COLLECTIVE BARGAINING AGREEMENT

by and between Washington Hospital Cente and National N! ses "nited# A$L%CIO
Te & o' Ag ee&ent May (# )*++ to
No,e&be +-# )*+.

AGREEMENT
THI/ AGREEMENT# e''e0ti,e as o' May (# )*++# is &ade and ente ed into by and between the WA/HINGTON HO/1ITAL CENTER 2he eina'te e'e ed to as the 3Hospital45 and NATIONAL N"R/E/ "NITE6#A$L%CIO 2he eina'te e'e ed to as the 3"nion457

WITNESSETH
Re0ogni8ing that essential se ,i0es ,ital to the 0o&&!nity and the inte est o' its e&ployees depend !pon the Hospital9s ability to p o,ide :!ality# !ninte !pted patient 0a e# the Hospital and "nion ag ee to st i,e &!t!ally to i&p o,e the 0a e and 0o&'o t o' patients and to p o&ote o de ly and pea0e'!l esol!tion o' all disp!tes and di''e en0es between the pa ties7

With these goals in &ind# the pa ties ha,e ente ed into this 0olle0ti,e Ag ee&ent whi0h sets 'o th he ein the pa ties9 '!ll ag ee&ent 0o,e ing wages# ates o' pay# ho! s o' wo ;# and othe 0onditions o' e&ploy&ent7
In 0onside ation o' the te &s and p o,isions he ein spe0i'ied# the pa ties ag ee as 'ollows<

ARTICLE 1 UNION RECOGNITION, BARGAINING UNIT DEFINITION, AND INTRODUCTORY PERIOD 1.1 Union Recognition The Hospital e0ogni8es the "nion as the e=0l!si,e ep esentati,e 'o the p! pose o' 0olle0ti,e ba gaining with espe0t to ates o' pay# ho! s o' wo ;# and othe 0onditions o' e&ploy&ent o' those e&ployees o' the Hospital listed in A ti0le +7)7 1.! B"#g"ining Unit This Ag ee&ent 0o,e s all eg!la # $!ll%Ti&e N! ses# all eg!la # 1a t%Ti&e Eligible N! ses# and all $loat 1ool N! ses e&ployed by the Hospital at its Washington# 67C7 lo0ation7 This Ag ee&ent e=0l!des all n! se ad&inist ato s# 0lini0al spe0ialists# 0lini0al s!pe ,iso s# &anage s# Clini0al Ca e $a0ilitato s# ed!0ato s# st!dents# s!pe ,iso s as de'ined in the National Labo Relations A0t 2as a&ended5# 1a t% Ti&e Ineligible N! ses# Te&po a y N! ses# and all othe e&ployees7 1.$ Int#o%&cto#' E()*o'ee+
2a5 All N! ses who a e newly hi ed into a ba gaining !nit position o t ans'e into a ba gaining !nit position 0o,e ed by this Ag ee&ent ' o& any non%ba gaining !nit position# eithe p io to o a'te the date o' this Ag ee&ent# shall be 0onside ed int od!0to y e&ployees !ntil 0o&pletion o' ninety 2>*5 days o' e&ploy&ent7 The Hospital &ay e=tend this int od!0to y pe iod by !p to an additional thi ty 2?*5 days7 In the e,ent the int od!0to y pe iod is e=tended# the Hospital shall noti'y the "nion o' s!0h de0ision and state the eason2s57 All ehi ed N! ses 2de'ined as those who ha,e been e&ployed as nonint od!0to y N! ses by the Hospital within the

past 'i,e 2-5 yea s5 shall be 0onside ed int od!0to y e&ployees !ntil 0o&pletion o' 'o ty%'i,e 2.-5 days o' e&ploy&ent7
2b5 Any N! ses who a e in spe0ial t aining p og a&s 2e=0ept in the Ope ating Roo&5 shall ha,e an int od!0to y pe iod o' ninety 2>*5 days o the d! ation o' s!0h p og a&s# whi0he,e is longe # pl!s 'o ty%'i,e 2.-5 days# p o,ided# howe,e # that the int od!0to y pe iod o' s!0h N! ses shall not e=0eed si= 2@5 &onths7 A N! se who is in a spe0ial t aining p og a& in the Ope ating Roo& shall e&ain an int od!0to y e&ployee !ntil the p og a& is 0o&pleted7

205 N! ses in spe0ial t aining p og a&s# !pon thei e:!est o i' e&o,ed th o!gh no 'a!lt o' thei own 2i7e7# who ha,e not been e&o,ed 'o pe 'o &an0e# 0lini0al s;ill de'i0ien0ies# !le ,iolations o &is0ond!0t5# &ay be 0onside ed 'o t ans'e to othe ,a0ant ba gaining !nit positions 'o whi0h they possess the ne0essa y and e:!isite s;ills to pe 'o & the wo ; o 0o!ld a0:!i e those s;ills within a easonable a&o!nt o' ti&e7 $ail! e o' the Hospital to t ans'e an int od!0to y N! se will not be s!bAe0t to the g ie,an0e and a bit ation p o,isions o' this Ag ee&ent7 2d5 A N! se t ans'e ing ' o& one ba gaining !nit position to anothe ba gaining !nit position who has not s!00ess'!lly 0o&pleted the int od!0to y pe iod shall be 0onside ed an int od!0to y e&ployee 'o the longe o' si=ty 2@*5 days o the e&ainde o' the o iginal int od!0to y pe iod7 A N! se t ans'e ing ' o& one ba gaining !nit position to anothe ba gaining !nit position who has s!00ess'!lly 0o&pleted the int od!0to y pe iod shall not be 0onside ed an int od!0to y e&ployee# b!t shall be s!bAe0t to the t ial pe iod !pon t ans'e 2A ti0le +7.5 i' the t ans'e is o!tside the N! se9s Clini0al /e ,i0e A ea 23C/A45 as de'ined in A ti0le +*7+7 2e5 6! ing the int od!0to y pe iod# a N! se &ay be dis0ha ged by the Hospital with o witho!t 0a!se and witho!t e0o! se to the g ie,an0e o a bit ation p o,isions o' this Ag ee&ent7 , 1.- T#i"* Pe#io% U)on T#"n+.e# A N! se t ans'e ing ' o& one Clini0al /e ,i0e A ea 23C/A45# as de'ined in A ti0le +*7+ below# to anothe shall be on t ial 'o twenty%'i,e 2)-5 s0hed!led and wo ;ed shi'ts7 6! ing s!0h t ial pe iod# the Hospital &ay et! n the N! se to he Bhis 'o &e C/A7 This t ial pe iod &ay be e=tended by the pa ties with &!t!al 0onsent whi0h shall be ed!0ed to w iting and signed by the pa ties7 In the e,ent that the N! se et! ns to he Bhis 'o &e C/A# the N! se shall be gi,en he Bhis 'o &e position# i' a,ailable# o i' not a,ailable# an a,ailable sta'' n! se position within he Bhis C/A7 I' no position is a,ailable in the C/A# then the N! se will be o''e ed a 0hoi0e a&ong 0! ent ,a0ant sta'' n! se ba gaining !nit positions# p o,ided that the N! se possesses the ne0essa y and e:!isite s;ills to pe 'o & the wo ;7 ARTICLE ! MANAGEMENT RIGHTS , !.1

The "nion e0ogni8es that the Hospital has the obligation o' se ,ing the p!bli0 with the highest :!ality o' &edi0al 0a e# e''i0iently and e0ono&i0ally# andBo &eeting &edi0al e&e gen0ies7 The "nion '! the e0ogni8es the ight o' the Hospital to ope ate and &anage the Hospital and that all &anage&ent '!n0tions# ights and esponsibilities whi0h the Hospital has not &odi'ied o est i0ted by a spe0i'i0 p o,ision o' the Ag ee&ent a e etained and ,ested e=0l!si,ely in the Hospital7 (a) /!0h '!n0tions# ights# and esponsibilities o' &anage&ent in0l!de# b!t a e not li&ited to< the ight to e:!i e standa ds o' pe 'o &an0e# in0l!ding de,eloping and &odi'ying Aob des0 iptions# and to &aintain o de and e''i0ien0yC to di e0t e&ployees and to dete &ine Aob assign&ents and wo ;ing s0hed!lesC to dete &ine the &ate ials and e:!ip&ent to be !sedC to i&ple&ent i&p o,ed ope ational &ethods and p o0ed! esC to dete &ine sta''ing e:!i e&entsC to dete &ine the ;ind and lo0ation o' 'a0ilitiesC to dete &ine whethe the whole o any pa t o' the ope ation shall 0ontin!e to ope ateC to sele0t and hi e e&ployeesC to p o&ote and t ans'e e&ployeesC to dis0ipline# de&ote o dis0ha ge e&ployees 'o A!st 0a!seC to i&ple&ent ed!0tions in 'o 0e 'o la0; o' wo ;C to e0all e&ployeesC to e:!i e o,e ti&e wo ; o' e&ployees in an e&e gen0y whe e patient 0a e so e:!i esC to &a;e o 0hange Hospital !les# eg!lations# poli0ies# and p a0ti0es not in0onsistent with the te &s o' the Ag ee&entC to p o&!lgate# &odi'y# dist ib!te# and en'o 0e easonable !les o' e&ployee 0ond!0t and
&an!als o' ope ating p o0ed! es# in0l!ding d ess 0ode and pe sonal hygiene standa dsC

to t ans'e wo ; and to s!b0ont a0t all o any po tion o' the wo ; now o he ea'te done by the e&ployees 0o,e ed he ebyC and to gene ally &anage the Hospital to attain and &aintain '!ll ope ating e''i0ien0y and opti&!& patient 0a e7

Only !les whi0h a e not in0onsistent with this Ag ee&ent shall be p o&!lgated by the Hospital7 205 The pa ties e0ogni8e that the abo,e state&ent o' &anage&ent esponsibilities is 'o ill!st ati,e p! poses only and sho!ld not be 0onst !ed as est i0ti,e o inte p eted so as to e=0l!de those p e ogati,es not &entioned whi0h a e inhe ent to the &anage&ent '!n0tion7 1 o,isions o' this Ag ee&ent shall p e,ail o,e any past p a0ti0es and wo ;ing 0onditions whi0h est i0t &anage&ent '!n0tions7 ARTICLE $ PERFORMANCE MANAGEMENT , $.1 Co&n+e*ing

2a5 The Hospital will st i,e to add ess N! ses9 pe 'o &an0e p oble&s in a non% dis0iplina y 0onte=t7 I' a N! se has 'ailed to &eet established standa ds# b!t dis0ipline is not dee&ed to be app op iate by the Hospital# the N! se9s i&&ediate s!pe ,iso will &eet with the N! se to dis0!ss and to atte&pt to ag ee on w itten goals andBo e=pe0tations# and to s!ggest &ethods 'o a0hie,ing those goals o &eeting those e=pe0tations7

2b5 N! ses and thei i&&ediate s!pe ,iso s will atte&pt to dis0!ss pe 'o &an0e iss!es p io to the i&position o' 'o &al dis0ipline7 205 Any 0o!nseling a0ti,ities 2o the 'a0t that 0o!nseling was not gi,en5 a e not s!bAe0t to the g ie,an0e and a bit ation p o0ed! es o' this Ag ee&ent7 Co!nseling is not a p e e:!isite to !tili8ation o' the dis0ipline p o0ed! e o!tlined in A ti0le ?7? o ?7.7 6o0!&entation o' any 0o!nseling shall not be sent to H!&an Reso! 0es 'o in0l!sion in a N! se9s pe sonnel 'ile7
2d5 The Hospital will &a;e a,ailable on ea0h !nit in'o &ation ega ding the E&ployee Assistan0e 1 og a&C p o,ided# howe,e # that the !na,ailability o' s!0h in'o &ation shall not be g o!nds 'o o,e t! ning any 0o!nseling o dis0ipline o' a N! se7

, $.! Di+c/"#ge "n% Di+ci)*ine .o# 0&+t C"&+e

2a5 The Hospital shall ha,e the ight to dis0ha ge# s!spend witho!t pay o i&pose othe dis0iplina y a0tion 'o A!st 0a!se# p o,ided# howe,e # that the a''e0ted N! se shall be gi,en an oppo t!nity to espond to the alleged &is0ond!0t o pe 'o &an0e de'i0ien0ies o p oble&s p io to the de0ision to i&pose dis0ipline7 Any dis0iplina y a0tion &!st be initiated within 'i'teen 2+-5 0alenda days o' the N! se9s i&&ediate s!pe ,iso be0o&ing awa e o' the 0onditions gi,ing ise to the dis0ipline7 Initiate &eans that the Hospital has gi,en the N! se w itten noti0e o' +5 dis0ipline# )5 intent to e0o&&end dis0ipline# o ?5 an in,estigation and the possibility o' dis0iplina y a0tion7 6is0ipline will be ad&iniste ed within twenty%two 2))5 0alenda days o' the N! se9s i&&ediate s!pe ,iso be0o&ing awa e o' the 0onditions gi,ing ise to the dis0ipline# p o,ided that this pe iod will be e=tended when 0i 0!&stan0es beyond the Hospital9s 0ont ol &a;e it i&possible to ad&iniste dis0ipline within twenty%two 2))5 days7 All dis&issals o dis0iplina y s!spensions shall be witho!t pay# p o,ided# that d! ing an inde'inite s!spension a N! se &ay !se any 1TO a00 !ed as o' the date o' s!spension7 In the e,ent a s!spension o dis0ha ge is s!bse:!ently withd awn o e,e sed in a bit ation# the N! se &ay e0ei,e et oa0ti,e pay and bene'its# as dee&ed app op iate by the a bit ato 7

2b5 Any dis0iplina y a0tion &ay be appealed th o!gh the g ie,an0e and a bit ation p o0ed! es o' this Ag ee&ent7
205 A N! se 0alled by the Hospital to attend a dis0iplina y &eeting o in,estigato y &eeting whi0h 0o!ld lead to dis0ipline shall ha,e the ight to !nion ep esentation# whi0h in0l!des the ight to inte !pt a &eeting that has al eady 0o&&en0ed to e:!est !nion ep esentation7 It shall be the N! se9s esponsibility to in'o & the Hospital that sBhe wishes to ha,e s!0h ep esentation7 I' no "nion ep esentati,e is a,ailable to attend a dis0iplina y &eeting

o in,estigation when it is 0alled# the &eeting will be delayed !ntil a "nion Rep esentati,e 0an be lo0ated7 In no e,ent will a &eeting be delayed 'o &o e than twenty%'o! 2).5 ho! s7 Rega dless o' any delay in a dis0iplina y &eeting o in,estigato y &eeting# nothing will p e,ent the Hospital ' o& e&o,ing a N! se ' o& wo ; !ntil a "nion Rep esentati,e 0an be lo0ated 'o the dis0iplina y &eeting o in,estigato y &eeting7

2d5 When a s!pe ,iso has eason to 0o e0t andBo dis0ipline a N! se# it shall be done p o'essionally7 To the e=tent possible !nde the 0i 0!&stan0es# dis0ipline will be ad&iniste ed o!tside o' the p esen0e o' othe e&ployees o the p!bli07 N! ses also a e e=pe0ted to 0ond!0t the&sel,es in a p o'essional &anne 7 2e5 At s!0h ti&es as the pa ties ag ee# the Hospital and the "nion will &a;e a ange&ents to Aointly dis0!ss the p o,isions o' A ti0le ?7) at sta'' &eetings on ea0h !nit and on all shi'ts7 2'5 "pon e:!est# the "nion will be gi,en 0opies o' any do0!&entation !sed to s!ppo t dis0ipline o' a N! se# p o,ided# howe,e # that the Hospital has the ight to withhold 0on'idential o p i,ileged in'o &ation# in0l!ding patient in'o &ation7 6o0!&entation !sed to s!ppo t dis0ipline shall be p o,ided# witho!t 0ha ge# p io to o at the 'i st g ie,an0e &eeting7 Any 'ail! e o' the Hospital to s!pply do0!&entation !sed to s!ppo t dis0ipline does not p e0l!de its !se in a bit ation# p o,ided# howe,e # that s!0h do0!&entation is p o,ided to the "nion as soon as it has been dis0o,e ed7 2g5 At the ti&e o' dis0ipline 'o e=0essi,e ta diness andBo absen0es# the N! se will be p o,ided with do0!&entation o' the ta diness andBo absen0es whi0h a e the basis 'o the dis0ipline7 , $.$ Di+ci)*ine P#oce%&#e 2a5 E=0ept 'o o''enses 0onstit!ting g oss &is0ond!0t 2whi0h shall &ean the delibe ate o e0;less dis ega d o' standa ds o' beha,io that the Hospital ight'!lly e=pe0ts and whi0h shows a se io!s indi''e en0e to the inte ests o' the Hospital# patients# andBo sta''5# the Hospital shall gene ally e&ploy a syste& o' p og essi,e dis0ipline# di e0ted towa ds the goal o' 0o e0tion# as 'ollows< 2+5 $i st /tep D W itten Wa ning< In a w itten wa ning# a N! se will be p o,ided with an e=planation o' hisBhe 'ail! e to &eet established standa ds# andBo the de'i0ien0y o &is0ond!0t that &!st be 0o e0ted77 2)5 /e0ond /tep D /e0ond W itten Wa ning< In a se0ond w itten wa ning# a N! se will be p o,ided with an e=planation o' hisBhe 'ail! e to &eet established standa ds# andBo the de'i0ien0y o &is0ond!0t that &!st be 0o e0ted7 2?5 Thi d /tep % 6is0ha ge# /!spension o Othe 6is0iplina y A0tion< 6is0ha ge# s!spension o othe dis0iplina y a0tion shall e:!i e w itten noti0e to the N! se# setting 'o th the eason2s5 'o the a0tion7
@

The abo,e p og essi,e dis0iplina y p o0ed! e 2whi0h does not apply to 0ases o' g oss &is0ond!0t5 does not elate solely to ea0h spe0i'ied o''ense# b!t in0l!des p og essi,e dis0ipline 'o any 0o&bination o' o''enses7 In othe wo ds# a se0ond o''ense not 0onstit!ting g oss &is0ond!0t shall s!bAe0t the N! se to a w itten ep i&and# whethe o not it is the sa&e o''ense as the 'i st ,iolationC si&ila ly# the thi d o''ense not 0onstit!ting g oss &is0ond!0t shall s!bAe0t the N! se to dis0ha ge o s!spension# whethe o not it is the sa&e o di''e ent o''ense as the 'i st andBo se0ond ,iolations7 Notwithstanding the 'o egoing# a N! se shall not be te &inated !nde the p og essi,e dis0ipline syste& !nless the N! se has been dis0iplined in the last eighteen 2+(5 &onths 'o a si&ila o''ense7 $o the p! poses o' de'ining 3si&ila 4 o''enses !nde this pa ag aph# all ti&e and attendan0e elated o''enses a e si&ila o''enses# all 0lini0al p a0ti0e iss!es a e si&ila o''enses# and all othe types o' o''enses a e si&ila o''enses7 Any o''ense that is &o e than eighteen 2+(5 &onths old shall not be 0onside ed in the abo,e des0 ibed p og essi,e dis0iplina y p o0ed! e7 Any o''ense that is &o e than eighteen 2+(5 &onths old shall be e&o,ed ' o& the N! se9s pe sonnel 'ile and pla0ed in an ina0ti,e 'ile to be !sed only 'o A!di0ial and ad&inist ati,e p o0eedings# and in a bit ations# by eithe pa ty# to show patte ns and p a0ti0es7 1 og essi,e dis0ipline that is &o e than eighteen 2+(5 &onths old &ay be e'e ed to in a bit ation only i' it 0on0e ns a si&ila o''ense to the o''ense that is the s!bAe0t o' the pending a bit ation# !nless the "nion o N! se 0ites the N! se9s ten! e o' e&ploy&ent as eithe a de'ense to the dis0ipline o as a ationale 'o &itigation# in whi0h 0ase the Hospital &ay &a;e 'ai !se o' any p og essi,e dis0ipline in the N! se9s ina0ti,e 'ile 7

205 The p og essi,e dis0ipline p o0ed! e in A ti0le ?7? shall not apply to any N! se wo ;ing !nde a 3last 0han0e4 ag ee&ent between the N! se and the Hospital7 6is0ipline 'o any s!0h N! se will be 0ont olled by the te &s o' the appli0able 3last 0han0e4 ag ee&ent and shall not be s!bAe0t to g ie,an0e and a bit ation7 ARTICLE UNION RIGHTS -.1 1i+it"tion The "nion9s a!tho i8ed non%e&ployee ep esentati,e2s5 shall be pe &itted a00ess to the Hospital to as0e tain that this Ag ee&ent is being adhe ed toC p o,ided# that s!0h ep esentati,e2s5 gi,e a designated Hospital o''i0ial s!''i0ient ad,an0e noti0e designating whe e and when easonably possible# the date and ti&e o' the ,isit and the Hospital a eas to be ,isited7 /!0h a00ess shall be li&ited to no &o e than two 2)5 ep esentati,es# !nless the Hospital 0onsents to a la ge n!&be 7 /!0h ,isits shall not inte 'e e with o dist! b e&ployees in the pe 'o &an0e o' thei wo ; d! ing wo ;ing ho! s and shall not inte 'e e with patient 0a e7 -.! Re)#e+ent"tion The "nion &ay appoint a easonable n!&be o' /hop /tewa ds in the ba gaining !nit7 The "nion shall p o,ide the Hospital with a list o' all /hop /tewa ds7 All# N! ses to the e=tent e:!i ed by law# ha,e the ight to e:!est the attendan0e# ad,i0e# and g!idan0e o' a /hop /tewa d o a "nion Rep esentati,e whe e easonably a,ailable at any dis0iplina y 0on'e en0e o /tep 2+5 g ie,an0e p o0ed! e7 -.$ Union B&**etin Bo"#%+ The Hospital will p o,ide spa0e# in &!t!ally ag eeable
lo0ations# 'o two 2)5 "nion B!lletin Boa ds7 The boa ds will 0a y labels identi'ying the& as
E

"nion Boa ds7 In addition# the Hospital will p o,ide one "nion b!lletin boa d pe n! sing !nit# whi0h &ay be !sed 'o the posting o' noti0es o' "nion &eetings o 0o&&ittee &eetings# anno!n0e&ents o' "nion &atte s# o othe ite&s o' o''i0ial "nion b!siness7 The "nion will &a ; any posted &ate ial to indi0ate that it is a "nion do0!&ent7 The "nion will not post on any b!lletin boa d &ate ial that is de'a&ato y7 I' the Hospital noti'ied the "nion o' allegedly de'a&ato y &ate ial# that &ate ial will be e&o,ed pending dis0!ssion between the pa ties7 I' the pa ties disag ee# eithe pa ty &ay appeal the disp!te to a bit ation i&&ediately7

, -.- B"#g"ining Unit In.o#("tion

2a5 The Hospital will p o,ide the "nion ea0h &onth with a list o' all ba gaining !nit e&ployees in ele0t oni0 'o &at7 The listing will e'le0t na&e# ho&e add ess# telephone n!&be # e&ployee n!&be # hi e date 2Hospital senio ity date5# te &ination date 2i' appli0able5# 0lassi'i0ation stat!s 2e7g7# $!ll%Ti&e# 1a t%Ti&e Eligible# lea,e 0ode stat!s# et075# /t aight Ti&e Ho! ly Rate# Aob 0ode# !nitBdepa t&ent assign&ent# date o' bi th# gende # and a0e7 The Hospital will p o,ide 0opies o' ba gaining !nit ,a0an0ies on a bi% wee;ly basis7 The Hospital also will p o,ide the "nion with a 0opy o' all dis0ipline iss!ed to ba gaining !nit N! ses within eight 2(5 0alenda days o' iss!an0e7

2b5 "pon e:!est ' o& the "nion# the Hospital will p o,ide a 0opy o' any e=isting Hospital o depa t&ental poli0ies o p o0ed! es elating to wo ;ing 0onditions o' ba gaining !nit N! ses7 , -.2 M"inten"nce o. Me(3e#+/i)4Agenc' S/o)
2a5 All ba gaining !nit &e&be s a e e:!i ed to pay eithe "nion d!es o agen0y 'ees7 Any N! se who 'ails to pay s!0h d!es o agen0y 'ees shall# within thi ty 2?*5 0alenda days 'ollowing e0eipt o' w itten de&and ' o& the "nion to the Hospital e:!esting hisBhe dis0ha ge# be dis0ha ged# i' d! ing s!0h pe iod# the e:!i ed 'ees ha,e not been tende ed7

2b5 Any N! se now e&ployed at the Hospital within the ba gaining !nit who is now a &e&be o' the "nion andBo who be0o&es a &e&be # o any N! se hi ed on o a'te the e''e0ti,e date o' this Ag ee&ent who ,ol!nta ily Aoins the "nion# &ay ele0t to 0hange he Bhis stat!s ' o& &e&be to agen0y 'ee paye i' w itten noti0e is gi,en to the Hospital and the "nion within the 'i'teen 2+-5 0alenda days p e0eding the &e&be 9s anni,e sa y date o' &e&be ship7 I' s!0h ele0tion is &ade# the N! se shall e&ain an agen0y 'ee paye 'o the e&ainde o' this Ag ee&ent7
205 N! ses whose eligio!s p a0ti0es p e0l!de the& ' o& Aoining o 'inan0ially s!ppo ting the "nion shall not be e:!i ed to Aoin the "nion o pay eithe d!es o agen0y 'ees to the "nion7 Instead# they shall be e:!i ed to pay to the "nion a s!& e:!i,alent to the agen0y 'ee whi0h the "nion shall donate to a non% eligio!s 0ha itable o gani8ation e=e&pt ' o& ta=ation !nde /e0tion -*+205 o' the Inte nal Re,en!e Code# as designated by the N! se and app o,ed by the "nion7 $ail! e o' the N! se to &a;e these pay&ents shall be t eated the sa&e as 'ail! e to pay "nion d!es o agen0y 'ees as stated in A ti0le .7-2a57 A N! se shall 0e ti'y and a''i & that sBhe has a bona 'ide eligio!s p a0ti0e on a 'o & p o,ided by the "nion7

-.5 D&e+ C/ec6o.. The Hospital shall ded!0t &onthly d!es# e=0ept 'ines and penalties# as designated by the "nion# ' o& all N! ses 0o,e ed by this Ag ee&ent on the basis o' indi,id!ally# ,ol!nta ily signed a!tho i8ation 0a ds7 /!0h &onies shall be tende ed by the Hospital to the "nion within eight 2(5 0alenda days 'ollowing the se0ond pay day o' ea0h &onth7 1 o,ided# howe,e # that the "nion ag ees to inde&ni'y the Hospital ' o& any and all liabilities# 0lai&s# o p o0eedings the Hospital &ay s!''e as a es!lt o' ag eeing to be bo!nd by this d!es 0he0;o'' p o,ision7 Both pa ties9 obligations !nde this A ti0le .7@ shall te &inate on the e=pi ation o' the Ag ee&ent7 -.7 Re8oc"tion o. De%&ction A&t/o#i9"tion A N! se9s a!tho i8ation to ded!0t d!es o 'ees shall be i e,o0able 'o a pe iod o' one yea ' o& the date o' a!tho i8ation o !ntil the e=pi ation o' the p esent 0olle0ti,e ba gaining ag ee&ent between the Hospital and the "nion# whi0he,e is the sho te o' the two pe iods# witho!t ega d to the N! se9s &e&be ship stat!s in the "nion7 A N! se &ay e,o;e his o he a!tho i8ation only by gi,ing w itten noti0e o' s!0h e,o0ation by &ail to both the Hospital 2to the attention o' the /enio Vi0e 1 esident 'o H!&an Reso! 0es o designee5 and the "nion# post&a ;ed within the +*%day pe iod p io to the anni,e sa y date o' the a!tho i8ation# o within the +*%day pe iod p io to the e=pi ation date o' any appli0able 0olle0ti,e ba gaining ag ee&ent# whi0he,e o00! s soone 7 -.: E##oneo&+ P"'(ent+ The "nion ag ees to e'!nd any a&o!nts e&itted in e o # !pon p esentation o' e,iden0e o' e o 7 The Hospital ag ees to e0ti'y e o s in ded!0ting d!es o e&ittan0e o' agg egate d!es !pon p esentation o' e,iden0e o' e o 7 -.; O#ient"tion The "nion will be gi,en at least thi ty 2?*5 0alenda days noti0e o' the ti&e# date# and physi0al lo0ation o' N! se o ientation# and will be pe &itted to s0hed!le a thi ty 2?*5 &in!te add ess at ea0h N! se o ientation7 -.1< Acce++
2a5 I' the "nion p o,ides a&ple ad,an0e noti0e setting 'o th spe0i'i0 dates and ti&es e:!ested 'o &eeting oo& spa0e# the Hospital will &a;e easonable e''o ts to p o,ide non%!nit%based &eeting oo& spa0e in the &ain Hospital b!ilding 'o the "nion9s !se 'o at least si= 2@5 ho! s e,e y othe wee;end and at least eight 2(5 ho! s on a wee;day between -<** 1M and -<** AM e,e y othe wee;# o # d! ing the +)* days p io to the e=pi ation o' the Ag ee&ent# at least si= 2@5 ho! s e,e y wee;end and at least eight 2(5 ho! s between -<** 1M and -<** AM on a wee;day e,e y wee;7 The Hospital will 0ontin!e to &a;e easonable e''o ts to a00o&&odate othe easonable e:!ests 'o &eeting oo& spa0e on Hospital p ope ty at othe ti&e slots7 The ho! s set 'o th abo,e &ay not ne0essa ily in,ol,e 0onse0!ti,e ho! s on a single day# and the pa ties e0ogni8e that the Hospital is not obligated to satis'y the spe0i'i0 e:!ests o' the "nion with espe0t to ti&es# days o' the wee;# o lo0ations7

2b5 The Hospital shall p o,ide to the "nion# d! ing the te & o' this Ag ee&ent# a se0! e o''i0e in the East B!ilding 'o the e=0l!si,e !se o' the "nion# s!bAe0t to the no &al !les and li&itations go,e ning the !se o' o''i0e spa0e at the Hospital7 The o''i0e will be p o,ided at a 'ai &a ;et ate dete &ined by a thi d pa ty who is &!t!ally sele0ted by the pa ties7 The Hospital shall not be esponsible 'o any inA! y o loss to any pe son o p ope ty elating to the !se o' the o''i0e7
>

ARTICLE 2 NON=DISCRIMINATION
, 2.1 Non=Di+c#i(in"tion Both the Hospital and the "nion state that it is thei poli0y to t eat thei e&ployeesB&e&be s witho!t ega d to a0e# 0olo # eligion# national o igin# se=# age# &a ital stat!s# se=!al o ientation# disability# geneti0 in'o &ation# stat!s as a ,ete an# politi0al a''iliation o belie'# ethni0 ba0;g o!nd# &ilita y d a't stat!s# gende identity# o "nion a0ti,ity7 The pa ties ag ee that p o0ed! es to ed ess 0lai&s o' dis0 i&ination p o,ided 'o by 'ede al# state andBo lo0al laws and eg!lations shall be the e=0l!si,e e&edy 'o s!0h 0lai&s and that the g ie,an0e and a bit ation p o,isions o' this Ag ee&ent shall not be in,o;ed and shall not be appli0able 'o the esol!tion o' s!0h 0lai&s !nless the n! se noti'ies the Hospital9s /enio Vi0e 1 esident 'o H!&an Reso! 0es# in w iting# within twenty%two 2))5 days o' the alleged dis0 i&inato y a0t o twenty%two 2))5 days ' o& when the g ie,ant be0a&e awa e 2o sho!ld ha,e be0o&e awa e5 o' the 'a0ts gi,ing ise to the 0lai&# o' the spe0i'i0s o' the alleged dis0 i&ination and the nat! e o' the dis0 i&ination 0ha ged7 Co&plian0e with this e:!i e&ent shall be in addition to those g ie,an0e p o0ed! es set 'o th in A ti0le +E7

ARTICLE 5 SENIOR NURSE REDUCED WOR> OPTION , 5.1 Senio# N&#+e Re%&ce% Wo#6 O)tion
2a5 The Hospital will &aintain a /enio N! se Red!0ed Wo ; Option position a,ailable to N! ses whose 0o&bined yea s o' Hospital senio ity and age e:!als at least se,enty 2E*57 $o e=a&ple# a n! se who is 'i'ty 2-*5 yea s old and has twenty 2)*5 yea s o' Hospital senio ity is eligible 'o the /enio N! se Red!0ed Wo ; Option position be0a!se the N! se9s 0o&bined age and Hospital senio ity e:!als E*7 A N! se see;ing a /enio N! se Red!0ed Wo ; Option position &!st ha,e been eg!la ly s0hed!led as a eg!la N! se on the !nit in whi0h heBshe see;s a position 'o a pe iod o' one 0ontin!o!s yea i&&ediately p io to see;ing the position7 In o de 'o a $loat 1ool N! se to be eligible 'o 0onside ation 'o a /enio N! se Red!0ed Wo ; Option position# the $loat 1ool N! se &!st ha,e wo ;ed in the C/A 'o a &ini&!& o' .+@ ho! s in the yea i&&ediately p io to the t ans'e and obtain pe &ission ' o& the 6epa t&ent Head o' the !nit in whi0h the N! se see;s a /enio N! se Red!0ed Wo ; Option position7 2b5 The wo ; e:!i e&ent 'o N! ses in the /enio N! se Red!0ed Wo ; Option position will be th ee 2?5 shi'ts pe si=%wee; s0hed!le7 The e shall be no wee;end# holiday# on%0all# o o''%shi't wo ; e:!i e&ents !nless the N! se ,ol!ntee s 'o s!0h wo ;7

205 I' a N! se in the /enio N! se Red!0ed Wo ; Option ele0ts to pa ti0ipate in the Hospital9s g o!p health ins! an0e plan# the Hospital will 0ont ib!te two%h!nd ed dolla s 2F)**7**5 pe &onth towa d s!0h 0o,e age while the N! se is a0ti,ely e&ployed in the Option# !ntil the N! se be0o&es eligible 'o Medi0a e7
2d5 When a N! se t ans'e s into the /enio N! se Red!0ed Wo ; Option# the N! se shall &aintain he Bhis then%0! ent /t aight Ti&e Ho! ly Rate and the 'ollowing
+*

di''e entials will be applied based on the sta t ti&e o' the shi't wo ;ed< F)7** 'o wee;day e,ening shi'tsC F.7** 'o wee;day night shi'tsC F?7** 'o wee;end day shi'tsC F-7** 'o wee;end e,ening shi'tsC and FE7** 'o wee;end night shi'ts7 2e5 When a N! se t ans'e s into the /enio N! se Red!0ed Wo ; Option# the N! se &ay ele0t to e&ain on the !nit whe e sheBhe was wo ;ing i&&ediately p io to the t ans'e and is not s!bAe0t to be eassigned in a00o dan0e with A ti0le ++7E e=0ept in 0ases o' e&e gen0y o !nit 0los! e7 2'5 E=0ept as p o,ided abo,e# the p o,isions appli0able to $loat 1ool n! ses 2see A ti0le ?(5 will apply to n! ses in the /enio N! se Red!0ed Wo ; Option7 ARTICLE 7 MEDICAL E?AMINATIONS
, 7.1 2a5 In the inte est o' sa'eg!a ding the health o' e&ployees and patients# the Hospital shall e:!i e N! ses to ta;e a &edi0al e=a&ination p io to pla0e&ent on the pay oll7 The Hospital &ay also e:!i e N! ses to ta;e &edi0al e=a&inations at s!0h othe ti&es as the Hospital &ay the ea'te dee& ad,isableC p o,ided# that the Hospital shall not a0t in an a bit a y o 0ap i0io!s &anne in e:!i ing s!0h s!bse:!ent &edi0al e=a&inations7 With the e=0eption o' the &edi0al e=a&ination !pon hi e# a N! se# at he Bhis own e=pense# &ay ha,e he Bhis own physi0ian pe 'o & said &edi0al e=a&inationsC p o,ided# that the physi0ian9s epo t o' the es!lts o' the e=a&ination be on a &edi0al 'o & a00eptable to the Hospital7 A N! se9s &edi0al e0o ds &ay be gi,en to the N! se9s pe sonal physi0ian !pon w itten e:!est o' the N! se7

