g. Nurses not allowed to work because of on-the-job exposure to a communicable disease are entitled to be compensated under the terms of the workers’ compensation policy provided by the Employer for the duration of the incubation period or until such time that the Employer determines is appropriate for protecting the health and safety of the Nurse, coworkers-workers, and patients. Accrued PTO may be used during the waiting period for workers’ compensation until the Regular Nurse becomes eligible for ESL, and may be used to supplement any such workers’ compensation payments to equal the Nurse’s regular earnings (at regular hourly rate of pay), after ESL has been exhausted. h. If a holiday falls within an orientation period and a new hire is not sufficiently oriented to be assigned work for the day, the new hire will be scheduled conflict for PTO if desired, if sufficient PTO has been accrued. Otherwise requests within the new hire will be scheduled for absent days. i. Accrued PTO may be used during any waiting period for State Disability Insurance or Workers’ Compensation for which ESL is not available and may be used to supplement any such disability payments during a period of disability to equal the Nurse’s regular earnings (at regular hourly rate of pay) after ESL has been exhausted. j. If work is not available on a holiday, the Nurse may use either PTO or Absent time. k. Regular Nurses will accrue PTO hours up to five hundred twenty (520) hours. If a Nurse’s PTO accrual reaches five hundred twenty (520) hours, further accrual will cease until the Nurse utilizes PTO hours and reduces the accrual to below five hundred twenty (520) hours. As an exception, if a Nurse who accrues a balance of four hundred eighty (480) hours of PTO has made three (3) month or more attempts within a calendar year alternate time line, the conflict should be presented to schedule PTO in advancethe employees to resolve. If the conflict cannot be resolved between the employees, in writing seniority and in accordance with departmental procedures, including alternative date requests, and all the core competency staffing needs of the Nurse’s requests unit will prevail. Seniority right may be exercised only every other year. Those departments scheduled via defined procedures will adhere to the Scheduling Guidelines found in the Nursing Department Policy Manual. F. Sky Lakes Medical Center allows employees to donate PTO to other employees experiencing a hardship event. Requests for gifting of PTO within that same calendar year were denied, then upon are directed to Human Resources for processing and approval. The gifting of PTO must be documented on forms provided by Human Resources and the Nurse’s prompt request, he/she guidelines followed in HR Policy and Procedures # 419.1. G. Gifting of PTO to the Association Negotiating Team will be granted PTO in an amount equal to the greatest amount of PTO requested in any one of the previously denied requests, up to eighty (80) hours. The PTO will be granted within ninety (90) days, but at a time consistent with operational needs to the extent possible, and not during the period between December 10th and January 5th. The Nurse and his or her manager will work together to attempt to schedule PTO in a manner that accommodates the interests of both the Nurse and allowed by the Hospital. Normal gifting rules will apply. Such gifting will only apply to official Association/ Hospital contract negotiations. Timing and procedures for such gifts to be established in line with discussions in the 2011 contract renewal negotiations.

Use of PTO. a. 15.4.1 PTO may be used as soon as it is earned, except for new hires who have not completed their ninety (90) work day probationary period. PTO may not be used in advance with an agreement to reimburse the Hospital and may not be used on regularly scheduled days off. PTO may be used on any of the worked holidays specified in Section 2 of this Article. b. 15.4.2 PTO, as with all other time off, such as absent time, must, except in unusual circumstances, be is requested in writing in advance of through the “time off desired, and approved in writing by the Supervisor, except for an emergency or illnessattendance” on-line application. Approval will be based upon the EmployerHospital’s determination of its staffing needs. When time off is requested without prior approval due to an emergency or illness, a specific reason for the request is to be given and accrued PTO time must be used. A Nurse If reasonably possible, the employee requiring time off without prior approval must call at least in two (2) hours before the start of the assigned shift. If the department is not open before the start of the shift, the employee has sixty (60) minutes after the opening of the office within which to call. If the Nurse does not have approval for each day of absence, it shall be considered an unpaid, unpaid unexcused absence. Such absences can become cause for disciplinary action. The Employer Hospital may request a doctor’s certificate of illness, to be documented by a treating licensed healthcare provider and/or require the Nurse to be seen by the Employer’s designated Physician or Nurse Practitioner illness if the amount of time off due to illness is deemed excessive by the EmployerHospital. c. 15.4.3 The Employer first forty (40) hours of PTO in a calendar year used for a reason covered by the Oregon Paid Sick Leave law shall be protected and will be administered in accordance with the Hospital’s Oregon Paid Sick Leave policy. 