Staffing Ratios & Safe Staffing — Stanford Health Care RNs

SHC/CRONA CBA • 4/1/2025 – 3/31/2028 -71- each area and shift. The Hospital shall notify CRONA of the identities of all the WAVWG members no less than once a year and, in the interim, shall inform CRONA of any changes to the membership. 33.2 Staffing Ratios. The Hospital shall meet or exceed state-required patient staffing ratios in every applicable unit or area of practice at all times, including during meal periods and rest breaks, as provided by applicable law. As provided by law, additional staff in excess of these prescribed ratios shall be assigned in accordance with the patient classification system for determining nursing care requirements, considering factors that include the severity of the illness, the need for specialized equipment and technology, the complexity of clinical judgment needed to design, implement and evaluate the patient care plan, the ability for self-care, and …

33.1 Patient Classification System and Committee. 33.1.1 As required by law, the Hospital shall maintain a documented and legally compliant patient classification system for determining the nursing care needs of individual patients that reflects the assessment, made by a registered nurse, of patient requirements and provides for shift-by-shift staffing based on those requirements. As provided by law, a patient classification system means a method for establishing staffing requirements by unit or area of practice, patient, and shift that includes (a) a method to predict nursing care requirements of individual patients, (b) an established method by which the amount of nursing care needed for each category of patient is validated for each unit and for each shift, (c) an established method to discern trends and patterns of nursing care delivery by each unit, each shift, and each level of lic …

34.1 Composition. The Nurse Practice Committee is a joint Employer/CRONA committee consisting of four (4) representatives selected by the Employer and four (4) Nurses selected by CRONA, and with advance mutual agreement, additional ad hoc Nurse or Patient Care Manager participants as the Committee determines to be of assistance on particular issues or problems. In the event that either the Employer or CRONA wishes to have additional representatives appointed to the Nurse Practice Committee from departments outside the Department of Nursing who have CRONA R.N. staff, the appointment would be subject to the Committee’s approval. This committee will have a co-chair from the Employer and from CRONA chosen by the respective parties from within the eight (8) appointed members. 34.2 Purpose. To promote, develop, and continually enhance professional nursing practice, effective utilization of nur …

SHC/CRONA CBA • 4/1/2025 – 3/31/2028 -37- (2) Evidence of payment of expenses, e.g., a copy of a canceled check, receipt for payment or customer copy of credit card statement. (3) Grade record – “C” or higher or certification of course completion in courses where no grade is given, e.g., a copy of the BRN Continuing Education Certificate. (4) Copy of exam/passing score notification. b. Failure to submit paperwork before the defined time limit will result in non- reimbursement. If extenuating circumstances occur which are determined to be beyond the Nurse’s control, e.g., grade record or canceled check has not been returned, the Nursing Administration Department must be informed in writing before the end of the ninety (90) calendar day limit. 14.9 Specialty Continuing Education. 14.9.1 When the Employer provides continuing education for Nurses, at least every tenth (10th) such opportunity …

16.1 CRONA recognizes the Employer’s right to temporarily reassign/float Nurses. The Employer and CRONA also recognize their shared interest that such reassignments be consistent with the competence and skills of the Nurse. 16.2 Voluntary Commitment - Floating Outside Region. Any qualified Nurses who wish to volunteer for floating outside their designated region shall notify the staffing office. Preference among Nurses for a float/reassignment outside the designated region will be made to Nurses who have volunteered a commitment, provided that the assignment is consistent with the competence and skills of the Nurse, including but not limited to such factors as experience, education, and specialty and cross-training opportunities in the assessment of nursing supervision. In making this assessment, the supervisor will seek input from the Nurse and give due weight to the Nurse’s own skills …

36.1 The Employer shall be responsible for and shall maintain reasonable provisions for the health, welfare and safety of Nurses. CRONA recognizes the duty of employees, and shall encourage employees, to cooperate with the Employer by complying with the Employer’s health and safety rules and regulations and utilizing personal efforts for the prevention of accidents or illnesses to employees. CRONA may make recommendations and suggestions concerning ways to improve safety conditions (including at parking locations used by Nurses) pursuant to Section 32, and shall use best efforts to place such recommendations and suggestions on the Joint Conference agenda in advance of Joint Conference meetings. For this purpose the Employer will notify CRONA of work-incurred injuries within the bargaining unit and provide copies of accident reports of such injuries on request. 36.2 The Employer recognize …

CRONA and the Employer recognize that they have shared interests on many matters including the importance of maintaining an appropriate level of staffing for patients, resolving Nurse objections to patient care or unit assignments, and operational changes. At the written request of either CRONA or the Employer identifying the issue to be discussed, a special conference shall be held between appropriate representatives of the Employer and CRONA. When requested, a special conference will be held within fourteen (14) days of the request. At such special conferences appropriate information will be exchanged and consideration given to suggested ways to resolve issues and alternative approaches to the problems being discussed. It is understood that no matters discussed or action taken as a result of a special conference shall change or alter any of the provisions of the Agreement or the obliga …

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 …