2b5 N! ses &!st 0o&plete all physi0al e=a&ination e:!i e&ents p es0 ibed by the 6ist i0t o' Col!&bia7 N! ses not &eeting these e:!i e&ents within ?* days o' when thei ann!al physi0al e=a&ination is d!e# a e s!bAe0t to s!spension o s!0h othe a0tion as &ay be ne0essa y to obtain 0o&plian0e with the 6ist i0t o' Col!&bia eg!lations7

ARTICLE : SECURITY :.1 E@"(in"tion o. P"c6"ge+ The Hospital &ay e:!i e a N! se 0a ying pa0;ages
to and ' o& the Hospital to s!b&it s!0h pa0;ages to inspe0tion by the Hospital9s se0! ity 'o 0e7

:.! Pe#+onne* I%enti.ic"tion $o the p ote0tion o' the Hospital9s patients and e&ployees# the identi'i0ation pa aphe nalia s!pplied by the Hospital &!st be wo n o displayed at all ti&es in a00o dan0e with Hospital eg!lations7 :.$ Lo33ie+ "n% W"iting Roo(+ N! ses &ay not !se lobbies and waiting oo&s sin0e s!0h a eas a e ese ,ed 'o ' iends and elati,es o' patients7

++

ARTICLE ; SENIORITY ;.1 De.inition 3Hospital senio ity4 is de'ined as length o' 0ontin!o!s# !ninte !pted
se ,i0e by the N! se with the Hospital andBo its p ede0esso s# ' o& the last date o' hi e# s!bAe0t to the p o,isions in A ti0le >7? and >7. below7 The N! se9s senio ity e0o d will# !pon e:!est# be &ade a,ailable to the N! se in pe son at the H!&an Reso! 0es O''i0e7

;.! A))*ic"3i*it' o. Senio#it' /enio ity shall go,e n only in espe0t to ed!0tions in 'o 0e# e0alls ' o& ed!0tions in 'o 0e# and holiday s0hed!ling as spe0i'ied in A ti0le +*7. 21 o0ed! e 'o Red!0tion in $o 0e5# +*7E 2Re0all5# and +)7+ 2Holidays5 and shall also apply as indi0ated in A ti0le ++7) 2o,e ti&e5# ++7? 2s0hed!ling5# )?7+ 2pa ;ing5# )@7@ 2/enio N! se Red!0ed Wo ; Option5# ?.7@ 2 epay&ent o' bene'its5# and ?@7+ 2?@%ho! s0hed!ling option position a,ailability57 ;.$ Lo++ o. Senio#it' A N! se9s Hospital senio ity shall be b o;en when sheBhe< (a) Resigns o eti esC (b) Is dis0ha ged 'o 0a!seC (c) $ails to et! n 'ollowing the end o' a lea,e o' absen0eC (d) $ails to a00ept an o''e o' e0all into his o he 'o &e position o into a ,a0an0y in any C/A 'o whi0h the N! se is :!ali'ied# o # a'te a00epting s!0h an o''e # 'ails to et! n to wo ; within 'o! teen 2+.5 0alenda days a'te the Hospital has se ,ed the o''e o' e0all to he Bhi& by lette C o
2e5 Is not e0alled be'o e hisBhe ti&e on the e0all oste e=pi es as p o,ided in

A ti0le +*7E7 , ;.- Re+to#"tion o. Senio#it' Any pe son who was e&ployed by the Hospital as a N! se 'o at least twel,e 2+)5 0onse0!ti,e &onths and is ehi ed as a N! se within one 2+5 yea a'te a sepa ation o' e&ploy&ent will e0o,e # 'o p! poses o' the 0i 0!&stan0es spe0i'ied in A ti0le >7)# all p e,io!sly ea ned Hospital senio ity7 , ;.2 Hi#ing C#ite#i" The Hospital will pla0e newly hi ed N! ses on the wage s0ale 2Appendi= A he eto5 !sing the 'ollowing 0 ite ia< RN E=pe ien0e 2"/ o Inte national5 Less than +) &onths e=pe ien0e +)%)? &onths e=pe ien0e ).%?- &onths e=pe ien0e ?@%.E &onths e=pe ien0e .(%-> &onths e=pe ien0e @*%E+ &onths e=pe ien0e /tep 1la0e&ent * + ) ? . -

+)

E)%(? &onths e=pe ien0e (.%>- &onths e=pe ien0e >@%+*E &onths e=pe ien0e +*(%++> &onths e=pe ien0e +)*%+?+ &onths e=pe ien0e +?)%+.? &onths e=pe ien0e +..%+-- &onths e=pe ien0e +-@%+@E &onths e=pe ien0e +@(%+E> &onths e=pe ien0e +(* %+>+ &onths e=pe ien0e +>) o &o e &onths e=pe ien0e

@ E ( > + * + + + ) + ? + . + + @

$o p! poses o' these hi ing 0 ite ia# p io RN e=pe ien0e is de'ined as wo ; as a Registe ed N! se 2 e:!i ing RN li0ens! e5 in an a0!te 0a e# s!ba0!te 0a e# n! sing ho&e# ho&e health 0a e# andBo long%te & 0a e 'a0ility7 Newly hi ed N! ses will be gi,en 0 edit 'o non%RN e=pe ien0e o RN e=pe ien0e othe than the 'o egoing e=pe ien0e in a00o dan0e with Hospital p a0ti0e7 The Hospital will p o,ide the "nion with noti0e and# !pon e:!est# will ba gain with the "nion i' the Hospital intends to 0hange s!0h Hospital p a0ti0e7 In the e,ent that the "nion and Hospital 0an not ea0h ag ee&ent# the Hospital &ay s!b&it the &atte to a bit ation in a00o dan0e with the p o,isions o' this Ag ee&ent7 The Hospital will p o,ide the "nion with noti0e and# !pon e:!est# will ba gain with the "nion i' the Hospital intends to pla0e a newly hi ed n! se at a le,el andBo step highe on the wage s0ale than the n! se9s e=pe ien0e wo!ld wa ant a00o ding to the hi ing 0 ite ia o i' it intends to gi,e a newly hi ed n! se 0 edit 'o one h!nd ed ninety%two 2+>)5 o &o e &onths o' e=pe ien0e7 While the "nion will 0onside any de&onst able &a ;et de,elop&ents andBo ope ational 0hanges elating to s!0h p oposed 0hange# any s!0h 0hange will not be i&ple&ented witho!t the "nion9s ag ee&ent# p o,ided# howe,e # the "nion9s app o,al shall not be !n easonably withheld7
The Hospital will gi,e the "nion at least two 2)5 wee;s9 w itten noti0e o' its intent to 0hange the sign%on bon!s# e'e al bon!s# andBo elo0ation ei&b! se&ent p og a&2s5 and# !pon e:!est# will &eet and dis0!ss s!0h intent to 0hange with the "nion7

ARTICLE 1< CLINICAL SER1ICE AREAS, REDUCTIONS IN FORCE, SE1ERANCE A RECALL , 1<.1 B"C C*inic"* Se#8ice A#e"+ BDCSA+EC < The C/As shall be as 'ollows# and

s!0h C/As shall be !tili8ed only 'o p! poses o' ed!0tion in 'o 0e# e0all ' o& ed!0tion in 'o 0e# and t ial pe iods !pon t ans'e 7 1. 2. 3. /! gi0al C iti0al Ca e /e ,i0es 2?GB.GB1AC"BCVRRB.H5 Ope ating Roo& /e ,i0es 2+st $loo Ope ating Roo&BMORBT$OR5 Inte &ediate Ca e 2)E IMCB+E IMC5
+?

Med/TAR T anspo t 4. /! gi0al Ca dia0 /e ,i0es 2.NW5 5. /! gi0al /e ,i0es 2)EB)NWB-NWB?NWB?$B?EB.$5 6. /! gi0al 1 eope ati,e and 1ostope ati,e /e ,i0es 2ATCBHoldingB/a&e 6ay /! ge y5 7. T ansplant /! ge y Clini0B/! gi0al Clini0 8. Endos0opy /e ,i0es 2GI Lab5 9. Inte ,entional RadiologyBGa&&a Gni'e 10. Cath Lab 11. He&odialysis 2?6B/atellite5 12. Medi0al /e ,i0es 2+CB)CB)6B)$B)NEB?CBAH"B.E5 13. On0ology 2?NEBIn'!sion Cente BOn0ology /pe0ialty Cente sBRadiation On0ologyBMedi0al On0ology /!ite5 14. Medi0al IC"BCC" 2)HB)GB?HBRapid Response Tea&5 15. E&e gen0y Roo&BMedsta 2+G5 16. IV The apy 17. 6eli,e y Roo& 18. OBBGHN N! sing "nits 2-CB-6B-6 N! se yB-$B-$ N! se y5 19. NIC" 2-AB-B N! se y5 20. Medi0al Ca dia0 /e ,i0es 2.CB.6B.NE5 21. E1 Lab 22. All Othe s
2b5 The pa ties e0ogni8e that the Hospital &ay need to 0hange C/As d! ing the te & o' the Ag ee&ent to add ess ope ational o patient 0a e needs7 The Hospital will p o,ide the "nion with not less than thi ty 2?*5 days9 noti0e p io to i&ple&entation and# at the "nion9s e:!est# shall &eet with the "nion 'o p! poses o' dis0!ssion# 0la i'i0ation# and ba gaining o,e the e''e0ts on N! ses i&pa0ted by the 0hange7

205 The ed!0tion in 'o 0e and e0all p o,isions in A ti0le +*7. and +*7@ o' this Ag ee&ent shall be applied to any ed!0tions in 'o 0e o e0alls !tili8ing the C/A st !0t! e that e=isted at the ti&e o' the noti0e o' the ed!0tion in 'o 0e7 1<.! Notice o. Re%&ction in Fo#ce The "nion and all N! ses on an i&pa0ted !nit will be gi,en noti0e o' any ed!0tion in 'o 0e not less than si=ty 2@*5 days p io to the e''e0ti,e date o' the ed!0tion in 'o 0e7 The 'i st 'i'teen 2+-5 days o' this pe iod shall be !sed 'o the soli0itation and sele0tion o' ,ol!ntee s7 The e&ainde o' the noti'i0ation pe iod shall be !sed 'o noti'i0ation o' a''e0ted N! ses# displa0e&ent inte ,iews# and the $i st and /e0ond Ro!nd sele0tion p o0ed! e7 1<.$ S&)e#+enio#it' /hop stewa ds and o''i0e s o' the "nion shall be the last N! ses
a''e0ted by a ed!0tion in 'o 0e whe e they possess the ne0essa y and e:!isite s;ills and ability to pe 'o & e:!i ed patient 0a e7 The "nion shall be li&ited to no &o e than thi ty 2?*5 pe sons who shall be pe &itted to e=e 0ise s!0h s!pe senio ity in the o de designated by the "nion7 The "nion will p o,ide the Hospital with w itten noti0e o' any 0hanges in the pe sons holding these positions as they o00! # whi0h will be0o&e e''e0ti,e eight 2(5 0alenda days a'te the Hospital
+.

e0ei,es s!0h noti0eC p o,ided# howe,e # that i' the e is a 0hange in any "nion /hop /tewa d within this eight 2(5 day pe iod as a es!lt o' a "nion ele0tion# the new /hop /tewa d will epla0e the indi,id!al who p e,io!sly held he Bhis "nion position 'o s!pe senio ity p! poses7 All those 0lai&ing 3s!pe senio ity4 p! s!ant to this A ti0le +*7? &!st be eligible the e'o e !nde the law as it e=ists when s!pe senio ity ights a e 0lai&ed o e=e 0ised7 /hop /tewa ds &ay '!n0tion whe e,e needed7
, 1<.- P#oce%&#e .o# Re%&ction in Fo#ce When in the A!dg&ent o' the Hospital it be0o&es ne0essa y to e''e0t a ed!0tion in 'o 0e# the Hospital shall gi,e the "nion the noti0es spe0i'ied in A ti0le +*7) o' this Ag ee&ent# and shall s!pply to the "nion in'o &ation 0on0e ning the ba gaining !nit positions to be a''e0ted and e=isting ,a0an0ies# i' any7 In the e,ent o' a ed!0tion in 'o 0e# no ,a0an0y shall be dee&ed !na,ailable in the sele0tion p o0ess spe0i'ied below on the basis that any te&po a y n! se is wo ;ing in the Hospital7 A'te ,ol!ntee s# i' any# ha,e been sele0ted and indi,id!als a''e0ted by the ed!0tion in 'o 0e ha,e been noti'ied# all ba gaining !nit ,a0an0ies will be ' o8en 2in0l!ding new hi es and t ans'e s5 !ntil the 0on0l!sion o' the 'i'teen 2+-5 day displa0e&ent inte ,iew pe iod spe0i'ied below7

The Hospital ag ees to 0on'e with the "nion# and !pon e:!est# to e=plain the in'o &ation p o,ided andBo dis0!ss the i&pending a0tion7 It is e=p essly ag eed# howe,e # that the Hospital shall ha,e no obligation to negotiate with the "nion 0on0e ning its de0ision to e''e0t a ed!0tion in 'o 0e no shall the pa ties be e:!i ed to ea0h an ag ee&ent on the Hospital9s de0ision< 2+5 to e''e0t a ed!0tion in 'o 0eC o 2)5 to sele0t whi0h N! ses a e to be sele0ted 'o ed!0tion in 'o 0e in a00o dan0e with this Ag ee&entC o 2?5 to sele0t whi0h positions a e to be abolishedC o 2.5 any othe aspe0t o' the de0ision to e''e0t a ed!0tion in 'o 0e7

6ispla0e&ent inte ,iews 2in whi0h N! ses pa ti0ipate in the ed!0tion in 'o 0e p o0ed! e o!tlined below5 &!st be s0hed!led and 0on0l!ded within 'i'teen 2+-5 days o' noti0e to indi,id!al N! ses a''e0ted by the ed!0tion in 'o 0e7 "pon ad,an0e noti0e to the Hospital# a "nion designee &ay attend the displa0e&ent inte ,iew when so e:!ested by the a''e0ted N! se to be inte ,iewed7
In the e,ent o' a ed!0tion in 'o 0e# the Hospital will 'i st soli0it ,ol!ntee s in the a''e0ted !nit2s5Bdepa t&ent2s5 'o ed!0tion in 'o 0e7 The Hospital etains the ight and dis0 etion to deny any ,ol!ntee the oppo t!nity to be sele0ted 'o ed!0tion in 'o 0e i'# in the opinion o' the Hospital# that N! se is essential to the p ope !nning o' the a''e0ted !nit2s5Bdepa t&ent2s57 I'# a'te the Hospital e&o,es ' o& the ,ol!ntee pool any N! se who ,ol!ntee ed and is dee&ed to be essential to the p ope !nning o' the a''e0ted !nit2s5Bdepa t&ent2s5# &o e N! ses ,ol!ntee than ne0essa y# ,ol!ntee s will be a00epted in o de o' senio ity7 Vol!ntee s &ay 0hoose to a,ail the&sel,es o' the A ti0le +*7- /e,e an0e in lie! o' the p o0ess des0 ibed in A ti0le +*7.7

In the e,ent that an ins!''i0ient n!&be o' N! ses ,ol!ntee # then s!0h ed!0tions in 'o 0e shall be by in,e se o de o' Hospital senio ity7 The 'ollowing ed!0tion in 'o 0e p o0ed! e shall apply7 A N! se &ay sele0t any option within the $i st Ro!nd7 I' a N! se is !nable to obtain a position in the $i st Ro!nd# the N! se &ay sele0t any option within the /e0ond Ro!nd7 I' the N! se is !nable to obtain a position within the /e0ond Ro!nd o is !ns!00ess'!l d! ing o ientation# the N! se shall be a pa t o' the ed!0tion in 'o 0e with all ights and bene'its a''o ded !nde this Ag ee&ent in the e,ent o' a ed!0tion in 'o 0e7
+-

2a5 $i st Ro!nd
2+5 /ele0t any ,a0an0y within the N! se9s C/A p o,ided that the N! se possesses the ne0essa y and e:!isite s;ills to pe 'o & the wo ;# and 0an be0o&e o iented 'o the Aob within twenty 2)*5 s0hed!led and wo ;ed shi'ts# e=0l!ding 0e ti'i0ation 0lasses# p o,ided# howe,e # that the N! se s!00ess'!lly 0o&pletes the 0e ti'i0ation 0o! se when ne=t o''e ed# e,en i' it is ne0essa y 'o the N! se to attend the 0e ti'i0ation 0lasses on non%wo ; ti&eC

OR
2)5 /ele0t any ,a0an0y in any othe C/A# p o,ided that the N! se possesses the ne0essa y and e:!isite s;ills to pe 'o & the wo ;# and 0an be0o&e o iented 'o the Aob within twenty%'i,e 2)-5 s0hed!led and wo ;ed shi'ts# e=0l!si,e o' any 0e ti'i0ation 0lasses7 It is ag eed and !nde stood# howe,e # that s!0h 0e ti'i0ation 0lasses &!st be s!00ess'!lly 0o&pleted when ne=t o''e ed e,en i' it is ne0essa y 'o the N! se to attend on non%wo ; ti&e7

I' a N! se 0annot sele0t a ,a0an0y within he Bhis sa&e C/A# the pe iod in whi0h the N! se &ay be allowed to 0o&plete the o ientation 0o! se 0an be easonably e=tended beyond twenty%'i,e 2)-5 s0hed!led and wo ;ed shi'ts 'o a &a=i&!& o' ten 2+*5 additional shi'ts# i' the N! se so e:!ests7 In this instan0e also# the 0e ti'i0ation 0o! se &!st be s!00ess'!lly 0o&pleted when ne=t o''e ed e,en i' it is ne0essa y 'o the N! se to attend on non%wo ; ti&eC

OR
2?5 B!&p 2displa0e5 the least senio N! se based on Hospital senio ity with the sa&e shi't and ho! s within the N! se9s C/A# p o,ided that the N! se possesses the ne0essa y and e:!isite s;ills to pe 'o & the wo ;# and 0an be0o&e o iented within 'i'teen 2+-5 s0hed!led and wo ;ed shi'ts7 This pe iod &ay be e=tended by the pa ties 'o !p to ten 2+*5 s0hed!led and wo ;ed shi'ts with &!t!al 0onsent whi0h shall be ed!0ed to w iting and signed by the pa ties7 In the e,ent the e is no less senio N! se with the sa&e shi't and ho! s within the N! se9s C/A# the N! se &ay b!&p 2displa0e5 the least senio N! se based on Hospital senio ity within the N! se9s C/A# ega dless o' shi't and ho! s# p o,ided that the N! se possesses the ne0essa y and e:!isite s;ills to pe 'o & the wo ;# and 0an be0o&e o iented within 'i'teen 2+-5 s0hed!led and wo ;ed shi'ts7 This pe iod &ay be e=tended by the pa ties 'o !p to ten 2+*5 s0hed!led and wo ;ed shi'ts with &!t!al 0onsent whi0h shall be ed!0ed to w iting and signed by the pa ties7
Notwithstanding the 'o egoing# i' a N! se 0o!ld ha,e sele0ted a ,a0an0y p! s!ant to 1a ag aphs 2a52+5 o 2)5 abo,e# b!t instead ele0ted to b!&p a less senio N! se within the C/A# the 'i'teen 2+-5 s0hed!led and wo ;ed shi't o ientation pe iod &ay not be e=tended7

2b5 /e0ond Ro!nd I' the N! se is !nable to obtain a position in the $i st Ro!nd<

+@

2+5 B!&p 2displa0e5 the least senio N! se based on Hospital senio ity with the sa&e shi't and ho! s within any othe C/A# p o,ided that the N! se possesses the ne0essa y and e:!isite s;ills to pe 'o & the wo ;# and 0an be0o&e o iented within 'i'teen 2+-5 s0hed!led and wo ;ed shi'ts7 This pe iod &ay be e=tended by the pa ties 'o !p to ten 2+*5 s0hed!led and wo ;ed shi'ts with &!t!al 0onsent whi0h shall be ed!0ed to w iting and signed by the pa ties7 In the e,ent the e is no less senio N! se with the sa&e shi't and ho! s within any othe C/A# the N! se &ay b!&p 2displa0e5 the least senio N! se based on Hospital senio ity within any othe C/A# p o,ided that the N! se possesses the ne0essa y and e:!isite s;ills to pe 'o & the wo ;# and 0an be0o&e o iented within 'i'teen 2+-5 s0hed!led and wo ;ed shi'ts7 This pe iod &ay be e=tended by the pa ties 'o !p to ten 2+*5 s0hed!led and wo ;ed shi'ts with &!t!al 0onsent whi0h shall be ed!0ed to w iting and signed by the pa tiesC

OR (2) Apply 'o 0o&petiti,e t ans'e 'o any open position7 (c) Resignations
I' a position is o''e ed b!t eAe0ted# o i' the N! se de0lines to e=e 0ise a,ailable options spe0i'ied abo,e# the N! se shall be 0onside ed as ha,ing esigned and# the e'o e# shall not be entitled to any o' the ights and bene'its a''o ded to N! ses sele0ted 'o ed!0tion in 'o 0e !nde the te &s and 0onditions o' this Ag ee&ent7 Howe,e # no 1a t%Ti&e o $!ll%Ti&e N! se shall be 0onside ed to ha,e esigned !nless sheBhe de0lines a position with the sa&e stat!s7 $o the p! poses o' this p o,ision# 3stat!s4 is de'ined as pa t%ti&e o '!ll%ti&e7

2d5 /!bse:!ent T ans'e s

A N! se who loses hisBhe position in a ed!0tion in 'o 0e and who obtains a ,a0ant position in the ed!0tion in 'o 0e p o0ess 2i7e7# who does not displa0e anothe N! se5 &ay late t ans'e to an a,ailable position witho!t being s!bAe0t to a waiting pe iod 'o t ans'e 7

1<.2 Se8e#"nce In the e,ent o' a ed!0tion in 'o 0e# a''e0ted N! ses shall be paid se,e an0e pay e:!al to two 2)5 eight 2(5 ho! shi'ts at the /t aight Ti&e Ho! ly Rate o' pay 'o ea0h '!ll yea o' 0onse0!ti,e 0 edited se ,i0e with the Hospital# !p to a &a=i&!& o' si=ty 2@*5 days o' pay7 To be eligible 'o se,e an0e pay !nde this A ti0le# the N! se &!st wai,e his o he ight to e0all !nde this A ti0le and e=e0!te a gene al elease and wai,e ag ee&ent# as e:!i ed by WHC H!&an Reso! 0es poli0ies7 1<.5 Ret#"ining In the e,ent o' a ed!0tion in 'o 0e# the Hospital shall# 'ollowing the sele0tion p o0ess o!tlined in A ti0le +*7. and p io to e=pi ation o' the @*% day noti0e pe iod# p o,ide a''e0ted N! ses with the oppo t!nity to attend# at no 0ost# an eight%ho! 0a ee 0o!nselingBAob sea 0h wo ;shop sponso ed by the Hospital7 1<.7 Rec"** N! ses who a e sele0ted 'o ed!0tion in 'o 0e in a00o dan0e with this
A ti0le and who# at the ti&e o' sele0tion# ha,e 0o&pleted thei int od!0to y pe iod b!t ha,e e&ployed by the Hospital 'o two yea s o less will be pla0ed on a e0all oste 'o si= 2@5

+E

&onths7 N! ses who a e sele0ted 'o ed!0tion in 'o 0e and who# at the ti&e o' sele0tion# ha,e been e&ployed by the Hospital 'o &o e than two 2)5 yea s b!t less than se,en 2E5 '!ll yea s will be pla0ed on a e0all oste 'o twel,e 2+)5 &onths7 N! ses who a e sele0ted 'o ed!0tion in 'o 0e in a00o dan0e with this A ti0le and who# at the ti&e o' sele0tion# ha,e been e&ployed 'o &o e than se,en 2E5 '!ll yea s will be pla0ed on a e0all oste 'o a pe iod o' eighteen 2+(5 &onths7 N! ses sele0ted 'o ed!0tion in 'o 0e d! ing thei int od!0to y pe iod shall not be eligible 'o e0all7
Re0all to wo ; shall be in the in,e se o de o' sele0tion 'o ed!0tion in 'o 0eC the last N! se sele0ted shall be the 'i st N! se e0alled7 No new N! se2s5 shall be hi ed into a C/A a''e0ted by a ed!0tion in 'o 0e !ntil all N! ses ' o& that C/A who we e sele0ted 'o ed!0tion in 'o 0e a e gi,en an oppo t!nity to et! n to wo ;7 The e:!i e&ents o' the p e0eding two 2)5 senten0es shall not be appli0able in any 0ase o' 2i5 e&e gen0y o 2ii5 whe e the N! se entitled to e0all did not et! n to wo ; within 'o! teen 2+.5 0alenda days a'te the Hospital has se ,ed noti0e o' e0all to he Bhi& by lette o 2iii5 when the N! se entitled to e0all does not possess the ne0essa y and e:!isite s;ills to pe 'o & the wo ;7 N! ses laid o'' shall be et! ned to thei 'o &e positions# i' a,ailable7 I' the position is not a,ailable# the N! se shall be gi,en the 'i st oppo t!nity# on a Hospital senio ity basis# to 'ill a ,a0an0y in any C/A 'o whi0h the N! se is :!ali'ied7 A N! se who 'ails to a00ept an o''e into his o he 'o &e position o into a ,a0an0y in any C/A 'o whi0h the N! se is :!ali'ied# o who a00epts any s!0h o''e b!t 'ails to et! n to wo ; in 'o! teen 2+.5 days# will be dee&ed to ha,e ,ol!nta ily esigned with loss o' senio ity# as set 'o in A ti0le >7?2d5# s!bAe0t to esto ation as set 'o in A ti0le >7.7 N! ses who a e not e0alled be'o e thei ti&e on the e0all oste e=pi es 2i7e7# @ &onths# +) &onths# o +( &onths based on length o' e&ploy&ent5# a e dee&ed te &inated with loss o' senio ity7 /tat!s as sele0ted 'o ed!0tion in 'o 0e and the a00o&panying e0all ights shall be a,ailable only to those N! ses who a e not a0ti,ely e&ployed by the Hospital7

ARTICLE 11 HOURS OF WOR>, O1ERTIME , 11.1 Ho&#+ The established wo ;wee; shall be the se,en day pe iod beginning at +)<*+ a7&7 /!nday ending at +) &idnight on the 'ollowing /at! day7 Ea0h pay pe iod 0onsists o' two wo ;wee;s7 The pa ties to this Ag ee&ent e0ogni8e that< (a) 1 ope 0a e and t eat&ent o' patients is the p i&a y 0onside ation# (b) This 0a e and t eat&ent is 0ontin!o!s in nat! e# and (c) The Hospital etains the a!tho ity to p es0 ibe assign&ents# ho! s and shi'ts# e=0ept as e=p essly &odi'ied by a spe0i'i0 p o,ision o' the Ag ee&ent# to ins! e ade:!ate p o'essional 0a e and t eat&ent to the patients7 (d) Be0a!se the Hospital &!st p o,ide 0ontin!o!s patient 0a e ). ho! s a day# 0e tain N! ses &ay be s0hed!led to wo ; &o e than .* eg!la ho! s in one wo ; wee; and less than .* eg!la ho! s in anothe wee; o' the sa&e pe iod7 Nothing in this Ag ee&ent shall be 0onst !ed as a g!a antee by the Hospital o' ho! s wo ;ed pe day# pe wee;# o pe yea 7 N! ses shall
+(

epo t d essed and eady 'o wo ; at thei Aob lo0ation and :!it wo ; at thei Aob lo0ation at the ti&e s0hed!led as the beginning and end o' thei assigned shi't# !nless wo ;ing o,e ti&e as othe wise p o,ided in this A ti0le7 , 11.! O8e#ti(e
2a5 O,e ti&e 1ay7 O,e ti&e is ho! s wo ;ed in e=0ess o' 'o ty 2.*5 ho! s in a wo ;wee;7 /!0h ho! s will be paid at ti&e and one%hal' 2+I5 the N! se9s appli0able ho! ly ate# as de'ined by appli0able law7 Re:!i ed ed!0ational lea,e 2li&ited to on% p e&ises inst !0tional ti&e5# and any othe ho! s 'o whi0h o,e ti&e pay&ent is e:!i ed by law shall be 0onside ed as ho! s wo ;ed 'o p! poses o' 0o&p!ting o,e ti&e7 The e shall be no d!pli0ation o py a&iding in the 0o&p!tation o' o,e ti&e and othe p e&i!& wages# and nothing in this Ag ee&ent shall be 0onst !ed to e:!i e the pay&ent o' o,e ti&e and othe p e&i!& pay &o e than on0e 'o the sa&e ho! s wo ;ed7
2b5 A!tho i8ation7 A N! se shall be paid o,e ti&e i' e:!i ed o pe &itted to wo ; o,e ti&e7 It is e:!i ed that all o,e ti&e will be a!tho i8ed in ad,an0e# !nless not easonably possible7 A n! se who wo ;s o,e ti&e shall be paid o,e ti&e whethe a!tho i8ed in ad,an0e o not7 A s!pe ,iso shall ha,e a!tho ity to di e0t a N! se not to wo ; o,e ti&e# and N! ses shall be e:!i ed to 0o&ply with s!0h di e0tion# b!t &ay g ie,e any dis0ipline i&posed7 205 Vol!nta y /0hed!led O,e ti&e and Othe E=t a /hi'ts7 A'te initial posting b!t p io to 0o&&en0e&ent o' a si=%wee; s0hed!le# N! ses &ay ,ol!ntee 'o additional shi'ts beyond thei eg!la ho! s# in0l!ding o,e ti&e ho! s7 1 o,ided that N! ses ,ol!ntee within the established e=t a shi'ts ,ol!ntee pe iod designated on ea0h !nit# s!0h shi'ts will be 'i st 'illed in the 'ollowing o de < +5 non%o,e ti&e eg!la n! ses on the !nitC )5 /enio N! se Red!0ed Wo ; Option N! ses on the !nitC ?5 non%o,e ti&e :!ali'ied eg!la N! ses ' o& othe !nitsC .5 :!ali'ied /enio N! se Red!0ed Wo ; Option N! ses ' o& othe !nitsC -5 $loat 1ool N! sesC @5 eg!la N! ses in o,e ti&e stat!sC E5 $loat 1ool n! ses in o,e ti&e stat!sC (5 Te&po a y N! ses7 When &o e than one eg!la N! se signs !p 'o the sa&e shi't# it will be assigned e:!itably based !pon !nit s0hed!ling p a0ti0es7 I' a N! se9s ,ol!nta y s0hed!led o,e ti&e shi't is 0an0elled a'te sheBhe epo ts to wo ;# sheBhe shall be paid a &ini&!& o' two 2)5 ho! s pay at the N! se9s /t aight Ti&e Ho! ly Rate# p o,ided# howe,e # this pay&ent will not apply to a N! se who ele0ts to go ho&e p! s!ant to A ti0le ++7E2d57

2d5 Mandato y O,e ti&e7 Mandato y o,e ti&e will be assigned in otating# in,e se o de o' Hospital senio ity 2with 0onside ation o' spe0ialties5 and a senio ity list 2with pla0e in otation indi0ated5 will be posted on the !nit7 Absent spe0ial 0i 0!&stan0es# a &ini&!& o' ninety 2>*5 &in!tes ad,an0e noti0e will be gi,en to any N! se assigned &andato y o,e ti&e# and s!0h N! se shall be p o,ided a easonable oppo t!nity ' o& within the Hospital to &a;e a ange&ents 'o ho&e and 'a&ily esponsibilities7
2e5 Rest i0tions on Mandato y O,e ti&e7 The Hospital will assign &andato y o,e ti&e only to &eet ! gent patient 0a e needs a'te soli0iting ,ol!ntee s on that day to pe 'o & s!0h wo ; and see;ing to 'ill needs with :!ali'ied Te&po a y N! ses7 An ! gent patient 0a e need &eans a sit!ation whi0h de,elops s!ddenly and !ne=pe0tedly and whi0h 0 eates an
+>

i&&ediate need 'o a N! se to p o,ide 0a e7 It does not in0l!de ele0ti,e 0ases# &ealBb ea; 0o,e age# o othe ;inds o' non%! gent 0a e7 No N! se shall be assigned &o e than one o00! en0e o' &andato y o,e ti&e in a si=%wee; s0hed!le# p o,ided# howe,e # that N! ses who ha,e al eady been assigned one o00! en0e o' &andato y o,e ti&e &ay need to wo ; beyond a s0hed!led shi't to p o,ide sa'e 0a e to patients7 An o00! en0e is de'ined as anything e:!al to o g eate than thi ty 2?*5 &in!tes7 The &a=i&!& d! ation o' ea0h o00! en0e shall be 'o! 2.5 ho! s7 In the e,ent a N! se is s0hed!led to wo ; within eight 2(5 ho! s a'te the end o' a &andato y o,e ti&e o00! en0e# the Hospital will# absent 0o&pelling need2s5# e=0!se the N! se ' o& that shi't 'o !p to two 2)5 ho! s# p o,ided the N! se so e:!ests by the end o' the o,e ti&e o00! en0e7 A N! se who wo ;s &andato y o,e ti&e will not be e:!i ed to wo ; &o e than si=teen and one%hal' 2+@ I5 ho! s in a twenty %'o! 2).5 ho! pe iod7 2'5 /pe0ialty A eas7 When e=t a wo ; in addition to a N! se9s s0hed!led shi't is e:!i ed on an in,ol!nta y basis in the Ope ating Roo&s# Cath Lab# E1 Lab# Inte ,entional Radiology# Med/ta /e ,i0es# o 1AC"# the Hospital will pay a bon!s o' F+)7** 'o ea0h ho! o' e=t a e:!i ed wo ; 2 ega dless o' whethe the N! se is in o,e ti&e stat!s57 Be'o e assigning e=t a wo ; 'o whi0h the F+)7** bon!s is payable# the Hospital will soli0it ,ol!ntee s on that day to pe 'o & s!0h wo ; and will see; to 'ill needs with :!ali'ied Te&po a y N! ses7 A N! se who ,ol!ntee s on that day to pe 'o & e=t a wo ; so that anothe N! se will not be e:!i ed to pe 'o & s!0h e=t a wo ; in,ol!nta ily will be paid the F+)7** ho! ly bon!s 'o ea0h ho! wo ;ed as s!0h a ,ol!ntee C in the absen0e o' a ,ol!ntee # the bon!s shall be payable to the N! se e:!i ed to pe 'o & e=t a wo ; on an in,ol!nta y basis on that day7 The F+)7** bon!s is payable only when the in,ol!nta y e=t a wo ; is one 2+5 ho! o &o e in d! ationC a'te the one 2+5 ho! pe iod is ea0hed# the F+)7** bon!s is payable 'o the enti e pe iod o' in,ol!nta y e=t a wo ;# in0l!ding that 'i st one 2+5 ho! 7 On these !nits# no N! se shall be e:!i ed to wo ; &o e than 'i,e 2-5 o00! en0es o' e=t a wo ; in addition to a N! se9s s0hed!led shi'ts in two 2)5 0onse0!ti,e si=%wee; s0hed!les# p o,ided# howe,e # that N! ses who ha,e al eady been assigned 'i,e o00! en0es o' e=t a wo ; in two 2)5 si=%wee; s0hed!les &ay need to wo ; beyond a s0hed!led shi't to p o,ide sa'e 0a e to patients7 An o00! en0e is de'ined as anything e:!al to o g eate than a one 2+5 ho! pe iod7 The &a=i&!& d! ation o' ea0h o00! en0e shall be 'o! 2.5 ho! s7 Instan0es o' in,ol!nta y e=t a wo ; beyond N! ses9 s0hed!led shi'ts 'o pe iods o' less than one 2+5 ho! whi0h a e belie,ed to be e=0essi,e is an app op iate topi0 'o e,iew by the Labo %Manage&ent Co&&ittee7
2h5 Right to Re'!se Mandato y O,e ti&e7 A N! se &ay e'!se a &andato y o,e ti&e assign&ent d!e to e=t e&e pe sonal 'atig!e# illness o othe spe0ial 0i 0!&stan0es7 Howe,e # a N! se who e'!ses a &andato y o,e ti&e assign&ent will be e:!i ed to wo ; on the ne=t o00asion ne0essitating a &andato y o,e ti&e assign&ent 2with 0onside ation o' spe0ialties5 and shall not be e=e&pted ' o& the &a=i&!& n!&be o' &andato y o,e ti&e assign&ents appli0able to hisBhe !nit7 In addition# i' all N! ses a,ailable 'o a &andato y o,e ti&e assign&ent e'!se s!0h assign&ent# the least senio N! se will be obligated to ass!&e the &andato y o,e ti&e assign&ent# ega dless o' pe sonal 0i 0!&stan0es7 The Hospital will &a;e easonable e''o ts to 'ill the assign&ent be'o e the least senio N! se is obligated to ass!&e it7