15.4.4 Employees under the maximum cap described in Section 1(E) below are encouraged to use its best efforts at least eighty (80) hours of PTO per year. It is also recommended that employees reserve at least forty (40) hours of PTO to provide Regular Nurses rotating off the night shift to the day shift with a schedule which allows cover emergencies. 15.4.5 If there are two (2) consecutive unpaid or more requests for time off by employees and if not all of such requests can be accommodated, then an employee requesting PTO shall be given a priority over an employee requesting time off without pay regardless of seniority. Legally-protected time off will have priority over other types of requests. (Otherwise seniority will prevail.) 15.4.6 PTO may not be used to claim pay for the time lost due to tardiness. This lost time cannot be regained and shall be considered unexcused absent time. 15.4.7 All accumulated PTO will be paid upon termination. 15.4.8 PTO requests for vacation purposes shall be granted according to the operating needs of the Hospital. Request for vacation PTO shall be submitted in 15.4.9 Preference between two (2) or more pending requests by employees selecting the same period shall be given to the employee with the greatest seniority. Requests made within twenty-four (24) hour periods off between shiftshours of each other shall be considered submitted at the same time. In The Department Head shall respond in writing within seven (7) calendar days after the event request has been received. After written approval of the PTO time is granted, such time may only be changed by mutual agreement of the parties. 15.4.10 The first two (2) consecutive unpaid twenty-four (24) hour periods off are not scheduled, the Regular Nurse may request, at her/his option, either Absent Days or PTO. Such scheduling and such requests shall be given preferential treatment over other PTO requests. Such requests shall not affect the Regular Nurse’s rights to receive premium pay for weekends when appropriate under the terms of this Agreement. d. PTO or an absent day may be offered to and accepted by a Regular Nurse if such Nurse is extra on her/his respective unit and cannot in the determination of the Employer be utilized elsewhere to meet a staffing need. e. In units where there is prolonged low census, those Regular Nurses who have depleted their PTO will be eligible, depending on operational needs, for up to two weeks of vacation annually without pay. CRONA and Nursing Administration will mutually agree on the definition of a period of prolonged low census. f. PTO shall be granted to Regular Nurses having Herpes who are assigned to specialty units (Delivery Room, Nurseries), and cannot be utilized in other areas. g. Nurses not allowed to work because of on-the-job exposure to a communicable disease are entitled to be compensated under the terms of the workers’ compensation policy provided by the Employer for the duration of the incubation period or until such time that the Employer determines is appropriate for protecting the health and safety of the Nurse, coworkers-workers, and patients. Accrued earned PTO may be used during taken consecutively by the waiting period for workers’ compensation until the Regular Nurse becomes eligible for ESL, and may be used to supplement any such workers’ compensation payments to equal the Nurse’s regular earnings (at regular hourly rate of pay), after ESL has been exhausted. h. If a holiday falls within an orientation period and a new hire is not sufficiently oriented to be assigned work for the day, the new hire will be scheduled for PTO employee if so desired, if sufficient PTO has been accrued. Otherwise the new hire will be scheduled for absent days. i. Accrued Additional PTO may be used during any waiting period for State Disability Insurance or Workers’ Compensation for which ESL is not available and may be used to supplement any such disability payments during a period of disability to equal the Nurse’s regular earnings (at regular hourly rate of pay) after ESL has been exhausted. j. If work is not available on a holiday, the Nurse may use either PTO or Absent time. k. Regular Nurses will accrue PTO hours up to five hundred twenty (520) hours. If a Nurse’s PTO accrual reaches five hundred twenty (520) hours, further accrual will cease until the Nurse utilizes PTO hours and reduces the accrual to below five hundred twenty (520) hours. As an exception, if a Nurse who accrues a balance of four hundred eighty (480) hours of PTO has made three (3) or more attempts within a calendar year to schedule PTO in advance, in writing and in accordance with departmental procedures, including alternative date requests, and all of the Nurse’s requests for PTO within that same calendar year were denied, then upon the Nurse’s prompt request, he/she will be granted PTO in an amount equal to the greatest amount of PTO requested in any one of the previously denied requests, up to eighty (80) hours. The PTO will be granted within ninety (90) days, but at a time consistent with operational needs to the extent possible, and not during the period between December 10th and January 5th. The Nurse and his or her manager will work together to attempt to schedule PTO taken in a manner that accommodates mutually acceptable to the interests Hospital and employee. 15.4.11 Accrued PTO pay appropriate for the length of both the Nurse and scheduled vacation shall be paid to the Hospitalemployee prior to the start of the vacation, providing the employee requests the pay in writing through his/her supervisor seven (7) calendar days prior to his/her vacation. PTO paid in advance for vacation purposes would be for a minimum of five (5) days.

