Common use of Floating Clause in Contracts

Floating. A nurse will not be required to float for a minimum of two (2) months from date of hire, or until completion of residency, whichever is later. During the nurse’s initial orientation to the Medical Center, each nurse will be scheduled up to four (4) hours on each unit to which the nurse may be required to float. The Hospital will make a good faith effort to avoid floating a nurse who agrees to work on the nurse’s day off unless the nurse agrees to float. No regularly scheduled full-time or part-time nurse will be required to float if agency, non-guaranteed travelers, per diem, float pool, or overtime nurses are being used on the nurse’s unit unless the nurse so agrees, or, in the discretion of the Chief Nursing Officer (or designee) floating is needed to maintain competencies in the float pool. Regularly scheduled full-time and part-time nurses and guaranteed travelers will be floated in an equitable rotation based on who has floated most recently, provided the needs of the unit to which the nurse is being floated and from which she or he has been floated are met. No nurse will be expected to float if assigned to precept a nurse. When a per diem nurse accepts a regularly scheduled shift from a nurse, she or he accepts the full responsibility of that nurse’s obligation for that shift and therefore must float as that regularly scheduled nurse would have floated for that shift. If the per diem nurse is scheduled to work a shift for the Medical Center and has not agreed to work for a specific nurse, the per diem nurse may be required to float to any of the mutually designated clinical units. Prior to reporting, when staffing is such that per diems would be required to float outside their mutually designated clinical units, they will be called by the Staffing Office and offered an opportunity to stay home. A per diem nurse who has reported for duty may be required to float outside of her or his mutually designated clinical units for at least three (3) hours unless the nurse requests and signs a waiver for the three (3) hours report pay. When a nurse is required to float within the Medical Center, the nurse will receive a brief reorientation appropriate to the assignment. This orientation will be dependent on the nurse’s experience and familiarity with the nursing unit to which the nurse has been floated. Such an orientation will be expected to include unit routines, physical layout of the unit, location of supplies/equipment, and charting requirements. The floated nurse will be assigned a unit resource nurse whom the nurse can access for assistance. The floated nurse will not be required to be the only Registered Nurse on a unit to which the nurse is floated unless the nurse has so agreed. The floated nurse will not be required to perform tasks and procedures or to operate equipment for which the nurse has not been trained. Only chemotherapy certified nurses will be permitted to administer chemotherapy. No nurse will be expected to float more than two (2) times within any given shift unless that nurse agrees. Upon request, the Medical Center will perform a quarterly review of float usage with recommendations made for unit hiring and scheduling so as to minimize floating. The report will be presented to the Nurse Conference Committee. The Medical Center will educate Clinical unit managers and ANS’s as to the above listed floating guidelines and keep them updated on appropriate data for making these decisions (i.e., guaranteed vs. non-guaranteed travelers).

Floating. In the event that there are excess nurses scheduled on a unit and another unit is short-staffed or in need of extra staff, a nurse may be floated to another unit to take care of patients within their specialty and competency (e.g. Med/Surg RN caring for Med/Surg patient(s) in the ED). The following are the requirements for floating and determination process for which nurse(s) floats: A. Competency/Qualifications - Registered Nurses shall receive patient assignments commensurate with their skills and competencies. A nurse Registered Nurse will not be required to float to a patient assignment that requires specialty competence for which they are not qualified. If a minimum of two (2) months from date of hire, Registered Nurse is asked to perform a task or until completion of residency, whichever is later. During the nurse’s initial orientation to the Medical Center, each nurse will be scheduled up to four (4) hours on each unit to procedure for which the nurse may does not feel qualified or trained to perform the Registered Nurse should immediately escalate up the chain of command, beginning with the Charge Nurse, who will assign the nurse a different task or procedure consistent with the Registered Nurse’s skills and competencies. B. Float Nurse Assignments - Registered Nurse shall be required floated to floatcare for patients for which they have been competency validated and oriented. The Hospital will make a good faith effort to avoid floating a nurse who agrees For purposes of this section, “oriented” means that the Registered Nurse has received basic information needed to work on where the nurse’s day off unless the nurse agrees to float. No regularly scheduled full-time or part-time nurse will be required to float if agencypatients are located, non-guaranteed travelers, per diem, float pool, or overtime nurses are being used on the nurse’s such as unit unless the nurse so agrees, or, in the discretion of the Chief Nursing Officer (or designee) floating is needed to maintain competencies in the float pool. Regularly scheduled full-time and part-time nurses and guaranteed travelers will be floated in an equitable rotation based on who has floated most recently, provided the needs of the unit to which the nurse is being floated and from which she or he has been floated are met. No nurse will be expected to float if assigned to precept a nurse. When a per diem nurse accepts a regularly scheduled shift from a nurse, she or he accepts the full responsibility of that nurse’s obligation for that shift and therefore must float as that regularly scheduled nurse would have floated for that shift. If the per diem nurse is scheduled to work a shift for the Medical Center and has not agreed to work for a specific nurse, the per diem nurse may be required to float to any of the mutually designated clinical units. Prior to reporting, when staffing is such that per diems would be required to float outside their mutually designated clinical units, they will be called by the Staffing Office and offered an opportunity to stay home. A per diem nurse who has reported for duty may be required to float outside of her or his mutually designated clinical units for at least three (3) hours unless the nurse requests and signs a waiver for the three (3) hours report pay. When a nurse is required to float within the Medical Center, the nurse will receive a brief reorientation appropriate to the assignment. This orientation will be dependent on the nurse’s experience and familiarity with the nursing unit to which the nurse has been floated. Such an orientation will be expected to include unit routines, physical layout of the unitlayout, location of supplies/equipment, unit resources and charting requirementsessential work protocols. The Orientation will occur before the Registered Nurse assumes patient care duties. All Registered Nurses who are floated nurse will be assigned supported by a unit resource nurse whom Registered Nurse and/or Charge Nurse from the nurse can access unit’s primary nursing staff for assistance. The floated nurse clinical guidance. C. Floating Requirements - Registered Nurses will not be required to float more than once per shift. Registered Nurses will be floated on a rotational basis, unless the only Charge Nurse determines that the skill mix of the unit or the patient needs warrant a change in the rotation. D. Floating Waiver - In sensitive situations, a Registered Nurse may request a waiver through the ADA accommodation process to not be required to work in their specialty on a unit to which the nurse is floated unless the nurse has so agreed. The floated nurse different unit, and they will not be required to perform tasks and procedures or work in their specialty on a different unit while the request is being processed. E. Floating Determination - If needed, each unit, through their unit-based council, will develop its own written process for determining how to operate equipment float Registered Nurse from their unit to care for which the nurse has not been trainedpatients in their specialty who are located on another unit. Only chemotherapy certified nurses If there are cross-trained Registered Nurse on a unit, they will be permitted to administer chemotherapy. No nurse considered first when determining who will be expected to float more than two (2) times within any given shift unless that nurse agrees. Upon request, the Medical Center will perform a quarterly review of float usage with recommendations made for unit hiring and scheduling so as to minimize floating. The report will be presented to the Nurse Conference Committee. The Medical Center will educate Clinical unit managers and ANS’s as to the above listed floating guidelines and keep them updated on appropriate data for making these decisions (i.e., guaranteed vs. non-guaranteed travelers)float.