11.$ Sc/e%&*ing (a) /el' /0hed!ling<

)*

2i5 /el' s0hed!ling p a0ti0es shall be !tili8ed on !nits that 0hoose to pa ti0ipate in the sel'%s0hed!ling p og a&7
2ii5 /el' s0hed!ling shall be !tili8ed as des0 ibed in this A ti0le ++7? so long as s0hed!les a e &ade with the inp!t o' the N! ses on the !nit# 0onsistent with the inte ests o' patient 0a e# and in a00o dan0e with the o,e ti&e e:!i e&ents in0l!ded in A ti0le ++7)# in0l!ding# b!t not li&ited to# p ohibiting N! ses ' o& intentionally s0hed!ling the&sel,es into an o,e ti&e stat!s o s0hed!ling o,e ti&e witho!t p io app o,al7
2iii5 A wo ; s0hed!le# 0iting wo ; shi'ts and days o'' in si= wee; in0 e&ents# shall be &ade a,ailable no late than two wee;s p io to the 0o&&en0e&ent date o' the s0hed!le7 These wo ; s0hed!les shall be at least si= wee;s in d! ation7 Any 0hanges in the s0hed!le shall not be a bit a y7 A N! se shall be noti'ied o' 0hanges in the N! se9s s0hed!le eithe in pe son o by a telephone 0all to the N! se9s telephone n!&be o' e0o d7

2i,5 N! ses &ay s!b&it thei p e'e en0es 'o the ne=t wo ; s0hed!le by no late than 'o! 2.5 wee;s p io to the 0o&&en0e&ent date o' that s0hed!le7 A'te appli0ation o' the !nit9s sel' s0hed!ling p a0ti0es# the Hospital will app o,e the 'inal s0hed!le# and the Hospital will not a bit a ily deny any N! se9s s!b&itted p e'e en0e7
2,5 /!bAe0t to depa t&ental sel' s0hed!ling !les 2e7g7# otational and eg!la shi't e:!i e&ents# et075# p io ity in s0hed!ling shall be a''o ded in the 'ollowing o de < 2+5 /enio N! se Red!0ed Wo ; Option N! ses 'o the e:!i ed th ee shi'ts pe si=%wee; s0hed!le# p! s!ant to A ti0le @# 2)5 eg!la N! ses# 2?5 $loat 1ool N! ses# and 2.5 Te&po a y N! sesC p o,ided# howe,e # that any o,e ti&e shi'ts will be 'illed in a00o dan0e with the p o0ed! es in A ti0le ++7)2057 /hi'ts 'o whi0h &o e than one eg!la N! se signs !p will be assigned e:!itably7 /ho!ld the e:!itable assign&ent p o0ess es!lt in a 3tie4 between two o &o e eg!la N! ses 'o the sa&e shi't# Hospital senio ity will dete &ine who is assigned the shi't7 Reg!la N! ses and $loat 1ool N! ses 0an# in s0hed!ling shi'ts in addition to thei eg!la s0hed!le# displa0e Te&po a y N! ses who a e not !nde 0ont a0t and wo ; the shi'ts those Te&po a y N! ses a e s0hed!led to wo ;# p o,ided that twenty%'o! 2).5 ho! s noti0e has been gi,en to the Hospital7

(vi) /!bAe0t to depa t&ental sel'%s0hed!ling !les# the Hospital 0o&&its to p o,iding t aining# ed!0ation# and s!ppo t to ba gaining !nit N! ses in 0onne0tion with the !se o' s0hed!ling tools and to ha,ing g!idelines 'o the !se o' s0hed!ling tools on ea0h !nit7 (vii) The "nion &ay appoint "nion Rep esentati,es to assist in sel'% s0hed!ling ed!0ation and !nit s!ppo t and to 0o&&!ni0ate iss!es to the Hospital elated to sel'%s0hed!ling# p o,ided# howe,e # that the appoint&ent o' s!0h "nion Rep esentati,es shall not p e,ent othe "nion Rep esentati,es and N! ses ' o& 0o&&!ni0ating with the Hospital 0on0e ning sel'%s0hed!ling iss!es and that the "nion p o,ides the Hospital with w itten noti0e o' the na&es o' appointed "nion Rep esentati,es7 (viii) /el' s0hed!ling 0o&&ittees and N! ses will ha,e easonable
a00ess to wo ; s0hed!les that ha,e been 'inali8ed by the Hospital in a00o dan0e with the !nit9s
)+

sel' s0hed!ling p a0ti0es7 On e:!est o' the sel' s0hed!ling 0o&&ittee o a N! se# the Hospital will p o,ide a ha d 0opy o' the p!blished wo ; s0hed!le# p o,ided# howe,e # that the Hospital shall not be obligated to p o,ide any e,isions &ade to the wo ; s0hed!le a'te it is p!blished7

2b5 /hi't $le=ibility

2i5 Ea0h N! se &ay egiste hisBhe p e'e en0e 'o length o' shi't 2e7g7# eight 2(5# ten 2+*5# andBo twel,e 2+)5 ho! s5 and &ay e,ise that designation ' o& ti&e to ti&e 2at least si= wee;s p io to the 0o&&en0e&ent o' a ti&e s0hed!le57 N! ses who# as o' the e''e0ti,e date o' this Ag ee&ent# ha,e e:!ested and a e wo ;ing e=0l!si,ely eight 2(5 ho! shi'ts# shall 0ontin!e to wo ; e=0l!si,ely in an eight 2(5 ho! shi't !ntil the N! se lea,es the Hospital9s e&ploy&ent# t ans'e s into anothe position# s!b&its a p e'e en0e 'o length o' shi't othe than an eight 2(5 ho! shi't# o the position is eli&inated7 The Hospital will &a;e a good 'aith e''o t to s0hed!le N! ses 0onsistent with s!b&itted p e'e en0es 'o twel,e 2+)5 ho! shi'ts# o 'o ten 2+*5 ho! shi'ts on !nits whe e the 6epa t&ent Head assigns s!0h shi'ts7

2ii5 N! ses will not be s0hed!led on the si=%wee; s0hed!le to wo ; two 0onse0!ti,e eight 2(5 ho! shi'ts 2o si=teen 2+@5 ho! s5 in a ).%ho! pe iod !nless they ,ol!ntee 'o s!0h shi'ts7
2iii5 "pon gi,ing noti0e to the 6epa t&ent Head no late than si= 2@5 wee;s p io to the 0o&&en0e&ent o' the si= %wee; s0hed!le# a N! se s0hed!led 'o a night shi't will be g anted at least 'o ty%'i,e 2.-5 ho! s o'' be'o e being otated to a day o e,ening shi't7 /!0h noti0e will e&ain in e''e0t !nless and !ntil the N! se es0inds it7 Rotation to e,ening o night shi'ts 0an be less than# b!t will be no &o e than# 'i'ty pe 0ent 2-*J5 o' s0hed!led shi'ts pe si=%wee; s0hed!le# !nless a N! se ,ol!ntee s 'o &o e otation7 $ollowing o ientation and t aining p og a&s# s0hed!led otation shall be li&ited to two 2)5 shi'ts 26BE# EBN# 6BN57 2i,5 Consistent with sel' s0hed!ling p a0ti0es# and with Hospital 0onsent# eg!la N! ses on a !nit &ay ele0t 2!sing 0onsens!s de0ision%&a;ing5 to t ialBpilot an all%eight

2(5 o all%twel,e 2+)5 ho! shi't option7 The t ialBpilot length will be dete &ined by the eg!la N! ses on that !nit# b!t the length o' the t ialBpilot pe iod shall not be longe than si= 2@5 &onths witho!t the 0onsent o' the "nion7 205 Reg!la /hi'ts< 2i5 N! ses who we e# o a e in the '!t! e# e=p essly hi ed 'o o t ans'e ed into eg!la shi'ts shall be entitled# at thei option# to e&ain in s!0h shi'ts while e&ployed on thei !nit and shall be s0hed!led e=0l!si,ely 'o day# e,ening o night shi'ts7 The Hospital shall establish sta''ing le,els on all shi'ts 2e7g7# days# e,enings# nights# +)%ho! A%1# +)%ho! 1%A5# 0onsistent with A ti0le ?*7?7 2ii5 Reg!la shi't positions# !nde whi0h N! ses will be s0hed!led e=0l!si,ely 'o a spe0i'ied shi't# shall be established and posted 2in0l!ding a posting on the !nit5 'o ea0h n! sing !nit that eg!la ly s0hed!les s!0h shi'ts7

))

2iii5 When a eg!la e,ening o night shi't position be0o&es ,a0ant# it will be posted and 'illed as p o,ided in A ti0le )*7 A N! se who t ans'e s to a eg!la shi't position on anothe n! sing !nit &!st s!00ess'!lly 0o&plete an o ientation pe iod 'o the 'i st twenty%'i,e 2)-5 s0hed!led and wo ;ed shi'ts p io to e0ei,ing the eg!la shi't on that !nit7 A Te&po a y N! se &ay be !tili8ed to sta'' a eg!la shi't ,a0an0y only !ntil s!0h ti&e as a eg!la N! se has applied and been a00epted 'o the ,a0an0y7 2d5 Consistent with e=isting p a0ti0e# N! ses holding eg!la e,ening o night shi'ts &ay be s!bAe0t to s0hed!ling o' on%0all shi'ts on di''e ent shi'ts7
2e5 The Hospital shall ha,e the ight to o''e e,ening and night shi't s0hed!ling on a 3se&i% eg!la 4 basis# !nde whi0h N! ses will e0ei,e the e,ening o night shi't di''e ential 'o the pe iod o' thei se&i% eg!la appoint&ent to e,ening o night shi'ts7 /e&i% eg!la e,ening o night shi't positions 2also ;nown as 3Non%1 i&e%Ti&e /hi'ts45 will be o''e ed 'o a th ee%&onth pe iod o' ti&e 2+) wee;s57 6esignation o' these Non%1 i&e%Ti&e shi'ts will 0o espond with the posting o' ea0h si=%wee; s0hed!le7 No N! se shall be b!&ped ' o& a eg!la e,ening o night shi't position in o de 'o anothe N! se to e0ei,e a 3se&i% eg!la 4 Non%1 i&e%Ti&e /hi't7 Any N! se a00epting a Non%1 i&e%Ti&e /hi't will be et! ned to he Bhis otational patte n 26BE o 6BN o eg!la days5 !pon 0o&pletion o' the assign&ent# !nless she o he e:!ests anothe Non%1 i&e%Ti&e /hi't7 I' the N! se e:!ests anothe Non%1 i&e%Ti&e /hi't# the Hospital will e,iew the sele0ted options and then ele0t whethe to post the Non%1 i&e /hi't s0hed!le o et! n the N! se to he Bhis otational options# i7e7# 6BE# 6BN# et07

2'5 Reg!la 6ay /hi't Assign&ents< 2i5 The Hospital will ha,e eg!la day shi't assign&ents in all n! sing !nits whi0h 0! ently ope ate on a otating shi't basis !nde the 'ollowing te &s< Reg!la shi't assign&ents will be a,ailable# as spe0i'ied in 2ii5 below# to any eg!la N! se who has 0o&pleted he Bhis int od!0to y pe iod7 Reg!la '!ll%ti&e day shi't assign&ents will be 'illed 0onsistent with A ti0le )* 7
2ii5 The &ini&!& n!&be o' eg!la day shi't assign&ents &ade 'o all n! sing !nits whe e otational shi'ts o00! will be based on the 'ollowing 'o &!la<

+%+* a!tho i8ed wee;day 2e=0l!ding WIN5 $TE N! se< + eg!la day shi't positionC ++%+@ a!tho i8ed wee;day 2e=0l!ding WIN5 $TE N! se< ) eg!la day shi't positionsC +E%?* a!tho i8ed wee;day 2e=0l!ding WIN5 $TE N! se< . eg!la day shi't positionsC ?+%.* a!tho i8ed wee;day 2e=0l!ding WIN5 $TE N! se< - eg!la day shi't positionsC

)?

.+%-* a!tho i8ed wee;day 2e=0l!ding WIN5 $TE N! se< @ eg!la day shi't positionsC -+ o &o e a!tho i8ed wee;day 2e=0l!ding WIN5 $TE N! se< E eg!la day shi't positions7 ?@%Ho! /0hed!ling Option positions &ay be designated as eg!la day shi't positions and# when so designated# will be in0l!ded in the 'o &!la spe0i'ied abo,e7 2iii5 The eg!la day shi't p o,isions spe0i'ied abo,e shall not apply to the Ope ating Roo&s7 Instead# in the Ope ating Roo&s# the e shall be at least 'i'teen 2+-5 eg!la day shi't positions in the Main Ope ating Roo& and the e shall be at least eight 2(5 eg!la day shi't positions in the Thi d $loo Ope ating Roo&7 Va0an0ies in these positions shall be 'illed 0onsistent with A ti0le )*7 The Ope ating Roo& /!b0o&&ittee o' the Labo %Manage&ent Co&&ittee will e=plo e the possibility o' in0 easing the n!&be o' eg!la day shi't positions in the Ope ating Roo&s7

2g5 Wee;end /ta''ing< Consistent with A ti0le ?E# the Hospital will st i,e to sta'' wee;end shi'ts with WIN N! ses and to ed!0e the n!&be o' wee;end shi'ts that eg!la N! ses a e e:!i ed to wo ;7 When ne0essa y to 0o,e open wee;end assign&ents# the Hospital will 'i st soli0it ,ol!ntee s ' o& a&ong the non%o,e ti&e eg!la N! ses# non%o,e ti&e $loat 1ool N! ses# and non%o,e ti&e Te&po a y N! ses on the !nit7 I' s!''i0ient ,ol!ntee s a e not eadily a,ailable o a e othe wise ins!''i0ient to &eet needs# eg!la N! ses &ay be e:!i ed to wo ; wee;ends7 All Te&po a y N! ses with 'i=ed te & 0ont a0ts will wo ; at least the sa&e n!&be o' wee;end shi'ts as eg!la N! ses on the !nit7 Altho!gh wee;end s0hed!ling shall be within the dis0 etion o' the Hospital# whe e 0i 0!&stan0es pe &it# and whe e opti&!& patient 0a e will not be ad,e sely a''e0ted# the Hospital shall &a;e e,e y easonable e''o t to s0hed!le N! ses e,e y othe wee;end o'' d!ty7 Reg!la N! ses 2othe than WIN5 with &o e than twenty%'i,e 2)-5 yea s o' Hospital senio ity shall not be e:!i ed to wo ; &o e than e,e y thi d wee;end# p o,ided that no othe eg!la N! se on the !nit will ha,e to wo ; &o e than e,e y othe wee;end7 On !nits in whi0h eg!la N! ses with &o e than twenty%'i,e 2)-5 yea s o' Hospital senio ity a e e:!i ed to wo ; &o e than e,e y thi d wee;end# the oppo t!nity to wo ; no &o e than e,e y thi d wee;end will be otated based on Hospital senio ity7 I' a N! se who is s0hed!led to wo ; on a wee;end is !nable to do so 'o any eason 2e=0ept a0t!al 0on'ine&ent in a hospital on an inpatient basis5# the Hospital etains the ight to es0hed!le the N! se and ha,e he Bhi& wo ; a '!t! e wee;end on whi0h sheBhe was p e,io!sly s0hed!led to be o''7 In s!0h e,ent# the N! se shall no &ally be s0hed!led 'o an alte nate day2s5 o''7 $o these p! poses the wo d 3wee;end4 shall be de'ined as 3$ iday and /at! day4 o 3/at! day and /!nday4 o 3/!nday and Monday74 The e shall be no split wee;ends# !nless the N! se so ag ees7

, 11.- Re+t Pe#io%+ Whene,e patient 0a e 0o,e age pe &its# 6epa t&ent Heads shall atte&pt to s0hed!le two 2)5 'i'teen 2+-5 &in!te est pe iods# one ea0h hal' o' the wo ; day# 'o ea0h N! se7 Rest pe iods shall be ta;en# whene,e possible# o'' the patient 0a e a ea7 Notwithstanding the abo,e# the s0hed!ling o' est pe iods shall e&ain wholly within the
).

dis0 etion o' ea0h 6epa t&ent Head# and a N! se shall not be entitled to any 0o&pensation 'o any &issed est pe iod2s5# whethe s0hed!led o not7 11.2 Me"* Ti(e When patient 0a e 0o,e age pe &its# N! ses shall be allowed one thi ty 2?*5 &in!te b ea; 'o eating a &eal in an eight o &o e ho! shi't pe day7 Meal ti&e shall not be est i0ted to Hospital p e&ises7 When in e,ent o' e&e gen0ies# o be0a!se o' inade:!ate patient 0a e 0o,e age# as dete &ined by the Hospital# a N! se is not able to ta;e he Bhis &eal ti&e b ea;# sheBhe shall be 0o&pensated 'o the &issed &eal ti&e at he Bhis appli0able ho! ly ate# in0l!ding shi't di''e ential as it applies7 11.5 On=C"**
2a5 N! ses &ay# at ti&es# be e:!i ed to ;eep the&sel,es on%0all 'o et! n to wo ;7 N! ses shall be gi,en the oppo t!nity to sel' s0hed!le on%0all shi'ts as set 'o th in A ti0le ++7?2a52i57 I' sel' s0hed!ling does not es!lt in '!ll on%0all 0o,e age# the Hospital will s0hed!le the e&aining on%0all shi'ts7 In assigning on%0all shi'ts# the Hospital will 0onside the potential i&pa0t on patient sa'ety o' a N! se wo ;ing the 0o&bination o' s0hed!led and on%0all ho! s7 Te&po a y N! ses on 'i=ed%te & 0ont a0ts with the ne0essa y and e:!isite s;ills to pe 'o & the wo ; shall ha,e the sa&e on%0all e:!i e&ents as $!ll%Ti&e N! ses on the sa&e !nit7 $o !nits that do not ope ate ). ho! s a day# E days a wee;# on%0all shi'ts shall not be 0onse0!ti,e !nless the N! se ag ees othe wise7 In the e,ent a N! se is s0hed!led to wo ; within eight 2(5 ho! s a'te wo ;ing an on %0all shi't# the Hospital will# absent 0o&pelling need2s5# e=0!se the N! se ' o& the s0hed!led shi't 'o !p to two 2)5 ho! s# p o,ided the N! se so e:!ests by the end o' the on%0all shi't7

2b5 A N! se will not be assigned to 0all d!ty o!tside he o his own !nit7 Call s0hed!les will be !tili8ed to p o,ide sta''ing needs 'o !nit e&e gen0ies andBo p o0ed! es whi0h ha,e not been e0o ded on the !nit9s p o0ed! e s0hed!le p io to the day o' the 0all wo ; and to 'le= sta''ing on a pa ti0!la !nit7
205 With espe0t to on%0all d!ty in the Ope ating Roo&s# 0all tea& assign&ents will be posted 'o the p! pose o' ,ol!nta y sign%!p at the beginning o' the p e0eding si= 2@5 wee; s0hed!le and will e&ain a,ailable 'o two 2)5 wee;s into the p e0eding s0hed!le7 Vol!nta y sign%!p will be handled in the 'ollowing o de < 'i st# eg!la 0lini0al N! ses# then $loat 1ool N! ses# and then te&po a y n! ses7 On%0all shi'ts 'o whi0h &o e than one eg!la 0lini0al N! se signs !p will be assigned e:!itably7 At the 0on0l!sion o' the ,ol!nta y sign%!p pe iod# the e&aining 0all shi'ts will be assigned7 On0e the s0hed!le is posted# all assigned 0all will be do0!&ented and analy8ed by the Ope ating Roo& /!b0o&&ittee o' the Labo %Manage&ent Co&&ittee 'o the identi'i0ation o' t ends7 $ollowing the e,iew# any de&onst ated t end 'o!nd 0onsistently o,e a si= 2@5 &onth pe iod o' ti&e will be 'o wa ded to the N! sing 6i e0to # 1e iope ati,e /e ,i0es7 "tili8ation o' on%0all in the Ope ating Roo&s is an app op iate topi0 'o the Ope ating Roo& /!b0o&&ittee o' the Labo %Manage&ent Co&&ittee7
, 11.7 Re"++ign(ent o. N&#+ing St".. The Hospital &ay dete &ine that it is ne0essa y to eassign N! ses te&po a ily7 When eassign&ents be0o&e ne0essa y to &eet patient 0a e needs# the Hospital shall 'i st eassign all Te&po a y N! ses on a !nit# 'ollowed by $loat 1ool
)-

N! ses on the !nit# p io to eassigning any eg!la N! se ' o& the sa&e !nit# p o,ided the N! se possesses the ne0essa y and e:!isite s;ills to pe 'o & the wo ;7 The Hospital will st i,e to &ini&i8e 'loating o' N! ses7 No eg!la N! se shall be eassigned &o e than on0e pe shi't7 When &o e than one N! se ' o& a single !nit is being eassigned# p e'e en0e in 0hoi0e o' eassign&ent to !n'illed assign&ents shall 'i st be gi,en to the eg!la N! se and then to the $loat 1ool N! se and then to the Te&po a y N! se# p o,ided ea0h s!0h N! se has the ne0essa y and e:!isite s;ills to pe 'o & the eassign&ent7 I' it is ne0essa y to eassign a eg!la N! se# the 'ollowing p o,isions shall apply< 2a5 The Hospital shall eassign N! ses in in,e se o de o' Hospital senio ity7 Ea0h !nit shall do0!&ent# in the sa&e &anne # the N! se eassign&ents and s!0h eassign&ents will be &ade on a otational basis7 To the e=tent 0onsistent with patient 0a e needs# N! ses newly hi ed below /tep ) will not be in,ol!nta ily eassigned 'o one h!nd ed eighty 2+(*5 days ' o& the date o' hi e7 To the e=tent 0onsistent with patient 0a e needs# N! ses newly hi ed at /tep ) o abo,e will not be in,ol!nta ily eassigned 'o ninety 2>*5 days ' o& the date o' hi e7 To the e=tent 0onsistent with patient 0a e needs# N! ses who t ans'e between Clini0al /e ,i0e A eas will not be in,ol!nta ily eassigned 'o thi ty 2?*5 s0hed!led and wo ;ed shi'ts 'ollowing the date o' t ans'e 7
2b5 A N! se &ay only be eassigned to a !nit whe e sheBhe has the ne0essa y and e:!isite s;ills to assist with espe0t to patient 0a e needs# p o,ided# howe,e # s!0h N! se will not be e=pe0ted to pe 'o & any d!ties whi0h the N! se is not 0o&petent to pe 'o &7

205 Ea0h !nitBdepa t&ent will ha,e an o ientation do0!&ent whi0h sets 'o th spe0i'i0 in'o &ation abo!t the !nitBdepa t&ent7 In 0onne0tion with a eassign&ent# the N! se will ha,e a b!ddyB&ento 2who# !nless othe wise designated# will be the eso! 0e n! se5 assigned# be gi,en a 0opy o' the o ientation do0!&ent# and be gi,en a wal;ing to! o' the essential a eas o' the patient 0a e assign&ent7 "nless based on a 0onside ation o' the s;ills and abilities o' the eassigned N! se and patient 0a e needs# the eassigned N! se shall not be assigned the &ost di''i0!lt o a0!te patients on the !nit7

2d5 Reg!la N! ses who sign !p 'o o,e ti&e o additional shi't assign&ents on a pa ti0!la !nit shall indi0ate# at the ti&e they sign !p# thei !nwillingness to be eassigned o!tside that !nit7 In the e,ent that s!0h a n! se is not needed on that !nit# that n! se will not be eassigned o!tside the !nit in,ol!nta ily and has the option to go ho&e o a00ept the eassign&ent7 I' s!0h a N! se opts to stay# sheBhe shall be eassigned be'o e any eg!la ly s0hed!led N! se on that !nit7
2e5 Reassign&ent o' eg!la N! ses whi0h is belie,ed to be e=0essi,e is an app op iate topi0 'o e,iew by the N! se /ta''ing and 1 od!0ti,ity Co&&ittee7

ARTICLE 1! HOLIDAYS , 1!.1 Ho*i%"'+

)@

2a5 Eligible N! ses a e entitled to e0ei,e the 'ollowing paid holidays< New Hea 9s 6ay 2Kan!a y +5 Ma tin L!the Ging K 79s Holiday Me&o ial 6ay Independen0e 6ay 2K!ly .5 Labo 6ay Than;sgi,ing 6ay Ch ist&as 6ay 26e0e&be )-5 LE''e0ti,e Kan!a y +# )*++# 1 esidents9 6ay and Vete ans 6ay a e no longe be 'i=ed holidays and we e epla0ed with the days p o,ided in A ti0le +)7+2b57
2b5 E''e0ti,e Kan!a y +# )*++# in lie! o' the 1 esidents9 6ay and Vete ans 6ay holidays listed in A ti0le +)7+2a5# eligible N! ses a e entitled to e0ei,e two 2)5 pe sonal days ea0h 0alenda yea d! ing this Ag ee&ent as 'ollows< $!ll%Ti&e Eligible N! ses shall e0ei,e two 2)5 pe sonal days o' eight 2(5 ho! s ea0h ann!allyC 1a t%Ti&e Eligible N! ses shall e0ei,e two 2)5 pe sonal days o' 'o! 2.5 ho! s ea0h ann!allyC WIN N! ses# /enio N! se Red!0ed Wo ; Option N! ses# and $loat 1ool N! ses a e ineligible 'o pe sonal days !nde A ti0le +)7+2b57 The days shall a00 !e se&i%ann!ally# with one day 0 edited d! ing the 'i st pay pe iod in Kan!a y o' ea0h 0alenda yea and the othe day 0 edited d! ing the 'i st pay pe iod in K!ly o' ea0h 0alenda yea 7 In the e,ent a N! se e:!ests !se o' a 1TO day and has an a00 !ed b!t !n!sed pe sonal day# the Hospital shall e:!i e the N! se to !se the pe sonal day7 1e sonal days not !sed by 6e0e&be ?+ o' ea0h 0alenda yea shall be 'o 'eited7

205 Holiday /0hed!ling7 Re0ogni8ing that the Hospital is a twenty%'o! 2).5 ho! 'a0ility with patient 0a e the p i&a y 0onside ation and that it is not 'easible 'o all N! ses to be o'' d!ty at the sa&e ti&e# the Hospital shall ha,e the ight# to &eet patient 0a e and othe ope ational needs# to e:!i e any N! se to wo ; on any holiday he ein spe0i'ied7 On ea0h !nit# N! ses shall de0ide a&ong the&sel,es# !sing 0onsens!s de0ision%&a;ing# how these holidays will be assigned7 I' 0onsens!s is not a0hie,ed# N! ses will be assigned by Hospital senio ity a00o ding to the 'ollowing 0ha t<

N&#+eF+ Ho+)it"* Senio#it'

Less than +. yea s +. to +( yea s

O3*ig"tion to Wo#6 C/#i+t("+ D"', NeG Ye"#F+ D"', T/"n6+gi8ing D"' On d!ty !p to two 2)5 o' th ee 2?5 On d!ty Ch ist&as 6ay o New Hea 9s 6ayC May be on d!ty Than;sgi,ing 6ay

O3*ig"tion to Wo#6 A** Ot/e# Ho*i%"'+ On d!ty !p to all othe holidays On d!ty !p to all othe holidays

+> to ). yea s

On d!ty Ch ist&as 6ay o

)E

N! se &ay de0ide to be o''

)- o &o e yea s

New Hea 9s 6ayC May de0ide to be o'' d!ty Than;sgi,ing 6ay O'' d!ty Ch ist&as 6ay and on d!ty Than;sgi,ing 6ay o New Hea 9s 6ay %o % On d!ty Ch ist&as 6ay and o'' d!ty Than;sgi,ing 6ay and New Hea 9s 6ay

d!ty all othe holidays

N! se &ay de0ide to be o'' d!ty all othe holidays

2d5 N! ses holding Wee;end In0enti,e N! se 2WIN5 positions shall not be e:!i ed to wo ; on &ino holidays that 'all on wee;days7 WIN N! ses &ay be e:!i ed to wo ; &aAo holidays 'alling on wee;days i' ne0essa y to p o,ide opti&!& patient 0a eC s0hed!ling will be done in a00o dan0e with the p o,isions set 'o th abo,e and 'ollowing s0hed!ling o' non%WIN N! ses7
2e5 All e:!ests to be o''%d!ty on Than;sgi,ing 6ay# Ch ist&as 6ay# o New Hea 9s 6ay &!st be s!b&itted a00o ding to 6epa t&ent p a0ti0e no late than 'o! 2.5 wee;s p io to the 0o&&en0e&ent date o' the 'i st day o' the s0hed!le in whi0h the Than;sgi,ing 6ay holiday 'alls7 Re:!ests 'o othe holidays &!st be s!b&itted a00o ding to 6epa t&ent p a0ti0e no late than 'o! 2.5 wee;s p io to the 0o&&en0e&ent date o' the s0hed!le in whi0h the holiday 'alls7 Any N! se desi ing a holiday o'' &!st ha,e the ne0essa y senio ity at the ti&e the e:!est &!st be s!b&itted7

2'5 I' a paid holiday 'alls d! ing a N! se9s ,a0ation ti&e# it will not be 0ha ged as ,a0ation7 In no 0ase will a N! se9s paid ti&e o'' balan0e be 0ha ged 'o an a!tho i8ed paid absen0e on a holiday7 1!.! Ho*i%"' P"' (a) $!ll%Ti&e o 1a t%ti&e Eligible N! ses 2e=0l!ding WIN N! ses5<
2i5 Holidays Not Wo ;ed< I' a $!ll%Ti&e N! se does not wo ; a holiday listed in A ti0le +)7+2a5# the N! se shall e0ei,e holiday pay in the a&o!nt o' eight 2(5 ho! s o' pay at the N! se9s /t aight Ti&e Ho! ly Rate7 I' a 1a t%Ti&e Eligible N! se# e=0l!ding WIN N! ses# does not wo ; a holiday listed in A ti0le +)7+2a5# the N! se shall e0ei,e holiday pay in the a&o!nt o' 'o! 2.5 ho! s o' pay at the N! se9s /t aight Ti&e Ho! ly Rate7

2ii5 Holidays Wo ;ed< $!ll%Ti&e o 1a t%Ti&e Eligible N! ses# e=0l!ding WIN N! ses# who wo ; a holiday listed in A ti0le +)7+2a5 shall e0ei,e# in addition to the appli0able ho! ly ate 'o ea0h ho! wo ;ed# holiday pay in the a&o!nt o'

one ho! o' the N! se9s /t aight Ti&e Ho! ly Rate 'o ea0h ho! a0t!ally wo ;ed on the holiday7 Holiday pay 'o a $!ll%Ti&e Eligible N! se shall not be less than eight 2(5 ho! s o' the /t aight Ti&e Ho! ly Rate7 Holiday pay 'o a 1a t%Ti&e Eligible N! se# e=0l!ding WIN N! ses# shall not be less than 'o! 2.5 ho! s o' the /t aight Ti&e Ho! ly Rate7
)(

2b5 ).%ho! Wee;end In0enti,e N! se 2WIN5 Option< 2i5 Holidays Not Wo ;ed< N! ses assigned the ).%ho! WIN option shall not e0ei,e holiday pay i' they do not a0t!ally wo ; on a holiday7 2ii5 Holidays Wo ;ed< WIN N! ses who a0t!ally wo ; on a holiday listed in A ti0le +)7+2a5 shall e0ei,e# in addition to the appli0able ho! ly ate 'o ea0h ho! wo ;ed# holiday pay in the a&o!nt o' one ho! o' the N! se9s /t aight Ti&e Ho! ly Rate 'o ea0h ho! a0t!ally wo ;ed on the holiday7
205 "pon p ope noti0e# N! ses &ay# in thei dis0 etion# !se thei a00 !ed 1TO to add to thei ho! s o' holiday pay in o de to e0ei,e pay e:!i,alent to that 'o thei no &al shi't length7 $o e=a&ple# a 1a t%Ti&e Eligible N! se &ay apply 'o! ho! s o' 1TO to add to 'o! ho! s o' holiday pay 'o a total o' eight ho! s o' pay# o a ?@%ho! /0hed!ling Option N! se &ay apply 'o! ho! s o' 1TO to add to eight ho! s o' holiday pay 'o a total o' twel,e ho! s o' pay7

2d5 6! ing a holiday wee;# !pon e:!est# the Hospital will &a;e easonable e''o ts to a,oid e:!i ing a N! se to wo ; additional ho! s d! ing the wee; to 0o&pensate 'o ha,ing 0eleb ated the holiday7
2e5 A p e&i!& o' Two 6olla s and $i'ty Cents 2F)7-*5 pe ho! will apply to all ho! s th th wo ;ed between E<** p7&7 6e0e&be ). and E<?* a7&7 6e0e&be )- 'o shi'ts that sta t on o a'te ?<** p7&7 on 6e0e&be ). and to all ho! s wo ;ed between E<** p7&7 6e0e&be ?+ and E<?* a7&7 Kan!a y + 'o shi'ts that sta t on o a'te ?<** p7&7 on 6e0e&be ?+ 7
st st th st

, 1!.$ Ho*i%"' E*igi3i*it' In o de to be eligible 'o holiday pay# a N! se &!st ha,e wo ;ed he Bhis last s0hed!led wo ; day be'o e and he Bhis 'i st s0hed!led wo ; day a'te the holiday e=0ept 'o illness o othe e=0!sed absen0e7 The Hospital will e:!i e that the N! se p od!0e a bona 'ide do0to 9s 0e ti'i0ate o othe p oo' that the N! se9s absen0e was d!e to illness7 A N! se will not be eligible 'o holiday pay i' sheBhe has not wo ;ed at least one 2+5 day d! ing the wee; in whi0h the holiday o00! s !nless the N! se is on app o,ed paid lea,e7 N! ses in the lea,e stat!s o !nde s!spension a e not eligible 'o holiday pay7 A N! se who 'ails to epo t 'o wo ; on the holiday when s0hed!led o inst !0ted to epo t shall not e0ei,e pay 'o the !nwo ;ed holiday7

