Common use of ARTICLE PROFESSIONAL RESPONSIBILITY Clause in Contracts

ARTICLE PROFESSIONAL RESPONSIBILITY. In the event the Employer assigns a number of clients or workload to an individual nurse or group of nurses that she/they have cause to believe that she/they are being asked to perform more work than is consistent with the proper delivery of care, she/they may refer the matter in writing to the Association Management Committee within thirty calendar days. The Chairperson of the Association Management Committee shall convene a meeting of the Association Management Committee. Within ten calendar days of the referral, the Committee shall discuss and attempt to resolve the matter to the satisfaction of both parties. If the matter is not resolved to the satisfaction of both parties, it may be taken up as a ARTICLE DURATION This Agreement shall continue in and shall remain in effect from year to year thereafter unless gives the other party written notice of termination or desire to amend the Agreement. Notice that amendments are required or that either party desires to terminate this agreement may only be given within a period of ninety days prior to the expiration date of this agreement or to any anniversary of such expiration date. All terms of the collective agreement shall become effective upon date of ratification by both parties to the agreement unless specifically stated otherwise in the agreement. Salary rates shall be effective on the dates and in the amounts stipulated in Appendix A. Dated at this of For Ontario Nurses’ Association For Victorian Order of Nurses APPENDIX A SALARY SCHEDULE HOURLY RATES START 2 3 4 5 6 7 8 9 Hourly Rate REGISTERED NURSE START 2 3 4 5 6 7 8 9 IO Hourly Rate Letter of Understanding between AND ONTARIO NURSES’ ASSOCIATION The Employer agrees to inform the Union of branch amalgamation. After such notification, the Employer will meet with the Union to discuss matters of mutual concern surrounding such amalgamation. of at Dated on this Ontario. For the Ontario Nurses’ For the Victorian Order of Nurses Letter of Understanding between AND JOB The Employer agrees that it will endeavour to avoid layoffs for full time nurses during the life of this Collective Agreement, unless the Branch is closed or there is insufficient nurse volume/caseload for the Branch to handle with the number of full time nurses at the Branch. The Employer will not lay off nurses who are full time employees for the sole purpose of removing their status as full time employees. Dated this of at Ontario. For the Ontario Nurses’ Association For the Victorian Order of Nurses Letter of Understanding between

ARTICLE PROFESSIONAL RESPONSIBILITY. In the event that the Employer Hospital assigns a number of clients patients or a workload to an individual nurse or group of nurses such that she/they have cause to believe that she/they are being asked to perform more work than is consistent with the proper delivery of patient care, she/they may refer the matter shall: Complain in writing to the Association Management Association-Hospital Committee within thirty fifteen (15) calendar daysdays of the alleged improper assignment. The Chairperson Chair of the Association Management Association-Hospital Committee shall convene a meeting of the Association Management Committee. Within Association-Hospital Committee within ten (IO) calendar days of the referral, filing of the complaint. The Committee shall discuss hear and attempt to resolve the matter complaint to the satisfaction of both parties. If the matter is not resolved to the satisfaction of both parties, it may be taken up as a ARTICLE DURATION This Agreement shall continue in and shall remain in effect from year to year thereafter unless gives the other party written notice of termination or desire to amend the Agreement. Notice that amendments are required or that either party desires to terminate this agreement may only be given within a period of ninety days prior to the expiration date of this agreement or to any anniversary of such expiration date. All terms Failing resolution of the collective agreement shall become effective upon date complaint within fifteen (15) calendar days of ratification by both parties to the agreement unless specifically stated otherwise in meeting of the agreement. Salary rates Association-HospitalCommittee the complaint shall be effective on the dates and in the amounts stipulated in Appendix A. Dated at this to an independent Assessment Committee composed of For Ontario Nurses’ Association For Victorian Order of Nurses APPENDIX A SALARY SCHEDULE HOURLY RATES START 2 3 4 5 6 7 8 9 Hourly Rate REGISTERED NURSE START 2 3 4 5 6 7 8 9 IO Hourly Rate Letter of Understanding between AND ONTARIO NURSES’ ASSOCIATION The Employer agrees to inform the Union of branch amalgamation. After such notification, the Employer will meet with the Union to discuss matters of mutual concern surrounding such amalgamation. of at Dated on this Ontario. For three (3) registered nurses; one chosen by the Ontario Nurses’ For ' Association, one chosen by the Victorian Order Hospital and one chosen from a panel of Nurses Letter of Understanding between AND JOB The Employer agrees that it will endeavour to avoid layoffs for full time nurses during the life of this Collective Agreement, unless the Branch is closed or there is insufficient nurse volume/caseload for the Branch to handle with the number of full time nurses at the Branch. The Employer will not lay off independent registered nurses who are full time employees for well respectedwithin the sole purpose profession. The member of removing their status the Committee chosen from the panel of independent registered nurses shall act as full time employeesChair. Dated this The Assessment Committee shall set a date to conduct a hearing into the complaint within fourteen (14) calendar days of at Ontarioits appointment and shall be empowered