Floating. A. Within thirty (30) days following ratification of this Agreement, each nurse must notify his or her manager, in writing on a form provided by the Hospital, as to the nurse's willingness to be a Float Nurse, as defined below, to float to areas specified by the Hospital. Thereafter, each year in December, any nurse willing to become or remain a Float Nurse shall provide such notice in writing. Any change in status resulting from such notice will be effective for the next calendar year, after receipt of the written notice. The Hospital has the right to determine the number of Float Nurses it needs in a calendar year. The Hospital shall exercise this right based on a reasonable estimation of floating needs for the calendar year. In the event that the number of nurses providing notification of their willingness to be a Float Nurse exceeds the number of Float Nurses needed by the Hospital, selection will be made on the basis of seniority from among those already cross-trained and then on the basis of seniority among those requesting to be cross-trained. 1. To be a Float Nurse, the following criteria must be met: (a) The nurse must be currently cross-trained or, with the Hospital’s agreement, be willing to be cross-trained to independently take a patient care assignment on another unit(s). (b) When the Hospital determines that floating is necessary to a particular unit, and after the training described above, the nurse will float to the unit(s) to which he or she has been cross-trained to independently take a patient care assignment. (c) The nurse may be floated to units other than those units for which he or she has been trained, but will not be expected to independently take a patient care assignment on such unit(s). (d) The nurse must float at least five (5) times per quarter, when requested by the Hospital. (e) The Hospital will make good-faith reasonable efforts to notify a nurse at least two hours before the shift that he or she will be floated, when it is known to the Hospital. In any event, the Hospital will inform the nurse as soon as possible. 2. A Float Nurse will not be assigned MDO time for more than one (1) full shift per week, and will not be assigned more than 144 MDO hours (other than voluntary MDO time) in a calendar year in accordance with Article 17.B.1(f). A voluntary MDO shall not count toward either of these limits. A voluntary MDO shall not be granted, however, if the Hospital has determined a need for the Float Nurse to float to another unit. B. When a nurse who is not a Float Nurse is requested to float to a unit other than the unit or units where the nurse regularly works, the nurse will be given a primary patient assignment if the nurse is qualified for such assignment. A nurse may always be required to float in a role to assist other nurses. C. If a nurse is floated to another unit but required to remain immediately available to return to the nurse's primary unit, the nurse will not be given a primary patient assignment in the unit to which he or she has floated. D. If a nurse who is not a Float Nurse believes that he or she is not qualified for a specific assignment with a primary patient load, the nurse should indicate in writing the reasons why and give them at the time of the request to the appropriate manager or designee for the record. If a nurse provides the written statement described in this paragraph, the nurse will not be required to float for a minimum of two (2) months from date of hire, or until completion of residency, whichever is later. During the nurse’s initial orientation to the Medical Center, each nurse will be scheduled up to four (4) hours on each unit to which the nurse may be required to float. The Hospital will make a good faith effort to avoid floating a nurse who agrees to work on the nurse’s day off unless the nurse agrees to float. No regularly scheduled full-time or part-time nurse will be required to float if agency, non-guaranteed travelers, per diem, float pool, or overtime nurses are being used on the nurse’s unit unless the nurse so agrees, or, in the discretion of the Chief Nursing Officer (or designee) floating is needed to maintain competencies in the float pool. Regularly scheduled full-time and part-time nurses and guaranteed travelers will be floated in an equitable rotation based on who has floated most recently, provided the needs of the unit to which the nurse is being floated and from which she or he has been floated are met. No nurse will be expected to float if assigned to precept a nurse. When a per diem nurse accepts a regularly scheduled shift from a nurse, she or he accepts the full responsibility of that nurse’s obligation for that shift and therefore must float as that regularly scheduled nurse would have floated for that shift. If the per diem nurse is scheduled to work a shift for the Medical Center and has not agreed to work for a specific nurse, the per diem nurse may be required to float to any of the mutually designated clinical units. Prior to reporting, when staffing is such assignment with a primary patient load at that per diems would be required to float outside their mutually designated clinical units, they will be called by the Staffing Office and offered an opportunity to stay home. A per diem nurse who has reported for duty may be required to float outside of her or his mutually designated clinical units for at least three (3) hours unless the nurse requests and signs a waiver for the three (3) hours report pay. When a nurse is required to float within the Medical Center, the nurse will receive a brief reorientation appropriate to the assignment. This orientation will be dependent on the nurse’s experience and familiarity with the nursing unit to which the nurse has been floated. Such an orientation will be expected to include unit routines, physical layout of the unit, location of supplies/equipment, and charting requirements. The floated nurse will be assigned a unit resource nurse whom the nurse can access for assistance. The floated nurse will not be required to be the only Registered Nurse on a unit to which the nurse is floated unless the nurse has so agreed. The floated nurse will not be required to perform tasks and procedures or to operate equipment for which the nurse has not been trained. Only chemotherapy certified nurses will be permitted to administer chemotherapy. No nurse will be expected to float more than two (2) times within any given shift unless that nurse agrees. Upon request, the Medical Center will perform a quarterly review of float usage with recommendations made for unit hiring and scheduling so as to minimize floating. The report will be presented to the Nurse Conference Committee. The Medical Center will educate Clinical unit managers and ANS’s as to the above listed floating guidelines and keep them updated on appropriate data for making these decisions (i.e., guaranteed vs. non-guaranteed travelers)time.