ARTICLE 1$ PAID TIME OFF

, 1$.1 B"C P"i% Ti(e O.. BPTOC 6! ing the te & o' this Ag ee&ent# N! ses shall ea n paid ti&e o'' 0ash ,al!es whi0h they &!st !se 'o pay&ent o' wages d! ing any s0hed!led o !ns0hed!led absen0e2s57 The a&o!nt o' 1TO ea ned by a N! se will be based on Hospital senio ity and shall be a00 !ed at the sa&e ate as it is p o,ided to si&ila ly sit!ated 2i7e7# '!ll%ti&e o pa t%ti&e and a si&ila senio ity le,el5 ho! ly non%ba gaining !nit e&ployees o' the Hospital as stated in H!&an Reso! 0es 1oli0y @*. as o' the e''e0ti,e date o' this Ag ee&ent7 No n! se will be 0o&pelled to ed!0e hisBhe 1TO ban; below a le,el e:!i,alent to two 2)5 wee;s o' 1TO ho! s# e=0ept when ta;ing a s0hed!led ,a0ation7 "pon p ope noti0e# WIN n! ses &ay# in thei
)>

dis0 etion# s!pple&ent thei pay 'o any '!ll%shi't absen0es by !sing a00!&!lated 1TO ho! s to a0hie,e the '!ll 'inan0ial e:!i,alent o' !p to a '!ll wee;end 0o&ple&ent o' pay7
2b5 "se o' 1aid Ti&e O''< 6! ing the 'i st ninety 2>*5 days o' e&ploy&ent# eligible N! ses will a00 !e# b!t &ay not !tili8e# paid ti&e o'' no will they be paid any 0ash ,al!es a00 !ed i' te &ination o00! s p io to ninety 2>*5 days o' e&ploy&ent7 N! ses who te &inate e&ploy&ent a'te ninety 2>*5 days o' 0ontin!o!s se ,i0e# ente a lea,e stat!s# o othe wise 0lose o!t thei 1TO a00o!nt will be paid 'o paid ti&e o'' 0onsistent with H!&an Reso! 0es 1oli0y @*. as o' the e''e0ti,e date o' this Ag ee&ent# and# i' appli0able# the pa ties9 side ag ee&ent on payo!t o' a00 !ed 1TO# Appendi= K7 1aid ti&e o'' &ay not be !sed in ad,an0e o' being ea ned o p io to ninety 2>*5 days o' e&ploy&ent7

205 Re:!ests 'o Ti&e O''< 2i5 1 o0ed! es 'o e:!esting and g anting paid ti&e o'' shall be de,eloped and &aintained as pa t o' the sel'%s0hed!ling p a0ti0es des0 ibed in A ti0le ++7?2a5 o' this Ag ee&ent7 /!0h p o0ed! es will be s!bAe0t to and 0onsistent with the te &s o' this Ag ee&ent and will< 6esignate the pe son2s5 on the !nit esponsible 'o e0ei,ing and p o0essing e:!ests 'o 1TO7 Ma;e the !nit9s s0hed!ling p o0ed! es a,ailable to &e&be s o' the !nit7 Allow 'o e:!itable dist ib!tion o' 1TO# so that e,e y N! se has the oppo t!nity 'o ,a0ation andBo ti&e o'' ea0h 0alenda yea 7 Contain p o0ed! es and ti&ing 'o e:!ests and esponses to e:!ests 'o
1TO# whi0h will be de,eloped 0onsistent with !nit sel'%s0hed!ling p a0ti0es7

1 o,ide that a'te appli0ation o' the !nit9s sel'%s0hed!ling p a0ti0es# the Hospital will not a bit a ily deny e:!ests 'o 1TO7

The "nion will noti'y the Hospital in w iting o' the na&es o' designated "nion Rep esentati,es to 0o&&!ni0ate with the Hospital 0on0e ning e:!ests 'o ti&e o'' and othe sel'%s0hed!ling iss!es# p o,ided# howe,e # that the appoint&ent o' s!0h "nion Rep esentati,es shall not p e,ent othe "nion Rep esentati,es o N! ses ' o& 0o&&!ni0ating with the Hospital 0on0e ning e:!ests 'o ti&e o'' and othe sel'%s0hed!ling iss!es7 2ii5 1aid ti&e o'' 0ash ,al!es &ay not be !sed witho!t 6epa t&ent Head app o,al in ad,an0e e=0ept 'o s!dden illnesses o e&e gen0ies7 When !se o' paid ti&e o'' 0ash ,al!es is e:!ested be0a!se o' s!dden illnesses o e&e gen0ies# N! ses sho!ld noti'y thei 6epa t&ent Heads as soon as they ;now that they will be absent ' o& wo ;# b!t at a &ini&!& two 2)5 ho! s be'o e the sta t o' the shi't7 6epa t&ent Heads &ay e:!i e app op iate p oo' o' illnesses o e&e gen0ies p io to g anting app o,al 'o !se o' paid ti&e o'' 0ash ,al!es7 A N! se &ay be s!bAe0t to p og essi,e dis0ipline 'o ab!se o' lea,e 2within a 0alenda yea ' o& Ap il + th o!gh Ma 0h ?+5# in0l!ding# b!t not li&ited to# !ndo0!&ented# !ns0hed!led absen0es whi0h a&o!nt to !nwillingness o inability to attend wo ; eg!la ly# o when a patte n o' ab!se is identi'ied7 Howe,e # the ate at whi0h s0hed!led 1TO is !sed o the le,el o' 1TO e&aining in a n! se9s ban; will not be the basis o' dis0ipline7 N! ses who badge in 'o wo ;

?*

less than si= 2@5 &in!tes a'te the sta t o' thei s0hed!led shi't will not be do0;ed in pay# no be s!bAe0t to p og essi,e dis0ipline# 'o s!0h instan0es o' ta diness7
2d5 1aid Ti&e O'' A00o!nt AdA!st&ents< Whene,e a N! se9s pay ate 0hanges 2e7g7# th o!gh a pay g ade step in0 ease# gene al wage in0 ease# Aob e0lassi'i0ation# o othe wise5 the N! se9s paid ti&e o'' 0ash ,al!e a00o!nt shall be adA!sted to e'le0t the new ate o' pay so that the paid ti&e o'' ho! s balan0e at the ti&e o' the pay adA!st&ent will not be 0hanged7

2e5 Ad,an0e o' Va0ation 1ay< A N! se will be paid ,a0ation pay be'o e sta ting a ,a0ation o' a wee; o &o e p o,ided that the N! se s!b&its a w itten e:!est 'o ad,an0e pay&ent to the 6epa t&ent Head at least th ee 2?5 wee;s in ad,an0e o' the N! se9s s0hed!led ,a0ation7 , 1$.! Negoti"tion Ti(e=O.. N! ses designated by the "nion shall be entitled to !se thei 1TO o to ta;e lea,e witho!t pay to attend Aoint andBo $MC/ negotiation sessions asso0iated with the enegotiation o' this Ag ee&ent7

ARTICLE 1PAID ADMINISTRATI1E LEA1E 1-.1 Be#e"8e(ent Le"8e Any N! se shall be entitled to '!ne al lea,e with pay at he Bhis /t aight Ti&e Ho! ly Rate 'o a &a=i&!& o' th ee 2?5 eg!la s0hed!led wo ; days lost in the 0ase o' death o' he Bhis o he Bhis spo!se9s i&&ediate 'a&ily# na&ely h!sband# wi'e# 'athe # &othe # b othe # siste # 0hild# do&esti0 pa tne li,ing with the N! se in the sa&e ho!sehold# o othe elati,e li,ing with the N! se in the sa&e ho!sehold7 The '!ne al lea,e &!st be ta;en d! ing the pe iod between the date o' death and the day 'ollowing the b! ial# both in0l!si,e 2e=0ept whe e bona 'ide eligio!s p a0ti0e &ay e:!i e a di''e ent pe iod o' absen0e5# and p o,ided that the N! se is p epa ed to o''e ,alid p oo' o' death and elationship !pon e:!est7 Manage&ent will not !n easonably deny e:!ests 'o additional !npaid days o'' !p to a &a=i&!& o' two 2)5 0alenda wee;s 2in0l!si,e o' the th ee paid days57 A N! se who is eligible to !se 1TO in a00o dan0e with A ti0le +?7+ &ay ele0t to !se o not !se a00 !ed 1TO to 0o,e all o a po tion o' the absen0e7 Manage&ent will not !n easonably deny e:!ests to !se a00 !ed 1TO 'o pe iods beyond this two%wee; pe iod7 N! ses see;ing additional ti&e o'' beyond the two 2)5 wee;s who ha,e e=ha!sted thei a00 !ed 1TO &ay apply 'o !npaid pe sonal lea,e o' absen0e in a00o dan0e with A ti0le +@7 1-.! 1oting Le"8e A N! se who has 0o&pleted he Bhis int od!0to y pe iod shall be entitled to lea,e o' absen0e with pay !p to a &a=i&!& o' two 2)5 ho! s to ,ote in a national# 6ist i0t o' Col!&bia# o state ele0tion whe e# i' sheBhe was not gi,en s!0h lea,e sheBhe wo!ld not be able to ,ote7 1 io app o,al 'o ,oting lea,e &!st be obtained by the N! se ' o& he Bhis 6epa t&ent Head7

?+

ARTICLE 12 SPECIAL LEA1E 12.1 0&#' "n% Witne++ D&t' A N! se who has 0o&pleted he Bhis int od!0to y pe iod and
is s!bpoenaed 'o and se ,es on A! y d!ty o as a witness in a Hospital% elated 0ase shall be 0o&pensated by the Hospital in the a&o!nt o' the eg!la /t aight Ti&e Ho! ly Rate 'o eg!la s0hed!led wo ; days lost7 Ho! s paid !nde this /e0tion shall not be 0o!nted as ho! s wo ;ed 'o the p! poses o' o,e ti&e 0al0!lation7 In o de to e0ei,e s!0h pay&ent and to be eleased ' o& wo ;# a N! se &!st gi,e the Hospital the ea liest p a0ti0al noti0e o' s!0h d!ty and '! nish to the Hospital# !pon e:!est o' the Hospital# a Ce ti'i0ate o' /e ,i0e# d!ly signed by the 0le ; o' the 0o! t and ,alid p oo' as to the a&o!nt o' A! o 9s o witness9 'ees e0ei,ed7 A N! se is e:!i ed to epo t 'o wo ; on a eg!la s0hed!led wo ; day i' sheBhe is not e:!i ed 'o A! y o witness d!ty on a pa ti0!la day o i' sheBhe is dis&issed ea ly eno!gh to wo ; he Bhis eg!la shi'tC p o,ided that a N! se s0hed!led to wo ; the e,ening o night shi't will not be e:!i ed to wo ; i' sheBhe has se ,ed on A! y o witness d!ty that day7 A N! se s0hed!led to wo ; a night shi't i&&ediately p io to A! y o witness d!ty shall# !pon e:!est# be eleased ' o& wo ; on that shi't7 /!0h a N! se shall be 0o&pensated by the Hospital 2in a00o dan0e with the pay&ent !le set 'o th abo,e5 i' sheBhe se ,es on A! y o witness d!ty# e=0ept when the N! se is 0o&pensated 'o a shi't ' o& whi0h sheBhe was eleased on the day o' A! y o witness d!ty7 Any N! se who 'ails to epo t 'o wo ; when eleased ' o& A! y o witness d!ty shall ha,e he Bhis pay ed!0ed by an a&o!nt e:!al to he Bhis eg!la ate ti&es the n!&be o' ho! s o' wo ; &issed7

12.! Mi*it"#' T#"ining A N! se who has 0o&pleted hisBhe int od!0to y pe iod and who se ,es in ann!al a0ti,e d!ty &ilita y t aining in the A &ed $o 0es o' the "nited /tates shall be paid the di''e en0e between hisBhe &ilita y pay and hisBhe /t aight Ti&e Ho! ly Rate 'o the said t aining pe iod b!t in no e,ent e=0eeding two 2)5 0ontin!o!s wee;s7 This bene'it shall apply to only one t aining pe iod 2the 'i st i' the e be &o e than one5 in any 0alenda yea 7 To be eligible 'o s!0h lea,e# N! ses &!st p esent o de s and ,e i'i0ation o' thei &ilita y pay to thei 6epa t&ent Heads7 12.$ E%&c"tion G#"nt+
2a5 N! ses &ay apply 'o g ants to attend 0on'e en0es and se&ina s whi0h will bene'it the Hospital by adding to o st engthening N! se s;ills o ;nowledge7 Appli0ations shall be &ade to and a0ted !pon by the Ed!0ation G ant Co&&ittee 2EGC5 0o&posed o' 'o! 2.5 &e&be sC two 2)5 appointed by the Hospital and two 2)5 appointed by the "nion in w iting7 /!0h g ants shall be allowed to pe &it attendan0e at app o,ed 0on'e en0es and se&ina s7 Any N! se e0ei,ing a g ant shall be obligated to s!b&it eithe a w itten o an o al epo t# the 0hoi0e is to be &ade by the Hospital# to the n! sing sta'' so that it &ay sha e the N! se9s ;nowledge and lea ning e=pe ien0e7 Ed!0ational a0ti,ities othe than 0on'e en0es and se&ina s will be applied 'o and paid 'o sepa ately th o!gh app op iate Hospital depa t&ents7 2b5 The EGC shall &eet &onthly7 N! ses attending EGC &eetings will be gi,en ad&inist ati,e lea,e 'o s!0h attendan0e7 The EGC &!st app o,e o disapp o,e all e:!ests 'o 'inan0ial assistan0e on a &onthly basis7 6e0isions o' the Co&&ittee shall not be s!bAe0t to

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a bit ation7 Howe,e # ties shall be b o;en by a ne!t al 'i'th 2-th5 &e&be to be ele0ted by the 'o! 2.5 Co&&ittee &e&be s7 205 The N! se shall &a;e a e:!est 'o g ant assistan0e p io to the 0o&&en0e&ent o' the p og a& 'o whi0h assistan0e is being so!ght7 The Hospital &ay in a e and e=0eptional 0ases# and at its dis0 etion# g ant et oa0ti,e app o,al to appli0ations 'o g ant assistan0e7 (d) The a&o!nt a,ailable to the Co&&ittee shall be F+-*#*** pe 'is0al yea 7 (e) The a&o!nt o' the g ant shall be in the dis0 etion o' the Co&&ittee and shall be to de' ay egist ation 'ees and s!0h othe e=penses as allowed by the Co&&ittee7
, 12.- E%&c"tion"* Le"8e "n% Con.e#ence Atten%"nce N! ses will be pe &itted to ta;e th ee 2?5 days o' !npaid ed!0ational lea,e ann!ally to attend o p esent at 0on'e en0es in thei 0lini0al p a0ti0e a eas# and they will be gi,en the option to !se o not !se 1TO 'o those absen0es7 N! ses &!st p o,ide easonable ad,an0e noti0e o' thei intent to !se !npaid ed!0ational lea,e so that they will not be s0hed!led 'o wo ;7 Manage&ent will not !n easonably deny e:!ests to !se ed!0ational lea,e 0ontig!o!s with ,a0ation days# p o,ided# howe,e # that the 0o&bination o' ed!0ational lea,e and ,a0ation does not e=0eed two 2)5 wee;s7

ARTICLE 15 LEA1E OF ABSENCE 15.1 De.inition A lea,e o' absen0e is an e=0!sed b!t !npaid pe iod o' absen0e7
Re:!ests 'o lea,e o' absen0e &ay be g anted by the Hospital 'o e&e gen0y 0onditions and !n!s!al ho&e sit!ations# ed!0ation# t a,el# o &edi0al needs 2othe than &edi0al lea,e !nde the 'ede al andBo 67C7 $a&ily and Medi0al Lea,e A0ts5# whe e the easons 'o the e:!est a e A!sti'ied and s!0h lea,e will not inte 'e e with o ad,e sely a''e0t the Hospital9s s0hed!ling and sta''ing 'o the d! ation o' the lea,e7 Re:!ests 'o lea,e o' absen0e will not be denied a bit a ily o 0ap i0io!sly7 A N! se on a!tho i8ed lea,e o' absen0e shall not be entitled to pay o othe bene'its p o,ided in this Ag ee&ent !nless othe wise stated o e:!i ed by law7

15.! W#itten ReH&e+t The pa ties e0ogni8e the i&po tan0e o' ti&ely e:!ests 'o a lea,e o' absen0e and p o&pt esponses to the&7
In the inte est o' e&ployee satis'a0tion and patient 0a e needs# N! ses sho!ld s!b&it e:!ests 'o lea,e as soon as they a e awa e o' the need 'o the lea,e# and the 6epa t&ent Head 2o designee5 sho!ld &a;e e,e y easonable e''o t to espond p o&ptly to the e:!est7 Notwithstanding the 'o egoing# e:!ests 'o a lea,e o' absen0e &!st be &ade at least 'o ty 2.*5 days in ad,an0e o' the e:!ested lea,e7

(a)

(b) The 6epa t&ent Head o designee &!st p o,ide an a0;nowledg&ent o' e0eipt o' a e:!est 'o a lea,e o' absen0e within se,en 2E5 days7 (c)
Re:!ests 'o a lea,e o' absen0e &!st be app o,ed by the 6epa t&ent Head

o designee and s!0h e:!ests &!st be in w iting and state the sta ting date and the e=pi ation

??

date o' the e:!ested lea,e o' absen0e7 Responses to e:!ests 'o lea,e &!st be p o,ided at least thi ty 2?*5 days p io to the sta t date 'o the lea,e o' absen0e7 (d) E=0eptions to the ti&e li&its identi'ied abo,e &ay be g anted in the Hospital9s dis0 etion in the e,ent o' !n'o eseen 0i 0!&stan0es that p e,ented the N! se ' o& e:!esting lea,e at least 'o ty 2.*5 days in ad,an0e o' the e:!ested lea,e7 (e) In the e,ent a N! se is absent witho!t p io app o,al by the 6epa t&ent Head 'o two 2)5 o &o e wo ;ing days and has not noti'ied the 6epa t&ent Head o' easons 'o s!0h absen0e it shall 0onstit!te abandon&ent o' position and be A!st 0a!se 'o dis0ha ge by the Hospital# e=0ept in 0ases o' total &edi0al in0apa0itation &a;ing it i&possible 'o the N! se to p o,ide any noti0e o' the absen0e7 , 15.$ Ret&#n to Wo#6
2a5 A N! se on lea,e o' absen0e &!st gi,e the 6epa t&ent Head at least two 2)5 wee;s w itten noti0e p io to et! ning ' o& a lea,e o' absen0e7 I' the N! se is on a &edi0al lea,e o' absen0e 2othe than &edi0al lea,e !nde the 'ede al andBo 67C7 $a&ily and Medi0al Lea,e A0ts5# howe,e # sheBhe &!st gi,e w itten noti0e as soon as p a0ti0able# e0ogni8ing that the e &ay be a delay in et! ning the N! se to wo ; i' the noti0e is less than two 2)5 wee;s7

2b5 "pon et! n ' o& an app o,ed &edi0al lea,e o' absen0e o' si= 2@5 &onths o less in d! ation# a N! se will be et! ned to he Bhis 'o &e position 2in0l!ding sa&e ho! s# shi't assign&ent# and Aob 0lassi'i0ation5 and depa t&ent# li&ited to on0e pe 0alenda yea 7 "pon et! n ' o& a &edi0al lea,e o' absen0e o' &o e than si= 2@5 &onths in d! ation o any othe non%stat!to y lea,e o' absen0e# a N! se will be et! ned to he Bhis 'o &e position 2in0l!ding sa&e ho! s# shi't assign&ent# and Aob 0lassi'i0ation5 and depa t&ent# i' a,ailable7 I' a N! se9s 'o &e position is not a,ailable# the N! se will be pla0ed in an e:!i,alent position7 An e:!i,alent position &eans the sa&e Aob 0lassi'i0ation and ho! s# and# i' a,ailable# the sa&e shi't assign&ent7 I' no s!0h e:!i,alent positions a e a,ailable# sheBhe shall then be et! ned to any a,ailable ba gaining !nit position 'o whi0h sheBhe possesses the ne0essa y and e:!isite s;ills7 In those instan0es whe e the N! se et! ning ' o& lea,e 0annot be et! ned to he Bhis 'o &e position# sheBhe &ay e=e 0ise the ight o' p e'e en0e sho!ld that 'o &e position s!bse:!ently be0o&e a,ailable within a twel,e 2+)5 &onth pe iod7 As a 0ondition o' einstate&ent 'ollowing a lea,e o' absen0e 'o illness# inA! y# o &ate nity# the Hospital &ay e:!i e the N! se to be e=a&ined and gi,en a health 0lea an0e by the O00!pational Health 6epa t&ent7 Nothing 0ontained he ein shall be 0onst !ed to li&it o di&inish any stat!to y ights7

(c) Mate nity% elated disability shall be t eated the sa&e as all othe disabilities7 15.- M"@i(&( Ti(e Pe#io%+ (a) A lea,e o' absen0e shall not no &ally be g anted to a N! se in e=0ess o' the 'ollowing ti&e pe iods< 1e sonal lea,e % th ee 2?5 &onths Ed!0ation lea,e % one 2+5 yea
?.

T a,el lea,e % th ee 2?5 &onths

Medi0al lea,e 2in0l!ding lea,e 0o,e ed by the 'ede al andBo 67C7 $MLA5 % one 2+5 yea Mate nity lea,e 2in0l!ding lea,e 0o,e ed by the 'ede al andBo 67C7 $MLA5% one 2+5 yea

Adoption lea,e % one 2+5 yea "nion b!siness lea,e % one 2+5 yea
$a&ily lea,e 2in0l!ding lea,e 0o,e ed by the 'ede al andBo 67C7 $MLA5 D one 2+5 yea

2b5 A N! se who 'ails to et! n ' o& a lea,e o' absen0e 2in0l!ding any app o,ed e=tensions5 will be 0onside ed to ha,e esigned7 Lea,es o' absen0e 'o pe iods longe than those spe0i'ied in A ti0le +@7.2a5 shall be g anted and app o,ed !pon good 0a!se shown# whi0h app o,al shall not be !n easonably withheld7 It is ag eed# howe,e # that N! ses on p olonged lea,es o' absen0e shall not a00 !e senio ity beyond the 'i st yea o' any p olonged lea,e o' absen0e7 205 A'te th ee 2?5 yea s o' e&ploy&ent# a N! se &ay be g anted !p to two 2)5 yea s o' !npaid ed!0ational lea,e7
, 15.2 In+&#"nce P#e(i&(+ Any N! se on any 'o & o' app o,ed lea,e o' absen0e &ay e:!est to pay he Bhis own ins! an0e p e&i!&s d! ing an app o,ed lea,e o' absen0e so as to a,oid lapse o' 0o,e age# b!t s!0h pay&ents 2whi0h 0onsist o' the Hospital 0ont ib!tion and the e&ployee 0ont ib!tion at the ate paid by then%a0ti,e N! ses5 shall be at the N! se9s sole e=pense7 A N! se on lea,e &ay 0hoose to pay ins! an0e p e&i!&s &onthly o :!a te ly# p o,ided that the N! se &a;es an i e,o0able ele0tion to pay p e&i!&s &onthly o :!a te ly at the beginning o' he Bhis lea,e# and p o,ided '! the that all pay&ents a e &ade in ad,an0e7

The Hospital shall 0ontin!e to pay# 'o a &a=i&!& ti&e pe iod o' one 2+5 yea # its 0ont ib!tion 'o the indi,id!al 0o,e age po tion o' ins! an0e p e&i!&s 'o those N! ses who a e on lea,e as a es!lt o' an on%the%Aob inA! y7 The Hospital shall pay its 0ont ib!tion towa d ins! an0e p e&i!&s d! ing any pe iods o' lea,e o' absen0e that a e 0o,e ed by the 'ede al andBo 6ist i0t o' Col!&bia $a&ily and Medi0al Lea,e A0t2s57 ARTICLE 17 GRIE1ANCE PROCEDURE
, 17.1 De.inition A g ie,an0e is de'ined as any disag ee&ent between the pa ties 0on0e ning any &atte elating to wages# ates o' pay# ho! s o' e&ploy&ent o othe 0onditions o' e&ploy&ent# o any appli0ation o inte p etation o' the p o,isions o' this Ag ee&entC howe,e # the e=e 0ise by the Hospital o' the ights ese ,ed by A ti0le ) shall not be s!bAe0t to the g ie,an0e o a bit ation p o,isions he ein e=0ept when s!0h a0tion o 0ond!0t by the Hospital is 0ont a y to a spe0i'i0 p o,ision o' the Ag ee&ent7 Any s!0h g ie,an0e shall be p o0essed as set 'o th below7 G ie,an0es shall be s!b&itted in w iting and be stated with easonable
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spe0i'i0ity7 G ie,an0es &!st spe0i'y the Hospital poli0y o Ag ee&ent p o,ision allegedly ,iolated# the na&e o' the g ie,ant# the date the g ie,an0e a ose# a b ie' des0 iption o' the e,ent o 0i 0!&stan0es leading to the g ie,an0e 2in0l!ding ti&e and pla0e i' app op iate5# na&e o' the g ie,ant9s i&&ediate s!pe ,iso # any ;nown witnesses and elie' o e&edy e:!ested7 I' any o' the &atte s set 'o th abo,e a e o&itted in the initial state&ent o' the g ie,an0e# s!0h o&ission# i' based on good 0a!se# shall not 0onstit!te g o!nds 'o dis&issing o denying the g ie,an0e7 All p o0essed g ie,an0e 'o &s shall in0l!de as atta0h&ents all eplies and do0!&entation7

, 17.! P#oce%&#e A N! se 2o g o!p o' N! ses ep esented by the "nion5 ha,ing a g ie,an0e shall s!b&it it to the Assistant Vi0e 1 esident o' H!&an Reso! 0es# o designee# within thi ty 2?*5 0alenda days ' o& the ti&e that the g ie,an0e a ose# o thi ty 2?*5 0alenda days ' o& when the g ie,ant2s5 o the "nion be0a&e awa e 2o sho!ld ha,e be0o&e awa e5 o' the 'a0ts gi,ing ise to the g ie,an0e7 The g ie,an0e shall be signed by the g ie,ant2s5 o a "nion Rep esentati,e7 Copies o' all g ie,an0es shall also be s!b&itted to the g ie,ant9s i&&ediate s!pe ,iso and to the Chie' /hop /tewa d o othe "nion Rep esentati,e7 The Assistant Vi0e 1 esident o' H!&an Reso! 0es 2o designee5 shall gi,e the "nion a w itten a0;nowledg&ent o' the e0eipt o' g ie,an0es7 Eithe pa ty &ay e:!est a &eeting with the othe pa ty to dis0!ss the g ie,an0e# b!t s!0h &eeting shall not e=tend the ti&e pe iod p o,ided in this p o0ed! e7 Re:!ests 'o &eeting &!st be e:!ested th o!gh the Assistant Vi0e 1 esident o' H!&an Reso! 0es# o designee# who will 0oo dinate the &eeting7 A "nion Rep esentati,e shall be in0l!ded in all g ie,an0e dis0!ssions# and all s!0h dis0!ssions in,ol,ing a "nion Rep esentati,e shall ta;e pla0e d! ing the "nion Rep esentati,e9s non%wo ;ing ti&e !nless attendan0e d! ing wo ;ing ti&e is a!tho i8ed in ad,an0e by the "nion Rep esentati,e9s i&&ediate s!pe ,iso 7 /!0h a!tho i8ation shall not be !n easonably withheld7

The Hospital will p o,ide its w itten esponse to the g ie,an0e no late than 'i'teen 2+-5 0alenda days a'te the g ie,an0e &eeting7 I' no w itten esponse is ende ed by the Assistant Vi0e 1 esident o' H!&an Reso! 0es 2o designee5 within twenty%'i,e 2)-5 0alenda days a'te s!b&ittal o' the g ie,an0e# the g ie,an0e shall be dee&ed denied and the "nion &ay ad,an0e the g ie,an0e to a bit ation7 Any g ie,an0e by the Hospital shall 'i st be s!b&itted to the Chie' /hop /tewa d o designee 'o esol!tion within thi ty 2?*5 0alenda days ' o& the ti&e that the g ie,an0e a ose o thi ty 2?*5 0alenda days ' o& when the Hospital be0a&e awa e 2o sho!ld ha,e be0o&e awa e5 o' the 'a0ts gi,ing ise to the g ie,an0e7 I' a satis'a0to y settle&ent is not e''e0ted# o # i' no esponse is ende ed by the "nion within 'o ty 2.*5 0alenda days a'te s!b&ittal o' the g ie,an0e to the "nion# the g ie,an0e shall be dee&ed denied and the Hospital &ay p o0eed to a bit ation7
I' a satis'a0to y settle&ent is not e''e0ted in the g ie,an0e p o0ed! e o!tlined abo,e# eithe pa ty &ay e'e the &atte to a bit ation by sending the othe pa ty a w itten noti0e e:!esting that the &atte be assigned to an a bit ato # in a00o dan0e with the p o,isions in A ti0le +(7)# below7 A g ie,an0e that is not s!b&itted to a bit ation within 'i'teen 2+-5 0alenda days o' the date on whi0h the g ie,an0e p o0ed! e 0on0l!ded 2eithe th o!gh a de0ision ende ed by the Assistant Vi0e 1 esident o' H!&an Reso! 0es# o designee# o Chie' /hop /tewa d# o
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designee# o non% esponse within the appli0able 'o ty 2.*5 0alenda day pe iod5 shall be dee&ed wai,ed and shall not be s!bAe0t to '! the dis0!ssion o appeal th o!gh a bit ation7

17.$ E@ten+ion o. Ti(e Li(it+ Any g ie,an0e not p o0essed in a00o dan0e with any o' the ti&e li&its o' the abo,e g ie,an0e p o0ed! e in the p ope se:!en0e p es0 ibed abo,e shall be dee&ed wai,ed7 E=tensions o' these ti&e li&its &ay be a00o&plished only in w iting# signed by the Hospital and the "nion7 17.- Sett*e(ent Ag#ee(ent+ All settle&ent ag ee&ents &!st be signed by the Chie' /hop /tewa d o d!ly a!tho i8ed "nion Rep esentati,e and the Hospital9s Assistant Vi0e 1 esident o' H!&an Reso! 0es o d!ly a!tho i8ed Hospital ep esentati,e7 Ea0h pa ty shall p o,ide the othe with the na&es o' s!0h ep esentati,es in w iting7 17.2 G#ie8"nce Me%i"tion I' both pa ties so 0onsent# a g ie,an0e &ay be e'e ed to &ediation in an atte&pt to esol,e the g ie,an0e witho!t a bit ation7 The p o0ed! es o' &ediation 2lo0ation# d! ation# identity o' &ediato # et075 shall also be dete &ined by &!t!al ag ee&ent7 Re'e al to &ediation shall s!spend the appli0able ti&e li&its set 'o th in A ti0les +E o +(7 The pa ties shall sha e e:!ally the 'ees and e=penses o' the &ediato C all othe &ediation e=penses shall be paid by the pa ty in0! ing the&7 ARTICLE 1: ARBITRATION 1:.1 A))e"* to A#3it#"tion G ie,an0es not esol,ed th o!gh the g ie,an0e p o0ed! e as set 'o th in A ti0le +E &ay p o0eed to a bit ation# in a00o dan0e with the ti&e li&its set 'o th in A ti0le +E7)7 The "nion shall noti'y the Assistant Vi0e 1 esident o' H!&an Reso! 0es in w iting o' the e'e al o' a g ie,an0e to a bit ation7 1:.! A#3it#"to# Se*ection I' the &atte is e'e ed to a bit ation# the &atte will be assigned to one o' the a bit ato s ' o& the panel listed below<
+7

Ri0ha d I7 Blo0h

2. 3. 4.

