1. Enforcing Staffing Ratios Collective Bargaining Legislation
Alice L Barden MSN, RNC-MNN

2. HPAE Local 5004 Safe Staffing Plan CBA language
Non-nursing services
Core Staffing
Acuity System
Positions
Work availability
Staffing Data
Floating

3. HPAE Local 5004 CBA language
Non-nursing services
Environmental services
Washing/maintaining equipment, cleaning rooms
Transport services
Transporting patients or equipment
Dietary services
Distributing and/or collection of food trays
Secretarial coverage
Monitor tech coverage

4. HPAE Local 5004 CBA language
Staffing
Guidelines from NJDOHSS & Joint Commission
Professional standards from specialty organizations (ENA, AWHON)
Core staffing - minimum acceptable staffing levels (Schedule J-1)
Staffing ratios
Shortfall will not exceed 1 RN

5. HPAE Local 5004 CBA language
Acuity System
Committee of 50% union 50% management
Cross divisional, cross shift
Review acuity data regularly to determine validity and reliability
Pt data indicators, pt focused indicators, structure indicators
Dispute resolution

6. HPAE Local 5004 CBA language
Positions
The Medical Center will be required to post positions on units when the need is established through the regular use of overtime or per diems
Notification to Union regarding positions every 14 days
Internal for 14 days then becomes external
If position in specialty area posted and advertised external remains vacant for more than 6 months, Medical center may repost for internal bidding and offer required education and training
Positions with staggered start must state stagger and cannot be more than a 2 hour stagger

7. HPAE Local 5004 CBA language
Work Availability
Prior to posted schedules
Time od posted schedule
Additional availability
Cancellation notice
Unplanned needs

8. HPAE Local 5004 CBA language
Staffing data
Quarterly and annual staffing reports on OT and use of per diems
Per unit and shift
Post schedules
By unit and shift including sick calls, absent calls, LOA
Requests for information
Agency nurse contracts
Daily census data
Floating reports

9. HPAE Local 5004 CBA language
Floating
Minimize floating
Float pool, seniority, per diems, OT, extra time
Limited to Area of Clinical Practice
Float pay
New grads don’t float for 8 months after orientation
Transfer to new area won’t float for 2 months after orientation
Current core clinical competencies

10. NJ Safe Staffing Bill NJ A1470/NJ S989
Hospitals, Ambulatory Surgery Facilities, State Developmental Centers, Psychiatrics Hospitals
Direct care registered professional nurse
Staffing Ratios
Based on type of unit/care being provided
Acuity System & Staffing System
Pt classification/acuity, professional standards, skill mix, staff nurse/BU buy in, forecasting, operational factors, contingency plans
DOH to monitor & enforce
Periodic inspection, complaint