Guides / Kaiser Permanente — Northern California RNs & NPs
Floating & Reassignment at Kaiser Permanente — Northern California RNs & NPs
What the California Nurses Association (CNA/NNU) agreement (Sep 2022 – Aug 2026) actually says, excerpted from the contract with page citations.
board access shall not be unreasonably denied. A designated Association
representative shall be responsible for posting material submitted by the
Association, a copy of which shall be furnished to the Employer before
posting. The Association agrees that no controversial material shall be
posted. It is further agreed that the Employer shall post position vacancies
as provided in Article IX of the contract on such bulletin boards.
ARTICLE V – PERSONNEL CATEGORIES
Section A – Probationary Nurses
Regular Registered Nurses may be discharged without recourse to the
grievance procedure within the first ninety (90) days of employment. Short-
Hour, Temporary and Per diem Registered Nurses may be discharged
without recourse to the grievance procedure until such Nurse has been
employed for six (6) months or worked three hundred (300) hours, whichever
comes first.
Section B – Regular Nurses
A Regula …
Payroll is not able to verify an error within the designated time period,
the Nurse(s) who reported the error shall be informed within the
designated time period of the reasons for the delay in resolving the
error.
Employee vacation, sick, and education leave accrual hours and
balance will be displayed on Employee payslips.
ARTICLE VIII – SENIORITY
Section A – Seniority, Accumulation and Application
Regular Nurses and Short-Hour, Temporary and Per diem Nurses shall
have equal seniority for transfers, promotions, and layoffs based upon their
bargaining unit seniority.
Regular Nurses shall accumulate seniority based upon length of
continuous service with the Employer under this Agreement. Effective
September 1, 2002, Short-Hour, Temporary and Per diem Nurses shall
accumulate seniority on the basis of eighty-seven (87) hours of work
equaling one (1) month's seniority credit, for hours worke …
Orientation for floating purposes only:
6.
Nurses subject to floating will be thoroughly oriented into the
designated float unit by a designated Staff Nurse Orienteer prior to
taking a patient assignment. The Staff Nurse Orienteer will not
have a patient assignment during orientation.
If needed, Nurses will be provided up to 8 hours of orientation to the
paired float unit, if necessary, with the exception of ICU to CMU, ICU
nurses will be provided up to 4 hours of orientation. Orientation is
defined as those elements contained in the normal orientation of
Nurses new to the unit and is not intended to include clinical
competence training. It is expected that Nurses to be oriented to the
new/additional unit/clinic already possess the required clinical
competencies.
Such orientation will be conducted in small groups. No more than 4
RNs will be assigned to one Staff Nurse Orienteer for orien …
uding temporary staff as indicated in subsection
70217(m), shall receive and complete orientation to the hospital and their assigned
patient care unit before receiving patient care assignments. Orientation to a
specific unit may be modified in order to meet temporary staffing emergencies as
described in subsection 70213(e).
(2)
All patient care personnel, including temporary staff as described in subsection
70217(m), shall be subject to the process of competency validation for their
assigned patient care unit or units. Prior to the completion of validation of the
competency standards for a patient care unit, patient care assignments shall be
subject to the following restrictions:
(A)
Assignments shall include only those duties and responsibilities for which
competency had been validated.
(B)
A Registered nurse who has demonstrated competency for the patient care
unit shall be responsible …
main in
accordance with current practice. A Nurse who wishes to take time off rather than
accept alternative work (except for mandatory assignments, such as
competency/regulatory modules) may notify the employer by placing his or her
name on a list made for such purposes in the facility staffing office. A Nurse may
cancel this request via telephone, with confirmation in writing to follow as soon as
practical thereafter. The staffing office will develop a policy to implement this
procedure.
In the implementation of this Agreement, it is agreed that nursing supervisors and
managers shall continue to give first priority to the delivery of high quality patient
care.
3.
Alternative Assignments:
The Parties agree that the first source of alternative work shall be department
based assignments. The Parties further agree that the second source will be the
role of the Resource Nurse, with one Nurs …
s of diverse
diagnoses and diverse age groups who require care appropriate to a
medical/surgical unit.
(12)
The licensed nurse-to-patient ratio in a specialty care unit shall be 1:5 or
fewer at all times. Commencing January 1, 2008, the licensed nurse-to-
patient ratio in a specialty care unit shall be 1:4 or fewer at all times. A
specialty care unit is defined as a unit which is organized, operated, and
maintained to provide care for a specific medical condition or a specific
patient population. Services provided in these units are more specialized to
meet the needs of patients with the specific condition or disease process than
APPENDIX K – SUMMARY OF STAFFING RATIOS
FROM TITLE 22 REGULATIONS
that which is required on medical/surgical units, and is not otherwise covered
by subdivision (a).
(13)
The licensed nurse-to-patient ratio in a psychiatric unit shall be 1:6 or fewer at
all times …
the purpose of removing that Nurse from the bargaining unit, or eliminate
or remove from bargaining unit nurses the direct care responsibilities of
Registered Nurses and Nurse Practitioners described in the preceding
paragraph. Finally, the Employer also agrees that during the term of this
Agreement it will not challenge the Union’s right to represent any Nurse in
any job classification covered by this Agreement based on a claim that
such Nurse is a supervisor within the meaning of the NLRA.
Disputes concerning this provision may be referred directly to an expedited
arbitration. The sole issue in any such arbitration shall be whether the
Employer violated the commitments set forth in paragraph 103 of the
Agreement. If the Employer is found to have violated paragraph 103, the
sole remedies shall be restoration of the status quo ante, and a make-
whole remedy for the affected bargaining u …
maged. “Technical support” is defined as specialized
equipment and/or personnel providing for invasive monitoring, telemetry, or
mechanical ventilation, for the immediate amelioration or remediation of
severe pathology.
(10)
The licensed nurse-to-patient ratio in a telemetry unit shall be 1:5 or fewer at
all times. Commencing January 1, 2008, the licensed nurse-to-patient ratio in
a telemetry unit shall be 1:4 or fewer at all times. “Telemetry unit” is defined as
a unit organized, operated, and maintained to provide care for and continuous
cardiac monitoring of patients in a stable condition, having or suspected of
having a cardiac condition or a disease requiring the electronic monitoring,
recording, retrieval, and display of cardiac electrical signals. “Telemetry unit”
as defined in these regulations does not include fetal monitoring nor fetal
surveillance.
(11)
The licensed nurse-to-p …
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More Kaiser Permanente — Northern California RNs & NPs guides
Overtime RulesShift Differentials (Evening & Night Pay)Grievance Procedure & DeadlinesDiscipline & Just CauseWritten Warnings & Your Personnel FileFact-Finding & Investigatory MeetingsRight to Union RepresentationSick LeaveVacation Accrual & SchedulingHolidays & Holiday PaySeniority RightsStaffing Ratios & Safe StaffingMeal Periods & Rest BreaksLow Census & CancellationOn-Call, Standby & Callback PayPer Diem & Short-Hour NursesCharge Nurse Role & PayPreceptor Duties & RecognitionWork Schedules & PostingLeaves of AbsenceBereavement LeaveJury Duty PayEducation Leave & TuitionHealth Insurance & BenefitsRetirement & PensionTransfers & Position VacanciesProbationary PeriodLayoff & Reduction in ForceHealth, Safety & Workplace ViolenceWage Steps & Tenure Increases
Educational excerpts from the publicly available agreement, not legal advice. Verify against the official printed contract and work with your union representative on any dispute.