He be t $ishgold Kosh!a Ka,its Roge 17 Gaplan

A bit ato s will be assigned g ie,an0es on a otating basis 2i7e7# the 'i st listed a bit ato will be assigned the 'i st g ie,an0eC the se0ond listed a bit ato will be assigned the se0ond g ie,an0eC et0757 Any g ie,an0e !pon whi0h a bit ation is e:!ested shall be assigned to the app op iate a bit ato within ten 2+*5 days o' the e:!est7 "nless othe wise ag eed by the pa ties in w iting# on0e an a bit ato is assigned a g ie,an0e 2e,en i' it is late withd awn o othe wise esol,ed5# the a bit ato will not be assigned anothe g ie,an0e !ntil ea0h o' the a bit ato s on the panel has been assigned a g ie,an0e in otation7 A bit ato s &ay be added to o deleted ' o& the panel only by &!t!al# w itten ag ee&ent o' the pa ties7
, 1:.$ A#3it#"tion P#oce%&#e The a bit ato shall 0ond!0t a 'ai hea ing# 0a ied on with all 0on,enient speed# and at whi0h the a bit ato shall e0ei,e e,iden0e# both o al and
?E

do0!&enta y7 "nless othe wise &!t!ally ag eed# all hea ings 0ond!0ted he e!nde shall be e0o ded ,e bati& by a :!ali'ied stenog aphi0 epo te 7 Ea0h pa ty shall ha,e the ight o' e=a&ination and 0 oss%e=a&ination o' witnesses# to &a;e a e0o d# and to 'ile a post% hea ing b ie'7 The a bit ato shall set the b ie'ing s0hed!le within a easonable ti&e a'te the e0eipt o' the t ans0 ipt o' the hea ing7 The a bit ato shall ende a de0ision as e=peditio!sly as possible# p e'e ably within 'o ty%'i,e 2.-5 days a'te the pa ties ha,e s!b&itted thei post%hea ing b ie's 2o a'te the hea ing i' the pa ties ag ee not to s!b&it b ie's57 The e=pense o' a bit ation# in0l!ding the 'ee and e=penses o' the a bit ato # the a bit ato 9s 0opy o' the t ans0 ipt# and any 'ees o' the stenog aphi0 epo te # shall be sha ed e:!ally by both pa ties7 All othe e=penses shall be paid by the pa ty in0! ing the&# in0l!ding the 0ost o' any 0opies o' t ans0 ipts o de ed by the pa ty7
, 1:.- A&t/o#it' o. t/e A#3it#"to# The a bit ato shall only ha,e a!tho ity to apply the p o,isions o' this Ag ee&ent and to ende a de0ision on any g ie,an0e p ope ly 0o&ing be'o e the a bit ato # b!t shall not ha,e the a!tho ity to a&end o &odi'y this Ag ee&ent o to establish any te &s o 0onditions o' this Ag ee&ent7 The a bit ato shall only dete &ine :!estions o' p o0ed! al a bit ability7 $! the # the a bit ato shall ha,e the a!tho ity to apply and inte p et the p o,isions o' this Ag ee&ent only inso'a as &ay be ne0essa y to the dete &ination o' s!0h g ie,an0e7 Awa ds &ay o &ay not be et oa0ti,e# depending !pon the dete &ination o' the e:!ities o' ea0h 0ase7 Ba0;pay awa ds &ay in0l!de easonable inte est# i' dee&ed app op iate by the a bit ato 7 In the e,ent any a bit al awa d is iss!ed in a 0ont a0t inte p etation 0ase p o,iding 'o ba0; wages o othe et oa0ti,e elie'# the a bit ato shall not ha,e the a!tho ity to awa d an a&o!nt e=0eeding one h!nd ed and eighty 2+(*5 days o' pay o othe et oa0ti,e elie'7 The de0ision o' the a bit ato shall be 'inal and binding on the Hospital# the "nion# and the n! se2s5 in,ol,ed and shall not be in0onsistent with the te &s o' this Ag ee&ent7

ARTICLE 1; NO STRI>ES OR LOC>OUTS , 1;.1 No St#i6e+ It is e0ogni8ed that the Hospital is engaged in a p!bli0 se ,i0e e:!i ing 0ontin!o!s ope ation and it is ag eed that e0ognition o' s!0h obligation o' 0ontin!o!s se ,i0e is i&posed !pon both the N! ses and the "nion7
The e'o e# the "nion# its o''i0e s# agents# ep esentati,es and &e&be s shall not in any way# di e0tly o indi e0tly# a!tho i8e# pa ti0ipate in# o ati'y any st i;e# sy&pathy st i;e# pi0;eting 2o' whate,e 'o & o type# in0l!ding b!t not li&ited to in'o &ational pi0;eting# e0ognitional pi0;eting# o sy&pathy pi0;eting5# pat olling# o any 'o & o type o' sel'%help witho!t e=0eption o any othe inte 'e en0e with o inte !ption o' wo ; at any o' the Hospital9s ope ations d! ing the d! ation o' this Ag ee&ent7 The Hospital shall ha,e the ight to dis0ha ge o othe wise dis0ipline any o all N! ses who pa ti0ipate in any o' the abo,e en!&e ated a0ti,ities7 In any a bit ation a ising ' o& s!0h dis0ha ge o othe dis0ipline# the a bit ato is not a!tho i8ed to set aside o &odi'y the dis0ipline i&posed on a N! se 'o!nd to ha,e pa ti0ipated in any o' the p ohibited a0ti,ities en!&e ated abo,e7 I' the Hospital noti'ies the "nion o' p ohibited a0ti,ity en!&e ated abo,e by N! ses# the "nion will ta;e the 'ollowing a''i &ati,e steps< 2a5 p!bli0ly disa,ow the p ohibited a0ti,ityC 2b5 post noti0e on the "nion b!lletin boa d ad,ising that the "nion disapp o,es o' s!0h a0tionC and 205 noti'y in w iting those N! ses
?(

engaged in p ohibited a0ti,ity that 2i5 the a0ti,ity engaged in is a ,iolation o' this Ag ee&entC 2ii5 that engaging in s!0h a0ti,ity is not legally san0tioned# no is it 0ondoned# by the "nionC and 2i,5 that the "nion is ! ging N! ses to i&&ediately et! n to wo ; o othe wise e' ain ' o& engaging in any p ohibited a0ti,ity7 1;.! No Loc6o&t+ In 0onside ation o' this no st i;e pledge by the "nion# the Hospital shall not lo0; o!t N! ses d! ing the d! ation o' this Ag ee&ent7 1;.$ 0&%ici"* Re(e%ie+ The Hospital and the "nion shall be entitled to all app op iate A!di0ial e&edies in0l!ding# b!t not li&ited to# inA!n0ti,e elie' and da&ages# i' a ,iolation o' this A ti0le sho!ld o00! 7 In the e,ent o' a ,iolation# the othe pa ty &ay i&&ediately instit!te A!di0ial p o0eedings to obtain s!0h e&edies# witho!t any p io obligation to see; elie' !nde the g ie,an0e and a bit ation p o0ed! e o' this Ag ee&ent7 InA!n0ti,e elie' shall be a,ailable to the Hospital o the "nion ega dless o' whethe the disp!te gi,ing ise to the 0ond!0t p ohibited by this A ti0le is s!bAe0t to a bit ation7 ARTICLE !< POSITION POSTING
, !<.1 2a5 Registe ed N! se ,a0an0ies 2new o established5 shall be posted 'o a pe iod o' not less than se,en 2E5 0onse0!ti,e 0alenda days p io to o''e ing the position7 Kob openings will be posted p o&inently in display 0ases o!tside the 6epa t&ent o' H!&an Reso! 0es and nea the 3GE4 Co ido ent an0e to the Ca'ete ia7 The Hospital will &aintain an ele0t oni0 p o0ess whi0h will allow N! ses to obtain and s!b&it appli0ations at the Hospital se,en 2E5 days a wee;7 The Hospital will &o,e towa d &a;ing Aob postings a,ailable ele0t oni0ally7 N! ses &!st apply to the Re0 !it&ent O''i0e7 N! ses &!st &a;e sepa ate appli0ation 'o ea0h opening o 0onta0t the /ta''ing and Re0 !it&ent O''i0e to e%a0ti,ate any p e,io!s appli0ation7 When ne0essa y# in o de to &eet an e&e gen0y o to sa'eg!a d the health andBo sa'ety o' patients# the Hospital shall not be e:!i ed to post any Aob ,a0an0y# 'o any spe0i'i0 length o' ti&e7

2b5 A N! se &ay in'o & the app op iate 6epa t&ent Head in w iting o' a spe0i'i0 position andBo shi't in whi0h sheBhe wo!ld be inte ested on a pa ti0!la !nit i' it be0o&es a,ailable7 /!0h e:!ests will e&ain e''e0ti,e 'o ninety 2>*5 0alenda days7 The 6epa t&ent Head will &a;e easonable e''o ts to noti'y a N! se o' an opening 'o whi0h the N! se has &ade s!0h a e:!est7 The N! se will then be esponsible 'o applying 'o the opening in a00o dan0e with pa t 2a5 o' this A ti0le7 !<.! "nit spe0i'i0 Aob openings will be anno!n0ed in w iting on the !nit at 0lea ly &a ;ed lo0ations 2lo0ations to be dete &ined by the indi,id!al !nits5 'o not less than se,en 2E5 0onse0!ti,e 0alenda days as spe0i'ied in A ti0le )*7+2a5 abo,e7 In a00o dan0e with A ti0le )*7+2a5# N! ses a e e:!i ed to s!b&it appli0ations to the Re0 !it&ent O''i0e 2H!&an Reso! 0es57 The 'ail! e o' a !nit to anno!n0e a Aob opening shall not be a basis 'o o,e t! ning a sele0tion de0ision and shall not be s!bAe0t to the g ie,an0e and a bit ation p o0ed! es 0ontained in A ti0les +E and +( o' this Ag ee&ent7 !<.$ A 0! ently e&ployed N! se who ti&ely applies 'o a posted position shall be
a00o ded p e'e en0e o,e a non%Hospital appli0ant with s!bstantially e:!al :!ali'i0ations7
?>

, !<.- In 'illing ,a0ant positions# the eg!la N! se appli0ant ' o& within the n! sing !nit with the g eatest Hospital senio ity will be gi,en the position7 The Hospital shall p o,ide appli0ants on the n! sing !nit a w itten esponse to the appli0ation listing the eason 'o thei eAe0tion within ten 2+*5 days o' the 0losing o' the position7 Whe e the Hospital dete &ines that appli0ants a e s!bstantially e:!ally :!ali'ied# the position will be gi,en to the N! se with the g eatest Hospital senio ity7 I' &o e than one :!ali'ied N! se bids 'o a pa ti0!la position# the N! se with g eate Hospital senio ity shall be awa ded the Aob7 A position will not be !n'ai ly denied to a N! se7 The Hospital shall st i,e to gi,e all appli0ants a w itten esponse stating the easons 'o thei eAe0tion 2i' app op iate5 within ten 2+*5 days o' the 0o&pletion o' the sele0tion p o0ess7 The !n'ai denial o' a position shall be s!bAe0t to the g ie,an0e and a bit ation p o0ess7 The "nion shall ha,e the b! den o' p oo' to establish that the Hospital9s de0ision was 0lea ly in0o e0t7

ARTICLE !1 CONSCIENTIOUS OB0ECTION

, !1.1 To the e=tent pe &itted by law# whene,e a N! se obAe0ts to pa ti0ipation in the p o0ed! e o' ,ol!nta y inte !ption o' p egnan0y and noti'ies the Hospital o' s!0h obAe0tion in ad,an0e and in w iting# easonable e''o ts will be &ade to assign the N! se to othe d!ties7 Howe,e # patient needs as dete &ined by the Hospital will ta;e p e0eden0e o,e s!0h obAe0tion and# !ntil and !nless assigned to othe d!ties# the obAe0ting N! se will# as a 0ondition o' 0ontin!ed e&ploy&ent# p o,ide s!0h se ,i0es as a e e:!i ed to p epa e 'o and assist in the p o0ed! e a00o ding to Hospital standa ds7 $ail! e o' any N! se to p o,ide s!0h 0a e shall be 0onside ed g oss ins!bo dination and 0onstit!te A!st 0a!se 'o dis0ha ge7

ARTICLE !! LABOR=MANAGEMENT CONSULTATION

, !!.1 2a5 The "nion and the Hospital 'o &ed a Aoint Labo %Manage&ent Co&&ittee 'o the p! pose o' wo ;ing 0ollabo ati,ely on iss!es o' inte est to both pa ties7 The pa ties intend that this 0o&&ittee will enhan0e so!nd labo %&anage&ent elations by 'oste ing an at&osphe e 0ond!0i,e to 0o&&!ni0ations between the pa ties on a eg!la basis7 The Labo %Manage&ent Co&&ittee will add ess iss!es o' Aoint inte est# in0l!ding 0ont a0t ad&inist ation and othe iss!es that will enhan0e the wo ; en,i on&ent 'o N! ses at the Hospital7 The Labo %Manage&ent Co&&ittee will# as the pa ties dee& app op iate# establish /!b0o&&ittees to add ess pa ti0!la topi0s# s!0h as p o'essional n! sing p a0ti0e# and e:!al e&ploy&ent oppo t!nity7 Within ninety 2>*5 days a'te the e''e0ti,e date o' this Ag ee&ent# the pa ties# th o!gh the Labo %Manage&ent Co&&ittee# will i&ple&ent a p o0ess o' o''e ing 0onte&po aneo!s e=it inte ,iews o s! ,eys to a sa&pling o' depa ting N! ses# and the in'o &ation will be &ade a,ailable to both pa ties 'o analysis7 On0e i&ple&ented# neithe the e=it inte ,iew o s! ,ey p o0ess no the inte ,iew o s! ,ey es!lts the&sel,es will be s!bAe0t to the g ie,an0e and a bit ation p o,isions o' this Ag ee&ent7

.*

The pa ties ag ee that eg!la # di e0t 0o&&!ni0ation will 'oste positi,e labo % &anage&ent elationsC th!s# the e=isten0e o' the Labo %Manage&ent Co&&ittee is not intended to dete the pa ties ' o& &eeting andBo dis0!ssing iss!es on a day%to% day basis o!tside the 0onte=t o' the Labo %Manage&ent Co&&ittee7 The Labo %Manage&ent Co&&ittee shall &eet se&i%&onthly# !nless othe wise ag eed by the pa ties7 The pa ties en,ision that the Labo %Manage&ent Co&&ittee will 0onsist o' 'o! 2.5 indi,id!als designated by the "nion and 'o! 2.5 indi,id!als designated by the Hospital# b!t e0ogni8e that the n!&be and identities o' indi,id!als &ay be &odi'ied by &!t!al ag ee&ent o' the pa ties# as 0i 0!&stan0es wa ant7 2b5 The Labo %Manage&ent Co&&ittee shall 0oo dinate its a0ti,ities 2and the a0ti,ities o' any s!b0o&&ittees it 0 eates5 with the N! sing Co!n0ils to a,oid d!pli0ation o' e''o t7 205 The 'a0ilitato o' the Labo %Manage&ent Co&&ittee and any s!b0o&&ittee 0 eated by it shall otate between the "nion and the Hospital7 2d5 6is0!ssions o' the Labo %Manage&ent Co&&ittee and any s!b0o&&ittee 0 eated by it shall be g!ided by inte est%based p in0iples and de0isions shall be &ade by 0onsens!s7 2e5 It is the intent o' the pa ties to in0l!de ele,ant de0ision%&a;e s in the p o0ess and to i&ple&ent de0isions &ade by the Co&&ittee and any s!b0o&&ittee 0 eated by it7 Any de0ision o' the Co&&ittee and any s!b0o&&ittee 0 eated by it that in,ol,es the allo0ation o' Hospital '!nds is s!bAe0t to Hospital app o,al7 !!.! /!b0o&&ittees 0 eated by the Labo %Manage&ent Co&&ittee# N! sing Co!n0ils#
and Hospital%wide 0o&&ittees !pon whi0h n! ses se ,e shall !pdate 2e7g7# p o,ide &in!tes to5 the Labo %Manage&ent Co&&ittee on &atte s be'o e s!0h 0o&&ittees and 0o!n0ils whi0h a''e0t the wages# ho! s# and wo ;ing 0onditions o' ba gaining !nit n! sesC p o,ided# howe,e # it is not the intent o' the pa ties to p e,ent i&ple&entation o' de0isions &ade by s!b0o&&ittees 0 eated by the Labo %Manage&ent Co&&ittee# N! sing Co!n0ils# o Hospital%wide 0o&&ittees !nless i&ple&entation o' a de0ision wo!ld 0on'li0t with the te &s o' this Ag ee&ent7 Nothing 0ontained he ein shall be inte p eted as wai,ing the "nion9s ight to 'ile a g ie,an0e 0ontending that any s!0h de0ision 0on'li0ts with the te &s o' this Ag ee&ent7

!!.$ 2a5 The pa ties ag ee that i&p o,ing patient satis'a0tion is 0 iti0al to the s!00ess
o' the Hospital and# the e'o e# bene'its both the Hospital and n! ses7 The Hospital and the "nion will Aointly 0oope ate to a0hie,e the &!t!al goal o' in0 easing patients9 satis'a0tion with thei n! sing e=pe ien0e at the Hospital7 As app op iate# the pa ties will dis0!ss ewa ding &eas! able i&p o,e&ents in patient satis'a0tion in the Labo %Manage&ent Co&&ittee7 2b5 The Hospital and the "nion e0ogni8e a &!t!al inte est in e=plo ing the possibility o' the Hospital a0hie,ing Magnet /tat!s p! s!ant to the A&e i0an N! ses C edentialing Cente 9s Magnet Re0ognition 1 og a&7 The pa ties 0o&&it to wo ;ing togethe to e=a&ine the 'easibility o' the Hospital obtaining Magnet /tat!s# 0onside ing iss!es elated to
.+

Magnet /tat!s# and# as app op iate# ta;ing steps towa d the Hospital a0hie,ing Magnet /tat!s7 The pa ties &ay dis0!ss these iss!es in the Labo %Manage&ent Co&&ittee7

ARTICLE !$ PAR>ING , !$.1 2a5 The Hospital shall p o,ide designated# well%lit pa ;ing a eas 'o a!to&obiles and &oto 0y0les and an a ea o a0; whe e bi0y0les &ay be sto ed7 The Hospital will p o,ide on%0a&p!s pa ;ing 'o all N! ses7 2b5 N! ses with twenty%'i,e 2)-5 o &o e yea s o' Hospital senio ity shall e0ei,e ' ee pa ;ing7 $o N! ses with less than twenty%'i,e 2)-5 yea s o' Hospital senio ity# the pa ;ing ates a e as 'ollows< (i) (ii) $o N! ses hi ed p io to /epte&be +# +>(@# the Hospital will not 0ha ge &o e than F+@7(* pe &onth 'o pa ;ingC $o N! ses hi ed on o a'te /epte&be +# +>(@ to /epte&be +*# )***# the Hospital will not 0ha ge &o e than F)+7** pe &onth 'o pa ;ingC N! ses hi ed a'te /epte&be +*# )*** &ay be e:!i ed to pay !p to F)-7** pe &onth 'o pa ;ing7

(iii)

205 "pon e:!est# se0! ity o''i0e s will es0o t N! ses to thei 0a s7 It is !nde stood that a N! se &ay ha,e to wait a easonable ti&e 'o s!0h es0o t7

ARTICLE !IN=SER1ICE EDUCATION !-.1 O#ient"tion The Hospital shall &aintain an e''e0ti,e in%se ,i0e p og a&# in0l!ding a planned o ientation p og a&7 !-.! Contin&ing E%&c"tion The Hospital shall p o,ide an o gani8ed p og a& o' 0ontin!ing ed!0ation7 Whene,e possible# 0ontin!ing ed!0ation p og a&s shall apply 'o 0onta0t ho! s ' o& the p o'essional asso0iation in o de to ins! e the best oppo t!nity 'o 0ontin!ing ed!0ation e0ip o0ity 'o indi,id!al N! ses7 !-.$ Sc/e%&*ing The Hospital shall en0o! age and assist N! ses to p! s!e 0ontin!ing ed!0ation by s0hed!ling in%se ,i0e p og a&s ' o& ti&e to ti&e on di''e ent shi'ts and be'o e o a'te shi't 0hanges7 !-.- Eig/teen Mont/ Co((it(ent N! ses pa ti0ipating in ed!0ational p og a&s# othe
than !nit o ientation# that a e g eate in length than si= 2@5 wee;s# shall be e:!i ed to sign a 0o&&it&ent to e&ain with the Hospital in a $!ll%Ti&e o 1a t%Ti&e Eligible position 'o an
.)

eighteen 2+(5 &onth pe iod 'ollowing 0o&pletion o' the p og a& o epay the 0osts 'o dida0ti0 ho! s o' s!0h t aining 2th o!gh etention o' the 'inal 0he0; andBo the ,al!e o' a00!&!lated lea,e5# p o,ided that 2a5 the Hospital shall in'o & N! ses in ad,an0e o' the 0osts 'o dida0ti0 ho! s o' the p og a&C and 2b5 the N! se is not in,ol!nta ily sepa ated7

ARTICLE !2 SE1ERABILITY , !2.1 I' any p o,ision o' this Ag ee&ent o any appli0ation o' this Ag ee&ent to any N! se 0o,e ed he eby shall be 'o!nd 0ont a y to law# s!0h p o,ision o appli0ation shall ha,e e''e0t only to the e=tent pe &itted by law# b!t all othe p o,isions o appli0ations shall 0ontin!e in '!ll 'o 0e and e''e0t7 ARTICLE !5 HEALTH, PENSION, AND WELL=BEING BENEFITS !5.1 Li.e In+&#"nce Ea0h $!ll%Ti&e N! se shall be entitled to li'e ins! an0e bene'its in an a&o!nt e:!al to one tho!sand two h!nd ed 'i'ty dolla s 2F+#)-*7**5 pe one tho!sand dolla s 2F+#***7**5 o' base pay7 This shall be at no 0ost to the N! se7 N! ses who wo ; in ).%Ho! WIN positions shall be entitled to li'e ins! an0e bene'its in an a&o!nt e:!al to si=ty%si= and two%thi ds pe 0ent 2@@%)B?J5 o' the bene'its a,ailable to $!ll%Ti&e N! ses7 Othe 1a t%Ti&e Eligible N! ses shall be entitled to 'i,e tho!sand dolla s 2F-#***7**5 o' li'e ins! an0e paid 'o by the Hospital7 The Hospital will o''e s!pple&ental li'e ins! an0e to $!ll%Ti&e and 1a t%Ti&e Eligible N! ses7 N! ses who ele0t to obtain s!pple&ental li'e ins! an0e 0o,e age shall pay the '!ll 0ost o' s!0h ins! an0e 0o,e age7 The pe 0entages o' li'e ins! an0e 0o,e age o''e ed !nde this A ti0le a e s!bAe0t to the te &s o' the appli0able ins! an0e poli0y# whi0h 0! ently p o,ide si=ty%'i,e pe 0ent 2@-J5 0o,e age 'o N! ses who ea0h age @- and 'i'ty pe 0ent 2-*J5 0o,e age 'o N! ses who ea0h age E*7 !5.! Me%ic"*, P/"#("c', 1i+ion, "n% Dent"* Bene.it+ Co8e#"ge+ (a) Medi0al# 1ha &a0y# Vision# and 6ental Bene'its (i)

The Hospital shall p o,ide &edi0al# pha &a0y# ,ision# and dental bene'its to $!ll%Ti&e and 1a t%Ti&e Eligible N! ses 'o the te & o' this Ag ee&ent !nde the sa&e plans and on the sa&e basis they a e p o,ided to si&ila ly sit!ated 2i7e7# '!ll%ti&e o pa t%ti&e5 non%ba gaining !nit e&ployees o' the Hospital s!bAe0t to the othe p o,isions o' this A ti0le )@7)7 Bene'it plan 0a ie s &ay be added o deleted based on 'inan0ial and se ,i0e indi0ia7 Be'o e any 0hange in 0a ie s o00! s# the Hospital will p o,ide the "nion at least si=ty 2@*5 days noti0e and the Hospital will be a,ailable !pon e:!est to dis0!ss7

(ii) The 0ont ib!tion ates paid by N! ses 'o 0o,e age !nde any o' the plans e'e en0ed in A ti0le )@7) shall be as 'ollows<

.?

The Hospital shall pay eighty pe 0ent 2(*J5 o' the 0osts 'o indi,id!al g o!p &edi0alBpha &a0y ins! an0e 0o,e age 23indi,id!al 0o,e age45 'o all $!ll%Ti&e Eligible and WIN N! ses in the ba gaining !nit# p o,ided the N! se pays twenty pe 0ent 2)*J5 o' the 0osts7

$o those $!ll%Ti&e Eligible and WIN N! ses who ele0t g o!p &edi0alBpha &a0y ins! an0e 0o,e age 'o the&sel,es and one 0hild# 'o the&sel,es and one eligible spo!seBpa tne # o 'o the&sel,es and 'o thei eligible dependents# the Hospital shall pay si=ty%'i,e pe 0ent 2@-J5 o' the dependent po tion o' the 0ost the eo' p o,ided the N! se pays thi ty%'i,e pe 0ent 2?-J5 o' the 0osts7 $o those 1a t%Ti&e Eligible N! ses# othe than WIN N! ses# who ele0t indi,id!al g o!p &edi0alBpha &a0y ins! an0e 0o,e age 23indi,id!al 0o,e age45# the Hospital shall pay 'o ty pe 0ent 2.*J5 o' the 0ost the eo' p o,ided# p o,ided the N! se pays si=ty pe 0ent 2@*J5 o' the 0osts7
$o those 1a t%Ti&e Eligible N! ses# othe than WIN N! ses# who ele0t g o!p &edi0alBpha &a0y ins! an0e 0o,e age 'o the&sel,es and one 0hild# 'o the&sel,es and one eligible spo!seBpa tne # o 'o the&sel,es and 'o thei eligible dependents# the Hospital shall pay thi ty%two point 'i,e pe 0ent 2?)7-J5 o' the dependent po tion o' the 0ost the eo' p o,ided the N! se pays si=ty%se,en point 'i,e pe 0ent 2@E7-J5 o' the 0osts7
Cont ib!tions 'o dental and ,ision shall be the sa&e as the ates paid by si&ila ly sit!ated 2i7e7# '!ll%ti&e o pa t%ti&e5 non%ba gaining !nit e&ployees o' the Hospital7

(iii)

I' any o' the total p e&i!& ates a e in0 eased o de0 eased 'o non%

ba gaining !nit e&ployees d! ing the li'e o' this Ag ee&ent# they shall be in0 eased o de0 eased a!to&ati0ally 'o N! ses at the sa&e ti&e and in the sa&e &anne and a&o!nt7 /i&ila ly# the 0o% pays# ded!0tibles# 0oins! an0e# 0o,e age e=0l!sions# and othe te &s and 0onditions o' the bene'its p o,ided to N! ses !nde this A ti0le shall be the sa&e as the 0o%pays# ded!0tibles# 0oins! an0e# 0o,e age e=0l!sions# and othe te &s and 0onditions o' the bene'its p o,ided by the Hospital to si&ila ly sit!ated 2i7e7# '!ll%ti&e o pa t%ti&e5 non%ba gaining !nit e&ployees o' the Hospital7 I' any o' the te &s and 0onditions o' bene'its# in0l!ding b!t not li&ited to 0o%pays# ded!0tibles# 0oins! an0e# 0o,e age e=0l!sions# et07# p o,ided to non%ba gaining !nit e&ployees d! ing the li'e o' this Ag ee&ent a e &odi'ied# the bene'its p o,ided to N! ses !nde this A ti0le shall be &odi'ied at the sa&e ti&e and in the sa&e &anne and a&o!nt7 Howe,e # any 0hanges &ade p! s!ant to A ti0le )@7) shall be s!bAe0t to the li&itations 0ontained in A ti0le )@7E7

, !5.$ C"+/ B"*"nce Reti#e(ent P*"n BCBRPC E''e0ti,e Kan!a y +# )*++# the Hospital a&ended the CBR1 to ' ee8e bene'its p e,io!sly o''e ed !nde the CBR1# in0l!ding 0easing to allow pay 0 edits to a00 !e o e&ployee 0ont ib!tions to be &ade into the 1lan7 The ea'te # bene'its in the CBR1 will e&ain in the CBR1 and 0ontin!e to g ow with inte est 0 edits7 /!0h bene'its will also 0ontin!e to be a,ailable 'o a N! se eligible !nde the 1lan 'o dist ib!tion as the 1lan p o,ides7 $! the # N! ses who pa ti0ipate in the CBR1 &ay 0ontin!e to ea n ,esting se ,i0e7 The Hospital shall eg!la ly e,iew the CBR1 and &a;e any &odi'i0ations o a&end&ents ne0essa y to ;eep it in 0o&plian0e with the IR/ ta=%:!ali'i0ation !les# the E&ployee Reti e&ent In0o&e /e0! ity A0t o' +>E. and all elated eg!lations7
..

, !5.- Reti#e(ent S"8ing+ P*"n BRSPC (a) N! ses eligible 'o pa ti0ipation in the R/1 will e0ei,e the sa&e le,el o' Hospital
&at0hing 0ont ib!tion o Hospital 'i=ed 0ont ib!tion as p o,ided 'o si&ila ly sit!ated 2i7e7# '!ll% ti&e o pa t%ti&e5 non%ba gaining !nit e&ployees o' the Hospital who pa ti0ipate in the R/17

WHC states that it has no intent to te &inate the R/1 d! ing the plan yea s 'o )*++# )*+)# )*+?# o )*+.7 $! the # WHC states that it will not &odi'y the plan design o' the R/1 d! ing )*++# )*+)# )*+?# o )*+.7 WHC ag ees to 0ontin!e to &at0h e&ployee 0ont ib!tions to the 1lan at a ate o' -*J &at0hing 0ont ib!tion !p to @J e&ployee 0ont ib!tion o' 0o&pensation as de'ined by the R/1 'o the d! ation o' this Ag ee&ent7 Howe,e # the R/1 1ension Co&&ittee will 0ontin!e to e=e 0ise its dis0 etion to e,iew and &a;e de0isions elated to 'i=ed 0ont ib!tions on a yea ly basis7 (b) Eligibility 'o pa ti0ipation in the R/1 shall be go,e ned by 1lan do0!&ents7 N! ses eligible 'o pa ti0ipation in the R/1 &ay en oll as pa ti0ipants in the R/1 at any ti&e7 1 io the eto# the Hospital will p o,ide :!ali'ied and ;nowledgeable bene'its pe sonnel to answe s!0h :!estions as inte ested N! ses &ight ha,e7 (c) The Hospital shall eg!la ly e,iew its Reti e&ent /a,ings 1lan 2R/15 and &a;e any &odi'i0ations o a&end&ents ne0essa y to ;eep it in 0o&plian0e with the IR/ ta=%:!ali'i0ation !les# the E&ployee Reti e&ent In0o&e /e0! ity A0t o' +>E. and all elated eg!lations7 !5.2 Me%STAR F*ig/t N&#+e In+&#"nce Ins! an0e 0o,e age a''o ded !nde this
Ag ee&ent shall be se0! ed 'o Med/TAR 'light N! ses to the sa&e e=tent and !pon the sa&e te &s and 0onditions as a''o ded to othe N! ses7 In addition# the Hospital shall se0! e and pay the p e&i!& 'o a t iple inde&nity li'e ins! an0e poli0y 'o all Med/TAR 'light N! ses7

!5.5 E()*o'ee A++i+t"nce P#og#"( The p esent E&ployee Assistan0e 1 og a& 2EA15# a p og a& designed to deal with pe sonal p oble&s o' Hospital e&ployees# shall be 0ontin!ed# b!t &ay be e,ised by the Hospital as e:!i ed7 The "nion shall be ad,ised in w iting o' any 0hanges in the EA1 whi0h a e instit!ted by the Hospital7 !5.7 Te#(in"tion o# A(en%(ent o. He"*t/ In+&#"nce P*"n+< The health ins! an0e
plans e'e ed to in this A ti0le# in0l!ding the te &s o' those plans# a e he eby in0o po ated into this ag ee&ent7 It is !nde stood that any o' the plans e'e ed to in this A ti0le &ay be a&ended d! ing the te & o' this Ag ee&ent p o,ided the "nion is gi,en si=ty 2@*5 days noti0e p io to any 0hange2s5 and s!0h 0hanges a e applied identi0ally to si&ila ly sit!ated 2i7e7# '!ll%ti&e o pa t%ti&e5 non% ba gaining !nit e&ployees o' the hospital7 While both pa ties e0ogni8e and ag ee that &odi'ying a pa ti0!la bene'it o ins! an0e 0o&ponent !s!ally &eans that the 'o &e and new bene'its o 0o&ponents will not be identi0al# the pa ties also ag ee that# e=0ept i' e:!i ed by law# eg!lation# 'inal 0o! t o de o e:!i ed by the appli0able ins! an0e 0a ie 2s5# &odi'i0ation2s5 by the Hospital to a 0o&ponent2s5 o' the 1lans will not es!lt in &ate ially di&inishing it as a whole 2not &e ely indi,id!al aspe0ts5 as it e=isted be'o e s!0h &odi'i0ation2s57 I' the "nion 0ontends that the 1lan as a whole has &ate ially di&inished as a es!lt o' 0hanges instit!ted by the E&ploye 2not the 0a ie 2s5 o as a es!lt o' 0hanges in laws# eg!lations o 'inal 0o! t o de s5#

.-

the pa ties will &eet and dis0!ss the iss!e p o,ided it has been aised within thi ty 2?*5 days ' o& the ti&e the 0o,e age 0hanges we e anno!n0ed7 I' the iss!e is not esol,ed in the &eet and dis0!ss 'o !&# then they will ag ee to eithe 2a5 e%open the 0ont a0t on that iss!e only % b!t with no ight to st i;e o lo0;o!t# o 2b5 ha,e the iss!e a bit ated !nde A ti0le +( o' this Ag ee&ent7 Absent ag ee&ent# the iss!e will be a bit ated7 In that 0ase# the iss!e be'o e the a bit ato shall be de'ined to be# and shall be li&ited to# whethe o not the E&ploye has# by the &odi'i0ations it ,ol!nta ily i&ple&ented# &ate ially di&inished the Health 1lan as a whole7

, !5.: Inco(e P#otection N! ses shall e0ei,e at least the 'ollowing in0o&e p ote0tion ins! an0e 0o,e age<
2a5 /i0;ness and A00ident Bene'it< N! ses with at least si= 2@5 &onths o' 0ontin!o!s e&ploy&ent with the Hospital who be0o&e disabled by eason o' a00ident not 0o,e ed by Wo ;e 9s Co&pensation# o si0;ness shall e0ei,e si=ty%si= and two%thi ds pe 0ent 2@@%)B?J5 o' thei pay at the /t aight Ti&e Ho! ly Rate# 0o&&en0ing ' o& the 'i st 2+st5 day o' disability by eason o' a00ident not 0o,e ed by Wo ;e 9s Co&pensation o ' o& the eighth 2(th5 day o' disability by eason o' si0;ness# 'o a &a=i&!& o' twenty%si= 2)@5 wee;s 'o '!ll%ti&e N! ses and WIN N! ses and 'o a &a=i&!& o' thi teen 2+?5 wee;s 'o 1a t%Ti&e Eligible N! ses7 N! ses &ay# at thei option# !tili8e 1TO in o de to e0ei,e one h!nd ed pe 0ent 2+**J5 o' thei eg!la ea nings7 "nde no 0i 0!&stan0es# howe,e # 0an a N! se e0ei,e &o e than one h!nd ed pe 0ent 2+**J5 o' he Bhis eg!la ea nings th o!gh a 0o&bination o' the /i0;ness and A00ident Bene'its and othe bene'its payable to the N! se7 With espe0t to &ate nity% elated disabilities# the 0e ti'i0ation pe iod o' ass!&ed disability established !nde the Hospital9s si0;ness and a00ident bene'it 0o,e age shall be si= 2@5 wee;s in the 0ase o' ,aginal deli,e y and eight 2(5 wee;s in the 0ase o' Caesa ian deli,e y7 2b5 Long Te & 6isability Ins! an0e< $!ll%Ti&e N! ses and N! ses who wo ; in ).%Ho! WIN positions with at least si= 2@5 &onths o' 0ontin!o!s e&ploy&ent with the Hospital shall# a'te one%h!nd ed eighty 2+(*5 days o' disability 2by eason o' si0;ness o a00ident not 0o,e ed by Wo ;e 9s Co&pensation5 e0ei,e si=ty 2@*5 pe 0ent o' thei pay at the /t aight Ti&e Ho! ly Rate whi0h shall 0ontin!e !ntil the ea liest o' when the N! se eithe 2+5 diesC 2)5 et! ns to wo ;C 2?5 attains age si=ty%'i,e 2@-5 yea sC o 2.5 0eases being :!ali'ied 'o 0o,e age7

The Hospital will o''e N! ses who &eet the eligibility e:!i e&ents o' the Long Te & 6isability Ins! an0e plan the option o' p! 0hasing additional 0o,e age at thei own 0ost# in o de to e0ei,e a bene'it o' si=ty%si= and two%thi ds pe 0ent 2@@%)B?J5 o' thei pay at thei /t aight Ti&e Ho! ly Rate7
205 Ce ti'i0ation< In all 0ases# 0lai&s shall e:!i e s!bstantiation by &eans o' &edi0al 0e ti'i0ation as p es0 ibed by the ins! an0e 0a ie 2s5# whi0h dete &inations shall be 0on0l!si,e and binding !pon the Hospital# the 0lai&ant 2in0l!ding the 0lai&ant9s estate# hei s# assigns# o othe legal ep esentati,es5# and the "nion# in all 0ases witho!t e0o! se !nde this Ag ee&ent# in0l!ding e0o! se !nde the g ie,an0e and a bit ation p o,ision the eo'7

ARTICLE !7 EMERGENCY
.@

 !7.1 In the 0ase o' e&e gen0y# s!0h as 'lood# 0atast ophi0 snow# 'i e# epide&i0# disaste #
0atast ophe o othe !n'o eseen &aAo 0ontingen0y# the Hospital shall ha,e the ight# !pon noti0e to the "nion# to de0la e an e&e gen0y and s!spend po tions o' the Ag ee&ent7 6! ing s!0h Hospital% de0la ed e&e gen0y# the Hospital &ay s!spend only those po tions o' the Ag ee&ent that elate to &eas! es dee&ed ne0essa y by the Hospital 'o the 0a e and p ote0tion o' patients# the e:!ip&ent# and the b!ildings o' the Hospital# o easonably ne0essa y to epai and pla0e the sa&e in 0ondition the ea'te 'o o00!pan0y7 Howe,e # in no e,ent &ay the Hospital s!spend the on%0all and 0all%ba0; p o,isions o' the Ag ee&ent 2A ti0le ?>7? and ?>7.57

!7.! I' a N! se !ses Hospital%p o,ided t anspo tation to 0o&e to wo ; d! ing a Hospital%de0la ed e&e gen0y# the Hospital will &a;e e''o ts to p o,ide t anspo tation ho&eC i' the Hospital does not p o,ide t anspo tation ho&e# the N! se will e0ei,e a F)*7** t anspo tation pay&ent7 N! ses will e0ei,e th ee 2?5 &eal 0o!pons 2,al!ed at F-7** ea0h5 'o !se in the 0a'ete ia 'o ea0h 0onse0!ti,e ).%ho! pe iod in whi0h a N! se is e:!i ed to be on%p e&ises d! ing a Hospital%de0la ed e&e gen0y7 6! ing a Hospital%de0la ed e&e gen0y# the Hospital will p o,ide to N! ses esting be'o e o a'te thei wo ; shi'ts s!0h sleeping a00o&&odations as a e easonable in light o' all o' the 'a0ts and 0i 0!&stan0es gi,ing ise to the e&e gen0y7 The easonableness o' sleeping a00o&&odations shall not be s!bAe0t to the g ie,an0e and a bit ation p o,isions o' this Ag ee&ent7 6! ing s!0h Hospital%de0la ed e&e gen0ies# all N! ses shall be 0onside ed essential pe sonnel and a e e=pe0ted to epo t to wo ; as s0hed!led7 N! ses a e e=pe0ted to ha,e and &aintain a easonable pe sonal p epa edness plan to add ess the need to epo t to wo ; d! ing Hospital%de0la ed e&e gen0ies7 ARTICLE !: CLINICAL LADDER !:.1 The pa ties ag ee to i&ple&ent a 0lini0al ladde p og a& in o de to de,elop and ewa d s!pe io bedside patient 0a e7 The 0lini0al ladde is a ,ol!nta y p og a& that &ay be initiated by the N! se7 To pa ti0ipate in the 0lini0al ladde # N! ses &!st apply ann!ally to &aintain andBo p og ess in the 0lini0al ladde 7 Any 0hanges to the 0lini0al ladde p og a& shall be s!bAe0t to &!t!al ag ee&ent between the "nion and the Hospital7 !:.! P#inci)*e+ 2a5 The total n!&be o' N! ses eligible 'o the 0lini0al ladde shall be at least ten pe 0ent 2+*J5 'o all N! ses eligible 'o the Clini0al Ladde N! se + Le,el# ten pe 0ent 2+*J5 'o all N! ses eligible 'o the Clini0al Ladde N! se ) Le,el# and ten pe 0ent 2+*J5 'o all N! ses eligible 'o the Clini0al Ladde N! se ? Le,el7 These pe 0entages in0l!de both N! ses see;ing initial pa ti0ipation in the 0lini0al ladde and N! ses see;ing to &aintain pa ti0ipation in the 0lini0al ladde 7