Floating. A nurse will not be required The Employer retains the right to float for a minimum of two (2) months from date of hire, or until completion of residency, whichever is later. During change the nurse’s initial orientation daily work assignment on a shift- by-shift basis to the Medical Center, each nurse will be scheduled up to four (4) hours on each unit to which the nurse may be required to floatmeet patient care needs. The Hospital will make a good faith effort to avoid floating a nurse who agrees to work on the nurse’s day off unless the nurse agrees to float. No regularly scheduled full-time or part-time nurse will be required to float if agency, non-guaranteed travelers, per diem, float pool, or overtime nurses are being used on the nurse’s unit unless the nurse so agrees, or, in the discretion of the Chief Nursing Officer (or designee) floating is needed to maintain competencies in the float pool. Regularly scheduled full-time and part-time nurses and guaranteed travelers will be floated in an equitable rotation based on who has floated most recently, provided the needs of the unit to which the nurse is being floated and from which she or he has been floated are met. No nurse will be expected to float if assigned to precept a nurse. When a per diem nurse accepts a regularly scheduled shift from a nurse, she or he accepts the full responsibility of that nurse’s obligation for that shift and therefore must float as that regularly scheduled nurse would have floated for that shift. If the per diem nurse is scheduled to work a shift for the Medical Center and has not agreed to work for a specific nurse, the per diem nurse may be Nurses required to float to any of the mutually designated clinical units. Prior to reporting, when staffing is such that per diems would be required to float outside their mutually designated clinical units, they will be called by the Staffing Office and offered an opportunity to stay home. A per diem nurse who has reported for duty may be required to float outside of her or his mutually designated clinical units for at least three (3) hours unless the nurse requests and signs a waiver for the three (3) hours report pay. When a nurse is required to float within the Medical Center, the nurse different unit will receive a brief reorientation orientation to the unit which is appropriate to the assignment. This orientation Orientation will be dependent on upon the nurse’s previous experience and familiarity with the nursing unit to which such nurse is assigned. A resource nurse will be identified for a nurse floating to an unfamiliar unit, so that the floating nurse has been floatedsomeone with whom to consult for specific questions throughout the shift. Such an orientation Nurses will be expected to include unit routines, physical layout of the unit, location of supplies/equipment, and charting requirements. The floated nurse will be assigned a unit resource nurse whom the nurse can access for assistance. The floated nurse will not be required to be the only Registered Nurse on a unit to which the nurse is floated unless the nurse has so agreed. The floated nurse perform all basic nursing functions but will not be required to perform tasks and or procedures specifically applicable to the nursing unit for which they are not qualified or trained to operate equipment perform. If during the floating assignment the nurse is asked to perform a task or procedure for which the nurse has does not been trainedfeel qualified or trained to perform, the nurse should immediately discuss the matter with the resource nurse. Only chemotherapy certified nurses If the issue remains unresolved, the nurse should discuss the issue with the immediate supervisor, if available. If the issue is still not resolved the nurse should contact the house supervisor. If the issue remains unresolved, the nurse may record the fact in writing that these conversations took place and indicate the results of the conversations. The Employer will be permitted not assign a float nurse to administer chemotherapy. No a charge nurse will be expected to float more than two (2) times within any given shift position, unless that nurse agrees. Upon requesthas been oriented to that specific unit as a charge nurse. 4.4.1 Subject to patient care and safety considerations, the Medical Center will perform Employer and the Association further agree that: a. floating assignments shall be equitably rotated on each unit with the order of rotation based on inverse seniority; b. nurses placed on-call shall normally be on-call for their care set only; c. once a quarterly review of staff nurse successfully completes orientation, that nurse shall be included in the float usage rotation for that unit; and d. while a nurse is on orientation they may float in rotation with recommendations made for unit hiring and scheduling so as to minimize floating. The report will be presented to the Nurse Conference Committee. The Medical Center will educate Clinical unit managers and ANS’s as to the above listed floating guidelines and keep them updated on appropriate data for making these decisions (i.e., guaranteed vs. non-guaranteed travelers).their preceptor

Floating. A nurse The term floating refers to the temporary reassignment on a daily basis of an employee from his/her regular department or unit to another department or unit on the same shift. The Employer may require employees to float when the department or unit to which they are floated is understaffed or when the department or unit from which they are floated is overstaffed. Floating to a department or unit will first be done on a voluntary basis. Assignment will be determined based on documented clinical competencies of employee floating. The Employer shall also have the right to hire employees as “permanent floats”. The Hospital will identify any positions posted as “permanent floats” as such in the posting. Permanent floats may be required to float, at the manager’s discretion, to any unit in the Hospital for which they are qualified to work. Employees will not be required to float for to more than one different unit during a minimum of two (2) months from date of hire, or until completion of residency, whichever is later. During the nurse’s initial orientation to the Medical Center, each nurse will be scheduled up to four (4) hours on each unit to which the nurse may be required to float. The Hospital will make a good faith effort to avoid floating a nurse who agrees to work on the nurse’s day off unless the nurse agrees to float. No regularly scheduled full-time or part-time nurse will be required to float if agency, non-guaranteed travelers, per diem, float pool, or overtime nurses are being used on the nurse’s unit unless the nurse so agrees, or, in the discretion of the Chief Nursing Officer (or designee) floating is needed to maintain competencies in the float pool. Regularly scheduled full-time and part-time nurses and guaranteed travelers will be floated in an equitable rotation based on who has floated most recently, provided the needs of the unit to which the nurse is being floated and from which she or he has been floated are met. No nurse will be expected to float if assigned to precept a nurse. When a per diem nurse accepts a regularly scheduled shift from a nurse, she or he accepts the full responsibility of that nurse’s obligation for that single shift and therefore must float as that regularly scheduled nurse would have floated for that shift. If the per diem nurse is scheduled to work a shift for the Medical Center and has not agreed to work for a specific nurse, the per diem nurse may be required to float back to any of the mutually designated clinical unitstheir regular unit during a single shift. Prior to reportingThe Employer may require employees (including, when staffing is such that per diems would be required but not limited to, ICU, ED, LDRP, Psychiatry ASU, PACU, CATH LAB, OR, IR, PCU, 1ST EAST, 1st Right, 1st West, Wound Care Center, and Cardiac Rehab) to float outside their mutually designated clinical units, when the department or unit from which they will be called by are floated is overstaffed or temporarily closed and the Staffing Office and offered an opportunity to stay home. A per diem nurse who has reported for duty may be required to float outside of her department or his mutually designated clinical units for at least three (3) hours unless the nurse requests and signs a waiver for the three (3) hours report pay. When a nurse is required to float within the Medical Center, the nurse will receive a brief reorientation appropriate to the assignment. This orientation will be dependent on the nurse’s experience and familiarity with the nursing unit to which they are floated is understaffed; provided that the nurse has been floated. Such an orientation will be expected to include unit routines, physical layout of the unit, location of supplies/equipment, and charting requirementsfollowing conditions are met: 1. The floated nurse will Employer shall seek volunteers first. 2. If there are no volunteers, the Employer shall select the least senior employee(s) for mandatory floating on a rotating basis. 3. Floated employee(s) may not be assigned a duties and tasks for which they have not been oriented and trained. 4. When an RN is floated from one unit resource nurse whom the nurse can access for assistance. The floated nurse to another (e.g., PCU to ICU) he/she will not be required to be take charge unless he/she has been fully trained to perform the only Registered Nurse required skills. If an employee is required to float, his/her regular position on a unit to which the nurse is floated unless the nurse has so agreed. The floated nurse his/her regular shift will not be required backfilled by another employee, per diem or float pool person on the day of the float. Backfilling refers to perform tasks and procedures floating an employee, then replacing them in the unit/department from which they floated with another employee, per diem or float pool person on the same day as the float. Permanent floats may be rotated to operate equipment for which the nurse has not been trainedany unit on any other shift. Only chemotherapy certified nurses Rotation of permanent floats will be permitted governed by the provisions of Section 15.5 through 15.5f; except that assignment of rotation to administer chemotherapy. No nurse permanent floats on any shift will be expected to float more than two rotated, by seniority, among the permanent floats on that shift. (2) times within any given shift unless that nurse agrees. Upon request, the Medical Center will perform a quarterly review Remainder of float usage with recommendations made for unit hiring and scheduling so as to minimize floating. The report will be presented to the Nurse Conference Committee. The Medical Center will educate Clinical unit managers and ANS’s as to the above listed floating guidelines and keep them updated on appropriate data for making these decisions (i.e., guaranteed vs. non-guaranteed travelerspage is intentionally left blank.).

