Hospital’s Last, Best, and Final Offer versus Expired Collective Bargaining Agreement

Wages

Wages Under the Expired Contract:
  • January 1, 2017: 1% increase to the scales; a new Step 21 was created at 0.5% above Step 20
  • January 1, 2018: 1% increase to the scales; add 0.5% to the new top step
  • January 1, 2019: 1% increase to the scales; add 1% to new top step
  • Per Diem Increases: $0.75 (~1.7%-1.8%) each year
Wages Under the Hospital’s LBFO:
  • January 1, 2021: 1% increase to the scales
  • August 1, 2021: 1% increase to the scales; in addition, every nurse advances an extra step on the scale in addition to regular step movement; drop the hire step and renumber the steps
  • June 1, 2022: 3% lump sum payment for all nurses based on 2021 compensation
  • June 2022: 1% lump sum payment for all nurses at the top step based on 2021 FTE status
  • June 30, 2022: 2% increase to the scales
  • June 30, 2023: 2% increase to the scales
  • June 30, 2024: 2% increase to the scales
  • Per Diem Increases: 3% each year of the contract

Differentials

The Hospital’s LBFO increases evening shift differential from $2.75 to $3.00; night shift differential from $4.00 to $5.00; and the on-call rate from $4.50 to $5.00.

Health Insurance

Health Insurance Under the Expired Contract:
  • Under the expired contract, the premium cost share for part-time nurses working between 20-30 hours was 40%/60%. For 24 Flex nurses, it was 65%/35% after one year of employment.
Health Insurance Under the Hospital’s LBFO:
     
  • Under the Hospital’s LBFO, the premium cost share for 24-hour nurses and 24-Flex nurses changes to 80%/20% after one year of employment.

Workplace Safety

  • The MNA may designate two bargaining unit members to join the Workplace Safety Committee, which will meet to discuss issues such as panic buttons and methods for identifying potentially violent patients through medical records
  • The Hospital will staff the ED with a Special Police Officer detail during the night shift, weekends, and holidays
  • The Hospital will implement an updated Visitor Management System in the ED, which will require enhanced badging
  • The Hospital will continue to maintain and staff a metal detector
  • The Hospital will implement pay for RNs who miss work due to workplace assaults

Resource Nurse Staffing

Department Existing Proposed
Emergency Department No contractual restrictions No assignment
PACU No contractual restrictions No assignment
CVIL No contractual restrictions No assignment
OR No contractual restrictions No assignment
Endoscopy No contractual restrictions No assignment
Outpatient Chemo Infusion No contractual restrictions 0-2 patients
36N Days, Evenings, 7 days per week, not to exceed 2 patients

Reasonable efforts will be made for Resource to start shift without an assignment
No Assignment
ICU/PCU PCU, all shifts, 7 days per week, not to exceed 2 patientsNo Assignment
CWI – L&D No contractual restrictions No assignment
Psychiatry No contractual restrictions Days, Evenings: Reduced assignment; Nights: Up to a 5 patient assignment.
Cardiac Telemetry 23S, 24N Days, Evenings, 7 days per week, not to exceed 2 patientsDays, Evenings: No more than 2 patients.
Med/Surg 21S, 22S, 33S, 34N, 35NDays, Evenings, 7 days per week, not to exceed 2 patientsDays, Evenings: No more than 2 patients.
CWI – Mother/Baby Days, Evenings: Resource Nurse will have no more than 2 Couplets.Days, Evenings: Resource Nurse will have no more than 2 Couplets.
CWI-Nursery No contractual restrictions Days, Evenings and Nights: Resource Nurse included in the RN staffing

Staffing Guideline Changes

The Hospital’s LBFO makes the following changes to the existing Staffing Guidelines:

Department Added Nurses
36NThe Hospital’s LBFO increases nurse staffing from 8 to 9 nurses at 29 and 30 patient census points; from 7 to 8 nurses at 25 and 26 patient census points; from 6 to 7 nurses at 21 and 22 patient census points; from 5 to 6 nurses at 17 and 18 patient census points; from 4 to 5 nurses at 13 and 14 patient census points; and from 3 to 4 nurses at 10 patient census point.
ICUThe Hospital’s LBFO would go from 12 to 14 nurses at 23 and 24 patient census points; from 11 to 13 nurses at 21 and 22 patient census points; from 10 to 12 nurses at 19 and 20 patient census points; from 9 to 11 nurses at 17 and 18 patient census points; from 8 to 10 nurses at 15 and 16 patient census points; from 7 to 9 nurses at 13 and 14 patient census points; from 6 to 7 nurses at 11 and 12 patient census points; from 5 to 6 nurses at 9 and 10 patient census points; from 4 to 5 nurses at 7 and 8 patient census points; from 3 to 5 nurses at 6 patient census point; and adds 1 or 2 nurses to all lower census points.
PCUThe Hospital’s LBFO would go from 4 to 5 nurses at 10 patient census point; from 3 to 4 nurses at 7 patient census point; and from 2 to 3 nurses at 4 and 5 patient census points.
Psychiatry The Hospital’s LBFO would go from 3 to 4 nurses at 15 patient census point (day and evening); from 2 to 3 nurses at 10 census point (day and evening).
Cardiac Telemetry 23S, 24NThe Hospital’s LBFO would go from 7 to 8 nurses (D/E) and 6 to 7 nurses (N) at 26 patient census point; from 5 to 6 nurses (N) at 25 patient census point; from 6 to 7 nurses (D/E) and 5 to 6 nurses (N) at 23 and 24 patient census points; from 4 to 5 nurses (N) at 20 patient census points; from 5 to 6 nurses (D/E) and from 4 to 5 nurses(N) at 19 patient census point; from 4 to 5 nurses (D/E) at 16 and 17 patient census points; from 4 to 5 nurses (D/E) and 3 to 4 nurses (N) at 15 patient census point; from 3 to 4 nurses (D/E) at 11 and 12 patient census points; from 2 to 3 nurses (N) at 8 and 9 patient census points; and from 2 to 3 nurses (D/E) at 7 patient census point.
Med/Surg 21S, 22S, 33S, 34N, 35NThe Hospital’s LBFO would go from 5 to 6 nurses (D/E) at 21 and 22 patient census points; from 4 to 5 nurses (D/E) at 16 and 17 patient census points; from 3 to 4 nurses (D/E) at 11 and 12 patient census points; from 2 to 3 nurses (N) at 8 and 9 patient census points; and from 2 to 3 nurses (D/E) at 7 patient census point.

Miscellaneous Staffing Changes

The Hospital has proposed that flex nurses have the option to refuse two flex shifts (up or down or one of each) in a schedule cycle, up from the ability to refuse one in the expired contract.