.E

2b5 A Clini0al Ad,an0e&ent Re,iew Boa d# 0onsisting o' two 2)5 &e&be s# appointed by the Hospital# and two 2)5 &e&be s# appointed by the "nion# will be de,eloped to se ,e as the st !0t! e to e,iew appli0ations and dete &ine i' a N! se &eets eligibility 0 ite ia and sho!ld e0ei,e Clini0al Ladde e0ognition7
205 Co&pensation 'o ad,an0e&ent as pa t o' the 0lini0al ladde p og a& will be F-** 'o a0hie,ing the Clini0al Ladde N! se + Le,el# FE-* 'o a0hie,ing the Clini0al Ladde N! se ) Le,el# and F+#*** 'o a0hie,ing the Clini0al Ladde N! se ? Le,el7 Co&pensation 'o ad,an0e&ent as pa t o' the 0lini0al ladde p og a& shall be paid in :!a te ly install&ents 2i7e7# F+)- pe :!a te # F+(E7-* pe :!a te # and F)-* pe :!a te 57

2d5 Clini0al Ladde st !0t! es p e,io!sly !sed in the E&e gen0y 6epa t&ent# Ope ating Roo&# and Med/ta $light will be eli&inated7

ARTICLE !; PERFORMANCE E1ALUATIONS !;.1 2a5 1e 'o &an0e e,al!ations will be p o,ided at least on0e ann!ally within thi ty (30) days o' the e,al!ation date7 N! ses in o ientation 2in0l!ding 'ellowships5 will e0ei,e an e,al!ation d! ing the 0o! se# and at the 0on0l!sion# o' o ientation 2and &o e o'ten# as the Hospital dee&s app op iate57 The app op iate n! sing di,ision di e0to will e,iew and &ay &odi'y ann!al e,al!ations and e,al!ations at the 0on0l!sion o' o ientation i' s!0h e,al!ations ha,e an o,e all !nsatis'a0to y ating7
2b5 It is the intention o' the pa ties to assist N! ses in s!00ess'!lly de,eloping# &aintaining# and applying thei s;ills and to en0o! age best n! sing p a0ti0es7 1e 'o &an0e e,al!ations shall# a&ong othe things# ha,e as thei p! pose to be inst !0ti,e and 0o e0ti,e7 The Hospital will st i,e to add ess N! ses9 pe 'o &an0e p oble&s p o&ptly7

205 Ea0h e,al!ation will be shown to the N! se being e,al!ated# who &ay ente any 0o&&ent o othe do0!&entation to e'!te the e,al!ation7 /!0h additional &ate ial will be0o&e and e&ain a pa t o' the N! se9s o''i0ial pe sonnel 'ile as long as the e,al!ation is a pa t o' s!0h 'ile7 "pon e:!est in w iting# a N! se shall e0ei,e a 0opy o' he Bhis pe 'o &an0e e,al!ation7 2d5 The 'ail! e o' the Hospital to &a;e a w itten pe 'o &an0e e,al!ation as e:!i ed by this A ti0le )>7+ shall be g ie,able7 Howe,e # the pe 'o &an0e e,al!ation itsel' is not g ie,able7 Nothing 0ontained he ein shall li&it a N! se9s ight to g ie,e any &atte othe wise g ie,able !nde this Ag ee&ent7

.(

2e5 The N! se &!st 0o&plete e:!i ed ann!al 0o&peten0ies within thi ty 2?*5 days o' the N! se9s e,al!ation date7 $ail! e to 0o&plete e:!i ed 0o&peten0ies within the e'e en0ed ti&e ' a&e &ay es!lt in the N! se being e&o,ed ' o& the s0hed!le7 ARTICLE $< NURSING AND PATIENT CARE $<.1 The n! sing p o0ess in,ol,es assess&ent# diagnosis# planning# i&ple&entation# e,al!ation and do0!&entation7 $<.! A n! se has the a!tono&y to delegate o not to delegate aspe0ts o' n! sing 0a e
that the n! se dete &ines app op iate based on the e=e 0ise o' he Bhis p o'essional A!dg&ent7

$<.$ 2a5 The Hospital and the "nion ag ee that ha,ing app op iate sta''ing is essential to p o,iding :!ality and sa'e patient 0a e7 The pa ties '! the ag ee that egiste ed n! ses sho!ld ha,e a ,oi0e in dete &ining sta''ing on ea0h !nit o' the Hospital whe e they wo ;7 $inally# the pa ties ag ee that they sho!ld wo ; 0ollabo ati,ely to a0hie,e the obAe0ti,es stated in this se0tion7
2b5 The Hospital and the "nion shall establish a N! se /ta''ing and 1 od!0ti,ity Co&&ittee to &eet the &!t!ally ag eed !pon goals stated in A ti0le ?*7?2a57 The goal o' the Co&&ittee is to 0ollabo ati,ely de,elop# &onito # and i&p o,e a sta''ing &at i= 'o ea0h n! sing !nit whe e N! ses wo ;# !sing the 0! ent sta''ing &at i= as a sta ting point7 Within si= 2@5 &onths o' the e''e0ti,e date o' this Ag ee&ent# the Co&&ittee shall de,elop a &odi'ied sta''ing &at i= and establish a &e0hanis& 'o t a0;ing how sta''ing on ea0h n! sing !nit 0o&pa es to the ag eed%!pon sta''ing &at i=7 The ea'te # the Co&&ittee shall &eet on a &onthly basis to &onito n! se sta''ing p! s!ant to the ag eed%!pon &at i= and as &eas! ed by the ag eed% !pon &onito ing 0 ite ia and p o0ed! e7 A ne!t al 'a0ilitato &ay be sele0ted by the Co&&ittee to assist# to the e=tent ne0essa y# the pa ties in &eeting its obAe0ti,es7 The e=pense o' any s!0h 'a0ilitato sele0ted shall be sha ed e:!ally by the pa ties7

(c) The Hospital ag ees to 0o&&it s!''i0ient eso! 0es to &a;e the &at i= ,iable7 (d) The Co&&ittee shall 0onsist o' not &o e than ten 2+*5 &e&be s D 'i,e 2-5 &e&be s designated by the "nion and 'i,e 2-5 &e&be s designated by the Hospital7
2e5 The Co&&ittee shall st i,e to dis0!ss sta''ing obAe0ti,es and the n!&be o' n! ses# patient 0a e te0hni0ians# agen0y n! ses and te&po a y n! ses !tili8ed on ea0h n! sing !nit in a 0ollabo ati,e &anne and 0ond!0t its b!siness by 0onsens!s de0ision &a;ing7 The pa ties ag ee that the sta''ing &at i= is a goal 'o sta''ing and is not to be 0onst !ed o applied in a non% 'le=ible &anne 7 The pa ties e0ogni8e that de,iations ' o& the sta''ing &at i= &ay be ne0essa y d!e to n! se lea,es o' absen0e# !ns0hed!led 0all%o''s# illness o inA! y o' s0hed!led n! ses and othe 'a0to s7 $! the # the pa ties ag ee that the n!&be o' n! ses assigned to a !nit &ay also ,a y depending on ti&e o' day# patient a0!ity on the !nit# e=pe ien0e and :!ali'i0ations o' n! ses assigned to the !nit# and othe 'a0to s7 The HospitalMs sta''ing &at i= will 0ontin!e to

.>

be !tili8ed d! ing delibe ations o' the Co&&ittee and !ntil a new sta''ing &at i= is de,eloped by the Co&&ittee7 2'5 Whe e a patte n de,elops on a pa ti0!la !nit whe e sta''ing is in0onsistent with the &at i= goals 'o s!0h !nit# the pa ties will atte&pt to 0ollabo ati,ely ag ee !pon a sta''ing sol!tion to add ess s!0h patte n7 2g5 6isag ee&ents between the pa ties ega ding iss!es 0o,e ed by this A ti0le# in0l!ding &at i= de,elop&ent# 0 ite ia to &onito the &at i= and sol!tions to any identi'ied iss!es o' de,iation ' o& the &at i= that 0annot be esol,ed &!t!ally by the pa ties shall not be s!bAe0t to the g ie,an0e and a bit ation p o0ed! es o' this Ag ee&ent7 The pa ties ag ee that the !lti&ate 'inan0ial# ope ational and legal esponsibility o' p o,iding app op iate sta''ing is the esponsibility o' the Hospital7
2h5 The "nion &ay p o,ide a s!&&a y epo t o' A6Os 2Assign&ent 6espite ObAe0tion5 that the "nion belie,es 0ontains an identi'iable t end# patte n# o p a0ti0e ele,ant to the wo ; o' the N! se /ta''ing and 1 od!0ti,ity Co&&ittee7 The Co&&ittee will e,iew the epo t as pa t o' its goal o' &onito ing and i&p o,ing the sta''ing &at i=7 Nothing in this A ti0le is intended to p e,ent the pa ties ' o& add essing in the &ost app op iate 'o !& and &!t!ally esol,ing any iss!es identi'ied th o!gh the A6O 'o &s7
2i5 By A!g!st )># )*+*# and &onthly the ea'te # the Hospital will p o,ide ele0t oni0 sp eadsheet epo ts to the "nion# detailing the total n!&be o' ho! s wo ;ed ea0h &onth by all Te&po a y N! ses# listed by !nit7 Monthly !sage epo ts will be p o,ided to the "nion within thi ty 2?*5 days a'te the last day o' the &onth 0o,e ed by ea0h &onthly epo t7 6! ing the 'i st yea 'ollowing the e''e0ti,e date o' this Ag ee&ent# the Hospital will &a;e e,e y easonable e''o t to ed!0e the &onthly !tili8ation o' all Te&po a y N! ses7 The &onthly ta get ed!0tion shall be at least twenty pe 0ent 2)*J5 below the &onthly a,e age o' +>#(@* ho! s that the pa ties 0onside ep esentati,e o' o dina y Te&po a y N! se !tili8ation d! ing $H )*+* 2i7e7# &onthly !sage not 0o!nting ope ational ,a0an0ies o one%ti&e p o0ed! es# s!0h as MedConne0t i&ple&entation57 The ta geted )*J ed!0tion shall o00! as soon as p a0ti0al and be &eas! ed beginning in No,e&be )*+*7 The goal o' the pa ties is to a0hie,e on a &onthly basis a ed!0tion o' Te&po a y N! se ho! s by )*J by K!ne ?*# )*++7 The ea'te # the Hospital# in 0oope ation with National N! ses "nited# will &a;e e,e y easonable e''o t to '! the ed!0e the &onthly !tili8ation o' all Te&po a y N! ses7

$<.- The p ope allo0ation o' n! sing and non%n! sing a0ti,ities enables n! ses to 'o0!s on the patient7 The Hospital and the "nion sha e the !nde lying philosophy that n! ses sho!ld de,ote thei wo ; ti&e to deli,e ing opti&!& patient 0a e7 To the e=tent 0onsistent with patient 0a e needs# n! ses will not be e=pe0ted to eg!la ly pe 'o & non% n! sing d!ties that a e the p i&a y esponsibility o' othe e&ployees7 It is e0ogni8ed# howe,e # that 0e tain patient 0a e sit!ations &ay o00! whe e it &ay be ne0essa y and easonable 'o n! ses to pe 'o & d!ties whi0h a e o dina ily the p i&a y esponsibility o' othe e&ployees7 Whe e e=0essi,e o 0h oni0 pe 'o &an0e o' s!0h d!ties be0o&es an iss!e# it will be s!b&itted to the Labo %Manage&ent Co&&ittee7 $<.2 Re+o&#ce D&t'
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2a5 Rega dless o' any !ling by the National Labo Relations Boa d o inte p etation o' the National Labo Relations A0t# n! ses pe 'o &ing eso! 0e d!ties shall not be 0onside ed s!pe ,iso s solely 'o the eason that they pe 'o & s!0h d!ties7 Nothing in this p o,ision will be inte p eted as a e:!i e&ent that n! ses be assigned to eso! 0e d!ties7 The patient assign&ents o' a eso! 0e n! se 2i' appli0able5 on a pa ti0!la !nit &ay be e'e ed to the Labo %Manage&ent Co&&ittee 'o dis0!ssion and 0onside ation o' alte nati,es7 The eso! 0e n! se ole will be 0onside ed in the !nit9s assign&ent o' patients and easonable atte&pts will be &ade to edist ib!te patients when possible andBo assign assisti,e pe sonnel7

2b5 "sing inte est%based p in0iples and by 0onsens!s# the Labo % Manage&ent Co&&ittee &ay dete &ine# s!bAe0t to the Hospital9s app o,al# that pay&ents 'o n! ses sho!ld be &ade 'o pe 'o &ing eso! 0e d!ties7 205 The Hospital will &a;e easonable e''o ts not to assign eso! 0e o p e0epto esponsibilities to te&po a y n! ses7 $<.5 The Hospital and the "nion e0ogni8e the i&po tan0e o' good o ientation and p e0epting7 N! ses shall 0ontin!e to e0ei,e p e0epto t aining p io to thei initial p e0epto assign&ent on wo ;ing ti&e7 Absent spe0ial 0i 0!&stan0es# p e0epto s &!st ha,e at least eighteen 2+(5 &onths o' n! sing e=pe ien0e7 $<.7 N! ses shall not be held esponsible 'o inade:!ately o in0o e0tly by te&po a y n! ses7 ARTICLE $1 COMMITTEES $1.1 P"i% A%(ini+t#"ti8e Le"8e Me&be s o' any 0! ent o '!t! e N! sing Co!n0ils
and N! ses designated by the "nion# in a00o dan0e with the te &s o' the ele,ant p o,isions o' this Ag ee&ent# to pa ti0ipate in &eetings o' the Ed!0ation G ant Co&&ittee 2A ti0le +-7?5# the WHC En,i on&ent o' Ca e Co&&ittee 2A ti0le ?+7.5# the 1 o'essional 1 a0ti0e and 1atient /a'ety Co!n0il 2A ti0le ?+7)5# Hospital Co&&ittees 2A ti0le ?+7?5# the Labo %Manage&ent Co&&ittee 2A ti0le ))7+5# the N! se /ta''ing and 1 od!0ti,ity Co&&ittee 2A ti0le ?*7?5# and any d!ly appointed s!b0o&&ittees 0 eated by the abo,e 0o&&ittees and Co!n0ils# shall e0ei,e paid ad&inist ati,e lea,e at thei /t aight Ti&e Ho! ly Rate o' pay 'o ti&e spent a0t!ally attending N! sing Co!n0il &eetings and &eetings o' the 'o egoing 0o&&ittees7 This ti&e shall be 0onside ed ho! s wo ;ed 'o p! poses o' 0o&p!ting o,e ti&e i' the ho! s 'all within the N! se9s s0hed!led wo ; ti&e7 N! ses pa ti0ipating in s!0h &eetings &!st obtain app op iate ad,an0e app o,al ' o& thei s!pe ,iso 2s5 'o elease ' o& wo ; d!ty7 When a N! se is s0hed!led to wo ; when a &eeting is s0hed!led# the N! se will p o,ide noti0e to hisBhe s!pe ,iso as ea ly as possible# b!t in no e,ent less than two wee;s p io to the &eeting7

wo ; pe 'o &ed

$1.! P#o.e++ion"* P#"ctice "n% P"tient S".et' Co&nci*

-+

Establish&ent o' Co&&ittee A 1 o'essional 1 a0ti0e and 1atient /a'ety Co!n0il 23111/C45 shall be established at the Hospital within thi ty 2?*5 days o' ati'i0ation7 This 0o&&ittee will epla0e the 0! ent N!ality 1atient Ca e Co&&ittee 2N1CC57 (a) Intent The Hospital e0ogni8es the esponsibility o' the 111/C to e0o&&end e,iden0e%based &eas! es obAe0ti,ely to i&p o,e patient 0a e and will d!ly 0onside s!0h w itten e0o&&endations and will ad,ise the 111/C o' a0tion ta;en7 Responses to w itten 111/C e0o&&endations shall be &ade in w iting in a ti&ely 'ashion not to e=0eed thi ty 2?*5 days !nless e=tended by &!t!al ag ee&ent between the Chie' N! sing E=e0!ti,e 23CNE45 and the 111/C7 (b) Me&be ship The 111/C shall be 0o&posed o' eight 2(5 N! ses e&ployed at the Hospital and 0o,e ed by this Ag ee&ent7 The N! ses at the Hospital shall ele0t the 111/C &e&be s and the es!lts shall be 0o&&!ni0ated in w iting to the CNE o designee7 (c) Meetings 1. Reg!la Meeting and Min!tes The 111/C &ay s0hed!le at least one 2+5 eg!la &eeting pe &onth# 'o attendan0e at whi0h 111/C &e&be s shall be 0o&pensated !p to eight 2(5 ho! s at thei /t aight Ti&e Ho! ly Rate pe &onth7 Ho! s spent on 111/C &eetings shall not 0o!nt as ho! s wo ;ed 'o the p! poses o' 0o&p!ting o,e ti&e7 The 111/C &ay ele0t to ha,e one 2+5 eight 2(5 ho! &eeting pe &onth and all 111/C &e&be s will be e=0!sed ' o& thei enti e s0hed!led shi't 'o that day and paid no &o e than eight 2(5 ho! s to attend the &eeting7 2N! ses s0hed!led to wo ; a night shi't i&&ediately p io to the 111/C &eeting and N! ses s0hed!led to wo ; an e,ening shi't i&&ediately 'ollowing the 111/C &eeting shall# !pon e:!est# be e=0!sed ' o& those shi'ts57 The 111/C shall p epa e an agenda and ;eep &in!tes o' all &eetings# a 0opy o' whi0h shall be p o,ided to the CNE p io to the ne=t &eeting7 "pon 'o! teen 2+.5 days9 e:!est o' the 111/C# the CNE o designee shall attend !p to two 2)5 ho! s o' 111/C &eetings pe &onth7 2. In'o &ational Meetings The 111/C &ay e:!est &eetings with the head o' any depa t&ent 'o the p! pose o' obtaining in'o &ation on iss!es that di e0tly a''e0t any o' the 111/C obAe0ti,es7 /e,en 2E5 days in ad,an0e o' s!0h a &eeting the 111/C shall p o,ide a spe0i'i0 w itten agenda 'o s!0h &eetings7 Ti&e spent by 111/C &e&be s in in'o &ational &eetings shall be !npaid ti&e7 3.
/pe0ial Meetings The Hospital &ay e:!est spe0ial &eetings with the 111/C# b!t

s!0h &eetings shall not ta;e the pla0e o' eg!la ly s0hed!led &eetings o' the 111/C7

(d) 111/C Chai pe son The 111/C shall ele0t a 0hai pe son who shall be 0o&pensated !p to 'o! 2.5 ho! s at he Bhis /t aight Ti&e Ho! ly Rate pe &onth 'o wo ;ing on 111/C a0ti,ities# in addition to 0o&pensation 'o the eg!la 111/C &eetings7 (e) ObAe0ti,es The obAe0ti,es o' the 111/C shall be<

-)

To 0onside 0onst !0ti,ely the p o'essional p a0ti0e o' n! singC 1.

To wo ; 0onst !0ti,ely 'o the i&p o,e&ent o' patient 0a e and n! sing p a0ti0eC

2. To &a;e e0o&&endations to the Hospital ega ding ways and &eans to i&p o,e patient 0a eC 3. To 0onside 0onst !0ti,ely the i&p o,e&ent o' sa'ety and health 0onditions whi0h a''e0t n! sing p a0ti0eC 4. To in,estigate sta'' n! se identi'ied iss!es a''e0ting patient 0a e and sa'ety and &a;e e0o&&endations to esol,e these iss!es to the HospitalC 5. Analy8e sa'ety indi0ato s and e0o&&end e,iden0e%based is; ed!0tion st ategies esponsible 'o i&p o,e&ent in :!ality# sa'ety and patient e=pe ien0e o!t0o&esC and 6. N!a te ly e,iew o' patient e=pe ien0e s0o es and p o,ide e,iden0e%based e0o&&endations 'o i&p o,e&ent7 7. 1e iodi0ally e,iew satis'a0tion s! ,eys and A6O 'o &s not elated to sta''ing iss!es7 (g) Con'identiality D All &e&be s o' the 111/C shall sign a 0on'identiality ag ee&ent to p ote0t and not dis0lose any p ote0ted patient in'o &ation that the Co!n0il &ay 0onside d! ing the 0o! se o' its d!ties7 $1.$ Ho+)it"* Co((ittee+ The "nion will ha,e the oppo t!nity to ha,e one sta'' N! se ep esentati,e on ea0h o' the 'ollowing Hospital 0o&&ittees< Code Bl!e Co&&ittee# In'e0tion Cont ol Co&&ittee# T ans'!sion Co&&ittee# 6epa t&ent o' N! sing 1e 'o &an0e I&p o,e&ent Co&&ittee# Radiation /a'ety Co&&ittee# Bioethi0s Co&&ittee# and WHC En,i on&ent o' Ca e Co&&ittee7 The "nion will &a;e e0o&&endations to the Hospital9s /enio Vi0e 1 esident# Medi0al A''ai s 'o the sta'' N! se to se ,e as a ep esentati,e on ea0h 0o&&ittee# and appoint&ent o' pa ti0!la ep esentati,es will not be !n easonably withheld7 In a 0ollabo ati,e e''o t# the pa ties will dis0!ss# th o!gh the Labo %Manage&ent Co&&ittee# whi0h additional 0o&&ittees &ight ha,e sta'' N! se pa ti0ipation7 $1.- WHC En8i#on(ent o. C"#e Co((ittee The "nion and the Hospital shall 0oope ate in a Aoint e''o t to identi'y# e,al!ate# and 0ont ol ha8a ds in the wo ;pla0e7 The Hospital will &a;e a good 'aith e''o t to i&ple&ent easonable e0o&&endations o' the WHC En,i on&ent o' Ca e Co&&ittee7 ARTICLE $! PERSONNEL FILE INSPECTION

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, $!.1 2a5 O''i0ial 1e sonnel $ile< A N! se 2o the "nion with the N! se9s w itten a!tho i8ation5 shall be pe &itted to e=a&ine he Bhis pe sonnel 'ile7 Any N! se desi ing to e=a&ine he Bhis o''i0ial pe sonnel 'ile 2&aintained in the O''i0e o' H!&an Reso! 0es5 shall 'i st &a;e an appoint&ent with the Hospital9s 6i e0to o' E&ployeeBLabo Relations# whi0h appoint&ent shall be g anted within 'o! teen 2+.5 0alenda days o' e0ei,ing the e:!est7 The Hospital &ay also &aintain 0e tain ho! s d! ing whi0h a N! se &ay 0o&e to H!&an Reso! 0es to e=a&ine he Bhis pe sonnel 'ile witho!t an appoint&ent7 A N! se9s e=a&ination o' he Bhis pe sonnel 'ile shall ta;e pla0e in the p esen0e o' a pe son designated by the Hospital7 It is not the intent o' the pa ties to inte 'e e with no &al b!siness ope ations by e:!esting o pe &itting an !n easonable n!&be o' e&ployees to ,iew thei pe sonnel 'iles si&!ltaneo!sly o in blo0;s7 A N! se &ay pla0e do0!&ents o any othe &ate ials o' the N! se9s 0hoi0e in he Bhis pe sonnel 'ile to e'!te o e=plain ad,e se &ate ial the ein7
2b5 Othe 6o0!&entation< Copies o' do0!&entation whi0h an indi,id!al s!pe ,iso o &anage does not in0l!de in a N! se9s o''i0ial pe sonnel 'ile shall# !pon the N! se9s e:!est# be p o,ided to the N! se and the "nion i' !sed to s!ppo t dis0ipline# 0o!nseling# 0oa0hing# o e,al!ation o' the N! se# p o,ided# howe,e # that the Hospital has the ight to withhold 0on'idential patient o p i,ileged in'o &ation7 While the Hospital &ay eda0t do0!&entation to p ese ,e patient 0on'identiality# the Hospital will not withhold the identity o' a patient i' ne0essa y to allow the N! se to de'end hi&sel'Bhe sel' in 0onne0tion with dis0ipline# 0o!nseling# 0oa0hing# o e,al!ation o' the N! se# with the !nde standing that the N! se &!st &aintain patient 0on'identiality7 A N! se &ay p o,ide do0!&ents o any othe &ate ials o' the N! se9s 0hoi0e to be pla0ed with the do0!&entation !sed to s!ppo t dis0ipline# 0o!nseling# 0oa0hing# o e,al!ation o' the N! se to e'!te o e=plain s!0h do0!&entation7

ARTICLE $$ OCCUPATIONAL HEALTH AND SAFETY REIUIREMENTS , $$.1 Gene#"*

2a5 The pa ties e0ogni8e the Hospital9s esponsibility to &aintain a sa'e and healthy en,i on&ent 'o the well%being o' e&ployees# patients and ,isito sC and to easonably p ote0t N! ses e=posed to dange s whi0h a e int insi0 to thei wo ;C and to 0o&ply with &andato y legal e:!i e&ents in all appli0able health and sa'ety laws and eg!lations# in0l!ding# b!t not li&ited to# 'ede al and 6ist i0t o' Col!&bia laws# 6epa t&ent o' Cons!&e and Reg!lato y A''ai s 26CRA5 eg!lations# KCAHO standa ds# O/HA eg!lations 2in0l!ding the Ha8a d Co&&!ni0ation standa d5# and NIO/H eg!lations7 The pa ties '! the e0ogni8e the i&po tan0e o' 0oope ation to p o&ote and en0o! age 0o&plian0e with appli0able health and sa'ety laws and eg!lations and with Hospital p og a&s# poli0ies and standa ds elating to in'e0tion 0ont ol and disease p e,ention7 The Hospital9s 0o&plian0e with the &andato y legal e:!i e&ents in said laws# eg!lations and standa ds is not s!bAe0t to the g ie,an0e and a bit ation p o0ed! es o' this Ag ee&ent# howe,e the othe po tions o' this A ti0le a e s!bAe0t to those p o0ed! es7
2b5 All p ote0ti,e e:!ip&ent e:!i ed by /tanda d 1 e0a!tions o othe Hospital sa'ety p oto0ols will be p o,ided# absent e=ten!ating 0i 0!&stan0es# in s!''i0ient :!antities by
-.

the Hospital ' ee o' 0ha ge to N! ses7 The Hospital shall p o,ide N! ses with ade:!ate t aining on the p ope &ethods and p o0ed! es in the !se o' s!0h p ote0ti,e e:!ip&ent7 The Hospital will &a;e easonable e''o ts to p o,ide t aining on p ote0ti,e e:!ip&ent on all shi'ts7 Ti&e spent at the di e0tion o' the Hospital in t aining on p ote0ti,e e:!ip&ent will be 0onside ed wo ;ing ti&e7 205 No N! se shall be e:!i ed to !se ha8a do!s e:!ip&ent# de,i0es o &ate ials 'o whi0h the N! se is not ade:!ately ed!0ated to !se in a sa'e &anne 7 Whe e a disp!te a ises as to whethe the !se o' pa ti0!la e:!ip&ent is ha8a do!s# the Hospital /a'ety O''i0e 9s p o'essional !ling shall p e,ail7
2d5 As e:!i ed by appli0able laws and eg!lations# the Hospital shall noti'y N! ses when !nsa'e o !nhealth'!l wo ;ing 0onditions o a sit!ation o' i&&inent dange is dete &ined to e=ist7 Co e0ti,e &eas! es will be initiated p o&ptly in a00o dan0e with all appli0able 'ede al o 6ist i0t o' Col!&bia eg!lato y e:!i e&ents7 /!0h 0o e0ti,e &eas! es will be e,iewed by the WHC En,i on&ent o' Ca e Co&&ittee7

2e5 The Hospital shall p o,ide t aining and ed!0ation on health and sa'ety 'o all N! ses7 The Hospital will &aintain p o0ed! es to be obse ,ed by all N! ses 'o the epo ting o' ha8a ds o potential ha8a ds and any inA! ies whi0h &ay be s!stained as a es!lt o' s!0h ha8a ds7 The Hospital shall ha,e the ight to !pdate o e,ise its p o0ed! es 0onsistent with ope ational# sa'ety and b!siness needs7 /!0h p o0ed! es shall be eadily a00essible# and N! ses shall be in'o &ed p o&ptly o' any !pdates7 , $$.! On=t/e=0o3 InJ&#'
2a5 A N! se who is inA! ed on the Aob in a &anne e:!i ing &edi0al t eat&ent &ay epo t i&&ediately to the O00!pational Health 6epa t&ent 2o # when the O00!pational Health 6epa t&ent is 0losed o is !nable to p o,ide app op iate 0a e# to the E&e gen0y 6epa t&ent5 'o initial t eat&ent at no 0ost to the N! se7 /!0h ti&e spent e0ei,ing initial t eat&ent in the O00!pational Health o E&e gen0y 6epa t&ents will be 0onside ed wo ;ing ti&e# p o,ided that s!0h ti&e does not e=tend beyond the N! se9s s0hed!led shi't7

2b5 All Aob% elated illnesses and inA! ies &!st be epo ted by N! ses to thei s!pe ,iso s as soon as possible7 N! ses will 0o&plete the do0!&entation e:!i ed by Hospital poli0ies 0on0e ning wo ;% elated illnesses and inA! ies7 "pon e:!est# the Hospital9s O00!pational Health 6epa t&ent will assist N! ses in applying 'o appli0able bene'its7

, $$.$ St"n%"#% P#ec"&tion+, Di+e"+e "n% In.ection P#e8ention "n% Cont#o*

2a5 Ea0h N! se is e:!i ed to !tili8e standa d p e0a!tions in the deli,e y o' patient 0a e7 The e'o e# ea0h N! se is e:!i ed to handle all blood and body 'l!ids !tili8ing the app op iate p e0a!tions de'ined by Hospital poli0y and any appli0able 'ede al o 6ist i0t o' Col!&bia laws o eg!lations7 In addition# ea0h N! se is e:!i ed to !se a Hospital%app o,ed espi ato when 0a ing 'o a patient who e:!i es Ai bo ne 1 e0a!tions7

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2b5 Ea0h in0o&ing N! se will e0ei,e t aining on standa d p e0a!tions and app op iate &ethods to i&ple&ent st i0t in'e0tion 0ont ol p o0ed! es7 T aining !pdates will be gi,en to all N! ses at least ann!ally# to ens! e !p %to%date awa eness o' sa'ety p e0a!tions and p o0ed! es 0onsistent with 0! ent p!bli0 health# epide&iologi0al andBo esea 0h data# and appli0able 'ede al and 6ist i0t o' Col!&bia health and sa'ety laws and eg!lations7

205 The Hospital will 0o&ply with appli0able 'ede al and 6ist i0t o' Col!&bia health and sa'ety eg!lations elating to 'a0ilities &aintenan0e# sa'ety# disease and in'e0tion 0ont ol7
2d5 The Hospital and the "nion ag ee to &eet and dis0!ss 0hanging te0hni0al ;nowledge and esea 0h in the a ea o' in'e0tio!s and 0ontagio!s diseases and its appli0ability to the N! ses9 wo ; en,i on&ent7 /!0h topi0s# in0l!ding the ad,isability and !tility o' hand washing# donning o' p ote0ti,e e:!ip&ent# and ,a00ination against diseases 'o whi0h the Cente 'o 6isease Cont ol and 1 e,ention 3st ongly e0o&&ends4 i&&!ni8ation# shall be app op iate agenda ite&s 'o the Labo %Manage&ent Co&&ittee7 Re0o&&endations ' o& the Co&&ittees shall be 'o wa ded to the /enio Vi0e 1 esident o' N! sing 'o 0onside ation7 2e5 In the inte est o' sa'eg!a ding patient# ,isito # and 0o%wo ;e health and well% being# the Hospital shall e:!i e N! ses to ta;e &edi0al p e0a!tions dee&ed ne0essa y by the Hospital# in0l!ding hand washing# donning o' p ote0ti,e e:!ip&ent# o ,a00ination# in o de to p ote0t against 0ont a0tion o' in'e0tion# illness# o othe 0o&&!ni0able disease7 The Hospital &ay e:!i e those ,a00inations o i&&!ni8ations 'o whi0h the Cente 'o 6isease Cont ol and 1 e,ention 3st ongly e0o&&ends4 i&&!ni8ation7 In the e,ent that the Hospital dete &ines that s!0h a ,a00ine is sa'e# e''e0ti,e and ne0essa y# N! ses will ha,e the 'ollowing options< 2i5 ta;e the ,a00ination p o,ided at no 0ha ge by the HospitalC 2ii5 show p oo' o' ,a00ination in a &anne a00eptable to the HospitalC o 2iii5 obtain a &edi0al o eligio!s e=e&ption ' o& the Hospital in a00o dan0e with Hospital poli0y O @+-7 Any N! se see;ing to be e=e&pted ' o& s!0h a e:!i ed ,a00ine by ,i t!e o' a &edi0al o eligio!s e=e&ption &!st s!b&it his o he e:!est in w iting togethe with do0!&entation s!ppo ting the e:!est 'o the e=e&ption7 Ea0h e:!est 'o e=e&ption will be e,iewed by E&ployeeBO00!pational Health o the Vi0e 1 esidents o' Medi0al A''ai s and# as app op iate# H!&an Reso! 0es and the Hospital Legal 6epa t&ent in a00o dan0e with appli0able Hospital poli0y to dete &ine whethe the indi,id!al :!ali'ies 'o e=e&ption andBo alte nati,e a00o&&odations# i' a,ailable7

, $$.- Sec&#it' "n% P#e8ention o. Wo#6)*"ce 1io*ence

2a5 The Hospital will p o,ide on%site se0! ity sta'' who a e t ained in appli0able se0! ity p o0ed! es and a e a,ailable to assist sta'' and ,isito s !pon e:!est7
2b5 The pa ties Aointly 0o&&it to in0 easing the awa eness o' all e&ployees ega ding &ethods 'o p e,enting# ed!0ing and a,oiding the in0iden0e o' wo ;pla0e ha ass&ent# inti&idation and ,iolen0e 2in0l!ding ,e bal ab!se57 To this end# and in the inte est o' patient# sta'' and p!bli0 sa'ety# the Hospital will p o,ide &e&be s o' the health0a e tea& ed!0ation in ,iolen0e p e,ention# app op iate 0odes o' 0ond!0t# and non%,iolent inte ,ention te0hni:!es7 Both pa ties e0ogni8e that it is in the inte est o' patient sa'ety to p o&ote espe0t'!l and open 0o&&!ni0ation and positi,e beha,io between &e&be s o' the health0a e tea&7
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 $$.2 L"te@ "n% S/"#)+ in t/e Wo#6)*"ce The pa ties e&ain 0o&&itted to wo ;e sa'ety as a top p io ity in the wo ; en,i on&ent7 To that end# the Hospital will 0ontin!e to &o,e towa d the ed!0tion o' late= in the en,i on&ent and the e=pansion o' the needleless syste& 0! ently in !se7 $$.5 A++ign(ent to Hig/ Ri+6 P"tient+ 2a5 No N! se ;nown to be p egnant o b east'eeding will be assigned to p epa e o ad&iniste 0he&othe ape!ti0 agents7 No N! se ;nown to be p egnant will be assigned to a patient with adioa0ti,e i&plants7
2b5 As to the assign&ent o' p egnant o b east'eeding wo&en# the Hospital ag ees that whe e possible the !nit eso! 0e n! se o !nitBshi't spe0i'i0 n! sing sta'' will &a;e e,e y e''o t possible to alte a spe0i'i0 assign&ent o swit0h assign&ents in o de that a p egnant sta'' N! se not be assigned to a patient who has labo ato y do0!&ented HIVP# HBAP# CMVP es!lts o is being a0ti,ely t eated 'o CMVP es!lts7