Floating. The hospital retains the right to change the nurse’s daily work assignment on a shift-by-shift basis to meet patient care needs. Nurses required to float to a different unit will receive orientation to the unit which is appropriate to the assignment. Orientation will be dependent upon the nurse’s previous experience and familiarity with the unit to which such nurse is assigned. Floating assignments shall be made by seeking volunteers first and then on an equitable basis consistent with the hospital’s needs, nurse’s experience and level of assignment. A resource nurse will be identified for a nurse floating to an unfamiliar unit, so that the floating nurse has someone with whom to consult for specific questions throughout the shift. A nurse floated outside his/her regular unit will not be assigned an independent patient care assignment, until such time as the nurse is fully oriented to the unit. Nurses will not be required to float for a minimum of two (2) months from date of hire, or until completion of residency, whichever is lateroutside their primary unit more than once per shift. During the nurse’s initial orientation to the Medical Center, each nurse will be scheduled up to four (4) hours on each unit to which the nurse may be required to float. The Hospital will make a good faith effort to avoid floating a nurse who agrees to work on the nurse’s day off unless the nurse agrees to float. No regularly scheduled full-time or part-time nurse will be required to float if agency, non-guaranteed travelers, per diem, float pool, or overtime nurses are being used on the nurse’s unit unless the nurse so agrees, or, in the discretion of the Chief Nursing Officer (or designee) floating is needed to maintain competencies in the float pool. Regularly scheduled full-time and part-time nurses and guaranteed travelers will be floated in an equitable rotation based on who has floated most recently, provided the needs of the unit to which the nurse is being floated and from which she or he has been floated are met. No nurse Nurses will be expected to float if assigned to precept a nurse. When a per diem nurse accepts a regularly scheduled shift from a nurse, she or he accepts the full responsibility of that nurse’s obligation for that shift and therefore must float as that regularly scheduled nurse would have floated for that shift. If the per diem nurse is scheduled to work a shift for the Medical Center and has not agreed to work for a specific nurse, the per diem nurse may be required to float to any of the mutually designated clinical units. Prior to reporting, when staffing is such that per diems would be required to float outside their mutually designated clinical units, they will be called by the Staffing Office and offered an opportunity to stay home. A per diem nurse who has reported for duty may be required to float outside of her or his mutually designated clinical units for at least three (3) hours unless the nurse requests and signs a waiver for the three (3) hours report pay. When a nurse is required to float within the Medical Center, the nurse will receive a brief reorientation appropriate to the assignment. This orientation will be dependent on the nurse’s experience and familiarity with the perform all basic nursing unit to which the nurse has been floated. Such an orientation will be expected to include unit routines, physical layout of the unit, location of supplies/equipment, and charting requirements. The floated nurse will be assigned a unit resource nurse whom the nurse can access for assistance. The floated nurse will not be required to be the only Registered Nurse on a unit to which the nurse is floated unless the nurse has so agreed. The floated nurse functions but will not be required to perform tasks and or procedures for which they are not qualified or trained to operate equipment perform. If during the floating assignment the nurse is asked to perform a task or procedure for which the nurse has does not been trained. Only chemotherapy certified nurses will be permitted feel qualified or trained to administer chemotherapy. No nurse will be expected to float more than two (2) times within any given shift unless that nurse agrees. Upon requestperform, the Medical Center will perform nurse should immediately discuss the matter with the resource nurse. If the issue remains unresolved, the nurse should discuss the issue with the supervisor. If the issue remains unresolved, the nurse may record the fact in writing that these conversations took place and indicate the results of the conversations. Requests for orientation to other units as a quarterly review float nurse (not a primary) may be granted when scheduling permits and the nurse agrees to work in the new unit in the future to maintain his/her skills in that area. Orientation as a float nurse to other units requires at least eight (8) hours of float usage orientation with recommendations made for unit hiring and scheduling so as to minimize floatingcompletion of any required checklists at least annually. The report will be presented float nurse agrees to keep his/her new skills current by floating to the Nurse Conference Committee. The Medical Center will educate Clinical other unit managers and ANS’s at least once every three (3) months, as to the above listed floating guidelines and keep them updated on appropriate data for making these decisions (i.e., guaranteed vs. non-guaranteed travelers)schedule permits.