Use of PTO. a. A. PTO hours may be used as soon required for vacation, holidays, short-term illness, family emergencies, religious observances, preventive health or dental care, personal business or other excused elective absences. Requests to attend union sponsored projects and programs will be evaluated on the same basis and given the same consideration as all other PTO requests. Employees may use their PTO and PTOws-Sick banks interchangeably. B. PTO is paid at the employee's normal rate, in one-quarter (1/4) hour increments. C. The amount of PTO used in any given pay period, when combined with other paid straight- time hours, must not exceed the employee's budgeted hours for that pay period. X. XXX begins accruing on the date of employment and may be used as it is earnedearned after the employee has successfully completed his/her probationary period as a full-time employee (or to part-time employees who have elected the PTO option). Within the probationary period, accrued PTO may be accessed only for Hospital recognized holidays. E. With the exception of emergency or sudden illness, or as otherwise allowed under the Washington Paid Sick Leave regulations - PTO must be scheduled in advance with the written approval of the Department Director. Subject to the above, employees who fail to report unexpected absences to their supervisor at least two hours prior to the start of their shift are subject to denial of their PTO for that absence. Each department will establish a call-in procedure for employees to notify their department of unexpected absences. That procedure will require no more than one actual telephone conversation with the department director or the department director's authorized designee. The authorized designee will be noted on the departmental schedule. F. Employees taking time off will be required to utilize PTO, except in low census situations (where utilization of PTO will be optional) or where the employee is requesting a single day off without pay. For purposes of the preceding sentence, one (1) "single day off without pay" shall be allowed per year, unless otherwise mutually agreed. G. PTO must be used up to the maximum amount available during any Leave of Absence. H. PTO may not be used by an employee during the fourteen (14) day notice period prior to resignation, unless the employee provides the Hospital with proof of illness in advance and may not be used on regularly scheduled days offa manner satisfactory to the Hospital. b. PTO, I. Under certain circumstances and conditions as with all other time off, such as absent time, must, except in unusual circumstances, be requested in writing in advance of the time off desired, and approved in writing prescribed by the SupervisorHospital, except for an emergency employees may be allowed to donate PTO/EIB to fellow employees who have experienced a medical or illnessother personal crisis. Approval Unused, donated PTO will be based upon revert back to the Employer’s determination of its staffing needsdonor. When time off is requested without prior approval due An employee with a PTO balance equal to an emergency or illness, a specific reason for the request is to be given and accrued PTO time must be used. A Nurse requiring time off without prior approval must call at least two greater than forty (240) hours before the start of the assigned shift. If the department is not open before the start of the shift, the employee has or an EIB balance equal to or greater than two hundred forty (240) hours can donate up to sixty (60) minutes after hours per year of their PTO or EIB to another employee who has a qualifying illness under the opening of the office within which to call. If the Nurse does not have approval for each day of absencePTO donation policy who is benefit eligible, it shall be considered an unpaid, unexcused absence. Such absences can become cause for disciplinary actionand who has exhausted their PTO and EIB accruals. The Employer may request rate of pay for a doctordonated hour of PTO or EIB is the recipient’s certificate of illnessrate. However, to be documented by a treating licensed healthcare provider and/or require the Nurse to be seen by the Employer’s designated Physician or Nurse Practitioner if the amount of time off due to illness is deemed excessive by the Employer. c. The Employer shall use its best efforts to provide Regular Nurses rotating off the night shift to the day shift with a schedule which allows two (2) consecutive unpaid donating employees’ PTO balance must not drop below twenty-four (24) hour periods off between shifts. In the event two (2) consecutive unpaid twenty-four (24) hour periods off are not scheduled, the Regular Nurse may request, at her/his option, either Absent Days or PTO. Such scheduling and such requests shall be given preferential treatment over other PTO requests. Such requests shall not affect the Regular Nurse’s rights to receive premium pay for weekends when appropriate under the terms of this Agreementhours. d. PTO or an absent day may be offered to and accepted by a Regular Nurse if such Nurse is extra on her/his respective unit and cannot in the determination of the Employer be utilized elsewhere to meet a staffing need. e. In units where there is prolonged low census, those Regular Nurses who have depleted their PTO will be eligible, depending on operational needs, for up to two weeks of vacation annually without pay. CRONA and Nursing Administration will mutually agree on the definition of a period of prolonged low census. f. PTO shall be granted to Regular Nurses having Herpes who are assigned to specialty units (Delivery Room, Nurseries), and cannot be utilized in other areas. g. Nurses not allowed to work because of on-the-job exposure to a communicable disease are entitled to be compensated under the terms of the workers’ compensation policy provided by the Employer for the duration of the incubation period or until such time that the Employer determines is appropriate for protecting the health and safety of the Nurse, coworkers-workers, and patients. Accrued PTO may be used during the waiting period for workers’ compensation until the Regular Nurse becomes eligible for ESL, and may be used to supplement any such workers’ compensation payments to equal the Nurse’s regular earnings (at regular hourly rate of pay), after ESL has been exhausted. h. If a holiday falls within an orientation period and a new hire is not sufficiently oriented to be assigned work for the day, the new hire will be scheduled for PTO if desired, if sufficient PTO has been accrued. Otherwise the new hire will be scheduled for absent days. i. Accrued PTO may be used during any waiting period for State Disability Insurance or Workers’ Compensation for which ESL is not available and may be used to supplement any such disability payments during a period of disability to equal the Nurse’s regular earnings (at regular hourly rate of pay) after ESL has been exhausted. j. If work is not available on a holiday, the Nurse may use either PTO or Absent time. k. Regular Nurses will accrue PTO hours up to five hundred twenty (520) hours. If a Nurse’s PTO accrual reaches five hundred twenty (520) hours, further accrual will cease until the Nurse utilizes PTO hours and reduces the accrual to below five hundred twenty (520) hours. As an exception, if a Nurse who accrues a balance of four hundred eighty (480) hours of PTO has made three (3) or more attempts within a calendar year to schedule PTO in advance, in writing and in accordance with departmental procedures, including alternative date requests, and all of the Nurse’s requests for PTO within that same calendar year were denied, then upon the Nurse’s prompt request, he/she will be granted PTO in an amount equal to the greatest amount of PTO requested in any one of the previously denied requests, up to eighty (80) hours. The PTO will be granted within ninety (90) days, but at a time consistent with operational needs to the extent possible, and not during the period between December 10th and January 5th. The Nurse and his or her manager will work together to attempt to schedule PTO in a manner that accommodates the interests of both the Nurse and the Hospital.

