Low Census & Cancellation — Stanford Health Care RNs

SHC/CRONA CBA • 4/1/2025 – 3/31/2028 -14- From time to time, the Nurse Practice Committee shall meet and review the list of pre-designated appropriate sleep locations to discuss potential modifications or expansions to the list. 7.7.4 Effective August 28, 2016, a Nurse may not be assigned call in an amount exceeding twelve (12) hours per week. 7.8 Short Notice Compensation. To meet a staffing need a Nurse may be called on short notice to report for work. If the Nurse called for work is not in an on-call status on an established on-call system, the following shall apply, except in situations where a Nurse previously scheduled to work and canceled has been called in to work within one (1) hour of the initial cancellation. 7.8.1 A Nurse requested to report to work prior to the normal starting time of their assigned shift will be paid one and one-half (1-1/2) times the regular hourly rate fo …

SHC/CRONA CBA • 4/1/2025 – 3/31/2028 -78- 38.2.3 “A” Time Credit. Nurses eligible to accrue PTO shall accrue “A” Time Credit on the same productive hours as PTO is accrued, at the following accrual rate. The purpose of the “A” Time Credit is to compensate Regular Nurses at their base hourly wage rate, including shift differential, when they are absent from work as a result of “A” Time resulting from excess staffing on a unit. The Regular Nurse may choose to use PTO, “A” Time Credit or unpaid hours for Absent time. Accrued “A” Time may be used during any waiting period for State Disability insurance or Workers’ Compensation and to supplement any such disability payments during a period of disability. “A” Time Credit Time Accrued Per Hour Worked First Year of Employment .0243 2nd Through 3rd year .0253 4th through 9th year .0265 10th and subsequent years .0273 Effective in August of each y …

SHC/CRONA CBA • 4/1/2025 – 3/31/2028 -27- m. Cash Out PTO Account. Thirty (30) days prior to implementation of the Cash Out PTO Account, the Employer will distribute to Nurses a written explanation, written in a manner intended to be readily understandable, of the accrual cap and the Cash Out PTO Account how they will work, how to check PTO and Cash Out PTO balances, and where to call with questions. Any Nurse who, as of the one hundred twentieth (120th) day following ratification of this Agreement, has accrued but unused PTO in an amount in excess of two hundred sixty (260) hours, will have the accrued but unused PTO hours that exceed two hundred sixty (260) hours transferred into a Cash Out PTO Account. The hours so transferred shall thereafter be paid out to the Nurse annually, on the last payday of August, in an amount up to one hundred (100) hours until the Cash Out PTO Account has …

SHC/CRONA CBA • 4/1/2025 – 3/31/2028 -25- 10.1.4 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. 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 (either physical or mental), a 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 N …

SHC/CRONA CBA • 4/1/2025 – 3/31/2028 -43- seek input from the Relief Nurse and respect the individual’s assessment of those skills. Relief Nurses who have been prescheduled to work are required to call in prior to the beginning of the scheduled shift to confirm that they are needed. Relief Nurses who fail to contact their unit pursuant to this subsection will not be eligible for report time pay. 15.14.2 Relief Nurses are expected to provide their availability including weekend and holiday commitment when applicable to the respective Schedule Planner according to the established cut-off dates for schedule planning. Availability must be provided up to the Relief Nurse’s full commitment. 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 15.12.1. 15. …

Between Stanford Health Care and CRONA Re On Call and Overtime Issues 2016 This Side Letter applies to the Employees in Units that utilize an on call system. A. On Call Shift Selection/Assignment Procedures With the exception of the Cath Lab, the on call shift selection and assignment procedures in effect in the various departments will remain in effect unless and until the Unit/Department on call committee recommends a change which is adopted by the vote of 2/3 of the employees performing call in the Unit/Department, and reviewed and approved by the Employer. In the Cath Lab and in any new unit where call is utilized during the life of this Side Agreement prior to the development of an on call selection and assignment procedure by an on call committee, and adoption by 2/3 of the employees to perform on call in the unit and review and approval by the Employer, the following selection pro …

SHC/CRONA CBA • 4/1/2025 – 3/31/2028 -13- 7.6.2 For purposes of overtime calculation, hours worked will include time actually worked, but will not include any time for which the time and one-half (1-1/2) premium or the double time premium has been paid. 7.6.3 The Employer will make reasonable efforts to secure volunteers from the staff on the premises, including Nurses not covered by this Agreement, and from resources outside the hospital, to replace a Nurse who is unable to work overtime. A Nurse who is too fatigued or ill to perform their duties safely will inform the Manager and be relieved of duty. 7.6.4 Double Back Premium. Any Nurse assigned to rotating shifts who is scheduled, unless by their request, to work within eight (8) hours after the end of a scheduled shift shall be paid overtime rates for the entire second shift. When a Nurse is required to stay involuntarily past the sc …

38.1 Staffing. The final determination of appropriate staffing levels is one of the rights reserved to the Employer as defined in Section 40 of this Agreement. CRONA recognizes that the Employer’s daily staffing needs may change from unit to unit, shift to shift and that the Employer has the right to schedule Regular and Relief Nurses according to those needs. 38.2 Temporary Staff Reductions. 38.2.1 If, in the judgment of the Employer, budgetary or operational considerations require a temporary reduction of Regular Nurses covered by this Agreement the Employer will notify CRONA and at CRONA’s request meet and discuss ways in which to develop equitable staffing for the Regular full-time and part-time Nurses affected. These discussions shall include the feasibility of the following: a. Voluntary temporary reduction in work commitment. b. Credit for voluntary use of PTO. c. Credit for manda …