Floating. A nurse will not be required to float for a minimum of two (2) months from date of hire, or until completion of residency, whichever is later. During the nurse’s initial orientation to the Medical Center, each nurse will be scheduled up to four (4) hours on each unit to which the nurse may be required to float. The Hospital will make a good faith effort to avoid floating a nurse who agrees to work on the nurse’s day off unless the nurse agrees to float. No regularly scheduled full-time or part-time nurse 121 Sotoyome employee will be required to float to the Hospital or suffer any retaliation for refusing to do so. 121 Sotoyome employees who are hired into or later accept a job description permitting floating to the Hospital shall still have their primary work assignment be 121 Sotoyome work. Upon the ratification of this agreement, should a 121 Sotoyome employee volunteer to float, they shall be reclassified into the corresponding Hospital position. In such Hospital position, all floating provisions and corresponding salary rates for Hospital employees in the collective bargaining agreement apply. No employee shall float who has not been properly trained and oriented. Training and orientation must be completed within six months after the 121 Sotoyome employee starts to work in a position that floats; if agencynot completed, non-guaranteed travelerswithin that time, per diemthe employee’s salary rate will be reduced to the outpatient- only rate until training is completed unless the delay in training is the result of the Hospital not providing a sufficient opportunity to complete it. In any event, Hospital employees will be allowed to float pool, to 121 Sotoyome pursuant to the provisions of the collective bargaining agreement. Hospital employees who float to 121 Sotoyome shall not displace any employees who are scheduled to work or overtime nurses are being used able to work. No employee shall be floated either to or from 121 Sotoyome unless the Employer has made best efforts to first call all qualified employees at either 121 Sotoyome or the Hospital on the nurse’s unit unless the nurse so agrees, or, in the discretion basis of seniority and asking them to work. Upon ratification of the Chief Nursing Officer (or designee) floating is needed 2020-2024 Agreement, incumbent employees at 121 Sotoyome who are currently required to maintain competencies in float as part of their job description shall be given the float poolone- time option to accept a 121 Sotoyome-only position. Regularly scheduled fullThe Hospital will provide a 90-time and part-time nurses and guaranteed travelers will be floated in an equitable rotation based on who has floated most recently, provided day window for such elections. If the number of reclassification requests exceeds the business needs of the unit to which Hospital, the nurse is being floated and from which she or he has been floated are metHospital will honor those requests that it can, in seniority order. No nurse (At its sole option, the Hospital may “wait list” rejected applicants for eventual reclassification.) Upon reclassification, those employees will be expected subject to float if assigned to precept a nursethe 121 Sotoyome job descriptions and associated wages and working conditions. When a per diem nurse accepts a regularly scheduled shift from a nurse, she or he accepts In the full responsibility of that nurse’s obligation for that shift and therefore must float as that regularly scheduled nurse would have floated for that shift. If event an employee is above the per diem nurse is scheduled to work a shift for the Medical Center and has not agreed to work for a specific nurseexisting wage scale, the per diem nurse may employee shall be required to float to any of "red circled" and thus not receive across-the-board, step or other base salary increases until the mutually designated clinical units. Prior to reporting, when staffing earlier of: (1) such time as the salary scale is such that per diems would be required to float outside their mutually designated clinical units, they will be called by at or above the Staffing Office and offered an opportunity to stay home. A per diem nurse who has reported for duty may be required to float outside of her employees current wage; or his mutually designated clinical units for at least three (3) hours unless the nurse requests and signs a waiver for the three (3) hours report pay. When a nurse is required to float within the Medical Center, the nurse will receive a brief reorientation appropriate to the assignment. This orientation will be dependent on the nurse’s experience and familiarity with the nursing unit to which the nurse has been floated. Such an orientation will be expected to include unit routines, physical layout of the unit, location of supplies/equipment, and charting requirements. The floated nurse will be assigned a unit resource nurse whom the nurse can access for assistance. The floated nurse will not be required to be the only Registered Nurse on a unit to which the nurse is floated unless the nurse has so agreed. The floated nurse will not be required to perform tasks and procedures or to operate equipment for which the nurse has not been trained. Only chemotherapy certified nurses will be permitted to administer chemotherapy. No nurse will be expected to float more than two (2) times within any given shift unless that nurse agreesthe first full pay period after the one-year anniversary of the ratification of this Agreement. Upon requestIn the event there is a situation where the life of a patient may be in danger, there shall be no restriction on employees moving between 121 Sotoyome and the Medical Center will perform a quarterly review of float usage with recommendations made Hospital. Relief employees may apply for unit hiring positions at both the Hospital and scheduling so as to minimize floating. The report will be presented to the Nurse Conference Committee. The Medical Center will educate Clinical unit managers and ANS’s as to the above listed floating guidelines and keep them updated on appropriate data for making these decisions (i.e., guaranteed vs. non-guaranteed travelers)121 facility.

Floating. A nurse will not be required to float for a minimum of two (2) months from date of hire, or until completion of residency, whichever is later. During the nurse’s initial orientation to the Medical Center, each nurse will be scheduled up to four (4) hours on each unit to which the nurse Nurse may be required to float. The Hospital will make assist in patient care needs on a good faith effort to avoid floating a nurse who agrees to work on the nurse’s day off unless the nurse agrees to float. No regularly scheduled full-time or part-time nurse will be required to float if agency, non-guaranteed travelers, per diem, float pool, or overtime nurses are being used on the nurse’s unit unless the nurse so agrees, or, in the discretion of the Chief Nursing Officer (or designee) floating is needed to maintain competencies in the float pool. Regularly scheduled full-time and part-time nurses and guaranteed travelers will be floated in an equitable rotation based on who has floated most recently, provided the needs of the unit to which she is not permanently assigned in order to provide adequate nursing personnel to ensure patient safety and to maintain a high quality of patient care. Floating is not normally used to cover sick calls. If the nurse workload is being floated such that assistance with task-oriented duties will meet the patient’s needs, floating will be utilized to cover the sick call. Floating is the use of already available nursing resources in the event that additional Nurses are required in a particular unit for adequate patient care and from which she or he has been floated are metsafety. No nurse will All Nurses shall be expected to float to other departments within the Hospital to assist with patient care in times of disaster, high census, LOA coverage or other emergent situations. Decisions regarding nursing personnel to float should be made involving the unit Nurse’s, respective department managers (if assigned to precept a nurse. When a per diem nurse accepts a regularly scheduled shift from a nurse, she or he accepts available) and/or the full responsibility of that nurse’s obligation for that shift and therefore must float as that regularly scheduled nurse would have floated for that shiftHouse Supervisor. If the per diem nurse is scheduled to work a shift for the Medical Center and has not agreed to work for a specific nurseissues arise regarding that decision, the per diem nurse Vice President of Patient Care Services or the A/C on Call shall make the final decision. All Nurses may be required to float to any in the event that patient care and safety requires additional RN’s in a particular unit. Float RN’s shall be rotated within the individual departments. Tracking of floating will be the responsibility of the mutually designated clinical unitsRN’s in each unit, with management oversight. Prior The Nurse to reportingbe floated will function under the guidance of a regularly scheduled nurse from the receiving unit who will serve as the RN’s resource person. If floated, when staffing is such the Nurse shall be given only task oriented duties as to assure that per diems would be if the need arises, she may return to, her assigned unit unless required to float outside their mutually designated clinical units, they maintain safe patient care. A Nurse will be called by floated to an area where she could best provide a high level of basic patient care. The unit receiving the Staffing Office floated Nurse should assure the Nurse receives appropriate guidance, orientation to that unit, and offered an opportunity a resource Nurse will be assigned. Float Nurses are responsible to stay home. A per diem nurse who has reported for duty may be required to float outside of her report any immediate concerns with a patient assignment or his mutually designated clinical units for at least three (3) hours unless the nurse requests and signs a waiver for support she is receiving from the three (3) hours report pay. When a nurse is required to float within Nurses in the Medical Center, the nurse will receive a brief reorientation appropriate unit to the assignmentRN responsible for assignment of patient care. This orientation will The House Supervisor should be dependent on the nurse’s experience and familiarity with the nursing unit to which the nurse has been floated. Such an orientation will be expected to include unit routines, physical layout of the unit, location of supplies/equipmentmade aware of, and charting requirements. The floated nurse will be assigned involved in, all staffing decisions regarding the need for extra staff or low census of staff to ensure adequate Nurses are on duty to ensure patient safety and maintain a unit resource nurse whom the nurse can access for assistance. The floated nurse will not be required to be the only Registered Nurse on a unit to which the nurse is floated unless the nurse has so agreed. The floated nurse will not be required to perform tasks and procedures or to operate equipment for which the nurse has not been trained. Only chemotherapy certified nurses will be permitted to administer chemotherapy. No nurse will be expected to float more than two (2) times within any given shift unless that nurse agrees. Upon request, the Medical Center will perform a quarterly review high quality of float usage with recommendations made for unit hiring and scheduling so as to minimize floating. The report will be presented to the Nurse Conference Committee. The Medical Center will educate Clinical unit managers and ANS’s as to the above listed floating guidelines and keep them updated on appropriate data for making these decisions (i.e., guaranteed vs. non-guaranteed travelers)patient care.