Use of PTO. a. PTO may be used as soon as it is earned. PTO may not be used in advance and may not be used on regularly scheduled days off. b. PTO, as with all other time off, such as absent time, must, except in unusual circumstances, be requested in writing in advance of the time off desired, and approved in writing by the Supervisor, except for an emergency or illness. Approval will be based upon the Employer’s determination of its staffing needs. When time off is requested without prior approval due to an emergency or illness, a specific reason for the request is to be given and accrued PTO time must be used. A Nurse requiring time off without prior approval must call at least two (2) hours before the start of the assigned shift. If the department is not open before the start of the shift, the employee has sixty (60) minutes after the opening of the office within which to call. If the Nurse does not have approval for each day of absence, it shall be considered an unpaid, unexcused absence. Such absences can become cause for disciplinary action. The Employer may request a doctor’s certificate of illness, to be documented by a treating licensed healthcare provider and/or require the Nurse to be seen by the Employer’s designated Physician or Nurse Practitioner if the amount of time off due to illness is deemed excessive by the Employer. c. The Employer shall use its best efforts to provide Regular Nurses rotating off the night shift to the day shift with a schedule which allows two (2) consecutive unpaid twenty-four (24) hour periods off between shifts. In the event two (2) consecutive unpaid twenty-four (24) hour periods off are not scheduled, the Regular Nurse may request, at her/his option, either Absent Days or PTO. Such scheduling and such requests shall be given preferential treatment over other PTO requests. Such requests shall not affect the Regular Nurse’s rights to receive premium pay for weekends when appropriate under the terms of this Agreement. d. PTO or an absent day may be offered to and accepted by a Regular Nurse if such Nurse is extra on her/his respective unit and cannot in the determination of the Employer be utilized elsewhere to meet a staffing need. e. In units where there is prolonged low census, those Regular Nurses who have depleted their PTO will be eligible, depending on operational needs, for up to two weeks of vacation annually without pay. CRONA and Nursing Administration will mutually agree on the definition of a period of prolonged low census. f. PTO shall be granted to Regular Nurses having Herpes who are assigned to specialty units (Delivery Room, Nurseries), and cannot be utilized in other areas. g. Nurses not allowed to work because of on-the-job exposure to a communicable disease are entitled to be compensated under the terms of the workers’ compensation policy provided by the Employer for the duration of the incubation period or until such time that the Employer determines is appropriate for protecting the health and safety of the Nurse, coworkers-workers, and patients. Accrued PTO may be used during the waiting period for workers’ compensation until the Regular Nurse becomes eligible for ESL, and may be used to supplement any such workers’ compensation payments to equal the Nurse’s regular earnings (at regular hourly rate of pay), after ESL has been exhausted. h. If a holiday falls within an orientation period and a new hire is not sufficiently oriented to be assigned work for the day, the new hire will be scheduled for PTO if desired, if sufficient PTO has been accrued. Otherwise the new hire will be scheduled for absent days. i. Accrued PTO may be used during any waiting period for State Disability Insurance or Workers’ Compensation for which ESL is not available and may be used to supplement any such disability payments during a period of disability to equal the Nurse’s regular earnings (at regular hourly rate of pay) after ESL has been exhausted. A Regular Nurse will be eligible to take prescheduled vacation, even if the Nurse has insufficient PTO, if the insufficient PTO is a result of the use of PTO during a waiting period for Workers’ Compensation that occurred following the scheduling of the vacation. j. If work is not available on a holiday, the Nurse may use either PTO or Absent time. k. Regular Nurses will accrue PTO hours up to five hundred twenty (520) hours. If a Nurse’s PTO accrual reaches five hundred twenty (520) hours, further accrual will cease until the Nurse utilizes PTO hours and reduces the accrual to below five hundred twenty (520) hours. As an exception, if a Nurse who accrues a balance of four hundred eighty (480) hours of PTO has made three (3) or more attempts within a calendar year to schedule PTO in advance, in writing and in accordance with departmental procedures, including alternative date requests, and all of the Nurse’s requests for PTO within that same calendar year were denied, then upon the Nurse’s prompt request, he/she will be granted PTO in an amount equal to the greatest amount of PTO requested in any one of the previously denied requests, up to eighty (80) hours. The PTO will be granted within ninety (90) days, but at a time consistent with operational needs to the extent possible, and not during the period between December 10th and January 5th. The Nurse and his or her manager will work together to attempt to schedule PTO in a manner that accommodates the interests of both the Nurse and the Hospital.

