Staffing Ratios & Safe Staffing — Kaiser Permanente — Northwest RNs (Oregon / SW Washington)

OFNHP – RN 2021-2025 14.B.6 This agreement will establish Staffing Standards at KPNW Hospitals (SMC and WMC) which are intended for scheduling purposes based on anticipated census, acuity, and intensity. 14.B.7 The Employer will staff a charge nurse in every emergency, bedded, perioperative, and/or periprocedural nursing unit/department. Units will be scheduled to meet their census based on the below Standards without relying on the charge nurse. A charge nurse may at times have a patient assignment where the need exists. Charge nurse may request a collaborative huddle to discuss staffing or the need for charge nurse to have a patient assignment other than break coverage. 14.B.8 This agreement will establish the following KPNW Hospital Staffing Standards: a. Intensive/Critical Care: 1:2 b. Step Down/PCU: 1:3 c. Medical/Surgical/Telemetry: i. Day Shift: 1:4 ii. Night Shift 1:5 (except Onc …

In order to provide an equitable and orderly process for handling outpatient time off requests, while maintaining adequate staffing levels for medical office operations, the following rules will be followed: 12.H.1 Baseline staffing levels will be established to meet known patient demand. Baseline Staffing levels will be developed by each Outpatient Module/Department within the Medical Office, with final approval resting with management. Time off will be approved when staffing is assured at the module and facility level. 12.H.2 On-call employees will submit a one month availability to the staffing clerk for the following months by the first (1st) of the previous month. 12.H.3 Requests will be granted according to the date submitted on a first-come first- serve basis. The principle of seniority will prevail if two (2) or more employees’ requests are received on the same day.

OFNHP – RN 2021-2025 c. Employees will be required to work emergency overtime on a regularly scheduled day off only in cases of unforeseen emergent circumstances and only when all other staffing alternatives have been employed without success and are documented, including outside agency personnel. In the event no one is available, only the immediate supervisor can require the least senior, qualified employee to work emergency overtime and only for the time necessary to meet the emergency. d. At worksites where required overtime is identified as a chronic problem, the Employer and the Union will review the staffing patterns and the Employer will take reasonable measures to minimize the use of required overtime. This may include the recruitment and/or training of adequate staff. 12.I.3 Voluntary Additional Hours a. Straight Time When extra shifts or hours above coding become available, the …

OFNHP – RN 2021-2025 12.H.4 Request for time off may be submitted on the first (1st) of each month for the same month in the following year. 12.H.5 A system in each building will be devised so that staff may review time off that has been granted in their building. 12.H.6 Prime Time Requested Time Off Every other year rotation will be effective 1/1/95. a. Holiday Prime Time to Consist of the Following Dates: December 22-26 December 27 - January 5 Day before and after Thanksgiving Martin Luther King Jr. Day School recognized holidays (Veterans and President’s Day). Labor Day Memorial Day b. Other Prime Time Spring Break July 4 August Reasonable attempts will be made to honor all prime time requests. Staff who have had 5 or more prime time days off in the previous year, will not be considered for the same time off the following year, unless the time is available within three (3) months prio …

14.B.1 The Employer and OFNHP are committed to providing the highest quality care to Kaiser Permanente members and patients. 14.B.2 The Employer will make every effort to staff hospital units/departments to the standards listed below, noting that exceptions may be needed in cases of patient acuity, nursing workload/intensity, and unforeseeable circumstances. 14.B.3 Under normal circumstances, a nurse will not be assigned a patient load greater than the standards below. 14.B.4 The parties agree to meet and discuss this Agreement as changes occur due to emerging innovation, technology, empirical evidence, and resulting models of care. Any modification of these standards shall be made only by mutual consent. 14.B.5 This agreement applies only to KPNW Hospitals (SMC and WMC) and is intended to supersede provisions of the 2014 Affordability Agreement, where applicable. Per this agreement, the …

15.D.1 Temporary Reduction a. Temporary reduction is defined as a reduction of hours not to exceed thirty (30) calendar days. Such reduction shall take place by reverse Bargaining Unit seniority provided the remaining employees are qualified to immediately perform the required work as determined by the Employer. b. Outpatient Short-Term Cancellation Outpatient RNs will not be subject to short-term reduction. c. Inpatient Surgical Services 1) Overtime in the affected inpatient area. 2) Volunteers in the affected inpatient area. 3) External temporary employees (see Article 8). 4) On-call in the affected inpatient arena. 5) Short hour employees in the affected inpatient arena. 6) Part-time employees with no permanent work assignment in the affected inpatient arena. 7) Any employee filling a temporary position in the affected inpatient nursing unit/shift. 8) Regular employees with permanent …

OFNHP – RN 2021-2025 iii. Qualified and UCC trained RNs within the same service area. iv. Qualified and trained RNs within the NW Region. 2) Holiday shifts will be staffed so that at a minimum, 50% of the RNs are UCC core staff. 3) If there are not enough volunteers to cover the holiday shift, the shift will be filled in reverse seniority order from RNs within the worksite’s core UCC staff. 4) Once staff volunteer, or are assigned a holiday shift, they are required to fill that shift unless explicitly released by staffing or their direct supervisor. 5) Management may assign full shifts and will consider partial shifts but is under no obligation to schedule partial shifts. 6) Holiday shifts will be offered 3 months in advance of the shift and will be available for sign-up for two weeks. Shifts will be awarded within two weeks from the end of the sign-up. 12.C.6 Pre-Scheduling Process a. O …

11.A.1 Field: Unless there is a specific alternate schedule, the “work day” begins between 0800 and 0830 and ends between 1630 and 1700 for day shift, and 1300 to 2130 for evening shift. Recognizing that the field PHNs practice a form of telecommuting, there are certain defined activities done routinely from the staff person’s home; for example: computer data transfer, voicemail, contacting the scheduler, documentation in the electronic record, and telephoning patients to set up home visits. The employee may begin the workday with these activities; however, the time spent on non-work related activities and to travel to the first work location of the day is non-paid. Similarly, although there may be work done by the employee at the end of the day from their own home, the time spent traveling from the last work location of the day to their “home” is non-paid time. 11.A.2 Non-Field: The Res …