| 8/24/2011 CONSENT TO SERVE |
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| 8/24/2011 NOMINATIONS OPEN, ONA MTG 9/14 |
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| 6/13/2011 LABOR MANAGEMENT COMMITTEE 5/24/11 REPORT |
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| 6/10/2011 QUESTIONS RE AIRLINK |
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| 4/18/2011 LMC REPORT 3/22/11 |
LMC update At our 3/22 Labor management meeting, several issues were reviewed and discussed. Pam Steinke reported that the search for CNO continues, and that they are still recruiting for an OR manager. Missed meal periods have increased dramatically since changing to Lawson and clocking out for meals. February missed meals were 317 hours (compared to the 24 reported missed meals in Feb. 2010). We discussed the problem of Premium shift being offered and then changed to straight time because the RN got premium pay on her regular shift (due to less than 10 hours off between shifts). Management is interpreting the contract as requiring RN to work 72 straight time hours; ONA pointed out that the language does not specify straight time. Hospital will review and respond at next LMC. HR continues its downward trend; total HR was 2886 hours in February 2011 (compared to 6245 in Feb. 2010, up slightly from 2297 in January 2011); and HR over 3.5 hours was 2211 hours in February 2011 (compared to 5224 in Feb. 2010, and slightly higher than January 2011’s 1764 hours). Hospital is not near to switching to HR by cumulative HR; they are concerned that HR is not being correctly captured on Lawson and/or time clocks, particularly when the RN is called off before reporting to work. We discussed the problem of OR RN being called in from standby to cover the Preop area on weekends. OR RNs are concerned that they are being asked to work alone in PreOp, while PreOp RNs are not required to work alone. PreOp is not scheduled for same extended hours as OR/PACU. PeriOp unit practice committees and management will be asked to work together to solve this scheduling issue. Shannon Ogden reported on pediatric psych followup. They are looking into a swing room for pediatric psych patients; PES will hold if locked room is required. Staff has been trained in Code Gray procedures. Additional CNAs would also be useful. ER self scheduling letter of agreement has been implemented and is in process. ICU day shift self scheduling letter of agreement will be reviewed for final adoption at next LMC. We discussed the small number of critical needs shifts being offered in ED. Steve Krepps reported that he authorizes critical needs shifts if charge nurse requests; he reviews what is going on in the unit and the Hospital overall. ONA requested additional information on critical needs shifts use by unit for next LMC. Hospital presented a draft letter of agreement (LOA) to increase ETO maximums to 2x the annual accrual rate (current maximum is 1.5x annual rate), gives expanded ability to cash out ETO on the RN’s anniversary date; and would eliminated requirement/ability to convert excess ETO over the cap into EIB. RNs who are at the new cap, or within 100 hours of the cap, would be given an addition one time opportunity to cash out 100 hours ETO by July 3rd. After discussion and modification of the proposed LOA, ONA bargaining team agreed to recommend the proposed LOA for ratification. Next labor management Committee meeting will be on 4/26 at 1 p.m. Agenda items will include: follow up on premium shifts and critical needs shifts; PHA (if no practitioner is available in a specialty can reimbursement be at Tier 1?); vacations being limited to optimum staffing instead of core staffing; and ongoing issues.