to investigate as is necessary and make what findings as are appropriate in the circumstances. For The Assessment Committee shall report its findings, in writing, to the parties within thirty (30) calendar days following completion of its hearing. It is understood and agreed that representativesof the Ontario Nurses’ ' Association, including the Employment Relations Officer and the Nursing Practice Officer, may attend meetings held between the Hospital and the Association For under this provision. Any complaint lodged under this provision shall be on the Victorian Order form set out in Appendix The list of Nurses Letter Assessment Committee Chairs is attached as Appendix During the term of Understanding betweenthis Agreement, the central parties shall meet as necessary to review and amend by agreement the list of chairs of Professional Responsibility Assessment Committees. The parties agree that should a Chair be required, the Ontario Hospital Association and the Ontario Nurses' Association will be contacted. They will provide the name of the person to be utilized on the alphabetical listing of Chairs. The name to be provided will be the top name on the list of Chairs who has been previously assigned. Should the Chair who is scheduled to serve decline when requested, or it becomes obvious that she or he would not be suitable due to connections with the Hospital or community, the next person on the list will be approached to act as Chair. Each party will bear the cost of its own nominee and will share equally the fee of the Chair and whatever other expenses are incurred by the Assessment Committee in the performance of its responsibilities as set out herein.

ARTICLE PROFESSIONAL RESPONSIBILITY. In the event that the Employer assigns a number of clients patients or a workload to an individual nurse or group of nurses such that she/she or they have cause to believe that she/she or they are being asked to perform more work than is consistent with the proper delivery of patient care, she/she or they may refer the matter in shall: Complain writing to the Association Management Committee within thirty fifteen (15) calendar daysdays of the alleged improper assignment. The Chairperson of the Association Management Committee shall convene a meeting of the Association Management Committee. Within Committee within ten (10) calendar days of the referral, filing of the complaint. The Committee shall discuss hear and attempt to resolve the matter complaint to the satisfaction of both parties. If Failing resolution of the matter complaint within fifteen (15) calendar days of the meeting of the Committee the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the Ontario Nurses' Association, one chosen by the Employer and one chosen from a panel of independent registered nurses who are well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. The Assessment Committee shall set a date to conduct a hearing into the complaint within fourteen (14) calendar days of its appointment and shall be empowered to investigate as is not resolved necessary and make what findings as are appropriate in the circumstances. The Assessment Committee shall report its findings, writing, to the satisfaction parties within thirty (30) calendar days following completion of both parties, it may be taken up as a ARTICLE DURATION This Agreement shall continue in and shall remain in effect from year to year thereafter unless gives the other party written notice its hearing. The list of termination or desire to amend the Agreement. Notice that amendments are required or that either party desires to terminate this agreement may only be given within a period of ninety days prior to the expiration date of this agreement or to any anniversary of such expiration date. All terms of the collective agreement shall become effective upon date of ratification by both parties to the agreement unless specifically stated otherwise in the agreement. Salary rates Assessment Committee Chairpersons shall be effective on as agreed by the dates and in the amounts stipulated in Appendix A. Dated at this of For Ontario Nurses’ Association For Victorian Order of Nurses APPENDIX A SALARY SCHEDULE HOURLY RATES START 2 3 4 5 6 7 8 9 Hourly Rate REGISTERED NURSE START 2 3 4 5 6 7 8 9 IO Hourly Rate Letter of Understanding between AND ONTARIO NURSES’ ASSOCIATION parties. The Employer agrees to inform the Union of branch amalgamation. After such notificationparties agree that should a Chairperson be required, the Employer and the Ontario Association will meet be contacted. They will provide the name of the person to be utilized on the alphabetical listing of Chairpersons. The name to be provided will be the top name on the list of Chairpersons who has not been previously assigned. Should the Chairperson who scheduled to serve decline when requested, or it becomes obvious that she would not be suitable due to connections with the Union Employer or the next person on the list will be approached to discuss matters act as Chairperson. Each party will bear the cost of mutual concern surrounding such amalgamation. its own nominee and will share equally the fee of at Dated on this Ontario. For the Ontario Nurses’ For Chairperson and whatever other expenses are incurred by the Victorian Order Assessment the of Nurses Letter of Understanding between AND JOB The Employer agrees that it will endeavour to avoid layoffs for full time nurses during the life of this Collective Agreementits responsibilities, unless the Branch is closed or there is insufficient nurse volume/caseload for the Branch to handle with the number of full time nurses at the Branch. The Employer will not lay off nurses who are full time employees for the sole purpose of removing their status as full time employees. Dated this of at Ontario. For the Ontario Nurses’ Association For the Victorian Order of Nurses Letter of Understanding betweenset out herein.