Use of PTO. a. PTO may be used as soon as it is earned. PTO may not be used in advance and may not be used on regularly scheduled days off. All PTO hours will be taken in the same manner as the Nurse is normally scheduled to work: e.g., In 8 hour increments for 8 hour shifts, and in 12 hour increments for 12 hour shifts. b. PTO, as with all other time off, off such as absent time, must, except in unusual circumstances, be requested in writing in advance of the time off desired, and approved in writing by the Supervisor, except for an emergency or illness. Approval will be based upon the Employer’s determination of its staffing needs. When time off is requested without prior approval due to because of an emergency or illness, a specific reason for the request is to be given and accrued PTO time must be used. A Nurse requiring time off without prior approval must call at least two (2) hours before the start of the assigned shift. If the department is not open before the start of the shift, the employee has sixty (60) minutes after the opening of the office within which to call. If the Nurse does not have approval notify the Employer of illness or emergency at least two (2) hours in advance for each day of absence, it shall be considered an unpaid, unexcused absence. Such absences can become cause for disciplinary action. The Employer may determine that PTO may not be used for an unexcused absence. The Employer may request a doctor’s certificate of illness, illness to be documented by a the treating licensed healthcare provider and/or require the Nurse to be seen by the Employer’s an Employer designated Physician or Nurse Practitioner if the amount of time off due to claimed for illness is deemed excessive by the Employer. c. The Employer shall use its best efforts to provide Regular Nurses rotating off the night shift to the day shift with a schedule which allows two (2) consecutive unpaid twenty-four (24) hour periods off between shifts. In the event two (2) consecutive unpaid twenty-four (24) hour periods off are not scheduled, the Regular Nurse may request, at her/his option, either Absent Days or PTO. Such scheduling and such requests shall be given preferential treatment over other PTO requests. Such requests shall not affect the Regular Nurse’s rights to receive premium pay for weekends when appropriate under the terms of this Agreement. d. PTO or an absent day may be offered to and accepted by a Regular Nurse if such Nurse is extra on her/his respective unit and cannot in the determination of the Employer be utilized elsewhere to meet a staffing need. e. In units where there is prolonged low census, those Regular Nurses who have depleted their PTO will be eligible, depending on operational needs, for up to two weeks of vacation annually without pay. CRONA and Nursing Administration will mutually agree on the definition of a period of prolonged low census. f. PTO shall be granted to Regular Nurses having Herpes who are assigned to specialty units (Delivery Room, Nurseries), and cannot be utilized in other areasareas of the Employer. g. Nurses not allowed to work because of on-the-job exposure to a communicable disease are entitled to be compensated under the terms of the workers’ compensation policy provided by the Employer for the duration of the incubation period or until such time that the Employer determines is appropriate for protecting the health and safety of the Nurse, coworkers-workers, and patients. Accrued PTO may be used during the waiting period for workers’ compensation until the Regular Nurse becomes eligible for ESL, and may be used to supplement any such workers’ compensation payments to equal the Nurse’s regular earnings (at regular hourly rate of pay), after ESL has been exhausted. h. If a holiday falls within an orientation period and a new hire is not sufficiently oriented to be assigned work for the day, the new hire will be scheduled for PTO if desired, desired and if sufficient PTO has been accrued. Otherwise the new hire will be scheduled for off as an absent daysday. i. Accrued PTO may be used during any waiting period for State Disability Insurance or Workers’ Compensation for which ESL is not available and may be used to supplement any such disability payments during a period of disability to equal the Nurse’s regular earnings (at regular hourly rate of pay) after ESL has been exhausted. j. If work is not available on a holiday, the Nurse may use either PTO or Absent time. k. A Nurse may make arrangements for another Nurse to work for her/him if s/he obtains the approval of their manager. The Regular Nurse must use PTO when such arrangements are made and approved. l. Regular Nurses will accrue PTO hours up to five hundred twenty (520) hours. If a Nurse’s PTO accrual reaches five hundred twenty (520) hours, further accrual will cease until the Nurse utilizes PTO hours and reduces the accrual to below five hundred twenty (520) hours. As an exception, if a Nurse who accrues a balance of four hundred eighty (480) hours of PTO has made three (3) or more attempts within a calendar year to schedule PTO in advance, in writing and in accordance with departmental procedures, including alternative date requests, and all of the Nurse’s requests for PTO within that same calendar year were denied, then upon the Nurse’s prompt request, he/she will be granted PTO in an amount equal to the greatest amount of PTO requested in any one of the previously denied requests, up to eighty (80) hours. The PTO will be granted within ninety (90) days, but at a time consistent with operational needs to the extent possible, and not during the period between December 10th and January 5th. The Nurse and his or her manager will work together to attempt to schedule PTO in a manner that accommodates the interests of both the Nurse and the Hospital.