205 In ,iew o' apidly 0hanging te0hni0al ;nowledge and esea 0h in the a ea o' in'e0tio!s and 0ontagio!s diseases# this poli0y will be e,iewed by the Hospital pe iodi0ally d! ing the te & o' this Ag ee&ent and e,ised when ne0essa y to e&ain 0onsistent with 0! ent p!bli0 health# epide&iologi0al and esea 0h data# as well as 'ede al and 6ist i0t o' Col!&bia laws and eg!lations7 $$.7 In.o#("tion The Hospital ag ees to s!pply to the "nion# !pon w itten e:!est the e'o e# non0on'idential in'o &ation 0on0e ning sa'ety in0idents that &ay o00! on the Hospital p e&ises7 $$.: Sc#&3+&it L"&n%e#ing 1e sonal s0 !bs!its o !ni'o &s that a e 0onta&inated d! ing wo ; by blood o body 'l!ids that 0o!ld t ans&it bloodbo ne pathogens will be la!nde ed by the Hospital at no 0ost to the N! se7 $$.; Li.t A++i+t"nce The Hospital is 0o&&itted to and will p o,ide a li't assistan0e
p og a&7 This p og a& will in0l!de p o,iding ade:!ate t aining and detailed in'o &ation on ,a io!s li't te0hni:!es and any li't e:!ip&ent in whi0h the Hospital &a;es a,ailable 'o !se to its sta''7 This p og a& will also in0l!de p o0ed! es 'o obtaining physi0al assistan0e# i' ne0essa y# ' o& Hospital sta'' in handling li'e e:!ip&ent and sa'ely li'ting and &o,ing patients7

ARTICLE $TUITION ASSISTANCE

, $-.1 Po*ic' In app e0iation o' the ,al!e o' ed!0ation whi0h in0 eases N! ses9 s;ills# ;nowledge o te0hni0al 0apabilities# the Hospital p o,ides a p og a& o' t!ition assistan0e as stated in this A ti0le7 T!ition Assistan0e is 'inan0ial assistan0e p o,ided by the Hospital to
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eligible N! ses 'o the p! pose o' ei&b! sing the 0ost o' 0o! se egist ation 'o 0o! ses app o,ed within the poli0y7 $-.! E*igi3i*it' All N! ses shall be eligible 'o T!ition Assistan0e bene'its on0e they ha,e 0o&pleted the int od!0to y pe iod e'e en0ed in A ti0le +7?7 $-.$ A))#o8"* C#ite#i" The p oposed 0o! se o' st!dy &!st be Aob% elated# o health 0a ee %o iented# and be one whi0h o''e s the p ospe0t o' sel'%i&p o,e&ent# !pg aded Aob pe 'o &an0e# o in0 eased :!ali'i0ation7 $-.- Bene.it Ye"# The bene'it yea shall be the sa&e as the Hospital9s 'is0al yea # whi0h is K!ly + th o!gh K!ne ?*7 $-.2 M"@i(&( TAP Bene.it+ )e# Bene.it Ye"# 2a5 Reg!la $!ll%Ti&e N! ses< A $!ll%Ti&e N! se is eligible 'o t!ition ei&b! se&ent !p to ten tho!sand dolla s 2F+*#***5 pe 0alenda yea 7
2b5 ).%Ho! Wee;end In0enti,e N! ses 2WIN5< A WIN N! se is eligible 'o t!ition ei&b! se&ent !p to se,en tho!sand 'i,e h!nd ed dolla s 2FE#-**5 pe 0alenda yea 7

205 1e &anent 1a t%Ti&e Eligible N! ses< 1a t%Ti&e Eligible N! ses a e eligible 'o t!ition ei&b! se&ent !p to 'i,e tho!sand dolla s 2F-#***5 pe 0alenda yea 7

, $-.5 Re)"'(ent o. Bene.it+ $o all 0o! ses 0o&&en0ed a'te the e''e0ti,e date o' this Ag ee&ent# a N! se who ,ol!nta ily lea,es e&ploy&ent with the Hospital &!st epay the Hospital 'o T!ition Assistan0e bene'its that the N! se e0ei,ed within twel,e 2+)5 &onths p io to he Bhis ,ol!nta y te &ination o' e&ploy&ent7 ARTICLE $2 SUCCESSORSHIP , $2.1 I' owne ship o' the Hospital is 0hanged th o!gh sale# &e ge # o in any othe &anne # this Ag ee&ent shall be in0l!ded as a 0ondition o' s!0h 0hange and shall e&ain binding !ntil its te &ination7 ARTICLE $5 $5=HOUR SCHEDULING OPTION $5.1 Po+ition A8"i*"3i*it' The Hospital will establish a ?@%Ho! /0hed!ling Option# in whi0h N! ses eg!la ly wo ; th ee 2?5 s0hed!led +)%ho! shi'ts pe wee;7 As with othe n! sing positions# all ?@%Ho! /0hed!ling Option positions will be established# posted and 'illed at the dis0 etion o' the /enio Vi0e 1 esident 'o N! sing7 $5.! Bene.it+ N! ses who a e sele0ted 'o a ?@%Ho! /0hed!ling Option will be paid
'o ho! s wo ;ed 2i7e7# ?@ ho! s pay 'o ?@ ho! s o' wo ;5# b!t will e0ei,e the bene'its o' eg!la
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$!ll%Ti&e 2.*%ho! 5 N! ses as e=p essly spe0i'ied elsewhe e in this Ag ee&ent 'o N! ses wo ;ing in a ?@%Ho! /0hed!ling Option position7 , $5.$ Sc/e%&*ing N! ses hi ed into positions posted as night shi't ?@%Ho! /0hed!ling option positions will not be e:!i ed to otate to day shi't7 "pon e:!est no late than 'o! 2.5 wee;s p io to the 0o&&en0e&ent o' the si=%wee; s0hed!le# N! ses hi ed into otational ?@%Ho! /0hed!ling Option positions will be g anted at least 'o ty% 'i,e 2.-5 ho! s o'' be'o e being otated to a di''e ent shi't 2i7e7# day%to%night o night%to% day otation57 A ?@%Ho! /0hed!ling Option N! se will not be obliged to be pai ed with anothe N! se in o de to obtain o etain hisBhe position7 ARTICLE $7 !-=HOUR WEE>END INCENTI1E NURSE BWINC POSITIONS , $7.1< It is the intent o' the Hospital to 0ontin!e o''e ing a WIN p og a&7 (a) 6e'inition o' 1osition< A WIN N! se is a eg!la 1a t%Ti&e N! se holding a ).%Ho! WIN position assigned to wo ; two 2)5 +)%ho! shi'ts# designated as day o night shi'ts# on wee;ends7 (b) /hi't 6e'initions< Wee;end WIN shi'ts a e designated eithe as day shi'ts o night shi'ts7 6ay shi'ts a e shi'ts beginning at o a'te .<** a7&7 b!t be'o e .<** p7&7 2e7g7# E<** a7&7 to E<** p7&7# ++<** a7&7 to ++<** p7&7# et0757 Night shi'ts a e those beginning at o a'te .<** p7&7 b!t be'o e .<** a7&7 2e7g7# E<** p7&7 to E<** a7&7# ++<** p7&7 to ++<** a7&7# et0757 The wee;end is gene ally de'ined 'o the p! poses o' the WIN p og a& as shi'ts sta ting on /at! day o /!nday# p o,ided# howe,e # that# at the dis0 etion o' N! sing senio &anage&ent# the wee;end &ay be de'ined di''e ently 'o sele0ted !nits with little o no 0o,e age needs on 0e tain wee;end shi'ts7 WIN N! ses will not be e:!i ed to otate to shi'ts othe than those asso0iated with thei WIN position 2i7e7# a day shi't WIN N! se will not be e:!i ed to otate on the s0hed!le to WIN night shi'ts57 (c) WIN Co&pensation< On a WIN N! se9s 6ate Ne=t Eligible# a N! se 0o,e ed by this A ti0le will ad,an0e one 2+5 step on the wage s0ale atta0hed at Appendi= A d! ing ea0h yea o' the pe iod May (# )*++ th o!gh No,e&be +-# )*+.7 (d) WIN 6i''e ential 'o WIN 1ositions

2i5 WIN N! ses who wo ; a day shi't as des0 ibed in A ti0le ?E7+2b5 shall e0ei,e the 'ollowing WIN di''e ential 'o all ho! s wo ;ed d! ing that shi't# b!t shall othe wise not be entitled to any di''e ential pay&ent 'o ho! s wo ;ed< (A) (B) (C) N! ses at /tep +* o lowe < F(7(* pe ho! N! ses on /teps ++ th o!gh )*< F>7)- pe ho! N! ses at /tep )+ and abo,e< F>7E- pe ho!

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2ii5 WIN N! ses who wo ; a night shi't as des0 ibed in /e0tion ?E7+2b5 shall e0ei,e the 'ollowing WIN di''e ential 'o all ho! s wo ;ed d! ing that shi't# b!t shall othe wise not be entitled to any di''e ential pay&ent 'o ho! s wo ;ed< (A) (B) (C) N! ses at /tep +* o lowe < F+)7)* pe ho! N! ses on /teps ++ th o!gh )*< F+)7E- pe ho! N! ses at /tep )+ and abo,e< F+?7-* pe ho!

(e) WIN Bene'its< WIN N! ses a e eligible 'o bene'its as p o,ided 'o in this Ag ee&ent# in0l!ding b!t not li&ited to A ti0le +)7+2d5 and +)7)2b5 2Holidays and Holiday 1ay5C +?7+2a5 21aid Ti&e O''5C +. 21aid Ad&inist ati,e Lea,e5C +@ 2Lea,es o' Absen0e5C ). 2In%/e ,i0e Ed!0ation5C )@7+ 2Li'e Ins! an0e5C )@7) 2Medi0al# 1ha &a0y# Vision and 6ental Bene'its5C )@7? and )@7. 21ension5C )@7@ 2E&ployee Assistan0e 1 og a&5C )@7(2a5 2/i0;ness and A00ident Bene'it5C )@7>2b5 2Long Te & 6isability Ins! an0e5C )( 2Clini0al Ladde 5C and ?.7-2b5 2T!ition Assistan0e57 (f) Additional /hi't on Wee;day< A N! se holding a ).%Ho! WIN position &ay e:!est to wo ; additional shi'ts on wee;days7 The Hospital will &a;e a good 'aith e''o t to a00o&&odate s!0h e:!ests# with spe0ial 0onside ation gi,en to e:!ests to se ,e as p e0epto s on wee;days7 WIN N! ses wo ;ing an additional wee;day shi't will be 0o&pensated 'o shi't di''e ential 'o the wee;day shi't in a00o dan0e with the p o,isions o' this Ag ee&ent appli0able to s!0h ho! s7 ARTICLE $: FLOAT POOL NURSES
, $:.1 Sco)e o. Co8e#"ge "n% S"*"#' A $loat 1ool N! se is a n! se who is s!bAe0t to 0lini0al :!ali'i0ations and wo ;s in ,a io!s !nits th o!gh the Hospital based on his o he 0lini0al e=pe ien0e7 Lang!age in A ti0le + o' this Ag ee&ent to the 0ont a y notwithstanding# $loat 1ool N! ses# i espe0ti,e o' the n!&be o' ho! s pe wee; o pe pay pe iod they wo ; o a e s0hed!led to wo ;# shall not be 0o,e ed by any o' the wage o bene'it elated p o,isions o' this Ag ee&ent in0l!ding b!t not li&ited to A ti0les ++ th o!gh +@# A ti0le )?# A ti0le )@# A ti0le ?.# and A ti0les ?@# ?E# and ?># in0l!si,e o' the wage s0ale atta0hed as Appendi= A to this Ag ee&ent7 $loat 1ool N! ses shall be paid the ho! ly ates listed in A ti0le ?>7-7 The 'o egoing ates o' pay shall go into e''e0t on Ap il +)# )**>7 /olely 'o the p! poses o' this se0tion appli0able to $loat 1ool N! ses# a day shi't is a shi't sta ting on o a'te -<** AM b!t be'o e )<** 1MC an e,ening shi't is a shi't sta ting on o a'te )<** 1M b!t be'o e E<** 1MC a night shi't is a shi't sta ting on o a'te E<** 1M b!t be'o e -<** AMC and a wee;end shi't is one sta ting on o a'te -<** AM /at! day b!t be'o e -<** AM Monday7
$loat 1ool n! ses will not be pla0ed on 0all !nless they ,ol!ntee 'o s!0h d!tyC i' pla0ed on 0all# $loat 1ool n! ses will e0ei,e on%0all pay as set 'o th in A ti0le ?>7?7 $o p! poses o'

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applying A ti0le ?>7? to $loat 1ool n! ses# thei 3 eg!la ate o' pay4 will be the ho! ly ate 'o wee;day day shi'ts7
$loat 1ool N! ses shall be e:!i ed to wo ; 'o ty%eight 2.(5 ho! s pe si= wee; s0hed!le7 O' these ho! s# in a si=%wee; s0hed!le a $loat 1ool N! se &!st wo ; at least twel,e 2+)5 ho! s on wee;ends and an additional twel,e 2+)5 ho! s on e,enings o nights7 The e,ening and night ho! 0o&&it&ent 0an be &et with any 0o&bination o' wee;day o wee;end ho! s7

In addition# $loat 1ool N! ses &ay pa ti0ipate in any Hospital g o!p health ins! an0e plan# b!t solely at one h!nd ed pe 0ent 2+**J5 o' the $loat 1ool N! se9s own e=pense# i espe0ti,e o' the type o s0ope o' 0o,e age ele0ted7 $:.! Ho*i%"'+ $loat 1ool N! ses &!st wo ; two 2)5 o!t o' the th ee 2?5 &aAo
holidays 2Than;sgi,ing# Ch ist&as and New Hea 9s 6ay5# as well as one 2+5 o' the e&aining holidays7 A sign%!p sheet shall be posted 'o $loat 1ool N! ses to e=p ess a p e'e en0e 'o whi0h two &aAo holidays and shi'ts they wish to wo ;C a0t!al assign&ents will be &ade in o de o' sign%!p7 A'te e0ei,ing app op iate app o,al ' o& the Cent al /ta''ing O''i0e# and with the app o,al o' a !nit9s 6epa t&ent Head# $loat 1ool N! ses &ay sign !p di e0tly on the !nit 'o wo ; shi'ts# p o,ided that# notwithstanding any othe p o,ision o' this A ti0le ?(7)# s!0h $loat 1ool N! ses 0o&ply with the s0hed!ling e:!i e&ents 2in0l!ding shi't otation and on%0all assign&ents5 o' eg!la sta'' N! ses on the !nit7 On holidays listed in A ti0le +)7+# $loat 1ool N! ses shall e0ei,e ti&e and a hal' the $loat 1ool ho! ly ate 'o the ele,ant shi't wo ;ed7 The Hospital has the ight# in its dis0 etion# to designate spe0i'i0 additional shi'ts a o!nd the holidays listed in A ti0le +)7+ as shi'ts whi0h will satis'y the holiday wo ; e:!i e&ent and 'o whi0h the ti&e and a hal' pay bene'it will be paid to $loat 1ool N! ses7

$:.$ Notice o. C"nce**"tion o. S/i.t The Hospital &ay 0an0el a $loat 1ool N! se9s s0hed!led shi't as e:!i ed7 Howe,e # e,e y e''o t will be &ade to 0an0el the shi't at least ninety (90) &in!tes p io to the s0hed!led shi't7 A $loat 1ool N! se is e=pe0ted to 0all the Cent al /ta''ing O''i0e at least ninety 2>*5 &in!tes p io to the 0o&&en0e&ent o' a shi't to as0e tain whethe he Bhis shi't assign&ent has been 0an0elled7 In the e,ent that the Hospital 0an0els the $loat 1ool N! se9s shi't less than ninety 2>*5 &in!tes be'o e s!0h shi't is s0hed!led to begin# the Hospital will pay the N! se 'o two 2)5 ho! s9 wages7 $:.- $loat 1ool N! ses will be paid to attend &andato y in%se ,i0es# &andato y ann!al !pdatesB0o&peten0ies# and C1R e0e ti'i0ations at the day shi't $loat 1ool ate7 $:.2 In the e,ent a $loat 1ool N! se t ans'e s to eg!la stat!s# the N! se9s wage s0ale pla0e&ent shall be dete &ined by the step and 6NE o' the N! se at the ti&e o' t ans'e to the $loat 1ool# pl!s any step ad,an0es o 6NE adA!st&ents that wo!ld ha,e been i&ple&ented i' the N! se had held a eg!la position d! ing the pe iod o' $loat 1ool stat!s77 In the e,ent o' a N! se o iginally hi ed di e0tly into the $loat 1ool# the N! se shall e0ei,e p e%hi e e=pe ien0e 0onsistent with A ti0le >7-7

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ARTICLE $; WAGES A OTHER PAY , $;.1 W"ge+ 2a5 A N! se9s 6ate Ne=t Eligible 26NE5 is the date on whi0h an eligible N! se ad,an0es on the wage s0ale atta0hed at Appendi= A# whi0h date is adA!sted by lea,es o' absen0es7 As e'le0ted in Appendi= A# WHC ag ees to in0 ease ea0h step o' the wage s0ale atta0hed at Appendi= A by one%and%a%hal' pe 0ent 2+7-J5 e''e0ti,e the 'i st day o' the 'i st '!ll pay pe iod beginning in May )*+? 2Hea Th ee5 o' this Ag ee&ent7 All N! ses at /tep ?+ and below will be &o,ed to the wage s0ale appli0able 'o the thi d yea o' the 0ont a0t on the date WHC in0 eases the wage s0ale by +7-J7 (b) On a N! se9s 6ate Ne=t Eligible# a N! se 0o,e ed by this A ti0le will ad,an0e one 2+5 step on the wage s0ale atta0hed at Appendi= A d! ing ea0h yea o' the pe iod o' May (# )*++ th o!gh No,e&be +-# )*+.# s!bAe0t to A ti0le ?>7+205 o 2d57 (c) N! ses 0! ently ea ning a /t aight Ti&e Ho! ly Base Rate in e=0ess o' the &a=i&!& ho! ly ate !nde the wage s0ale atta0hed at Appendi= A 2/tep ?+5 shall e&ain at that ho! ly ate 'o the d! ation o' this Ag ee&ent7 N! ses who a e at o abo,e /tep ?+ and do not ad,an0e a step on the s0ale d! ing a 0ont a0t yea o' this Ag ee&ent will e0ei,e a l!&p s!& bon!s o' one pe 0ent 2+J5 on his o he 6NE in ea0h o' the 'i st and se0ond yea s o' the Ag ee&ent and one%and%a%hal' pe 0ent 2+7-J5 on his o he 6NE in the thi d yea o' the Ag ee&ent7 This bon!s will be 0al0!lated by &!ltiplying< 2+5 the N! se9s /t aight Ti&e Ho! ly Rate by 2)5 the N! se9s ann!ali8ed ho! s 2i7e7# )*(* ho! s 'o $!ll% Ti&e N! sesC +*.* ho! s 'o 1a t%Ti&e Eligible N! sesC et075 and &!ltiplying that n!&be by 2?5 the ele,ant pe 0entage 2one pe 0ent 2+J5 o one%and%a%hal' pe 0ent 2+7-J557 This bon!s shall be paid in a one%ti&e l!&p s!& pay&ent less appli0able withholdings paid in the pay pe iod 'ollowing the pay pe iod in whi0h the N! se9s 6NE o00! ed7 (d) $o N! ses hi ed on o a'te the ati'i0ation date o' this Ag ee&ent# the &a=i&!& step o' the wage s0ale atta0hed at Appendi= A shall be /tep )@7 , $;.! S/i.t Di..e#enti"*
2a5 E8ening S/i.t Di..e#enti"* N! ses shall e0ei,e the 'ollowing di''e ential 'o all ho! s a0t!ally wo ;ed between ?<** p7&7 and (<** a7&7 i' the &aAo ity o' ho! s wo ;ed a e between ?<** p7&7 and ++<** p7&7 A n! se &ay eithe badge o!t and in o 'ollow the designated depa t&ental p o0ed! e to e0o d the a0t!al ti&e that the n! se ta;es a &eal b ea;7 I' a n! se does not e0o d the &eal b ea; !sing eithe o' these options# a one%hal' 2+B)5 ho! &eal b ea; will be ded!0ted ' o& the &iddle o' the n! se9s shi't wo ;ed7 The e shall be no di''e ential 'o n! ses who do not wo ; a &aAo ity o' ho! s d! ing the ti&e pe iods set 'o th in this /e0tion# p o,ided# howe,e # that a n! se who does not wo ; a &aAo ity o' ho! s between ?<** p7&7 and ++<** p7&7 solely be0a!se o' when the &eal b ea; is ta;en shall not be dis:!ali'ied ' o& e0ei,ing shi't di''e ential7 $o N! ses eligible 'o a di''e ential as des0 ibed in this s!bse0tion ?>7)2a5# the 'ollowing di''e entials shall apply<

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N! ses at /tep +* o lowe < F?7)- pe ho! (i) N! ses on /teps ++ th o!gh )*< F?7.* pe ho! (ii) N! ses at /tep )+ and abo,e< F?7@* pe ho!

(b) Nig/t S/i.t Di..e#enti"* N! ses shall e0ei,e the 'ollowing di''e ential 'o all ho! s a0t!ally wo ;ed between ?<** p7&7 and (<** a7&7 i' the &aAo ity o' ho! s wo ;ed a e between ++<** p7&7 and (<** a7&7 A n! se &ay eithe badge o!t and in o 'ollow the designated depa t&ental p o0ed! e to e0o d the a0t!al ti&e that the n! se ta;es a &eal b ea;7 I' a n! se does not e0o d a &eal b ea; !sing eithe o' these options# a one%hal' 2+B)5 ho! &eal b ea; will be ded!0ted ' o& the &iddle o' the n! se9s shi't wo ;ed7 The e shall be no di''e ential 'o n! ses who do not wo ; a &aAo ity o' ho! s d! ing the ti&e pe iods set 'o th in this /e0tion# p o,ided# howe,e # that a n! se who does not wo ; a &aAo ity o' ho! s between ++<** p7&7 and (<** a7&7 solely be0a!se o' when the &eal b ea; is ta;en shall not be dis:!ali'ied ' o& e0ei,ing shi't di''e ential7 $o N! ses eligible 'o a di''e ential as des0 ibed in this s!bse0tion ?>7)2b5# the 'ollowing di''e entials shall apply < (i) N! ses at /tep +* o lowe < F .7@- pe ho! (ii) N! ses on /teps ++ th o!gh )*< F.7>* pe ho! (iii) N! ses at /tep +) and abo,e< F-7+* pe ho!

(c) Non=WIN N&#+e Wee6en% Di..e#enti"* An additional F-7** pe ho! will be paid 'o
ea0h ho! wo ;ed o' all s0hed!led wee;end shi'ts 2o' (# +*# and +) ho! allot&ents5 by wee;day 2non%WIN5 n! ses who a e not eligible 'o ti&e and one%hal' the eg!la ho! ly ate# as set 'o th in A ti0le ++7)# i7e7# n! ses who ha,e not wo ;ed a '!ll 'o ty 2.*5 ho! no &al otation o do not wo ; the enti e e=t a shi't7 $o this p! pose# wee;end shall be de'ined as /at! day and /!nday# ' o& E<** a7&7 on /at! day !ntil E<?* a7&7 on Monday7

(d) !- Ho&# WIN N&#+e Wee6en% Di..e#enti"* A ). Ho! WIN N! se shall e0ei,e the di''e entials des0 ibed in A ti0le ?E7+2d5 o' this Ag ee&ent7 $;.$ On=C"** P"' N! ses on%0all will be paid at F(7** pe ho! 'o ho! s in an on% 0all stat!s# p o,ided howe,e # N! ses wo ;ing in the Ope ating Roo& will be paid F+)7** pe ho! 'o ho! s in on%0all stat!s7 On%0all stat!s will begin at a spe0i'ied ti&e and will end at a spe0i'ied ti&e o !pon et! n to d!ty# whi0he,e is ea lie 7 Reg!la d!ty stat!s 'o pay p! poses will begin when N! ses et! n to wo ;7 On%0all ti&e shall not be 0onside ed as ho! s wo ;ed 'o p! poses o' 0o&p!ting o,e ti&e and on%0all pay shall not be in0l!ded 'o p! poses o' 0o&p!ting o,e ti&e p! s!ant to A ti0le ++7)2b57 I' an on%0all N! se is e:!i ed to be physi0ally p esent in the Hospital# sheBhe shall be paid at 'i'ty pe 0ent 2-*J5 o' he Bhis /t aight Ti&e Ho! ly Rate7 On%p e&ises on%0all 2b!t not o''%p e&ises on%0all ti&e5 shall be 0o!nted as ho! s wo ;ed 'o p! poses o' 0o&p!ting o,e ti&e7 $;.- C"**=B"c6 P"' Any N! se who is 0alled ba0; to wo ; be'o e o a'te he Bhis
eg!la shi't shall e0ei,e a &ini&!& o' 'o! 2.5 ho! s9 pay7 Ho! s wo ;ed shall be paid at the
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appli0able ho! ly ateC i' a N! se wo ;s less than 'o! 2.5 ho! s# the di''e en0e between the a&o!nt o' ho! s a0t!ally wo ;ed and the g!a anteed 'o! 2.5 ho! s9 pay shall be paid at the N! se9s /t aight Ti&e Ho! ly Rate and shall not 0o!nt as ho! s wo ;ed 'o p! poses o' 0o&p!ting o,e ti&e7 , $;.2 F*o"t Poo* N&#+e+ (a) $loat 1ool N! ses e0ei,ed a +7-J in0 ease in pay e''e0ti,e O0tobe +# )*+* and the ho! ly ates o' pay a e F?>7E- pe ho! 'o wee;day day shi'ts# F.)7)? 'o wee;day e,ening shi'ts# F..7E? 'o wee;day night shi'tsC F.?7.( 'o wee;end day shi'tsC F.-7>E 'o wee;end e,ening shi'tsC and F.(7.- 'o wee;end night shi'ts7 (b) E''e0ti,e the 'i st '!ll pay pe iod a'te O0tobe +# )*++# $loat 1ool N! ses shall e0ei,e an additional +7-J in0 ease in pay7 The ho! ly ate o' pay 'o $loat 1ool N! ses shall be F.*7?- pe ho! 'o wee;day day shi'ts# F.)7(@ 'o wee;day e,ening shi'ts# F.-7.* 'o wee;day night shi'tsC F..7+? 'o wee;end day shi'tsC F.@7@@ 'o wee;end e,ening shi'tsC and F.>7+( 'o wee;end night shi'ts7 (c) E''e0ti,e the 'i st pay pe iod a'te O0tobe +# )*+)# $loat 1ool N! ses shall e0ei,e an additional +7-J in0 ease in pay7 The ho! ly ate o' pay 'o $loat 1ool N! ses shall be F.*7>@ pe ho! 'o wee;day day shi'ts# F.?7-* 'o wee;day e,ening shi'ts# F.@7*( 'o wee;day night shi'tsC F..7E> 'o wee;end day shi'tsC F.E7?@ 'o wee;end e,ening shi'tsC and F.>7>) 'o wee;end night shi'ts7 (d) /enio
N! se Red!0ed Wo ; Option N! ses will e0ei,e the sa&e

pe 0entage in0 eases on the sa&e dates as des0 ibed in s!bse0tions 2a5%205 abo,e7

(e) The de'inition o' e,ening shi't# night shi't# and wee;end shi'ts shall be those des0 ibed in A ti0le ?>7)2a5%2057 Othe than A ti0le ?>7)2a5%205 and A ti0le ?>7?% ?>7-# no othe p o,isions o' this A ti0le shall apply to $loat 1ool N! ses7 $;.5 O)e#"ting Roo( "n% Me%St"# F*ig/t N&#+e+< Le,el IV N! ses in the Ope ating Roo& o Med/ta $light we e pla0ed on the wage s0ale atta0hed at Appendi= E at the sa&e step as they 0! ently o00!py7 A new Aob des0 iption will be de,eloped 'o these N! ses# with a new title# a0;nowledging the esponsibilities and# 'o Le,el IV N! ses in the Ope ating Roo&# &aintenan0e o' thei position in the ba gaining !nit as 3lead4 n! ses7 As '! the des0 ibed in Appendi= E# N! ses shall e&ain on the wage s0ale atta0hed at Appendi= E as long as they e&ain in the newly 0 eated Aob titles7 N! ses who a e still on the wage s0ale atta0hed at Appendi= E on the 'i st '!ll pay pe iod beginning in May )*+? will be &o,ed to the wage s0ale appli0able 'o the thi d yea o' the 0ont a0t7 $;.7 Nig/t S/i.t Co((it(ent Bon&+< A N! se who 0o&&its and is app o,ed to wo ; two
0onse0!ti,e @%wee; s0hed!les 2i7e7# +) wee;s5 o' night shi'ts shall e0ei,e a F+#*** bon!s !pon 0o&pleting the shi't 0o&&it&entC howe,e # WIN N! ses shall be eligible 'o the bon!ses in A ti0le ?E7+2'5 and not 'o the bon!s in this se0tion7 The bon!s shall be paid in the N! se9s se0ond pay 0he0; 'ollowing the 0o&pletion o' the se0ond @%wee; s0hed!le7 A N! se who has an

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!ns0hed!led absen0e d! ing the ele,ant +)%wee; pe iod will 'o 'eit the bon!s7 Whole o pa tial s0hed!led shi'ts not wo ;ed d!e to the N! se ha,ing his o he shi't 0an0elled o ta;ing app o,ed be ea,e&ent lea,e o A! y d!ty lea,e shall not 0a!se the N! se to lose the Night /hi't Co&&it&ent Bon!s7 /0hed!led and app o,ed paid ti&e%o'' shall not 0a!se the N! se to lose the Night /hi't Co&&it&ent Bon!s7 $;.: Wee6en% Co((it(ent Bon&+< A N! se who 0o&&its and is app o,ed to wo ; two 0onse0!ti,e @%wee; s0hed!les 2i7e7# +) wee;s5 o' +)%ho! wee;end shi'ts shall e0ei,e a F+#-** bon!s !pon 0o&pleting the shi't 0o&&it&ent7 The bon!s shall be paid in the N! se9s se0ond pay 0he0; 'ollowing the 0o&pletion o' the se0ond @%wee; s0hed!le7 A N! se who has an !ns0hed!led absen0e d! ing the ele,ant +)%wee; pe iod will 'o 'eit the bon!s7 Whole o pa tial s0hed!led shi'ts not wo ;ed d!e to the N! se ha,ing his o he shi't 0an0elled o ta;ing app o,ed be ea,e&ent lea,e o A! y d!ty lea,e shall not 0a!se the N! se to lose the Wee;end Co&&it&ent Bon!s7 /0hed!led and app o,ed paid ti&e%o'' shall not 0a!se the N! se to lose the Wee;end Co&&it&ent Bon!s7 $;.; Ann&"* "n% 1!=Wee6 Pe#io% T#"n+ition"* P"'(ent+ < N! ses will e0ei,e t ansitional pay&ents based on the eligibility and othe 0 ite ia as 'ollows< (a) +)%Wee; T ansitional 1ay&ents< N! ses who e=pe ien0e a loss o' F*7+* pe ho! o
&o e in thei shi't di''e ential 0o&pa ed to thei shi't di''e ential p io to Ma 0h +?# )*++ a e eligible 'o +)%Wee; T ansitional 1ay&ents as p o,ided 'o in this s!bse0tion7 Eligibility 'o s!0h pay&ents will begin in the 'i st '!ll pay pe iod a'te the e''e0ti,e date o' this Ag ee&ent and shall be o''e ed 'o ten 2+*5 +)%wee; pe iods and one 2+5 +*%wee; pe iod7 1ay&ents will be &ade within two '!ll pay pe iods a'te the 0o&pletion o' a gi,en +)%wee; pe iod7 In o de to e&ain eligible 'o the bon!s in ea0h pe iod# the n! se &!st e&ain in the sa&e position he o she held !pon the date o' ati'i0ation that es!lted in the loss o' F*7+* pe ho! o &o e in his o he shi't di''e ential e=0ept# howe,e # a N! se &ay t ans'e to a position o' the sa&e stat!s and the sa&e shi't and e&ain eligible 'o the pay&ents 'o the d! ation o' the +)%wee; pe iod7 1 o ata pay&ents will not be &ade 'o N! ses lea,ing a position be'o e the 0o&pletion o' the ele,ant ti&e pe iod# e=0ept that N! ses who ta;e an app o,ed lea,e d! ing a ele,ant ti&e pe iod will e0ei,e a p o ata pay&ent p opo tional to the a&o!nt o' ti&e wo ;ed d! ing the pe iod7

(b) Ann!al T ansitional 1ay&ents< N! ses who# p io to the e''e0ti,e date o' this Ag ee&ent# eg!la ly wo ;ed +)%ho! day shi'ts and e0ei,ed e,ening di''e ential !nde the p io 0ont a0t9s 3&aAo ity o' ho! s4 !le and who a e no longe eligible 'o an e,ening di''e ential be0a!se o' the pa ties9 ag ee&ent to 0hange the 3&aAo ity o' ho! s4 !le in this Ag ee&ent a e eligible 'o an Ann!al T ansitional 1ay&ent as 'ollows< (i) N! ses who 2+5 a e ?@%ho! day N! ses o N! ses who otate 2i7e7# wo ; a @<** a7&7 D @<?* p7&7 o E<** a7&7 D E<?* p7&7 shi't5 o 2)5 a e eithe '!ll%ti&e o pa t%ti&e N! ses whose wo ;ed shi'ts o,e the past twel,e 2+)5 &onths eg!la ly 2i7e7# -*J o &o e5 we e +)%ho! day shi'ts# shall e0ei,e a bon!s o' F+#*** in the 'i st and se0ond yea o' the 0ont a0t and a F-** bon!s 0o,e ing &onths )- th o!gh ?* o' the 0ont a0t7

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2ii5 N! ses othe than those des0 ibed in s!bse0tion 2i5 who p e,io!sly e0ei,ed an e,ening di''e ential !nde the 3&aAo ity o' ho! s4 !le and who no longe will e0ei,e that di''e ential# and whose shi'ts 'o the past +) &onths do not &eet the -*J 0 ite ia in s!bse0tion 2i5 shall e0ei,e a bon!s o' F-** in the 'i st and se0ond yea o' the 0ont a0t and a F)-* bon!s 0o,e ing &onths )- th o!gh ?* o' the 0ont a0t7
In o de to e0ei,e an Ann!al T ansitional 1ay&ent# the n! se &!st ha,e been eligible 'o the bon!s !pon ati'i0ation o' this Ag ee&ent and &!st e&ain in a position that &ade the N! se eligible 'o the pay&ent 'o ea0h pe iod on whi0h the bon!s is appli0able7 1 o ata pay&ents will not be &ade 'o n! ses lea,ing a position be'o e the 0o&pletion o' the ele,ant ti&e pe iod7

