Vacation Accrual & Scheduling — Lucile Packard Children's Hospital RNs

2022 Lucile Salter Packard Children’s Hospital at Stanford and CRONA have agreed as follows: 1. The Hospital shall not change the points definitions in Sections III(C) and (D) or Section V(B)(“Standards – Including Adjustments for FTE Commitment and Length of Shift Differences”) of the Hospital’s Attendance Policy provided, however, that the parties have agreed to changes to the Attendance Policy provided to CRONA by the Hospital on March 22, 2019; and 2. In conjunction with their 2016 – 2019 negotiations, the Hospital proposed changes to its current Staffing: Pre-Approved Vacation, Pre-Approved Education Days, Staffing: Schedule Planning and Maintenance, Staffing: Nursing Scheduling, and Ambulatory Care: Clinic Staff Scheduling policies, and CRONA commented and proposed revisions. The Hospital has agreed to adopt the revised policies, pursuant to its standard protocols related to the ad …

LPCH/CRONA CBA • 4/1/2025 – 3/31/2028 -24- Accrual Rates for Full-Time 12-hour shift Nurse Years of Service Time Accrued Per Hour Worked Projected Annual Hours For Full-Time 12-Hr Employee Projected Annual Days For Full-Time 12-Hr Employee First year of employment .1000 187.2 15.6 2nd through 3rd year .1193 223.33 18.6 4th through 9th year .1385 259.27 21.6 10th & subsequent years .1500 280.80 23.4 9.1.4 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 such as absent time, must, except in unusual circumstances, be requested in writing in advance of the time off desired, and approved i …

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 -39- 14.13.2 The Employer will determine unit scheduling procedures which, in its judgment, best serve this purpose. Shifts may be scheduled in 4, 6, 8, 10 or 12 hour blocks. A Relief Nurse who is scheduled to work is expected to work unless canceled by the Employer. Failure of a prescheduled Relief Nurse to work will be considered a failure to keep commitment under paragraph 14.11 above. 14.13.3 The following process will be used to schedule relief, the goal being to utilize the relief staff to supplement the regular staff. a. The Employer will establish minimum and maximum staffing levels for each nursing unit. b. Prior to the cut-off date for scheduling shifts, the Relief Nurse shall provide to the Nurse manager a written schedule of available shifts at least equivalent to their minimum commitment. Availability does not meet commitment, only worki …

LPCH/CRONA CBA • 4/1/2025 – 3/31/2028 -14- 7.7 On-Call System. On-Call is not considered to be hours worked. The Nurse is not required to remain on the Employer premises or any other particular place, but is required to leave word where they may be reached by telephone or beeper. The Employer will compensate a Nurse on on-call at one-half the hourly base wage rate for scheduled on-call hours. If a Nurse is called into work while on on-call status, they will be paid at the rate of one and one-half (1 ½) times the regular hourly rate of pay for actual hours worked and will be guaranteed a minimum of two (2) hours’ pay at this rate, unless, with supervision’s approval, the Nurse wishes to return to their home to resume on-call status. A Nurse called in to work under this paragraph will be compensated according to subsection 7.6 for any overtime hours worked. 7.7.1 Sleep Room. The Employer s …

LPCH/CRONA CBA • 4/1/2025 – 3/31/2028 -27- Account, may pre-elect to receive payment in lieu of paid time off for up to eighty (80) hours of PTO to be accrued in the following calendar year, which cash out payment will be made in November of the following calendar year. In order to receive such payment in lieu of paid time off, the Nurse must have the accrued but unused PTO necessary to cover the payment at the time the payment is to be made. If the Nurse does not have enough accrued but unused PTO at the time the payment is to be made, the Nurse will be paid for such portion of the elected amount as their accrued but unused PTO will cover, if any. Payments made in lieu of paid time off will be at the Nurse’s base wage rate and will not include shift differential. The Employer will notify the Nurse that the payment has been made. o. A Nurse changing their status from Regular to Relief wi …

LPCH/CRONA CBA • 4/1/2025 – 3/31/2028 -43- 16.3.2 A Nurse may voluntarily trade weekends with another Nurse with the written consent of the Patient Care Director or Patient Care Manager. A Nurse making such a trade will not be entitled to the premium pay for consecutive weekend shifts for that weekend work. 16.3.3 The Employer will use its best efforts to grant each Regular Nurse with 20 years’ seniority (based on Seniority Date) every weekend off, to the extent operationally feasible to meet minimum staffing needs. To the extent additional weekends off become available, the request shall be granted to Regular Nurses by seniority, on a rotating basis per schedule period. 16.3.4 Regular Nurses who request and receive approval to be scheduled in a manner that would result in premium pay for working weekends under 16.2 above or who request and receive approval to be scheduled weekdays off i …

LPCH/CRONA CBA • 4/1/2025 – 3/31/2028 -44- date of this Agreement other patterns were in effect, the Employer will follow the following procedures: 17.6.1 Nursing Management and CRONA will agree upon a date for a meeting of all regular full- and part-time Regular Nurses on the affected unit to discuss the implementation of a twelve (12) hour staffing pattern for those Nurses. A representative of CRONA will be invited to attend and participate in the discussion. 17.6.2 Nursing Management and CRONA will agree upon a time for a secret ballot vote by all full-and part-time Regular Nurses on the affected unit, and on the wording of the ballot. A representative of CRONA will be present to assist in the vote tally. A sixty six and two thirds percent (66 2/3%) majority of the eligible staff who vote must vote in favor of the twelve (12) hour staffing pattern to constitute approval of the staffin …