Use of PTO. a. (1) PTO may be used as soon as it is earned, except for new hires who have not completed their ninety (90) work day probationary period. PTO may not be used in advance with an agreement to reimburse the Hospital and may not be used on regularly scheduled days off. PTO may be used on any of the worked holidays specified in Section 2 of this Article. b. (2) PTO, as with all other time off, such as absent time, must, except in unusual circumstances, be requested in writing in advance of the time off desired, and approved in writing by the Supervisor, except for an emergency or illness. Approval will be based upon the EmployerHospital’s determination of its staffing needs. When time off is requested without prior approval due to an emergency or illness, a specific reason for the request is to be given and accrued PTO time must be used. A Nurse If reasonably possible, the employee requiring time off without prior approval must call at least in two (2) hours before the start of the assigned shift. If the department is not open before the start of the shift, the employee has sixty (60) minutes after the opening of the office within which to call. If the Nurse does not have approval for each day of absence, it shall be considered an unpaid, unpaid unexcused absence. Such absences can become cause for disciplinary action. The Employer Hospital may request a doctor’s certificate of illness, to be documented by a treating licensed healthcare provider and/or require the Nurse to be seen by the Employer’s designated Physician or Nurse Practitioner illness if the amount of time off due to illness is deemed excessive by the EmployerHospital. c. (3) The Employer first forty (40) hours of PTO in a calendar year used for a reason covered by the Oregon Paid Sick Leave law shall be protected and will be administered in accordance with the Hospital’s Oregon Paid Sick Leave policy. (4) Employees under the maximum cap described in Section 1(E) below are encouraged to use its best efforts at least eighty (80) hours of PTO per year. It is also recommended that employees reserve at least forty (40) hours of PTO to provide Regular Nurses rotating off the night shift to the day shift with a schedule which allows cover emergencies. (5) If there are two (2) consecutive unpaid or more requests for time off by employees and if not all of such requests can be accommodated, then an employee (6) PTO may not be used to claim pay for the time lost due to tardiness. This lost time cannot be regained and shall be considered unexcused absent time. (7) All accumulated PTO will be paid upon termination. (8) PTO requests for vacation purposes shall be granted according to the operating needs of the Hospital. Request for vacation PTO shall be submitted in writing prior to the 10th day of the preceding month before the start of the requested PTO, but not more than six (6) months prior to the date when the schedule covering such time off is to be posted. For written PTO vacation requests submitted sixty (60) calendar days or less from the date the request is submitted the Hospital will notify the nurses of the approval or denial in writing within thirty (30) calendar days after the request is received. For PTO vacation requests more than sixty (60) calendar days after the date the request is submitted, the Hospital will notify the nurses of the approval or denial in writing within sixty (60) calendar days of the request. After written approval of the PTO time is granted, such time may only be changed by mutual agreement of the parties. (9) Preference between two (2) or more pending requests by employees selecting the same period shall be given to the employee with the greatest seniority. Requests made within twenty-four (24) hour periods off between shiftshours of each other shall be considered submitted at the same time. In The Department Head shall respond in writing within seven (7) calendar days after the event request has been received. After written approval of the PTO time is granted, such time may only be changed by mutual agreement of the parties. (10) The first two (2) consecutive unpaid twenty-four (24) hour periods off are not scheduled, the Regular Nurse may request, at her/his option, either Absent Days or PTO. Such scheduling and such requests shall be given preferential treatment over other PTO requests. Such requests shall not affect the Regular Nurse’s rights to receive premium pay for weekends when appropriate under the terms of this Agreement. d. PTO or an absent day may be offered to and accepted by a Regular Nurse if such Nurse is extra on her/his respective unit and cannot in the determination of the Employer be utilized elsewhere to meet a staffing need. e. In units where there is prolonged low census, those Regular Nurses who have depleted their PTO will be eligible, depending on operational needs, for up to two weeks of vacation annually without pay. CRONA and Nursing Administration will mutually agree on the definition of a period of prolonged low census. f. PTO shall be granted to Regular Nurses having Herpes who are assigned to specialty units (Delivery Room, Nurseries), and cannot be utilized in other areas. g. Nurses not allowed to work because of on-the-job exposure to a communicable disease are entitled to be compensated under the terms of the workers’ compensation policy provided by the Employer for the duration of the incubation period or until such time that the Employer determines is appropriate for protecting the health and safety of the Nurse, coworkers-workers, and patients. Accrued earned PTO may be used during taken consecutively by the waiting period for workers’ compensation until the Regular Nurse becomes eligible for ESL, and may be used to supplement any such workers’ compensation payments to equal the Nurse’s regular earnings (at regular hourly rate of pay), after ESL has been exhausted. h. If a holiday falls within an orientation period and a new hire is not sufficiently oriented to be assigned work for the day, the new hire will be scheduled for PTO employee if so desired, if sufficient PTO has been accrued. Otherwise the new hire will be scheduled for absent days. i. Accrued Additional PTO may be used during any waiting period for State Disability Insurance or Workers’ Compensation for which ESL is not available and may be used to supplement any such disability payments during a period of disability to equal the Nurse’s regular earnings (at regular hourly rate of pay) after ESL has been exhausted. j. If work is not available on a holiday, the Nurse may use either PTO or Absent time. k. Regular Nurses will accrue PTO hours up to five hundred twenty (520) hours. If a Nurse’s PTO accrual reaches five hundred twenty (520) hours, further accrual will cease until the Nurse utilizes PTO hours and reduces the accrual to below five hundred twenty (520) hours. As an exception, if a Nurse who accrues a balance of four hundred eighty (480) hours of PTO has made three (3) or more attempts within a calendar year to schedule PTO in advance, in writing and in accordance with departmental procedures, including alternative date requests, and all of the Nurse’s requests for PTO within that same calendar year were denied, then upon the Nurse’s prompt request, he/she will be granted PTO in an amount equal to the greatest amount of PTO requested in any one of the previously denied requests, up to eighty (80) hours. The PTO will be granted within ninety (90) days, but at a time consistent with operational needs to the extent possible, and not during the period between December 10th and January 5th. The Nurse and his or her manager will work together to attempt to schedule PTO taken in a manner that accommodates mutually acceptable to the interests Hospital and employee. (11) Accrued PTO pay appropriate for the length of both the Nurse and scheduled vacation shall be paid to the Hospitalemployee prior to the start of the vacation, providing the employee requests the pay in writing through his/her supervisor seven (7) calendar days prior to his/her vacation. PTO paid in advance for vacation purposes would be for a minimum of five (5) days.

