Floating & Reassignment — Lucile Packard Children's Hospital RNs

LPCH/CRONA CBA • 4/1/2025 – 3/31/2028 -41- Before changing the open or closed status of a unit, the Employer will notify CRONA and the affected Nurses and hold meetings through the Nurse Practice Committee no later than one (1) month before the suggested implementation. 15.1 Open Staffing Units. Staff assigned to units requiring similar clinical skills will float as needed to units within the same region. In times of low census and mandatory absent days, a Nurse will be offered work which the Employer determines is clinically appropriate for that Nurse, if available, elsewhere at the Employer. 15.2 Closed Staff Units. Staff assigned to units where clinical skills differ from other units within the Employer will be expected to assist in meeting their own unit’s staffing needs, e.g., change schedule or work over service commitment and will not be expected to float. In times of low census a …

CRONA recognizes the Employer’s right to temporarily reassign/float Nurses. Floating/reassignment will be based on nursing management’s assessment of the individual Nurse’s competence and skills including but not limited to such factors as experience, education and specialty and cross-training opportunities. In making this assessment the supervisor will seek input from the Nurse. Except in unforeseeable circumstances of critical patient care needs, the Employer will not float a Nurse outside their designated region unless they have been cross-trained to the unit, or has volunteered to do so. Such assignment shall be consistent with nursing supervision’s assessment of the individual Nurse’s competence and skills. Nurses who float are expected to fully exercise their knowledge, skills, and abilities in performing the work assigned. The Nurse will not be required to perform without assistan …

LPCH/CRONA CBA • 4/1/2025 – 3/31/2028 -42- 15.4.4 Nurses assigned to locations other than the main medical center campus may be assigned to multiple locations. Such Nurses who travel to or between regularly assigned locations are not deemed to be “floating” for purposes of this Section, unless a Nurse is assigned to travel to such a location on a day on which, or at a time at which, the Nurse was not otherwise scheduled to work at that location. Nurses may be entitled to paid travel time and reimbursement for mileage, pursuant to applicable law. Effective May 8, 2019, the posting for a new position that requires assignment to multiple locations shall state the assigned locations known as of the time of the posting and whether additional locations may be assigned that are farther than thirty-five (35) miles from other assigned locations. Effective May 8, 2019, except in cases of critical …

LPCH/CRONA CBA • 4/1/2025 – 3/31/2028 -51- For purposes of this provision, the Bundled Shifts are the shifts occurring during the 48-hour period commencing with the start of the Nurse’s shift on the day before the designated holiday (i.e., Christmas Day, Thanksgiving Day, or New Year’s Day). 19.3.2 It shall be the responsibility of the Nurse to request, according to established unit policy, their preference with regard to this holiday time, including choice of designated holiday and whether it should be scheduled as a regular day off or PTO time. 19.3.3 If it is not feasible to grant the designated holiday as a day off, PTO shall be used. If a Nurse would not meet their full commitment were the holiday taken as a day off, they must use PTO. 19.3.4 Designated holidays will be scheduled by the following process: a. Minimal staffing needs - times and skills - (as determined by Nursing Manag …

LPCH/CRONA CBA • 4/1/2025 – 3/31/2028 -50- Holiday 8-Hour Shifts 12-Hour Shifts (A) Thanksgiving Eve Thanksgiving 11 p.m. - 7 a.m. 7 a.m.- 3 p.m. 3 p.m.-11 p.m. 7 p.m.-7 a.m. 7 a.m.-7 p.m. (B) Christmas Eve Christmas Day 3 p.m.-11 p.m. 11 p.m.-7 a.m. 7 a.m.-3 p.m. 3 p.m.-11 p.m. 7 p.m.-7 a.m. 7 a.m.-7 p.m. (C) New Year’s Eve New Year’s Day 3 p.m.-11 p.m. 11 p.m.-7 a.m. 7 a.m.-3 p.m. 7 p.m.-7 a.m. 7 a.m.-7 p.m. 19.1.1 No more often than once every calendar year and before July 1st, each unit has the option to vote on whether Thanksgiving (A) or New Year’s (C) will be the excluded holiday for that year, with the other two holidays being the designated holidays. Such a vote may be requested by any Nurse on the unit by making a written request to the unit manager on or before June 15th, and the vote will be held by July 1st. The unit manager shall conduct the vote among the Nurses assigned t …

LPCH/CRONA CBA • 4/1/2025 – 3/31/2028 -71- who has been assaulted or threatened, if able, shall promptly file an electronic incident occurrence report (i.e. iCare Report). The Employer shall track the number of incidents reported in which a Nurse has been offered a patient reassignment pursuant to this paragraph, and any reassignments that have not been made due to unavailability of nursing staff, and shall report that information and the unit or area in which the incident(s) occurred to the Workplace Violence Prevention Committee on a quarterly basis. 34.4 The Employer shall maintain a Workplace Violence Prevention Program compliant with applicable law. The Employer, in consultation with the Workplace Violence Prevention Committee (“WVPC”), shall maintain a behavioral response team that is tailored to the relevant work setting and is available to each unit and area of practice in which …

LPCH/CRONA CBA • 4/1/2025 – 3/31/2028 -106- 9. Closed Staff Unit. As of the Effective Date, the Patient Placement Department and Case Management Department will be added under Section 15, Temporary Reassignments/ Floating as Closed Staff Units. 10. Pre-Approved Vacation and Education. Pursuant to LPCH’s Pre-Approved Vacation and Pre-Approved Education Days Policy and the Side Letter Re Attendance and Pre- Approved Vacation and Education Days Policies, Patient Placement Department management and Case Manager management will each develop and implement a vacation and education time tracker to determine the maximum number of vacation and education slots available each week. As of the Effective Date, those trackers will be used for requests for pre-approved vacation and education days. Existing pre-approved vacation and education days for Patient Placement Nurse Specialists and Case Managers …

LPCH/CRONA CBA • 4/1/2025 – 3/31/2028 -16- 7.11.4 The length of a formalized training program and the amount of formalized training shall be determined by the Employer. 7.11.5 The decision of a Nurse to become eligible for Preceptor assignments is voluntary. A Nurse who has volunteered to act as a Preceptor shall receive education and training for the role, complete an initial competency validation and thereafter may be assigned Preceptor duties so long as the Nurse’s competency is current. 7.11.6 The Employer shall provide a Nurse the opportunity to complete a Preceptor Training Program prior to serving as a Preceptor. The Employer will pay Nurses for the time spent and expenses incurred in participating in the Preceptor Training Program and will use best efforts to provide Nurses an opportunity to participate in the Preceptor Training Program within the Nurse’s regular commitment. 7.11 …