ARTICLE PROFESSIONAL RESPONSIBILITY. In the event that the Employer Home assigns a number of clients residents or a workload to an individual nurse employee or group of nurses employees, such that she/she or they have cause to believe that she/she or they are being asked to perform more work than is consistent with the proper delivery of resident care, she/she or they may refer the matter shall: Complain in writing to the Association Union-Management Committee within thirty twenty (20) calendar daysdays of the alleged improper assignment. The Chairperson chairperson of the Association Union-Management Committee shall convene a meeting of the Association Union-Management Committee. Within ten Committee within twenty (20) calendar days of the referral, filing of the complaint. The Union-Management Committee shall discuss hear and attempt to resolve the matter complaint to the satisfaction of both parties. If the matter is not resolved to the satisfaction of both parties, it may be taken up as a ARTICLE DURATION This Agreement shall continue in and shall remain in effect from year to year thereafter unless gives the other party written notice of termination or desire to amend the Agreement. Notice that amendments are required or that either party desires to terminate this agreement may only be given within a period of ninety days prior to the expiration date of this agreement or to any anniversary of such expiration date. All terms Failing resolution of the collective agreement shall become effective upon date complaint within twenty (20) calendar days of ratification by both parties to the agreement unless specifically stated otherwise in meeting of the agreement. Salary rates Union-Management Committee, the complaint shall be effective on the dates and in the amounts stipulated in Appendix A. Dated at this forwarded to an independent Assessment composed of For Ontario Nurses’ Association For Victorian Order of Nurses APPENDIX A SALARY SCHEDULE HOURLY RATES START 2 3 4 5 6 7 8 9 Hourly Rate REGISTERED NURSE START 2 3 4 5 6 7 8 9 IO Hourly Rate Letter of Understanding between AND ONTARIO NURSES’ ASSOCIATION The Employer agrees to inform the Union of branch amalgamation. After such notification, the Employer will meet with the Union to discuss matters of mutual concern surrounding such amalgamation. of at Dated on this Ontario. For three (3) registered nurses; one chosen by the Ontario Nurses’ For ' Association, one chosen by the Victorian Order Home and one chosen from a panel of Nurses Letter of Understanding between AND JOB The Employer agrees that it will endeavour to avoid layoffs for full time nurses during the life of this Collective Agreement, unless the Branch is closed or there is insufficient nurse volume/caseload for the Branch to handle with the number of full time nurses at the Branch. The Employer will not lay off independent registered nurses who are full well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. The Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. The list of Assessment Committee Chairpersons is attached as Appendix The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time employees for limit stipulated, the sole purpose panel member next scheduled to sit will be appointed by the parties. Each party will bear the cost of removing their status its own nominee, and will share equally the fee of the Chairperson, and whatever other expenses are incurred by the Assessment Committee in the performance of its responsibilities as full time employees. Dated this of at Ontario. For the Ontario Nurses’ Association For the Victorian Order of Nurses Letter of Understanding betweenset out herein.