Floating. A A. For the purposes of this provision, floating is defined as the assignment of a registered nurse to work on other than that registered nurse's usual unit, with such assignment taking place shortly before the start of the employee's shift or during the shift. No employee will be floated more than once during the employee's shift. It is not considered a float for an employee to return to his/her usual unit. An RN covering the meal break for another RN on other than his/her unit, for a period of time, not to exceed ninety (90) minutes per shift, shall not be considered a float. Such assignment will be equitably distributed. PACU nurses may float within their clinical division when no patients are present in their unit. However, when they float to another unit they will not be required expected to take a patient assignment and will return to the recovery room upon admission of a patient. B. The Hospital Center shall be permitted to float for within the clinical division on a minimum unit where the staffing guidelines have been exceeded. The determination to float shall be based on staffing guidelines, census, and acuity. C. When floating, the Hospital Center shall first utilize the float pool. Should the situation not be resolved through the use of two (2) months from date the float pool, the Hospital Center shall obtain supplemental staff in the following categories: voluntary subject-to-call, voluntary overtime, per diem, agency nurses. After all available means of hiresupplemental staff have been exhausted, or until completion the Hospital Center is permitted to float. D. If supplemental staff is unavailable by all of residencythe above methods, whichever is later. During the nurse’s initial orientation Hospital Center may float outside the Clinical Divisions to the Medical Center, each nurse will be scheduled up to four (4) hours on each unit to which the meet this need. E. Whenever a nurse may be required to float. The Hospital will make a good faith effort to avoid floating a nurse floated, agency/travel nurses who agrees are already on duty or scheduled to work on the nurse’s day off unless the that shift shall be floated first. Where no agency nurse agrees is available to float. , float assignments shall be equitably distributed among regular staff. F. No regularly scheduled full-time or part-time registered nurse will be required to float into a unit where specialized skills are required if agency, non-guaranteed travelers, per diem, float pool, or overtime nurses are being used on the nurse’s unit unless the nurse so agreeslacks those skills. G. Except in an emergency, orthe Hospital Center will continue its practice of not floating between Sites. This provision does not apply to the following Corporate Departments: Staff Education, QA/UR, AIDS Program Center, Home Care and Infection Control. However, there shall be no change in the discretion of the Chief Nursing Officer (or designee) floating is needed to maintain competencies existing practices in the float poolHome Care Department due to this provision. Regularly scheduled full-time and part-time nurses and guaranteed travelers will Effective January 1, 2003, employees with fifteen (15) or more years of SLRHC service shall not be floated more than seven (7) times in any one (1) calendar year. At the Roosevelt Site, employees hired in the Maternal/Child Health Division (not including pre-83 hires who already have permanent assignments) shall be given an equitable rotation based on who has floated most recently, provided the needs option to choose their area of the unit to which the nurse is being floated and from which she or he has been floated are met. No nurse will be expected to float if assigned to precept a nurse. When a per diem nurse accepts a regularly scheduled shift from a nurse, she or he accepts the full responsibility of that nurse’s obligation for that shift and therefore must float as that regularly scheduled nurse would have floated for that shift. If the per diem nurse is scheduled to work a shift for the Medical Center and has not agreed to work for a specific nurse, the per diem nurse may be required to float to any of the mutually designated clinical units. Prior to reporting, when staffing is such that per diems would be required to float outside their mutually designated clinical units, they will be called by the Staffing Office and offered an opportunity to stay home. A per diem nurse who has reported for duty may be required to float outside of her or his mutually designated clinical units for at least three (3) hours unless the nurse requests and signs a waiver for the three (3) hours report pay. When a nurse is required to float within the Medical Center, the nurse will receive a brief reorientation appropriate to the permanent assignment. This orientation However, one position on each shift shall be designated as a "float" and be paid the additional float pool differential. Seniority will be dependent on the nurse’s experience and familiarity with the nursing unit to which the nurse has been floated. Such an orientation will be expected to include unit routines, physical layout of the unit, location of supplies/equipment, and charting requirements. The floated nurse will be assigned a unit resource nurse whom the nurse can access for assistance. The floated nurse will not be required to be the only Registered Nurse on a unit to which the nurse is floated unless the nurse has so agreed. The floated nurse will not be required to perform tasks and procedures or to operate equipment for which the nurse has not been trained. Only chemotherapy certified nurses will be permitted to administer chemotherapy. No nurse will be expected to float prevail when more than two (2) times within any given shift unless that nurse agreesemployees desire the same position. Upon requestIn cases where no employee desires a position, reverse seniority shall prevail. H. Not withstanding the above, on a unit where all employees scheduled to work have met the 15 year, 7 float limit, the Medical Center Employer may float employees on a rotating basis starting with the least senior. Before these employees can be required to float they must have been offered the opportunity to use paid leave time. Whenever possible, the Employer will perform a quarterly review attempt to contact the nurses two (2) hours before the shift begins. I. Nursing management will assure that all necessary nursing leadership personnel fully understands the capabilities of float usage with recommendations made for unit hiring RNs floated within the Emergency Department and scheduling so as the requirements of the assignments to minimize floating. The report will be presented to the Nurse Conference Committee. The Medical Center will educate Clinical unit managers and ANS’s as to the above listed floating guidelines and keep them updated on appropriate data for making these decisions (i.e., guaranteed vs. non-guaranteed travelers)which they are floated.