Use of PTO. a. PTO may be used as soon as it is earned. PTO may not be used in advance and may not be used on regularly scheduled days off. All PTO hours will be taken in the same manner as the Nurse is normally scheduled to work: e.g., In 8 hour increments for 8 hour shifts, and in 12 hour increments for 12 hour shifts. b. PTO, as with all other time off, off such as absent time, must, except in unusual circumstances, be requested in writing in advance of the time off desired, and approved in writing by the Supervisor, except for an emergency or illness. Approval will be based upon the Employer’s determination of its staffing needs. When time off is requested without prior approval due to because of an emergency or illnessillness (either physical or mental), a specific reason for the request is to be given and accrued PTO time must be used. When making the request, the employee is not required to disclose any medical information. A Regular or Relief Nurse’s time off due to their mental health needs or condition will be treated as time off for the Nurse’s own illness for purposes of federal, state, or local sick leave laws, provided the Nurse is eligible under such law and has applicable sick leave time accrued. A Nurse requiring time off without prior approval must call at least two (2) hours before the start of the assigned shift. If the department is not open before the start of the shift, the employee has sixty (60) minutes after the opening of the office within which to call. If the Nurse does not have approval notify the Employer of illness or emergency at least two (2) hours in advance for each day of absence, it shall be considered an unpaid, unexcused absence. Such absences can become cause for disciplinary action. The Employer may request a doctor’s certificate of illness, to determine that PTO may not be documented by a treating licensed healthcare provider and/or require the Nurse to be seen by the used for an unexcused absence. The Employer’s designated Physician or Nurse Practitioner if the amount of time off due to illness is deemed excessive by the Employer. c. The Employer shall use its best efforts to provide Regular Nurses rotating off the night shift to the day shift with a schedule which allows two (2) consecutive unpaid twenty-four (24) hour periods off between shifts. In the event two (2) consecutive unpaid twenty-four (24) hour periods off are not scheduled, the Regular Nurse may request, at her/his option, either Absent Days or PTO. Such scheduling and such requests shall be given preferential treatment over other PTO requests. Such requests shall not affect the Regular Nurse’s rights to receive premium pay for weekends when appropriate under the terms of this Agreement. d. PTO or an absent day may be offered to and accepted by a Regular Nurse if such Nurse is extra on her/his respective unit and cannot in the determination of the Employer be utilized elsewhere to meet a staffing need. e. In units where there is prolonged low census, those Regular Nurses who have depleted their PTO will be eligible, depending on operational needs, for up to two weeks of vacation annually without pay. CRONA XXXXX and Nursing Administration will mutually agree on the definition of a period of prolonged low census. f. PTO shall be granted to Regular Nurses having Herpes who are assigned to specialty units (Delivery Room, Nurseries), and cannot be utilized in other areasareas of the Employer. g. Nurses not allowed to work because of on-the-job exposure to a communicable disease are entitled to be compensated under the terms of the workers’ compensation policy provided by the Employer for the duration of the incubation period or until such time that the Employer determines is appropriate for protecting the health and safety of the Nurse, coworkers-workers, and patients. Accrued PTO may be used during the waiting period for workers’ compensation until the Regular Nurse becomes eligible for ESL, and may be used to supplement any such workers’ compensation payments to equal the Nurse’s regular earnings (at regular hourly rate of pay), after ESL has been exhausted. h. If a holiday falls within an orientation period and a new hire is not sufficiently oriented to be assigned work for the day, the new hire will be scheduled for PTO if desired, desired and if sufficient PTO has been accrued. Otherwise the new hire will be scheduled for off as an absent daysday. i. Accrued PTO may be used during any waiting period for State Disability Insurance or Workers’ Compensation for which ESL is not available and may be used to supplement any such disability payments during a period of disability to equal the Nurse’s regular earnings (at regular hourly rate of pay) after ESL has been exhausted.a j. If work is not available on a holiday, the Nurse may use either PTO or Absent time. k. A Nurse may make arrangements for another Nurse to work for her/him if s/he obtains the approval of their manager. The Regular Nurse must use PTO when such arrangements are made and approved. l. Regular Nurses will accrue PTO hours up to five hundred twenty (520) hours. If a Nurse’s PTO accrual reaches five hundred twenty (520) hours, further accrual will cease until the Nurse utilizes PTO hours and reduces the accrual to below five hundred twenty (520) hours. As an exception, if a Nurse who accrues a balance of four hundred eighty (480) hours of PTO has made three (3) or more attempts within a calendar year to schedule PTO in advance, in writing and in accordance with departmental procedures, including alternative date requests, and all of the Nurse’s requests for PTO within that same calendar year were denied, then upon the Nurse’s prompt request, he/she will be granted PTO in an amount equal to the greatest amount of PTO requested in any one of the previously denied requests, up to eighty (80) hours. The PTO will be granted within ninety (90) days, but at a time consistent with operational needs to the extent possible, and not during the period between December 10th and January 5th. The Nurse and his or her manager will work together to attempt to schedule PTO in a manner that accommodates the interests of both the Nurse and the Hospital.eighty