ARTICLE PROFESSIONAL RESPONSIBILITY. In the event that the Employer Home assigns a number of clients residents or a workload to an individual nurse employee or group of nurses employees, such that she/she or they have cause to believe that she/she or they are being asked to perform more work than is consistent with the proper delivery of resident care, she/she or they may refer the matter shall: Complain in writing to the Association Management Committee within thirty twenty (20) calendar daysdays of the alleged improper assignment. The Chairperson chairperson of the Association Management Committee shall convene a meeting of the Association Management Committee. Within ten Committee within twenty (20) calendar days of the referral, filing of the complaint. The Committee shall discuss hear and attempt to resolve the matter complaint to the satisfaction of both parties. If the matter is not resolved to the satisfaction of both parties, it may be taken up as a ARTICLE DURATION This Agreement shall continue in and shall remain in effect from year to year thereafter unless gives the other party written notice of termination or desire to amend the Agreement. Notice that amendments are required or that either party desires to terminate this agreement may only be given within a period of ninety days prior to the expiration date of this agreement or to any anniversary of such expiration date. All terms Failing resolution of the collective agreement shall become effective upon date complaint within twenty (20) calendar days of ratification by both parties to the agreement unless specifically stated otherwise in meeting of the agreement. Salary rates Committee, the complaint shall be effective on the dates and in the amounts stipulated in Appendix A. Dated at this forwarded to an independent Assessment Committee composed of For Ontario Nurses’ Association For Victorian Order of Nurses APPENDIX A SALARY SCHEDULE HOURLY RATES START 2 3 4 5 6 7 8 9 Hourly Rate REGISTERED NURSE START 2 3 4 5 6 7 8 9 IO Hourly Rate Letter of Understanding between AND ONTARIO NURSES’ ASSOCIATION The Employer agrees to inform the Union of branch amalgamation. After such notification, the Employer will meet with the Union to discuss matters of mutual concern surrounding such amalgamation. of at Dated on this Ontario. For three (3) registered nurses; one chosen by the Ontario Nurses’ For ' Association, one chosen by the Victorian Order Home and one chosen from a panel of Nurses Letter of Understanding between AND JOB The Employer agrees that it will endeavour to avoid layoffs for full time nurses during the life of this Collective Agreement, unless the Branch is closed or there is insufficient nurse volume/caseload for the Branch to handle with the number of full time nurses at the Branch. The Employer will not lay off independent registered nurses who are full well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. The Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. The list of Assessment Committee Chairpersons is attached as Appendix The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time employees for limit stipulated, the sole purpose panel member next scheduled to sit will be appointed by the parties. Each party will bear the cost of removing its own nominee, and will share equally the fee of the Chairperson, and whatever other expenses are incurred by the Assessment Committee in the performance of its responsibilities as set out herein. Employees are expected, as part of their status regular duties, to provide leadership, supervision, guidance and advice to members health care team. Nothing in this clause amends, modifies or clarifies any interpretation under Article nor does prejudicethe employees' continued membership in the bargaining unit or the employee's entitlement to qualify and receive benefits under Article Nurses may be required, as full time employees. Dated this part of at Ontario. For their regular duties, to supervise activities of nurses working with a temporary certificate of registration in accordance with the Ontario Nurses’ Association For the Victorian Order current College of Nurses Letter of Understanding betweenOntario Standards. In circumstances where the Home hires a nurse with a temporary certificate of registration, the Director of Care or designate shall provide every nurse who is responsible to work with the temporary registrant with the College of Nurses on her practice.

ARTICLE PROFESSIONAL RESPONSIBILITY. In the event that the Employer assigns a number of clients patients or a workload to an individual nurse or group of nurses such that she/she or they have cause to believe that she/she or they are being asked to perform more work than is consistent with the proper delivery of patient care, she/she or they may refer the matter Complain in writing to the Association Nurse Management Committee within thirty fifteen (15) calendar daysdays of the alleged improper assignment. The Chairperson of the Association Nurse Management Committee shall convene a meeting of the Association Nurse Management Committee. Within Committee within ten calendar days of the referral, filing of the complaint. The Committee shall discuss hear and attempt to resolve the matter complaint to the satisfaction of both parties. If Failing resolution of the matter is not resolved complaint within five (5) calendar days of the meeting of the Nurse Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the satisfaction of both parties, it may be taken up as a ARTICLE DURATION This Agreement shall continue in Association; one chosen by the Regional Employer and shall remain in effect from year to year thereafter unless gives one chosen by the other party written notice two from a panel of termination or desire to amend the Agreement. Notice that amendments are required or that either party desires to terminate this agreement may only be given within a period of ninety days prior to the expiration date of this agreement or to any anniversary of such expiration date. All terms of the collective agreement shall become effective upon date of ratification by both parties to the agreement unless specifically stated