ARTICLE -< DURATION OF AGREEMENT , -<.1 This Ag ee&ent shall be in '!ll 'o 0e and e''e0t ' o& the (th day o' May# )*++# to and in0l!ding the +-th day o' No,e&be # )*+.# and the ea'te it shall be 0onside ed a!to&ati0ally enewed 'o s!00essi,e pe iods o' twel,e 2+)5 &onths !nless at least ninety 2>*5 days p io to the end o' any twel,e 2+)5 &onth e''e0ti,e pe iod# eithe pa ty shall se ,e w itten noti0e !pon the othe that it desi es 0an0ellation# e,ision# o &odi'i0ation o' any p o,ision o p o,isions o' this Ag ee&ent7 ARTICLE -1 ASSIGNMENT
, -1.1 This Ag ee&ent# in0l!ding the ba gaining ights o' the "nion 'o the instant ba gaining !nit# shall not# absent w itten ag ee&ent by the Hospital# be assigned# t ans'e ed o ass!&ed in any &anne by any othe labo o gani8ation7 The intent o' this A ti0le is to not dist! b# in any &anne # the 0olle0ti,e ba gaining elationship between the pa ties7

ARTICLE -! DEFINITIONS , -!.1 "nless othe wise indi0ated he ein o in a spe0i'i0 p o,ision o' the Ag ee&ent# the 'ollowing de'initions shall apply th o!gho!t the Ag ee&ent< N&#+e &eans a egiste ed n! se o g ad!ate n! se e&ployed to p o,ide di e0t patient 0a e se ,i0es and who is in0l!ded in the ba gaining !nit7 The te &s 3N! se#4 30lini0al n! se#4 3n! se#4 3ba gaining !nit n! se#4 and 3sta'' n! se4 a e !sed inte 0hangeably in this Ag ee&ent to &ean a &e&be o' the ba gaining !nit7 Reg&*"# N&#+e &eans a &e&be o' the ba gaining !nit who is not a $loat 1ool n! se# a /enio N! se Red!0ed Wo ; Option n! se# o a te&po a y n! se7
Te()o#"#' N&#+e &eans a egiste ed n! se wo ;ing at the Hospital th o!gh an e&ploy&ent agen0y o othe 'i=ed%te & 0ont a0t!al basis# in0l!ding egiste ed n! ses e'e ed to as 3agen0y n! ses#4 30ont a0t n! ses#4 o 3t a,ele s#4 as well as a n! se e&ployed di e0tly by the Hospital#
@@

whethe '!ll%ti&e o pa t%ti&e# who 'ills a te&po a y position and no &ally will not wo ; beyond the int od!0to y pe iod7 F&**=Ti(e &eans 'illing a pe &anent positionC wo ;ing on a eg!la ly s0hed!led basisC and wo ;ing at least 'o ty 2.*5 ho! s pe wee; o eighty 2(*5 ho! s pe pay pe iod# o wo ;ing in a ?@%Ho! /0hed!ling Option position as spe0i'ied in A ti0le ?@7 P"#t=Ti(e E*igi3*e &eans 'illing a pe &anent positionC wo ;ing on a eg!la ly s0hed!led basisC and wo ;ing at least twenty 2)*5 ho! s b!t less than 'o ty 2.*5 ho! s pe wee; o at least 'o ty 2.*5 ho! s b!t less than eighty 2(*5 ho! s pe pay pe iod7 P"#t=Ti(e Ine*igi3*e &eans wo ;ing less than twenty 2)*5 ho! s pe wee; o less than 'o ty 2.*5 ho! s pe pay pe iod7
F*o"t Poo* N&#+e &eans a 0lini0al n! se e&ployed by the Hospital as a &e&be o' the 6i,ision o' N! sing $loat 1ool who satis'ies the &ini&!& $loat 1ool wo ; e:!i e&ents set 'o th in this Ag ee&ent# and who is 0o,e ed by this Ag ee&ent 0onsistent with A ti0le ?( 23$loat 1ool N! ses457 $loat 1ool N! ses shall not be 0onside ed '!ll%ti&e o pa t%ti&e eligible n! ses# ega dless o' the n!&be o' ho! s wo ;ed pe wee; o pe pay pe iod7
Senio# N&#+e Re%&ce% Wo#6 O)tion N&#+e &eans a 0lini0al n! se e&ployed by the Hospital who has been pla0ed in /enio N! se Red!0ed Wo ; Option stat!s# satis'ies the &ini&!& /enio N! se Red!0ed Wo ; Option wo ; e:!i e&ents# and is 0o,e ed by this Ag ee&ent 0onsistent with A ti0le @7 /enio N! se Red!0ed Wo ; Option N! ses shall not be 0onside ed '!ll%ti&e o pa t%ti&e eligible n! ses# ega dless o' the n!&be o' ho! s wo ;ed pe wee; o pe pay pe iod7

G#"%&"te N&#+e &eans a n! se who has s!00ess'!lly 0o&pleted a egiste ed n! sing p og a&# is eligible to be# b!t has not yet been# li0ensed as a egiste ed n! se# and who is a!tho i8ed by law to engage in the s!pe ,ised p a0ti0e o' egiste ed n! sing7 D"te Ne@t E*igi3*e BDNEC &eans the date on whi0h a pe &anent 0lini0al n! se ad,an0es on the wage s0ale# whi0h date is adA!sted by lea,es o' absen0es7
St#"ig/t Ti(e Ho&#*' R"te, B"+e R"te, o B"+e Ho&#*' R"te all &ean the ho! ly ate o' pay ea ned by a n! se be'o e the appli0ation o' any appli0able p e&i!&s o di''e entials7

Reg&*"# R"te o Reg&*"# Ho&#*' R"te &ean the ho! ly ate o' pay ea ned by a n! se in0l!ding any appli0able di''e entials7 Union Re)#e+ent"ti8e &eans all indi,id!als designated by the "nion p! s!ant to A ti0le +*7? and any designated sta'' pe son e&ployed by the "nion7 The "nion will p o,ide the Hospital w itten noti0e o' any 0hanges as they o00! # whi0h will be0o&e e''e0ti,e eight 2(5 0alenda days a'te the Hospital e0ei,es s!0h noti0e7 Wo#6ing D"'+ &eans Monday th o!gh $ iday# e=0l!ding only holidays obse ,ed p! s!ant to A ti0le+)7+ o' this Ag ee&ent7

@E

This Ag ee&ent is signed this QQQQQQQQQ day o' O0tobe # )*++ at Washington 67C7

$o the Washington Hospital Cente <

QQQQQQQQQQQQQQQQQQQQQQQ QQQQQQQQQQQQQQQQQQQQQQQ

$o National N! ses "nited# A$L%CIO<

QQQQQQQQQQQQQQQQQQQQQQQQ

QQQQQQQQQQQQQQQQQQQQQQQQ

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APPENDI? A

B"+e W"ge Sc"*e

Ste) Ye"# 1 "n% Ye"# ! Ye"# $ KE..ecti8e M"', !<1$L F)(7*(( F)(7E)+ F)>7?@E F?*7*)( F?*7E*? F?+7?>. F?)7*)+ F?)7@@? F??7?+F??7>(? F?.7@@) F?-7?-F?@7*@) F?@7E(. F?E7-+( F?(7)E* F?(7>?( F?>7@)* F.*7?+. F.+7*)* F.+7E?E F.)7.@E F.?7)+* F.?7>@E F..7E?@ F.-7.*E F.@7*(> F.@7E(* F.E7.() F.(7+>. F.(7>+E F.>7@-+

* + ) ? . @ E ( > +* ++ +) +? +. ++@ +E +( +> )* )+ )) )? ). ))@ )E )( )> ?* ?+

F )E7@E? F )(7)>@ F )(7>?? F )>7-(. F ?*7).> F ?*7>?* F ?+7-.( F ?)7+(* F ?)7()? F ??7.(* F ?.7+-* F ?.7(?) F ?-7-)> F ?@7).* F ?@7>@. F ?E7E*. F ?(7?@? F ?>7*?F ?>7E+( F .*7.+? F .+7+)+ F .+7(.* F .)7-E) F .?7?+( F ..7*EF ..7E?@ F .-7.*( F .@7*(( F .@7E(* F .E7.() F .(7+>. F .(7>+E

@>

APPENDI? B May (# )*++ /tephen $ !& RN Chie' /hop /tewa d National N! ses "nited (@?* $enton /t eet# /!ite ++** /il,e /p ing# M6 )*>+* Re< 67C7 A00 !ed /i0; and /a'e Lea,e A0t o' )**( 6ea M 7 $ !&<
This 0on'i &s the ag ee&ent o' Washington Hospital Cente and National N! ses "nited as a es!lt o' the )**> 0olle0ti,e ba gaining negotiations ega ding the elationship between the e0ently ena0ted 6ist i0t o' Col!&bia A00 !ed /i0; and /a'e Lea,e A0t o' )**( 23A//LA45 and the paid lea,e p o,isions o' the pa ties9 0olle0ti,e ba gaining ag ee&ent 'o the pe iod o' May (# )*++ th o!gh No,e&be +-# )*+. 23CBA457 /pe0i'i0ally# the pa ties ag ee that e=0ept as p o,ided in this /ide Lette # paid ti&e o'' p o,ided p! s!ant to A ti0le +? o' the CBA en0o&passes the lea,e e:!i ed by A//LA and &ay be !sed 'o the easons spe0i'ied in A//LA and that A//LA will not be inte p eted o applied to e:!i e additional paid lea,e beyond the a&o!nts set 'o th in A ti0le +?C p o,ided# howe,e # that neithe this /ide Lette no the pa ties9 Ag ee&ent shall wai,e o a''e0t the A//LA ights o' any N! ses 'o who& A ti0le +? does not p o,ide paid lea,e e:!al to at least thei &ini&!& entitle&ent !nde A//LA7

Ve y t !ly yo! s# Gathleen $7 Chap&an Assistant Vi0e 1 esident o' H!&an Reso! 0es Washington Hospital Cente Ag eed and A00epted on Behal' o' National N! ses "nited< /tephen $ !& RN National N! ses "nited

E*

APPENDI? C May (# )*++ /tephen $ !& RN Chie' /hop /tewa d National N! ses "nited (@?* $enton /t eet# /!ite ++** /il,e /p ing# M6 )*>+* Re< /ide Lette Ag ee&ents 6ea M 7 $ !&<

It is a &!t!al goal o' the pa ties to ed!0e 'loating and to ha,e s0hed!les that e0ogni8e n! ses9 wo ;%li'e balan0e# while a0hie,ing the highest :!ality o' patient 0a e and satis'a0tion7 To 'oste a0hie,e&ent o' these goals# 0o&&en0ing with the 0alenda :!a te ending K!ne ?*# )*+*# the N! se /ta''ing and 1 od!0ti,ity Co&&ittee will e,iew t ends on a :!a te ly basis# e,iew best p a0ti0es# and &a;e e0o&&endations to the Hospital 'o i&ple&entation7 The ea'te # as app op iate# the N! se /ta''ing and 1 od!0ti,ity Co&&ittee will e,iew t ends to# a&ong othe things# dis0!ss the e''e0ti,eness o' e0o&&endations i&ple&ented o any 0hanges &ade as a es!lt o' this p o0ess7

Ve y t !ly yo! s# Gathleen $7 Chap&an Assistant Vi0e 1 esident o' H!&an Reso! 0es Washington Hospital Cente Ag eed and A00epted on Behal' o' National N! ses "nited< /tephen $ !& RN National N! ses "nited

E+

APPENDI? D May (# )*++ /tephen $ !& RN Chie' /hop /tewa d National N! ses "nited (@?* $enton /t eet# /!ite ++** /il,e /p ing# M6 )*>+* Re< A ti0le +7)

6ea M 7 $ !&<

The pa ties a0;nowledge and ag ee that# by 0hanging the lang!age o' A ti0le +7) o' the )**>%)*+* Colle0ti,e Ba gaining Ag ee&ent between the Washington Hospital Cente and National N! ses "nited# the pa ties do not intend to 0hange the s0ope o' the ba gaining !nit as it e=isted on K!ly +)# )**? when N! ses "nited o' the National Capital Region was ele0ted as the N! ses9 ba gaining ep esentati,e# and they do not intend to wai,e any ights they &ay ha,e o a g!&ents they &ay &a;e ega ding the in0l!sion o e=0l!sion o' any position ' o& the ba gaining !nit7 Ea0h pa ty ag ees that it will not !se the 0hanges to A ti0le +7) as a basis 'o see;ing to na ow o e=pand the ba gaining !nit7

Ve y t !ly yo! s#

Gathleen $7 Chap&an
Assistant Vi0e 1 esident o' H!&an Reso! 0es#

Washington Hospital Cente Ag eed and A00epted on Behal' o' National N! ses "nited<

/tephen $ !& RN National N! se "nited

E)

APPENDI? E May (# )*++ /tephen $ !& RN Chie' /hop /tewa d National N! ses "nited (@?* $enton /t eet# /!ite ++** /il,e /p ing# M6 )*>+* Re< Lette o' Ag ee&ent Rega ding 1 io Le,el IV N! ses in the Ope ating Roo& and Med/ta $light 6ea M 7 $ !&<
This Lette 0on'i &s the ag ee&ent o' Washington Hospital Cente and N! ses "nited o' the National Capital Region ea0hed d! ing the pa ties9 )*++ 0olle0ti,e ba gaining negotiations ega ding Le,el IV N! ses who we e p e,io!sly on a 0lini0al ladde p og a& in the Ope ating Roo& o Med/ta $light7 As stated in A ti0le ?>7@# the pa ties ag ee that the Hospital shall de,elop new Aob titles# 0odes# and e,ised Aob des0 iptions 'o 0! ent Clini0al Le,el IV N! ses in the Ope ating Roo& 2he eina'te 3OR Lead N! se45 and Med/ta $light 2he eina'te Med/ta $light N! se45 to e'le0t the d!ties and '!n0tions 0! ently pe 'o &ed by those N! ses7 N! ses holding the position o' OR Lead N! se o Med/ta $light N! se shall be 0o&pensated on the wage s0ale atta0hed below7 As o' the e''e0ti,e date o' this Ag ee&ent# ea0h N! se 0! ently ope ating as a Clini0al Le,el IV N! se in the Ope ating Roo& o Med/ta $light will be pla0ed on the wage s0ale below at the step identi0al to the N! se9s 0! ent Le,el IV step7 N! ses who a e pla0ed on the wage s0ale below and a e 0! ently o,e /tep ?+ shall etain thei base wage ate 'o the d! ation o' this Ag ee&ent7 N! ses !nde /tep ?+ shall 0ontin!e to e0ei,e step in0 eases th o!gh /tep ?+7

N! ses who a e newly hi ed into o a e t ans'e ed into an OR Lead N! se o Med/ta $light N! se position will be pla0ed on the wage s0ale below based on the sa&e 0 ite ia identi'ied in A ti0le >7- o' this Ag ee&ent7
I' a N! se t ans'e s ' o& the newly 0 eated OR Lead N! se o Med/ta $light N! se position# the N! se shall e,e t to the title o' N! se and be pla0ed on thei n!&e i0ally e:!i,alent step on the wage s0ale atta0hed as Appendi= A7 $! the # N! ses 0o,e ed by this Lette shall be eligible to pa ti0ipate on the 0lini0al ladde p oposed in A ti0le )(7

Ve y t !ly yo! s# Gathleen $7 Chap&an Assistant Vi0e 1 esident o' H!&an Reso! 0es Washington Hospital Cente
E?

Ag eed and A00epted on Behal' o' National N! ses "nited<

/tephen $ !& RN National N! ses "nited

OR Le"% N&#+e "n% Me%St"# F*ig/t N&#+e W"ge Sc"*e

Ste) ) ? . @ E ( > +* ++ +) +? +. ++@ +E +( +> )* )+ )) )? ).

St#"ig/t Ti(e Ho&#*' R"te Ye"# 1 "n% Ye"# ! F ?+7).E F ?+7>-* F ?)7@@> F ??7.*F ?.7*E) F ?.7E-. F ?-7..( F ?@7+-> F ?@7(() F ?E7@+> F ?(7?E+ F ?>7+?> F ?>7>)+ F .*7E)* F .+7.?) F .)7+-E F .)7(>@ F .?7@.E F ..7.+* F .-7+(E F .-7>EE F .@7E(? F .E7@*+

St#"ig/t Ti(e Ho&#*' R"te Ye"# $ BM"' !<1$C

F?+7E+@ F?)7.)> F??7+-> F??7>*@ F?.7-(? F?-7)EF?-7>(* F?@7E*+ F?E7.?F?(7+(? F?(7>.E F?>7E)@ F.*7-)* F.+7??+ F.)7*-? F.)7E(> F.?7-?> F..7?*) F.-7*E@ F.-7(@F.@7@@E F.E7.(F.(7?+-

))@ )E )( )> ?* ?+

F .(7?+F .>7*.+ F.>7EEF-*7-)? F-+7)(+ F-)7*.> F-)7(?*

F.>7*.* F.>7EEE F-*7-)) F-+7)(+ F-)7*-* F-)7(?* F-?7@))

E.

APPENDI? F May (# )*++ /tephen $ !& RN Chie' /hop /tewa d National N! ses "nited (@?* $enton /t eet# /!ite ++** /il,e /p ing# M6 )*>+*

Re< Lette o' Ag ee&ent Rega ding Wage Rates o' 1 io Le,el IV N! ses Othe Than Ope ating Roo& and Med/ta $light N! ses 6ea M 7 $ !&<
This Lette 0on'i &s the ag ee&ent o' Washington Hospital Cente and N! ses "nited o' the National Capital Region ea0hed d! ing the pa ties9 )*++ 0olle0ti,e ba gaining negotiations7 This Lette add esses the wage s0ale pla0e&ent o' N! ses who p e,io!sly ea ned wage ates on Le,el IV o' the Hospital9s wage s0ale# b!t we e not on a 0lini0al ladde in Med/ta $light o the Ope ating Roo& 2i7e7# N! ses who we e ope ating as Clini0al Le,el IV N! ses on the !nit o in the E&e gen0y 6epa t&ent57 The pa ties ag ee that these N! ses will not ha,e thei 0! ent /t aight Ti&e Ho! ly Rate ed!0ed d! ing the te & o' this Ag ee&ent e=0ept as dis0!ssed below7 These N! ses will be pla0ed on the wage s0ale atta0hed as Appendi= A at the lowest step with the 0o esponding /t aight Ti&e Ho! ly Rate whi0h is e:!al to o g eate than thei 0! ent Le,el IV step7 On the N! se9s 6ate Ne=t Eligible# and 'o ea0h 6ate Ne=t Eligible d! ing the d! ation o' this Ag ee&ent# he o she shall &o,e to the ne=t step on the wage s0ale atta0hed at Appendi= A7 A N! se who ea0hes /tep ?+ d! ing the d! ation o' this Ag ee&ent shall 0ontin!e to ea n that /t aight Ti&e Ho! ly Rate d! ing the d! ation o' this Ag ee&ent7

I' a N! se 0o,e ed by this lette eithe t ans'e s ' o& his o he !nit o 0eases the '!n0tions that p e,io!sly A!sti'ied the N! se as a Clini0al Le,el IV N! se# the N! se will e,e t ba0; to the wage s0ale step that p ope ly e'le0ts the N! se9s e=pe ien0e7 $o e=a&ple# i' a N! se who was p e,io!sly a Le,el IV N! se in the E&e gen0y 6epa t&ent and# !nde this lette # &o,ed ' o& Le,el IV# /tep +?# to /tep +> on the wage s0ale atta0hed at Appendi= A t ans'e s ' o& the E&e gen0y 6epa t&ent# the N! se wo!ld e,e t ba0; to the p io /tep +? 2now /tep +.5 o' the wage s0ale atta0hed at Appendi= A 2pl!s 0 edit 'o any steps that had o00! ed sin0e the e''e0ti,e date o' this Ag ee&ent57 /i&ila ly# N! ses '!n0tioning as Clini0al Le,el IV N! ses on a !nit othe than the E&e gen0y 6epa t&ent who t ans'e ' o& thei !nit wo!ld e,e t to the step that p ope ly e'le0ts the N! se9s e=pe ien0e7

Additionally# N! ses 0o,e ed by this Lette &ay apply 'o the Clini0al Ladde 1 og a& 0ontained in A ti0le )(7

E-

Ve y t !ly yo! s# Gathleen $7 Chap&an Assistant Vi0e 1 esident o' H!&an Reso! 0es Washington Hospital Cente
Ag eed and A00epted on Behal' o' National N! ses "nited<

/tephen $ !& RN National N! ses "nited

E@

APPENDI? G May (# )*++ /tephen $ !& RN Chie' /hop /tewa d National N! ses "nited (@?* $enton /t eet# /!ite ++** /il,e /p ing# M6 )*>+* Re< Lette o' Ag ee&ent Rega ding /ta''ing Co&&it&ent 6ea M 7 $ !&<
This lette e'le0ts the pa ties9 ag ee&ent ega ding the addition o' N! se $!ll%Ti&e E:!i,alents 23$TEs45 and Washington Hospital Cente 9s 0o&&it&ent to a0hie,e the g!idelines o' the sta''ing &at i= as add essed in A ti0le ?*7 This 0o&&it&ent e'le0ts the &!t!al inte est o' Washington Hospital Cente and National N! ses "nited in ed!0ing o,e ti&e and agen0y !se and hi ing &o e RNs and 1atient Ca e Te0hni0ians 231CTs457
Based on 0! ent ope ating beds# patient ,ol!&es# and ho! s o' 0a e e:!i ed# the Hospital9s goal is to atte&pt to hi e 2&eaning to post and atte&pt to 'ill positions5 a net o' )** N! se $TEs by the end o' 'is0al yea )*++ 2K!ne ?*# )*++57 Th!s# based on the Hospital9s Kan!a y +# )*+* N! se $TE 0o!nt o' +)+(7@ $TEs# the Hospital intends to in0 ease the N! se $TE 0o!nt 2posted and 'illed positions5 to +.+(7@ N! se $TEs by K!ne ?*# )*++7 This 0o&&it&ent &ay be &odi'ied by the N! se /ta''ing 1 od!0ti,ity Co&&ittee 23Co&&ittee45 based on 0hanges in a0!ity# ope ating beds# patient 0ens!s# ho! s o' 0a e e:!i ed# 0o&plian0e with the &at i= de,eloped by the Co&&ittee# and othe ope ating 'a0to s7

In addition# while 1CTs a e not &e&be s o' the National N! ses "nited ba gaining !nit# the Hospital e0ogni8es the i&po tan0e o' 1CTs to p ope sta''ing and assisting N! ses in p o,iding patient 0a e7 Based on the Hospital9s Kan!a y +# )*+* 1CT $TE 0o!nt o' )*> $TEs# the Hospital9s goal is to atte&pt to hi e 2&eaning to post and atte&pt to 'ill positions5 E* additional 1CT $TEs# in0 easing the n!&be o' 1CT $TEs to )E> $TEs 2posted and 'illed positions5 by K!ne ?*# )*++7 This 0o&&it&ent &ay be &odi'ied by the Co&&ittee based on 0hanges in a0!ity# ope ating beds# patient 0ens!s# ho! s o' 0a e e:!i ed# 0o&plian0e with the &at i= de,eloped by the Co&&ittee# and othe ope ating 'a0to s7
Going 'o wa d# the N! se /ta''ing and 1 od!0ti,ity Co&&ittee will e,iew the !sage o' o,e ti&e and agen0y sta''7 As pa t o' its e,iew# the Co&&ittee will e,iew a new :!ality &et i0 t a0;ing o,e ti&e and agen0y sta'' !sage7 This &et i0 will be epo ted on a :!a te ly basis and sha ed with the N!ality and /a'ety Co&&ittee o' the Washington Hospital Boa d as well as National N! ses "nited7 Washington Hospital Cente and

N! ses "nited ag ee that they a e 0o&&itted to obtaining additional $TEs# b!t e0ogni8e that 0o,e age needs will ,a y based on
EE

'a0to s in0l!ding# b!t not li&ited to# 0ens!s# a0!ity# lea,es o' absen0es# othe nonp od!0ti,e ti&e 2i7e7# n! ses on o ientation5# and si&ila 'a0to s7 These 'a0to s shall be 0onside ed by the N! se /ta''ing and 1 od!0ti,ity Co&&ittee when e,iewing o,e ti&e and agen0y sta'' !sage7

Ve y t !ly yo! s# Gathleen $7 Chap&an Assistant Vi0e 1 esident o' H!&an Reso! 0es Washington Hospital Cente Ag eed and A00epted on Behal' o' National N! ses "nited< /tephen $ !& RN National N! ses "nited

E(

APPENDI? H May (# )*++ /tephen $ !& RN Chie' /hop /tewa d National N! ses "nited (@?* $enton /t eet# /!ite ++** /il,e /p ing# M6 )*>+*

Re< Lette o' Ag ee&ent Rega ding 1a t%Ti&e Eligible N! ses9 Bene'its 6ea M 7 $ !&<
1a t%ti&e eligible N! ses who# as o' the e''e0ti,e date o' this Ag ee&ent# pa ti0ipate in the Hospital9s 11O Enhan0ed o 11O Basi0 g o!p health ins! an0e plan# will 0ontin!e to e0ei,e the 3'!ll ti&e4 p e&i!& 0ost sha ing ate 'o the d! ation o' this Ag ee&ent o !ntil the N! se t ans'e s to anothe bene'it eligible stat!s# whi0he,e 0o&es 'i st7

N! ses hi ed o t ans'e ed to a 1a t%Ti&e Eligible N! se position a'te the e''e0ti,e date o' this Ag ee&ent will be eligible to pa ti0ipate in the Hospital9s g o!p health plan2s5 at the pa t%ti&e p e&i!& 0ost sha ing ate7 Ve y t !ly yo! s# Gathleen $7 Chap&an Assistant Vi0e 1 esident o' H!&an Reso! 0es Washington Hospital Cente

Ag eed and A00epted on Behal' o' National N! ses "nited< /tephen $ !& RN National N! ses "nited

E>

APPENDI? I May (# )*++ /tephen $ !& RN Chie' /hop /tewa d National N! ses "nited (@?* $enton /t eet# /!ite ++** /il,e /p ing# M6 )*>+*

Re< Lette o' Ag ee&ent Rega ding Cont ib!tion to $/A A00o!nts 6ea M 7 $ !&<
This lette e'le0ts the ag ee&ent o' the pa ties ega ding Washington Hospital Cente 9s 23WHC45 0o&&it&ent to &a;e a one%ti&e 0ont ib!tion to $le=ible /pending A00o!nts 2$/As5 'o N! ses who# as o' the e''e0ti,e date o' this Ag ee&ent# a e pa ti0ipating in eithe the Ca e'i st Basi0 o Co&p ehensi,e 11O health plan o''e ed by WHC7 WHC ag ees to &a;e a one%ti&e 0ont ib!tion in the a&o!nt o' F?** 'o !se in )*+) 'o any N! se who is 0! ently in a 11O health plan and who 0ontin!es to pa ti0ipate in eithe the Ca e'i st Basi0 o Co&p ehensi,e 11O plan d! ing )*+)7 WHC9s 0ont ib!tion will be 0 edited to the N! se9s $/A a00o!nt on the 'i st day o' the 'i st '!ll pay pe iod 'ollowing Kan!a y +# )*+)7 $o N! ses who 0hose not to &a;e thei own 0ont ib!tions to an $/A d! ing plan yea )*+)# WHC will 0 eate an $/A 'o that N! se and '!nd it with the F?** 0ont ib!tion7

Ve y t !ly yo! s# Gathleen $7 Chap&an Assistant Vi0e 1 esident o' H!&an Reso! 0es Washington Hospital Cente Ag eed and A00epted on Behal' o' National N! ses "nited< /tephen $ !& RN National N! ses "nited

(*

APPENDI? 0 May (# )*++ /tephen $ !& RN Chie' /hop /tewa d National N! ses "nited (@?* $enton /t eet# /!ite ++** /il,e /p ing# M6 )*>+*

Re< Lette o' Ag ee&ent Rega ding 1ayo!t o' A00 !ed 1TO 6ea M 7 $ !&< This lette e'le0ts the ag ee&ent o' the pa ties ega ding the payo!t o' a00 !ed 1TO7 Washington Hospital Cente 23WHC45 ag ees to the 'ollowing g!idelines 'o paying a00 !ed 1TO to N! ses eligible 'o 1TO payo!t !pon sepa ation ' o& WHC7 WHC ag ees that a N! se shall e0ei,e an (*J payo!t o' 1TO ho! s a00 !ed on the N! se9s date o' sepa ation !p to and e:!al to the n!&be o' ho! s in the N! se9s 1TO ban; on Kan!a y +# )*++7 I'# !pon sepa ation ' o& WHC# the N! se9s 1TO ban; e=0eeds the n!&be o' ho! s in the N! se9s 1TO ban; on Kan!a y +# )*++# those additional ho! s will be paid o!t !nde the te &s o' HR1 @*.7 $o e=a&ple# N! se A has +** ho! s in he 1TO ban; on Kan!a y +# )*++7 On Kan!a y +# )*+)# N! se A has (* ho! s in he 1TO ban; and sepa ates ' o& e&ploy&ent7 Be0a!se WHC has g!a anteed to pay !p to +** ho! s at (*J# N! se A shall e0ei,e a 1TO pay&ent o' @. ho! s 2(*J o' (* ho! s57
N! se B has +** ho! s in his 1TO ban; Kan!a y +# )*++7 On Kan!a y +# )*+)# N! se B has +-* ho! s in his 1TO ban; and sepa ates 'o e&ploy&ent7 WHC will pay +** ho! s at (*J7 The e&aining -* ho! s will be paid in a00o dan0e to HR1 @*.7

A'te Kan!a y +# )*++# N! se C is te &inated ' o& WHC 'o g oss &is0ond!0t# and !nde HR1 @*.# is not entitled to any 1TO payo!t7 N! se C will not e0ei,e any po tion o' the N! se9s 1TO ban; on Kan!a y +# )*++7 Ve y t !ly yo! s# Gathleen $7 Chap&an Assistant Vi0e 1 esident o' H!&an Reso! 0es Washington Hospital Cente
(+

Ag eed and A00epted on Behal' o' National N! ses "nited<

/tephen $ !& RN National N! ses "nited

()

APPENDI? > May (# )*++ /tephen $ !& RN Chie' /hop /tewa d National N! ses "nited (@?* $enton /t eet# /!ite ++** /il,e /p ing# M6 )*>+* Re< Lette o' Ag ee&ent Rega ding 1TO B!y%6own 6ea M 7 $ !&<
The pa ties ag ee that a'te the pay pe iod ending O0tobe ))# )*++# all N! ses9 a00 !ed 1TO shall be adA!sted to be less than the N! se9s &a=i&!& a00 !al &in!s eighty 2(*5 ho! s 'o $!ll%Ti&e N! ses and 'o ty 2.*5 ho! s 'o 1a t%Ti&e Eligible N! ses7 To 0o&pensate N! ses 'o s!0h adA!st&ent# any N! se whose a00 !ed 1TO as o' O0tobe ))# )*++ is g eate than the N! se9s &a=i&!& a00 !al &in!s eighty 2(*5 o 'o ty 2.*5 ho! s shall e0ei,e a one 2+5 ti&e only 1TO adA!st&ent payo!t 'o all ho! s abo,e the &a=i&!& a00 !al &in!s eighty 2(*5 o 'o ty 2.*5 ho! s to be paid at the N! se9s /t aight Ti&e Ho! ly Rate7 A N! se# howe,e # &ay ele0t not to pa ti0ipate in the b!y down p o,ided in this lette 7 Any N! se ele0ting not to pa ti0ipate shall noti'y H!&an Reso! 0es in w iting o' the de0ision not to pa ti0ipate on o be'o e O0tobe ))# )*++7 1ay&ent shall be &ade by a sepa ate 0he0; iss!ed on o be'o e No,e&be +-# )*++7

Ve y t !ly yo! s# Gathleen $7 Chap&an Assistant Vi0e 1 esident o' H!&an Reso! 0es Washington Hospital Cente Ag eed and A00epted on Behal' o' National N! ses "nited< /tephen $ !& RN National N! ses "nited

(?

APPENDI? L May (# )*++ /tephen $ !& RN Chie' /hop /tewa d National N! ses "nited (@?* $enton /t eet /!ite ++** /il,e /p ing M6 )*>+* Re< Lette o' Ag ee&ent Rega ding "ni'o &s 6ea M 7 $ !&<
This lette add esses the pa ties9 ag ee&ent in A ti0le ) ega ding the Hospital9s ight to p o&!lgate# &odi'y# dist ib!te and en'o 0e easonable !les o' e&ployee 0ond!0t and &an!als o' ope ating p o0ed! es# spe0i'i0ally# the d ess 0ode and e:!i e&ent to wea !ni'o &s7 The Hospital ag ees that it will p o,ide and bea the 0ost o' p o,iding the initial th ee sets o' !ni'o &s and one Aa0;et to ea0h N! se who is a0ti,ely e&ployed as o' the e''e0ti,e date o' this Ag ee&ent7 The Hospital ag ees to negotiate with its ,endo o' 0hoi0e to p o,ide a dis0o!nt to N! ses who ele0t to p! 0hase additional !ni'o &s at thei own e=pense7 The ea'te # N! ses shall be esponsible 'o 0leaning# &aintaining# and epla0ing !ni'o &s7 The !ni'o &s will be a standa di8ed# single 0olo !ni'o & 2,a iation in style 0onsistent with sele0ted !ni'o & 0olo will be pe &itted57 The Hospital will identi'y 'o! 0olo s 'o the !ni'o &s and allow N! ses to sele0t the 0olo by ,ote# with the !ni'o & 0olo being the 0olo that e0ei,es the &ost ,otes7 The !ni'o & sele0ted will be the only !ni'o & wo n by N! ses th o!gho!t the Hospital e=0ept 'o those a eas that a e e:!i ed to wea hospital iss!ed s0 !bs based on national e,iden0e based p a0ti0e standa ds7

Ve y t !ly yo! s# Gathleen $7 Chap&an Assistant Vi0e 1 esident o' H!&an Reso! 0es Washington Hospital Cente Ag eed and A00epted on Behal' o' National N! ses "nited< /tephen $ !& RN National N! ses "nited

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APPENDI? M May (# )*++ /tephen $ !& RN Chie' /hop /tewa d National N! ses "nited (@?* $enton /t eet# /!ite ++** /il,e /p ing# M6 )*>+*

Re< Lette o' Ag ee&ent Rega ding In0enti,e 1ay&ents D A ti0les ?>7E and ?>7( 6ea M 7 $ !&<
This lette e'le0ts the pa ties9 ag ee&ent ega ding the !se o' the in0enti,e pay&ents in A ti0les ?>7E and ?>7(7 While it is Washington Hospital Cente 9s 23WHC45 intent gene ally not to o''e the in0enti,e pay&ents d! ing the ?*%&onth t ansition pe iods e'e en0ed in A ti0le ?>7># WHC etains the ight to o''e those pay&ents at any ti&e d! ing the te & o' the 0ont a0t7 As dis0!ssed d! ing ba gaining# the pay&ents a e based on shi't 2i7e7# night o wee;end5# athe than depa t&ent o !nit and ha,e been i&ple&ented on that basis sin0e O0tobe +# )*+*7 WHC ag ees that# in the e,ent it de0ides to o''e the pay&ents# it will o''e the& to all depa t&ents and s0hed!le n! ses as need de&ands on a gi,en depa t&ents# as the p og a& was i&ple&ented O0tobe +# )*+*7 In the e,ent that &o e N! ses ,ol!ntee than needed# shi'ts will be assigned 0onsistent with the p in0iples set 'o th in A ti0le ++7? 2sel'%s0hed!ling57 $! the # and as dis0!ssed d! ing ba gaining# i' WHC de0ides to i&ple&ent the pay&ents d! ing the ?*%&onth t ansition pe iod# it will eithe o''e the pay&ents to all n! ses who a e not e0ei,ing ?*%&onth t ansition pay&ents o # at its option# o''e the pay&ents to N! ses ega dless o' whethe they a e e0ei,ing the ?*%&onth t ansition pay&ents7

Ve y t !ly yo! s# Gathleen $7 Chap&an Assistant Vi0e 1 esident o' H!&an Reso! 0es Washington Hospital Cente Ag eed and A00epted on Behal' o' National N! ses "nited< /tephen $ !& RN National N! ses "nited
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