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| 2/2/2011 LMC 12/21/10 |
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| 12/3/2010 LMC 11/23: FINANCIAL QUESTION, LAWSON REPORT |
Labor Management Committee 11/23/10 At LMC on Tuesday November 23, 2010 CNO Pam Steinke reported that the EMR team is working hard; EMR 10/3 upgrade has been delayed. ONA nurses discussed concern that transferring of patients from ED to floors is still an issue and care is being delayed. Pam also reported CNO and OR manager searches are continuing. Capital budget will include IV pump conversion and new beds, and LEAN process will include IV pump process. The holiday breakfast will be 12/9. ONA asked about 2009 financial reports from all Oregon Hospitals recently posted by the State of Oregon’s Health Policy Research Dept. site, which shows Bend as the most profitable hospital in Oregon with a 28.3% operating margin, and Redmond as the second most profitable hospital (24% operating margin). Average operating margin for all Oregon Hospitals on the 2009 report was 3.3%. Hospital responded they weren’t certain where that data came from and that it did not match their figures. We agreed that CFO Karen Shepherd would be invited to our December 21st LMC to explain the OHPPR posted financials and any discrepancies in information. (Since the 11/23 LMC, Leslie Toll e-mailed Alison Hamway and explained that the state’s data is faulty, and SCHS has been working to get the data corrected on the State’s posted report. The State has confirmed to ONA that SCHS is disputing the data; they have not reached a decision on whether they will change the posted data. The Hospital has posted a detailed explanation with links to their financial reports on CaregiverNet). HR continues to be fairly stable. Total HR in Oct. 2010 was 2857; HR of 3.5 hours or more was 1991 hours. Hospital will not be able to implement the HR rotation based on cumulative HR in January 2011; there will probably be a delay of several months. Kari Coe and Jane Youngs presented a letter of agreement for day shift ICU self scheduling; the LOA will be voted on by ICU day shift RNs. We reviewed the SANE RN LOA, and agreed that it would be reviewed after six months. We reviewed a draft LOA on procedures before a delay of step increase could be implemented; LMC members had many suggestions and a revised LOA will be presented to LMC either via e-mail or at our December 21 meeting. Leslie Toll reported on the Lawson project, which updates SCHS’s payroll and timeclock computerized systems. With the Lawson, caregivers will be paid to the minute instead of rounding to the closest 15 minutes. ONA members expressed concerns that there are not enough timeclocks to allow everyone to clock in instantaneously; Leslie responded that caregivers can clock in and out on computers, and they will add additional timeclocks if necessary. ONA nurses asked about discrepancies between time clocks and clocks in the units; the time clock is synchronized and per management the time clock is the only clock that counts. Caregivers will be required to clock in and out for lunch; currently ½ hour is deducted from the time sheet each day (unless the caregiver writes in “no lunch”). ONA members asked what happens if lunch is interrupted (e.g., with charge nurses who are required to carry a pager during lunch); Leslie responded that the law requires a 30 minute uninterrupted lunch; so if the caregiver is interrupted he/she should clock in and then start the 30 minute lunch over again after clocking out again. Forms will be computerized; pay stubs will be available on line instead of in paper. Changes to the time card will not be made without caregiver and manager approval. Finally, Leslie said they are considering providing some leeway for clocking in and out, but a final decision has not been reached. Next LMC will be 12/21 at 1 p.m.
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| 11/4/2010 LMC MEETING 10/26: HR REDUCED, OR NIGHT LOA |
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| 10/12/2010 FALL FORUM OCT. 14 |
Be sure to stop by our fall forum on October 14th to pick up your contract, and ask any questions. > > 0730-0930 Heart Center Conference Room; coffee/tea/juice and pastries provided 1130-1330 Conference Room D; sandwich and soda provided > 1800-2000 Heart Center Conference Room; coffee/tea and cookies provided See you there! > > Your negotiating team: Duke Sells, Joe Sack, Jody Holland, Jane Youngs,Debbie Griffith, Judy Gage-Scott, Ken Marks, and Andrea Rombach > > >
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| 10/7/2010 LMC MTG 9/28 UPDATE |
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| 9/30/2010 FALL FORUM, CONTRACTS 10/14; PMH BARGAINING |