otherwise in the agreement. Salary rates shall be effective on the dates and in the amounts stipulated in Appendix A. Dated at this of For Ontario Nurses’ Association For Victorian Order of Nurses APPENDIX A SALARY SCHEDULE HOURLY RATES START 2 3 4 5 6 7 8 9 Hourly Rate REGISTERED NURSE START 2 3 4 5 6 7 8 9 IO Hourly Rate Letter of Understanding between AND ONTARIO NURSES’ ASSOCIATION The Employer agrees to inform the Union of branch amalgamation. After such notification, the Employer will meet with the Union to discuss matters of mutual concern surrounding such amalgamation. of at Dated on this Ontario. For the Ontario Nurses’ For the Victorian Order of Nurses Letter of Understanding between AND JOB The Employer agrees that it will endeavour to avoid layoffs for full time nurses during the life of this Collective Agreement, unless the Branch is closed or there is insufficient nurse volume/caseload for the Branch to handle with the number of full time nurses at the Branch. The Employer will not lay off four (4) independent registered nurses who are full time employees for well-respected within the sole purpose profession. The member of removing their status the Committee chosen from the panel shall act as full time employeesChairperson. Dated The Assessment Committee shall set a date to conduct a hearing into the complaint within fourteen 4) calendar days of its appointment and shall be empowered to properly assess the merits of the complaint. The Assessment Committee shall report its findings in writing to the parties within thirty (30) calendar days following completion of its hearing. The List of Chairpersons Assessment Committee is attached to and forms part of this Agreement. ("See Schedule " A") Each party will bear the cost of at Ontarioits own nominee and will share equally the fee of the Chairperson and whatever other expenses are incurred by the Assessment Committee in the performance of its responsibilities as set out herein. For the Ontario Nurses’ Association For the Victorian Order of Nurses Letter of Understanding betweenARTICLE RETROACTIVITY All monetary items shall be effective

ARTICLE PROFESSIONAL RESPONSIBILITY. In the event that the Employer assigns a number of clients residents or a workload to an individual nurse or group of nurses nurses, such that she/they she or have cause to believe that she/she or they are being asked to perform more work than is consistent with the proper delivery of care, she/she or they may refer the matter in shall : Complain writing to the Association Management Committee Director of Residential Services within thirty ten (10) calendar daysdays of the alleged improper assignment. The Chairperson of the Association Management Committee shall convene a meeting of the Association Management Committee. Within ten Committee within fourteen (14) calendar days of the referral, filing of the Committee complaint. The shall discuss hear and attempt to resolve the matter complaint to the satisfaction of both parties. If the matter is not resolved to the satisfaction of both parties, it may be taken up as a ARTICLE DURATION This Agreement shall continue in and shall remain in effect from year to year thereafter unless gives the other party written notice of termination or desire to amend the Agreement. Notice that amendments are required or that either party desires to terminate this agreement may only be given within a period of ninety days prior to the expiration date of this agreement or to any anniversary of such expiration date. All terms Failing resolution of the collective agreement shall become effective upon date complaint within fourteen (14) calendar days of ratification by both parties to the agreement unless specifically stated otherwise in meeting of the agreement. Salary rates Association Management the complaint shall be effective on the dates and in the amounts stipulated in Appendix A. Dated at this forwarded to an independent Assessment composed of For Ontario Nurses’ Association For Victorian Order of Nurses APPENDIX A SALARY SCHEDULE HOURLY RATES START 2 3 4 5 6 7 8 9 Hourly Rate REGISTERED NURSE START 2 3 4 5 6 7 8 9 IO Hourly Rate Letter of Understanding between AND ONTARIO NURSES’ ASSOCIATION The Employer agrees to inform the Union of branch amalgamation. After such notification, the Employer will meet with the Union to discuss matters of mutual concern surrounding such amalgamation. of at Dated on this Ontario. For three (3) registered nurses; one (1) chosen by the Ontario Nurses’ For Association, one (1) chosen by the Victorian Order Employer, and one (1) chosen from a panel of Nurses Letter of Understanding between AND JOB The Employer agrees that it will endeavour to avoid layoffs for full time nurses during the life of this Collective Agreement, unless the Branch is closed or there is insufficient nurse volume/caseload for the Branch to handle with the number of full time nurses at the Branch. The Employer will not lay off four (4) independent registered nurses who are full well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as chairperson. The Assessment Committee shall set a date to conduct a hearing into the complaint within fourteen (14) calendar days of its appointment, and shall be empowered to investigate as is necessary, and make what findings as are appropriate under the circumstances. The Assessment Committee shall report its findings writing, to the parties within twenty-one (21) calendar days following completion of hearing. The list of Assessment Chairpersons attached as Appendix forms part of this Agreement. The members of the shall sit in rotation as agreed by If a panel member unable to sit within the time employees for limit stipulated, the sole purpose panel member next to sit will be appointed by the pa ties. party will bear the cost of removing their status its own nominee and share equally the fee of the chairperson, and whatever other expenses are included by the Assessment Committee, in the performance of its responsibilities as full time employees. Dated this of at Ontario. For the Ontario Nurses’ Association For the Victorian Order of Nurses Letter of Understanding betweenset out herein.