Floating. A. Within thirty (30) days following ratification of this Agreement, each nurse must notify his or her manager, in writing on a form provided by the Hospital, as to the nurse's willingness to be a Float Nurse, as defined below, to float to areas specified by the Hospital. Thereafter, each year in December, any nurse willing to become or remain a Float Nurse shall provide such notice in writing. Any change in status resulting from such notice will be effective for the next calendar year, after receipt of the written notice. The Hospital has the right to determine the number of Float Nurses it needs in a calendar year. The Hospital shall exercise this right based on a reasonable estimation of floating needs for the calendar year. In the event that the number of nurses providing notification of their willingness to be a Float Nurse exceeds the number of Float Nurses needed by the Hospital, selection will be made on the basis of seniority from among those already cross-trained and then on the basis of seniority among those requesting to be cross- trained. 1. To be a Float Nurse, the following criteria must be met: (a) The nurse must be currently cross-trained or, with the Hospital’s agreement, be willing to be cross-trained to independently take a patient care assignment on another unit(s). (b) When the Hospital determines that floating is necessary to a particular unit, and after the training described above, the nurse will float to the unit(s) to which he or she has been cross-trained to independently take a patient care assignment. (c) The nurse may be floated to units other than those units for which he or she has been trained, but will not be expected to independently take a patient care assignment on such unit(s). (d) The nurse must float at least five (5) times per quarter, when requested by the Hospital. (e) The Hospital will make good-faith reasonable efforts to notify a nurse at least two hours before the shift that he or she will be floated, when it is known to the Hospital. In any event, the Hospital will inform the nurse as soon as possible. 2. A Float Nurse will not be assigned MDO time for more than one (1) full shift per week, and will not be assigned more than 144 MDO hours (other than voluntary MDO time) in a calendar year in accordance with Article 17.B.1(f). A voluntary MDO shall not count toward either of these limits. A voluntary MDO shall not be granted, however, if the Hospital has determined a need for the Float Nurse to float to another unit. B. When a nurse who is not a Float Nurse is requested to float to a unit other than the unit or units where the nurse regularly works, the nurse will be given a primary patient assignment if the nurse is qualified for such assignment. A nurse may always be required to float in a role to assist other nurses. C. If a nurse is floated to another unit but required to remain immediately available to return to the nurse's primary unit, the nurse will not be given a primary patient assignment in the unit to which he or she has floated. D. If a nurse who is not a Float Nurse believes that he or she is not qualified for a specific assignment with a primary patient load, the nurse should indicate in writing the reasons why and give them at the time of the request to the appropriate manager or designee for the record. If a nurse provides the written statement described in this paragraph, the nurse will not be required to float for a minimum of two (2) months from date of hire, or until completion of residency, whichever is later. During the nurse’s initial orientation to the Medical Center, each nurse will be scheduled up to four (4) hours on each unit to which the nurse may be required to float. The Hospital will make a good faith effort to avoid floating a nurse who agrees to work on the nurse’s day off unless the nurse agrees to float. No regularly scheduled full-time or part-time nurse will be required to float if agency, non-guaranteed travelers, per diem, float pool, or overtime nurses are being used on the nurse’s unit unless the nurse so agrees, or, in the discretion of the Chief Nursing Officer (or designee) floating is needed to maintain competencies in the float pool. Regularly scheduled full-time and part-time nurses and guaranteed travelers will be floated in an equitable rotation based on who has floated most recently, provided the needs of the unit to which the nurse is being floated and from which she or he has been floated are met. No nurse will be expected to float if assigned to precept a nurse. When a per diem nurse accepts a regularly scheduled shift from a nurse, she or he accepts the full responsibility of that nurse’s obligation for that shift and therefore must float as that regularly scheduled nurse would have floated for that shift. If the per diem nurse is scheduled to work a shift for the Medical Center and has not agreed to work for a specific nurse, the per diem nurse may be required to float to any of the mutually designated clinical units. Prior to reporting, when staffing is such assignment with a primary patient load at that per diems would be required to float outside their mutually designated clinical units, they will be called by the Staffing Office and offered an opportunity to stay home. A per diem nurse who has reported for duty may be required to float outside of her or his mutually designated clinical units for at least three (3) hours unless the nurse requests and signs a waiver for the three (3) hours report pay. When a nurse is required to float within the Medical Center, the nurse will receive a brief reorientation appropriate to the assignment. This orientation will be dependent on the nurse’s experience and familiarity with the nursing unit to which the nurse has been floated. Such an orientation will be expected to include unit routines, physical layout of the unit, location of supplies/equipment, and charting requirements. The floated nurse will be assigned a unit resource nurse whom the nurse can access for assistance. The floated nurse will not be required to be the only Registered Nurse on a unit to which the nurse is floated unless the nurse has so agreed. The floated nurse will not be required to perform tasks and procedures or to operate equipment for which the nurse has not been trained. Only chemotherapy certified nurses will be permitted to administer chemotherapy. No nurse will be expected to float more than two (2) times within any given shift unless that nurse agrees. Upon request, the Medical Center will perform a quarterly review of float usage with recommendations made for unit hiring and scheduling so as to minimize floating. The report will be presented to the Nurse Conference Committee. The Medical Center will educate Clinical unit managers and ANS’s as to the above listed floating guidelines and keep them updated on appropriate data for making these decisions (i.e., guaranteed vs. non-guaranteed travelers)time.

Floating. A nurse will not be required to float for a minimum of two (2) months from date of hire, or until completion of residency, whichever is later. During the nurse’s initial orientation to the Medical Center, each nurse will be scheduled up to four (4) hours on each unit to which the nurse may be required to float. The Hospital will make a good faith effort to avoid floating When a nurse who agrees will be required by the Medical Center to work on the nurse’s day off unless the nurse agrees float from one unit to float. No regularly scheduled full-time or part-time nurse a different unit, nurses will be required to float in the following order, provided the nurse has the necessary competencies to meet patient care needs: a) Unassigned nurses from a float pool created by the Employer, if agency, non-guaranteed any; b) Volunteers from the unit providing the floating employee; c) Agency and nonguaranteed travelers, per diem, float pool, or overtime ; d) Guaranteed travelers; e) Regular nurses are being used working an additional shift under Section 7.7. f) All regular nurses working on the unit providing the floating nurse’s unit unless the nurse so agrees, or, in the discretion of the Chief Nursing Officer (or designee) floating is needed to maintain competencies in the float pool. Regularly scheduled full-time and part-time nurses and guaranteed travelers will be floated in an equitable rotation to the greatest degree practicable based on who has floated most recently, provided the needs of the unit to which the nurse is being floated and from which she or he has been floated are met. No If a nurse does not have the necessary competencies to meet patient care needs, another nurse will be expected to float if assigned to precept a nurse. When a per diem nurse accepts a regularly scheduled shift from a nurse, she or he accepts the full responsibility of that nurse’s obligation for that shift and therefore must float as that regularly scheduled nurse would have floated for that shift. If the per diem nurse is scheduled to work a shift for the Medical Center and has not agreed to work for a specific nurse, the per diem nurse may be required to float to any of in accordance with the mutually designated clinical units. Prior to reporting, when staffing is such that per diems would be required to float outside their mutually designated clinical units, they will be called by the Staffing Office and offered an opportunity to stay home. A per diem nurse who has reported for duty may be required to float outside of her or his mutually designated clinical units for at least three (3) hours unless the nurse requests and signs a waiver for the three (3) hours report payorder above. When a nurse is required to float within the Medical Center, the nurse will receive a brief reorientation appropriate to the assignment. This orientation will be dependent on the nurse’s experience and familiarity with the nursing unit to which the nurse has been floated. Such an orientation will be expected to include unit routines, physical layout of the unit, location of supplies/equipment, and charting requirements. The floated nurse will be assigned a unit resource nurse whom the nurse can access for assistance. The floated nurse will not be required to be the only Registered Nurse on a unit to which the nurse is floated unless the nurse has so agreed. The floated nurse will not be required to perform tasks and procedures or to operate equipment for which the nurse has not been trained. Only chemotherapy certified nurses will be permitted to administer chemotherapy. No nurse will be expected to float more than two (2) times within any given shift unless that nurse agrees. Upon request, the Medical Center will perform a quarterly review of float usage with recommendations made for unit hiring and scheduling so as to minimize floating. The report No nurse will be presented expected to the Nurse Conference Committee. The Medical Center will educate Clinical unit managers and ANS’s as float if assigned to the above listed floating guidelines and keep them updated on appropriate data for making these decisions (i.e., guaranteed vs. non-guaranteed travelers)precept a nurse.

