Staffing Ratios & Safe Staffing — University of California RNs (UCSF, UC Davis & all UC)

A brief description of the titles and classifications in this unit is set forth below. It is understood by the parties that these descriptions are intended to be general and that specific descriptions and requirements for positions in these titles and classes are contained in the University's classification specifications: 1. Clinical Nurse I (9140) – Under close supervision, incumbents apply the theoretical concepts of nursing to clinical practice by performing routine patient care assignments and established nursing procedures in controlled patient care situations. This entry level class requires possession of a valid California Registered Nurse license. 2. Clinical Nurse II (9139) – Under general supervision, incumbents perform established nursing procedures using clinical knowledge to care for patients. This operational level class requires possession of a valid California Registered …

b. Bargaining unit members on the NSRP shall receive paid time for all time spent on the panel. c. The Panel shall make staffing adjustment recommendations to the CNO, based on compliance with state ratios. The CNO shall, within thirty days of receiving the Panel’s recommendations, provide their response to the PPC. d. In the event the CNO’s action does not resolve the matter the PPC may appeal the decision in writing to the CNO. Within thirty (30) calendar days of receiving the appeal, the CNO shall convene a Special Review Panel in accordance with the provisions of §D.2., below. 2. Special Review Panel (SRP) a. The SRP shall consist of three members, one RN selected by CNA, one RN selected by the CNO or their designee, and a third person selected by the other two panel members to serve as a neutral chairperson. The parties will make a good faith effort to select a chairperson who is ex …

STAFFING A. The University shall have a staffing system based on assessment of patient needs in conformance with applicable state regulations. The University includes meals and breaks when assessing and determining staffing needs. Concerns regarding staffing ratio and acuity issues shall be addressed by the Professional Practice Committee (PPC) and, for chronic staffing problems, the review process provided in §E., below. Such matters are not subject to the grievance and arbitration procedures of this Agreement. B. The University will not assign Nurses (including Travelers and Registry Nurses) without appropriate competencies to staff nursing areas, except in emergency situations. 1. In the event a Nurse feels that they lack competency, including age-specific clinical competency for an assignment, the Nurse shall so inform the immediate supervisor. The supervisor and the Nurse shall make …

October 2, 2009 Side Letter of Agreement regarding staffing between University of California San Francisco (UCSF) and California Nurses Associations (CNA) The intention of this agreement is to ensure that safe staffing levels are maintained at all times and ensure that RNs are provided with 75 minutes of break relief and sufficient time for patient handoff. 1. 13 Long staffing will return to a Maximum Nurse to patient ratio of 1:4 with 1:3 if necessary for acuity. 2. One 8 hour break Nurse shall be provided on 13 Long for both AM and PM shifts Monday through Friday. 3. Charge Nurse will continue to be free of a primary patient assignment. 4. The break Nurse will not have a primary assignment until all breaks have been provided for all staff. 5. Charge RN will break a maximum of 3 RNs and self. 6. Management will retain the right to cancel and or send Nurse(s) home early if the census war …

1. A Professional Practice Committee (PPC) of bargaining unit Nurses may be established by the Association at each patient care facility in the major medical centers. Additionally, a PPC of bargaining unit Nurses may be established in a Student Health Center away from the major medical centers. The purpose of the PPC shall be to consider and constructively recommend to the nursing administration ways and means to improve nursing practice and patient care, including health and safety, technology, and staffing ratio and acuity matters, insofar as the provisions of the Agreement are not added to or otherwise modified. 2. No Nurse shall be subject to reprisal for bringing forward nursing practice concerns to management. 3. When practicable, the University shall provide information requested by the PPC within thirty (30) calendar days. At least once per quarter the appropriate Chief Nursing O …

The University and CNA agree that the process contained herein shall be the exclusive means of resolving all disputes pertaining to chronic staffing ratio and acuity patterns appealed by the Professional Practice Committee. 1. Nursing Staffing Review Panel (NSRP) A Nursing Staffing Review Panel (NSRP) shall be convened within thirty calendar days following written notification from the PPC that a chronic staffing ratio and acuity pattern has not been resolved through the processes established in Article 7, Professional Practice Committee. a. The NSRP shall be comprised of a chair appointed or assumed by the CNO, two (2) RNs selected by the University, and two (2) RNs selected by the PPC with at least one taken from the affected work area. Docusign Envelope ID: F99CCBA1-32AA-4BEB-B549-08B74A2110BB Docusign Envelope ID: C4078131-7E64-4016-9601-5580E984F282

California is required. 17. Home Health Nurse I (9118) – Under general supervision, incumbents provide direct in- home nursing care in accordance with established nursing procedures. Incumbents make independent nursing practice decisions based on changes in patient condition and identification of new patient problems and needs. This operational level in the home health series requires the possession of a valid California Registered Nurse license. 18. Home Health Nurse II (9117) – Under direction, in accordance with standardized procedures, incumbents coordinate and manage the care of a group of home health patients from admission to discharge, including but not limited to developing plans of care, assignment and assessment of appropriate health care team members to meet patient’s needs, and to ensure defined patient outcomes are reached through collaboration with other health care discip …

1. Call back pertains to a Nurse who is not in on-call status and who the University calls to return to work in their unit after completing a shift and before their next scheduled shift. 2. A Nurse called to return to work in accordance with §K.1., above, shall be paid for the time actually worked upon return or a minimum of three (3) hours, whichever is greater. Call back time whether worked or not is considered time worked for the purpose of calculating hours of overtime. 3. A Nurse called to return to work may be assigned by the University to perform available work. If the called-back Nurse refuses the out-of-unit assignment, they shall be paid only for the time actually worked. L. ON-CALL 1. The intent of on-call is to provide coverage when it is impractical to regularly staff a shift, or when it is necessary to supplement other staffing to meet unpredictable patient care needs. It i …