ARTICLE PROFESSIONAL RESPONSIBILITY. In the event that the Employer Home assigns a number of clients residents or a workload to an individual nurse employee or group of nurses employees, such that she/she or they have cause to believe that she/she or they are being asked to perform more work than is consistent with the proper delivery of resident care, she/she or they may refer the matter shall: Complain in writing to the Association Union-Management Committee within thirty twenty (20) calendar daysdays of the alleged improper assignment. The Chairperson chairperson of the Association Union-Management Committee shall convene a meeting of the Association Management Committee. Within ten Committee within twenty (20) calendar days of the referral, filing of the complaint. The Union-Management Committee shall discuss hear and attempt to resolve the matter complaint to the satisfaction of both parties. If the matter is not resolved to the satisfaction of both parties, it may be taken up as a ARTICLE DURATION This Agreement shall continue in and shall remain in effect from year to year thereafter unless gives the other party written notice of termination or desire to amend the Agreement. Notice that amendments are required or that either party desires to terminate this agreement may only be given within a period of ninety days prior to the expiration date of this agreement or to any anniversary of such expiration date. All terms Failing resolution of the collective agreement shall become effective upon date complaint within twenty (20) calendar days of ratification by both parties to the agreement unless specifically stated otherwise in meeting of the agreement. Salary rates Union-Management Committee, the complaint shall be effective on the dates and in the amounts stipulated in Appendix A. Dated at this forwarded to an independent Assessment Committee composed of For Ontario Nurses’ Association For Victorian Order of Nurses APPENDIX A SALARY SCHEDULE HOURLY RATES START 2 3 4 5 6 7 8 9 Hourly Rate REGISTERED NURSE START 2 3 4 5 6 7 8 9 IO Hourly Rate Letter of Understanding between AND ONTARIO NURSES’ ASSOCIATION The Employer agrees to inform the Union of branch amalgamation. After such notification, the Employer will meet with the Union to discuss matters of mutual concern surrounding such amalgamation. of at Dated on this Ontario. For three registered employees; one (1) chosen by the Ontario Nurses’ For ' Union, one (1) chosen by the Victorian Order Home and one chosen from a panel of Nurses Letter of Understanding between AND JOB The Employer agrees that it will endeavour to avoid layoffs for full time nurses during independent registered employees who are well respected within the life of this Collective Agreement, unless the Branch is closed or there is insufficient nurse volume/caseload for the Branch to handle with the number of full time nurses at the Branchprofession. The Employer member of the Committee chosen from the panel of independent registered employees shall act as Chairperson. The Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. The list of Assessment Committee Chairpersons is attached. The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time limit stipulated, the panel member next scheduled to sit will not lay off nurses who be appointed by the parties. Each party will bear the cost of its own nominee, and will share equally the fee of the Chairperson, and whatever other expenses are full time employees for incurred by the sole purpose Assessment Committee in the performance of removing their status its responsibilities as full time employees. Dated this of at Ontario. For the Ontario Nurses’ Association For the Victorian Order of Nurses Letter of Understanding betweenset out herein.

ARTICLE PROFESSIONAL RESPONSIBILITY. In the event that the Employer Home assigns a number of clients residents or a workload to an individual nurse employee or group of nurses employees, such that she/she or they have cause to believe that she/she or they are being asked to perform more work than is consistent with the proper delivery of resident care, she/she or they may refer the matter shall: Complain in writing to the Association Union-Management Committee within thirty twenty (20) calendar daysdays of the alleged improper assignment. The Chairperson chairperson of the Association Union-Management Committee shall convene a meeting of the Association Union-Management Committee. Within ten Committee within twenty (20) calendar days of the referral, filing of the complaint. The Union-Management Committee shall discuss hear and attempt to resolve the matter complaint to the satisfaction of both parties. If the matter is not resolved to the satisfaction of both parties, it may be taken up as a ARTICLE DURATION This Agreement shall continue in and shall remain in effect from year to year thereafter unless gives the other party written notice of termination or desire to amend the Agreement. Notice that amendments are required or that either party desires to terminate this agreement may only be given within a period of ninety days prior to the expiration date of this agreement or to any anniversary of such expiration date. All terms i Failing resolution of the collective agreement shall become effective upon date complaint within twenty (20) calendar days of ratification by both parties to the agreement unless specifically stated otherwise in meeting of the agreement. Salary rates Union-Management Committee, the complaint shall be effective on the dates and in the amounts stipulated in Appendix A. Dated at this forwarded to an independent Assessment Committee composed of For Ontario Nurses’ Association For Victorian Order of Nurses APPENDIX A SALARY SCHEDULE HOURLY RATES START 2 3 4 5 6 7 8 9 Hourly Rate REGISTERED NURSE START 2 3 4 5 6 7 8 9 IO Hourly Rate Letter of Understanding between AND ONTARIO NURSES’ ASSOCIATION The Employer agrees to inform the Union of branch amalgamation. After such notification, the Employer will meet with the Union to discuss matters of mutual concern surrounding such amalgamation. of at Dated on this Ontario. For three (3) registered nurses; one chosen by the Ontario Nurses’ For ‘ Association, one chosen by the Victorian Order Home and one chosen from a panel of Nurses Letter of Understanding between AND JOB The Employer agrees that it will endeavour to avoid layoffs for full time nurses during the life of this Collective Agreement, unless the Branch is closed or there is insufficient nurse volume/caseload for the Branch to handle with the number of full time nurses at the Branch. The Employer will not lay off independent registered nurses who are full well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. The Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Assessment committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. The list of Assessment Committee Chairpersons is attached as Appendix The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time employees for limit stipulated, the sole purpose panel member next scheduled to sit will be appointed by the parties. Each party will bear the cost of removing their status its own nominee, and will share equally the fee of the Chairperson, and whatever other expenses are incurred by the Assessment Committee in the performance of its responsibilities as full time employees. Dated this of at Ontario. For the Ontario Nurses’ Association For the Victorian Order of Nurses Letter of Understanding betweenset out herein.