Bend Bargaining Unit Fall Forum We will have our annual fall open forum for ONA members on Thursday, October 14th 2010. We will have our contract books back from the printer and available at fall forum; plus this is your opportunity to have informal discussion with ONA leadership about the contract or any other issues within your unit.. (The contract IS available online at www.stcharlesnursing.org ; log in and the link to the contract is on the top menu bar) Times, locations, and refreshments are as follows: 0730-0930 Heart Center Conference Room; coffee/tea/juice and pastries provided 1130-1330 Conference Room D; sandwich and soda provided 1800-2000 Heart Center Conference Room; coffee/tea and cookies provided See you there! Your negotiating team: Duke Sells, Joe Sack, Jody Holland, Jane Youngs, Debbie Griffith, Judy Gage-Scott, Ken Marks, and Andrea Rombach Thank You, Shannon! Welcome, Andrea! Shannon Ogden (Peds) informed the negotiating team that she was stepping down from her ONA negotiating team position and also was resigning her position as membership chair, because she has accepted a promotion to a position outside the bargaining unit. Congratulations Shannon, and thank you for your enthusiastic and helpful participation as an ONA leader. Andrea Rombach (ED), who is currently the alternate member to the negotiating team, was appointed by the negotiating team as Shannon’s replacement. Per our bylaws, if a mid-term vacancy occurs, the bargaining team appoints a replacement. Andrea has also agreed to take the position of membership chair. Thank you Andrea, and welcome to the team! PMH Negotiations Take Wrong Turn At PMH mediation on Sept. 29th 2010, ONA was expecting management to give us a new proposal that would move us toward achieving a first contract for PMH nurses. Unfortunately the new proposal moved in the wrong direction. At the previous mediation session on September 15th, management gave ONA a step scale, but didn’t actually place the employees on that step scale based on experience and seniority. Late that night, they agreed with ONA’s proposal that would offer the same health insurance plan as Bend RNs for the term of PMH’s contract (proposed for 3 years). In a blow to bargaining progress, on Sept. 29th, management stated they would not be able to propose the same health insurance plan as Bend RNs, unless nurses agreed to a potentially larger cost share in the second and third years of the contract. The other option they presented was ONA could agree to tie PMH RN insurance benefits to the non-represented employees (same cost share, same benefits as the folks that don’t have a contract). Leslie Toll (HR manager) stated management’s concern was the high cost of the premiums. Also on Sept. 29th management proposed a new pay scale that DID place PMH nurses on the pay scale based on experience, but they changed the steps and pay to make it more affordable to SCHS. In addition they did not offer any sort of cost of living adjustment to the salary scale in the second and third years of the contract. Red-circled employees (employees who are currently paid more than the proposed pay scale) would receive a lump sum payment (ranging from $250 to $1,000) in lieu of receiving step increases in the second and third year of the contract. ONA is reviewing management’s proposals and will present a response at our next mediation session, which is scheduled for October 21st. Both sides have been trading proposals on the remaining economic issues (salary, differentials and other pay, insurance, ETO/EIB) as package proposals.
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| 9/14/2010 CONTRACT POSTED, PMH RALLY |
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| 7/29/2010 VOTE ON THE TENTATIVE AGREEMENT! |
Please be sure to vote on the tentative agreement! Voting ends at midnight on 8/3/10, and ballots will be counted on 8/4/10. You have your choice of three different methods of voting. Pick only one method for voting (the ballot committee will be discarding any duplicate votes) ON-LINE (preferred – fast and easy) Got to www.stcharlesnursing.org Click on “nurses” on the left side menu bar, and go to “log on”. Log on using your user name and password. A button will appear to allow you to vote on the contract. There are also links to the summary of the tentative agreement, and to the draft language changes. If you forgot your user name or password, click the “log on help” button. ON SITE On site voting will be Friday, July 30th 0730 – 0930 Classroom E 1100 – 1300 Classroom B 1930 – 2130 Classroom E BY MAIL You can download a mail in ballot at www.stcharlesnursing.org ; mail in to St Charles Nursing Bargaining Unit, PO Box 7645, Bend 97708. You must SIGN your name on the back of the envelope, and also PRINT your name on the back of the envelope (ballot committee must check to make sure mail voters and/or on site voters did not vote on-line). Mail in ballots must be received by midnight 8/3/10. Finally, in response to a couple of questions that have come in by e-mail or phone 1. A majority vote of participating voters will determine the outcome. So make sure that your vote is received! 2. The summary of tentative agreements lists the highlights; and the link to language changes lists all changed language. The Hospital DID drop their proposal to change the cafeteria discount. Thanks to all of you, and be sure to vote! Your negotiating team