Use of PTO. a. PTO may be used as soon as it is earned. PTO may not be used in advance and may not be used on regularly scheduled days off. b. PTO, as with all other time off, such as absent time, must, except in unusual circumstances, be requested in writing in advance of the time off desired, and approved in writing by the Supervisor, except for an emergency or illness. Approval will be based upon the Employer’s determination of its staffing needs. When time off is requested without prior approval due to an emergency or illnessillness (either physical or mental), a specific reason for the request is to be given and accrued PTO time must be used. When making the request, the employee is not required to disclose any medical information. A Regular or Relief Nurse’s time off due to their mental health needs or condition will be treated as time off for the Nurse’s own illness for purposes of federal, state, or local sick leave laws, provided the Nurse is eligible under such law and has applicable sick leave time accrued. A Nurse requiring time off without prior approval must call at least two (2) hours before the start of the assigned shift. If the department is not open before the start of the shift, the employee has sixty (60) minutes after the opening of the office within which to call. If the Nurse does not have approval for each day of absence, it shall be considered an unpaid, unexcused absence. Such absences can become cause for disciplinary action. The Employer may request a doctor’s certificate of illness, to be documented by a treating licensed healthcare provider and/or require the Nurse to be seen by the Employer’s designated Physician or Nurse Practitioner if the amount of time off due to illness is deemed excessive by the Employer.considered c. The Employer shall use its best efforts to provide Regular Nurses rotating off the night shift to the day shift with a schedule which allows two (2) consecutive unpaid twenty-four (24) hour periods off between shifts. In the event two (2) consecutive unpaid twenty-four (24) hour periods off are not scheduled, the Regular Nurse may request, at her/his option, either Absent Days or PTO. Such scheduling and such requests shall be given preferential treatment over other PTO requests. Such requests shall not affect the Regular Nurse’s rights to receive premium pay for weekends when appropriate under the terms of this Agreement. d. PTO or an absent day may be offered to and accepted by a Regular Nurse if such Nurse is extra on her/his respective unit and cannot in the determination of the Employer be utilized elsewhere to meet a staffing need. e. In units where there is prolonged low census, those Regular Nurses who have depleted their PTO will be eligible, depending on operational needs, for up to two weeks of vacation annually without pay. CRONA XXXXX and Nursing Administration will mutually agree on the definition of a period of prolonged low census. f. PTO shall be granted to Regular Nurses having Herpes who are assigned to specialty units (Delivery Room, Nurseries), and cannot be utilized in other areas. g. Nurses not allowed to work because of on-the-job exposure to a communicable disease are entitled to be compensated under the terms of the workers’ compensation policy provided by the Employer for the duration of the incubation period or until such time that the Employer determines is appropriate for protecting the health and safety of the Nurse, coworkers-coworkers- workers, and patients. Accrued PTO may be used during the waiting period for workers’ compensation until the Regular Nurse becomes eligible for ESL, and may be used to supplement any such workers’ compensation payments to equal the Nurse’s regular earnings (at regular hourly rate of pay), after ESL has been exhausted. h. If a holiday falls within an orientation period and a new hire is not sufficiently oriented to be assigned work for the day, the new hire will be scheduled for PTO if desired, if sufficient PTO has been accrued. Otherwise the new hire will be scheduled for absent days. i. Accrued PTO may be used during any waiting period for State Disability Insurance or Workers’ Compensation for which ESL is not available and may be used to supplement any such disability payments during a period of disability to equal the Nurse’s regular earnings (at regular hourly rate of pay) after ESL has been exhausted.. A Regular Nurse will be eligible to take prescheduled vacation, even if the Nurse has insufficient PTO, if the j. If work is not available on a holiday, the Nurse may use either PTO or Absent time. k. Regular Nurses will accrue PTO hours up to five hundred twenty (520) hours. If a Nurse’s PTO accrual reaches five hundred twenty (520) hours, further accrual will cease until the Nurse utilizes PTO hours and reduces the accrual to below five hundred twenty (520) hours. As an exception, if a Nurse who accrues a balance of four hundred eighty (480) hours of PTO has made three (3) or more attempts within a calendar year to schedule PTO in advance, in writing and in accordance with departmental procedures, including alternative date requests, and all of the Nurse’s requests for PTO within that same calendar year were denied, then upon the Nurse’s prompt request, he/she will be granted PTO in an amount equal to the greatest amount of PTO requested in any one of the previously denied requests, up to eighty (80) hours. The PTO will be granted within ninety (90) days, but at a time consistent with operational needs to the extent possible, and not during the period between December 10th and January 5th. The Nurse and his or her manager will work together to attempt to schedule PTO in a manner that accommodates the interests of both the Nurse and the Hospital.three