ARTICLE PROFESSIONAL RESPONSIBILITY. In the event that the Employer Corporation assigns a number of clients or a workload to an individual nurse or group of nurses such that she/or they have cause to believe that she/or they are being asked to perform more work than is consistent with the proper delivery of client care, she/or they may refer the matter shall: Complain in writing to the Association Nurse Management Committee within thirty fifteen 5) calendar daysdays of the alleged improper assignment. The Chairperson of the Association Nurse Management Committee shall convene a meeting of the Association Nurse Management Committee. Within Committee within ten calendar days of the referral, filing of the complaint. The Committee shall discuss hear and attempt to resolve the matter complaint to the satisfaction of both parties. If Failing resolution of the matter is not resolved complaint within five (5) calendar days of the meeting of the Nurse Management Committee, the complaint shall be forwarded to an independent Assessment Committee composed of three (3) registered nurses; one chosen by the satisfaction of both parties, it may be taken up as a ARTICLE DURATION This Agreement shall continue in Association; one chosen by the Regional Corporation and shall remain in effect from year to year thereafter unless gives one chosen by the other party written notice two (2) from a panel of termination or desire to amend the Agreement. Notice that amendments are required or that either party desires to terminate this agreement may only be given within a period of ninety days prior to the expiration date of this agreement or to any anniversary of such expiration date. All terms of the collective agreement shall become effective upon date of ratification by both parties to the agreement unless specifically stated otherwise in the agreement. Salary rates shall be effective on the dates and in the amounts stipulated in Appendix A. Dated at this of For Ontario Nurses’ Association For Victorian Order of Nurses APPENDIX A SALARY SCHEDULE HOURLY RATES START 2 3 4 5 6 7 8 9 Hourly Rate REGISTERED NURSE START 2 3 4 5 6 7 8 9 IO Hourly Rate Letter of Understanding between AND ONTARIO NURSES’ ASSOCIATION The Employer agrees to inform the Union of branch amalgamation. After such notification, the Employer will meet with the Union to discuss matters of mutual concern surrounding such amalgamation. of at Dated on this Ontario. For the Ontario Nurses’ For the Victorian Order of Nurses Letter of Understanding between AND JOB The Employer agrees that it will endeavour to avoid layoffs for full time nurses during the life of this Collective Agreement, unless the Branch is closed or there is insufficient nurse volume/caseload for the Branch to handle with the number of full time nurses at the Branch. The Employer will not lay off four (4) independent registered nurses who are full time well-respected within the profession. The member of the Committee chosen from the panel shall act as Chairperson. The Assessment Committee shall set a date to conduct a hearing into the complaint within fourteen (14)calendar days of its appointment and shall be empowered to properly assess the merits of the complaint. The Assessment Committee shall report its findings in writing to the parties within thirty calendar days following completion of its hearing. The List of Chairpersons Assessment Committee is attached to and forms part of this Agreement. (See Appendix Each party will bear the cost of its own nominee and will share equally the fee of the Chairperson and whatever other expenses are incurred by the Assessment Committee in the performance of its responsibilities as set out herein. ARTICLE RETROACTIVITY Once ratified by the respective parties the retroactivity of any entitlements which are subject of the negotiations between the parties shall be retroactive to the renewal date of the Collective Agreement unless items are specifically agreed to otherwise by the parties. The parties further agree that the Corporation shall be limited in its to employees for who have left the sole purpose employ of removing their status as full time the Corporation save and except retirees. This limitation shall require the Corporation to make reasonable efforts to contact all affected past employees. Dated this Having made such efforts the Corporation shall have no further liability regarding retroactivity to any past employees who fail to contact the Corporation to request the payment of at Ontario. For any retroactive entitlements within six months of the Ontario Nurses’ Association For date of the Victorian Order letter sent to the employee by some form of Nurses Letter of Understanding betweenmail.