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| 7/23/2010 SUMMARY OF TENTATIVE AGREEMENT |
In a marathon mediation session (ending at 5 a.m. on 7/23/10) ONA and St Charles - Bend reached a tentative agreement. The ONA team is unanimously recommending the package for ratification by the members; management is also recommending this package. At the end of the day, we feel both sides worked hard to reach an agreement that both of us can recommend. The negotiating team GREATLY appreciates the support of all of you during these difficult negotiations. Thank you for wearing buttons, distributing newsletters, being CAT team members, joining the Welcome Wagon, signing petitions, and participating in Brown Bag Week (July 19-26). We are VERY pleased that we have this tentative agreement. Voting is planned to begin next week. We will set up informational meetings and voting information; a separate e-mail about voting will go out early next week. Your negotiating team, Duke Sells, Joe Sack, Jane Youngs, Judy Gage-Scott, Debby Griffith, Ken Marks, Jody Holland, Shannon Ogden, and ONA Labor Relations Representative Alison Hamway Highlights of the tentative agreement include: Term/Wages/Pay issues 2 year contract Wage increase 1% 7/1/10; 2% 7/1/11; ½ % 1/1/12 1 ¾ callback for designated mandatory standby units (Angio Cath, Cardiac Cath Lab, Dialysis, MDU, OR, PACU, Radiology) Benefits Implement new health plan 1/1/11; we were able to get slight improvements in the plan which will apply to everyone (plan will include 25% SCHS hospital owned technical services discount physically located in Bend, Redmond or Prineville hospital; this discount doesn’t apply to professional services. Also improved Tier 3 ER and Urgent care reimbursement – 70% reimbursement and WON’T be subject to deductible). Caregiver only portion of the premium will shift by 5% increase for that portion of premium: Position Hospital Portion of Premium Employee Dependent Full-time 95% 85% 60 hours per pay 95% 70% period to full-time 48 hours per pay 70% 50% period to 59 hours 40 hours per pay 60% 50% period to 47 hours (change in premiums at current plan costs at various levels would range from increase $32.69 monthly to decrease $46.43 monthly) EIB/Short Term Disability: Nurses hired after July 1, 2010 will be placed in the new STD plan effective 1/1/11. Current nurses will have option to remain in EIB program or move into STD on 1/1/11 (if nurse enrolls during 11/10 open enrollment, nurse can retain and use EIB bank; all EIB must be used before STD benefits start. Nurses who change to STD during open enrollment in future years will not be eligible to retain EIB accounts). All use of EIB will require verification and reporting requirements. STD will pay benefits on 8th day of illness, or on first day if hospitalized 24 hours; benefits paid for 13 weeks for qualifying illness/injury. Pays for caregiver only, and only pays for period of time disabled. Replacement ratio: 1-3 years service – 66 2/3% 4-9 years service – 75% 10+ years of service – 100% NO language that would allow management to change benefits midterm Language changes Kept our successorship language Improved options for laid off RN; clarified and improved layoff procedure Kept ETO levels (including 15 year level) – however maximum number of hours for earning benefits will now be capped at 2080 hours per year. Continue additional 24 ETO hours for nurses who after 12 years fulltime employment request every weekend off but are required by Hospital to work weekends (if nurse requests weekend off he/she will not receive extra ETO) PNCC language improved; enhanced committee participation in collaborative relationship with SCHS Some limits on premium pay (will only kick in after 72 hours worked in pay period; nurse won’t be eligible if nurse has requested low census prior to start of a shift) Premium plus now called “critical needs shift”; offered at management discretion; compensation remains at 1.5x + $12/hr (offered to both fulltime and part-time nurses) No change to meal discount language ONA representatives will be paid for participating in meeting or work group at management request will be compensated at straight time hourly rate Step increases will not be contingent on performance review “meets standards”; but denial of step increase (for just cause) now added to list of disciplinary options that can be given for just cause; subject to grievance procedure Low Census call off: Float rotation list will be separate from low census list Both sides have agreed to move to low census rotation based on cumulative hours of HR over prior 28 days; this change will be worked through LMC when Hospital upgrades payroll/time computer system (estimated time will be early 2011) Add option by mutual agreement for nurse to report to work at scheduled time (delayed start) for remaining portion of shift at straight time (4 hours minimum); add standby by mutual agreement for portion of shift. If called in on cancelled shift RN will not receive travel time due to it being the nurse’s regular shift. ICC and AirLink Letter of Agreement: will continue to be negotiated in small group
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| 7/13/2010 MEDIATION REPORT 7/12 |
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| 7/8/2010 LMC REPORT FROM 6/21/10 |
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| 7/1/2010 CONTRACT EXTENDS; O/N |
Several nurses have asked “what happens now that our contract has expired?” Because we are still in negotiations, our current contract is extended through the negotiations period. All terms and conditions that are currently in the contract remain in place while we are in negotiations. Mediation with federal mediator Darrel Clark is scheduled for July 12th, and July 20th through 22nd. Also I did want to recognize SCHS for working very hard to try to save jobs in the recent staffing change at Ortho Neuro. Because the patient census dropped on an on-going basis, the core number of staff in the O/N unit was changed. Nursing managers in several departments (FBC, Medical, Surgical, and PCS) posted positions and tried to make sure the six least senior nurses who received lay-off notices would be able to find an RN position in O/N or another Department. ONA also worked with the Hospital in this effort. Our mutual goal is to keep nurses employed at St Charles. Alison Hamway ONA Labor Relations Representative
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| 6/21/2010 LABOR MANAGEMENT REPORT 5/25/10 |
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| 6/17/2010 NEGOTIATIONS NEWS 6/16/10 |
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| 6/11/2010 NEGOTIATIONS NEWS JUNE 9TH |
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| 6/7/2010 JUNE 2ND NEGOTIATIONS NEWS |
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| 5/28/2010 NEGOTIATIONS UPDATE FOR MAY 26, 2010 |
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| 5/24/2010 BARGAINING UPDATE MAY 19, 2010 |
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| 5/18/2010 INSURANCE BARGAINING HISTORY WITH MANAGEMENT |
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| 5/13/2010 NEGOTIATIONS NEWS 5/12/10 |
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| 5/11/2010 LMC: O/N SURGICAL MERGER; HR INCREASED |
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| 5/7/2010 BARGAINING NEWS, ISSUES, EVENTS |
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| 4/28/2010 STAFFING LAW FORUMS |
What do YOU think about Nurse Staffing? ONA wants to know what you think about Oregon’s Nurse Staffing Law. ONA is hosting a series of forums for direct-care RNs across the state to discuss the value of Oregon’s Nurse Staffing Law: What’s staffing like at your facility? Are you part of the staffing committee? Do you know how to provide input? What’s working and what’s not? How could the law be better? Tell ONA what you think by attending this open forum: Oregon Nurse Staffing: What’s Your Position? Forums are coming up in La Grande, Bend, Medford, North Bend, Eugene, Salem and Portland. The BEND forum will be Tuesday, June 22nd, 6:30 p.m. - 8:30 p.m. at Bend's Community Center (boardroom), 1036 NE 5th. To find a forum near you and add to the discussion CLICK HERE. Or To find a forum near you and add to the discussion go to www.OregonRN.org and click on Government Relations.
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| 4/19/2010 MANAGEMENT PROPOSES TAKEBACKS; MTG 4/20 |
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| 3/11/2010 TAKE SURVEY! |
If you have not completed the bargaining survey, please do so promptly. We need the results in order to prepare our proposals for negotiations. We want YOUR input. To date approximately 190 nurses have taken the survey. Some nurses have forgotten how to log in and take the survey, or don’t know how to change their e-mail address or personal information. Here are the instructions: If you forgot your user name/password, go to www.stcharlesnursing.org Click on “registered nurses” on the left side menu bar and go to “log in help” on the user menu. Enter your e-mail address using the e-mail address that you used to when you originally registered. The automated system will mail back the user name and password to the original e-mail address. To reset an e-mail address or change password (e.g., to change to a non CHC e-mail address) log in using the old e-mail address, user name, and password. Then on the top menu bar, click on “my info” to change e-mail, change password, change unit, etc. Hope this helps. If your original e-mail is no longer functional, e-mail me the correct e-mail address and I can change it administratively (but I can’t make any changes to the user name or password) And remember – fill out that survey! We plan to close access to the survey in approximately one week. Alison
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| 3/9/2010 LMC 2/23: HR INCREASED, BARGAINING SCHEDULED |
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