ARTICLE PROFESSIONAL RESPONSIBILITY. In the event that the Employer Home assigns a number of clients residents or a workload to an individual nurse employee or group of nurses employees, such that she/she or they have cause to believe that she/she or they are being asked to perform more work than is consistent with the proper delivery of resident care, she/she or they may refer the matter shall: Complain in writing to the Association Management Committee within thirty twenty (20) calendar daysdays of the alleged improper assignment. The Chairperson chairperson of the Association Management Committee shall convene a meeting of the Association Management Committee. Within ten Committee within twenty (20) calendar days of the referral, filing of the complaint. The Committee shall discuss hear and attempt to resolve the matter complaint to the satisfaction of both parties. If the matter is not resolved to the satisfaction of both parties, it may be taken up as a ARTICLE DURATION This Agreement shall continue in and shall remain in effect from year to year thereafter unless gives the other party written notice of termination or desire to amend the Agreement. Notice that amendments are required or that either party desires to terminate this agreement may only be given within a period of ninety days prior to the expiration date of this agreement or to any anniversary of such expiration date. All terms i Failing resolution of the collective agreement shall become effective upon date complaint within twenty (20) calendar days of ratification by both parties to the agreement unless specifically stated otherwise in meeting of the agreement. Salary rates Committee, the complaint shall be effective on the dates and in the amounts stipulated in Appendix A. Dated at this forwarded to an independent Assessment Committee composed of For Ontario Nurses’ Association For Victorian Order of Nurses APPENDIX A SALARY SCHEDULE HOURLY RATES START 2 3 4 5 6 7 8 9 Hourly Rate REGISTERED NURSE START 2 3 4 5 6 7 8 9 IO Hourly Rate Letter of Understanding between AND ONTARIO NURSES’ ASSOCIATION The Employer agrees to inform the Union of branch amalgamation. After such notification, the Employer will meet with the Union to discuss matters of mutual concern surrounding such amalgamation. of at Dated on this Ontario. For three (3) registered nurses; one chosen by the Ontario Nurses’ For ' Association, one chosen by the Victorian Order Home and one chosen from a panel of Nurses Letter of Understanding between AND JOB The Employer agrees that it will endeavour to avoid layoffs for full time nurses during the life of this Collective Agreement, unless the Branch is closed or there is insufficient nurse volume/caseload for the Branch to handle with the number of full time nurses at the Branch. The Employer will not lay off independent registered nurses who are full well respected within the profession. The member of the Committee chosen from the panel of independent registered nurses shall act as Chairperson. The Assessment Committee shall set a date to conduct a hearing into the complaint, within twenty (20) calendar days of its appointment, and shall be empowered to investigate as is necessary to properly assess the merits of the complaint. The Assessment Committee shall report its findings, in writing, to the parties within twenty (20) calendar days following completion of its hearing. The list of Assessment Committee Chairpersons is attached as Appendix The members of the panel shall sit in rotation as agreed by the parties. If a panel member is unable to sit within the time employees for limit Canada -June stipulated, the sole purpose panel member next scheduled to sit will be appointed by the parties. Each party will bear the cost of removing its own nominee, and will share equally the fee of the Chairperson, and whatever other expenses are incurred by the Assessment Committee in the performance of its responsibilitiesas set out herein. Employees are expected, as part of their status regular duties, to provide leadership, supervision, guidance and advice to members of the health care team. Nothing in this clause amends, modifies or clarifies any interpretation under Article nor does prejudicethe employees' continued membership in the bargaining unit or the employee's entitlement to qualify and receive benefits under Article Nurses may be required, as full time employees. Dated this part of at Ontario. For their regular duties, to supervise activities of nurses working with a temporary certificate of registration in accordance with the Ontario Nurses’ Association For the Victorian Order current College of Nurses Letter of Understanding betweenOntario Standards. In circumstances where the Home hires a nurse with a temporary certificate of registration,the Director of Care or designate shall provide every nurse who is responsibleto work with the temporary registrant with the College of Nurses on her practice.