Floating. A ‌ Nurses shall not float and be placed in charge, unless mutually agreed upon. The nurse may be required to work with assistive personnel unless they are unaccustomed to this arrangement. Floating will be done by rotation as long as patient care is not jeopardized. Pool Nurses who have worked one hundred eight (108) hours in three (3) consecutive months/two (2) consecutive schedules shall be included in the float rotation for three (3) months/two (2) schedules immediately following. All agency/traveler nurses shall generally be included in the float rotation, except that specialty units may be excluded on a case by case basis. Nurses required to float shall be responsible for notifying the appropriate Charge Nurse or supervisor when the nurse believes that performing tasks assigned may jeopardize patient care. The Hospital will extend good faith efforts to ensure nurses will float no more than one time (1x) during a nurse’s shift, unless mutually agreed otherwise between the nurse and the Hospital. If floating is necessary only because a nurse on another unit has requested voluntary low census, then the nurse whose turn it is to float off their unit shall either accept the float assignment or take a voluntary low census day. Nurses who have twelve (12) or more total years of service as a Staff Nurse at the Hospital will not be required to float for except in emergency situations. An emergency situation is defined as a minimum of two (2) months from date of hire, or until completion of residency, whichever is later. During the nurse’s initial orientation to the Medical Center, each nurse will be scheduled up to four (4) hours on each unit to situation in which the nurse may be required Hospital’s incident command system (HICS) is initiated due to floatan internal or external emergency. The Hospital will make floating assignment shall be as a good faith effort to avoid floating a nurse who agrees to work on the nurse’s day off Nurse Extender unless the nurse agrees to floattake a patient assignment. No regularly scheduled full-time or part-time nurse Floating will be required to float if agencyby rotation, the tie breaker being seniority. A nurse who accepts voluntary (non-guaranteed travelersmandatory) low census in lieu of floating shall be credited with a float, per diem, float pool, or overtime nurses are being used on the nurse’s unit unless the nurse so agrees, or, in the discretion of the Chief Nursing Officer (or designee) floating is needed to maintain competencies in the float pool. Regularly scheduled full-time and part-time nurses and guaranteed travelers will be floated in an equitable rotation based on who has floated most recently, provided the needs of the unit to which the nurse is being floated and from which she or he has been floated are met. No nurse will be expected to float if assigned to precept a nurse. When a per diem nurse accepts a regularly scheduled shift from a nurse, she or he accepts the full responsibility of that nurse’s obligation for that shift and therefore must float as that regularly scheduled nurse would have floated for that shift. If the per diem nurse is scheduled to work a shift for the Medical Center and has not agreed to work for a specific nurse, the per diem nurse may be required to float to any of the mutually designated clinical units. Prior to reporting, when staffing is such that per diems would be required to float outside their mutually designated clinical units, they will be called by the Staffing Office and offered an opportunity to stay home. A per diem nurse who has reported for duty may be required to float outside of her or his mutually designated clinical units for at least three (3) hours unless the nurse requests and signs a waiver for the three (3) hours report pay. When a nurse is required to float within the Medical Center, the nurse will receive a brief reorientation appropriate to not remain at the assignment. This orientation will be dependent on the nurse’s experience and familiarity with the nursing unit to which the nurse has been floated. Such an orientation will be expected to include unit routines, physical layout top of the unit, location of supplies/equipment, and charting requirements. The floated nurse will be assigned a unit resource nurse whom the nurse can access for assistance. The floated nurse will not be required to be the only Registered Nurse on a unit to which the nurse is floated unless the nurse has so agreed. The floated nurse will not be required to perform tasks and procedures or to operate equipment for which the nurse has not been trained. Only chemotherapy certified nurses will be permitted to administer chemotherapy. No nurse will be expected to float more than two (2) times within any given shift unless that nurse agrees. Upon request, the Medical Center will perform a quarterly review of float usage with recommendations made for unit hiring and scheduling so as to minimize floating. The report will be presented to the Nurse Conference Committee. The Medical Center will educate Clinical unit managers and ANS’s as to the above listed floating guidelines and keep them updated on appropriate data for making these decisions (i.e., guaranteed vs. non-guaranteed travelers)rotation indefinitely.

Floating. In the event that there are excess nurses scheduled on a unit and another unit is short-staffed or in need of extra staff, a nurse may be floated to another unit to take care of patients within their specialty and competency (e.g. Med/Surg RN caring for Med/Surg patient(s) in the ED). The following are the requirements for floating and determination process for which nurse(s) floats: A. Competency/Qualifications - Registered nurses shall receive patient assignments commensurate with their skills and competencies. A registered nurse will not be required to float to a patient assignment that requires specialty competence for which they are not qualified. If a minimum registered nurse is asked to perform a task or procedure for which the nurse does not feel qualified or trained to perform the nurse should immediately escalate up the chain of two (2) months from date of hirecommand, beginning with the charge nurse, who will assign the nurse a different task or until completion of residency, whichever is later. During procedure consistent with the nurse’s initial orientation skills and competencies. B. Float Nurse Assignments - Registered nurses shall be floated to care for patients for which they have been competency validated and oriented. For purposes of this section, “oriented” means that the Medical Center, each registered nurse will be scheduled up to four (4) hours on each unit to which the nurse may be required to float. The Hospital will make a good faith effort to avoid floating a nurse who agrees has received basic information needed to work on where the nurse’s day off unless the nurse agrees to float. No regularly scheduled full-time or part-time nurse will be required to float if agencypatients are located, non-guaranteed travelers, per diem, float pool, or overtime nurses are being used on the nurse’s such as unit unless the nurse so agrees, or, in the discretion of the Chief Nursing Officer (or designee) floating is needed to maintain competencies in the float pool. Regularly scheduled full-time and part-time nurses and guaranteed travelers will be floated in an equitable rotation based on who has floated most recently, provided the needs of the unit to which the nurse is being floated and from which she or he has been floated are met. No nurse will be expected to float if assigned to precept a nurse. When a per diem nurse accepts a regularly scheduled shift from a nurse, she or he accepts the full responsibility of that nurse’s obligation for that shift and therefore must float as that regularly scheduled nurse would have floated for that shift. If the per diem nurse is scheduled to work a shift for the Medical Center and has not agreed to work for a specific nurse, the per diem nurse may be required to float to any of the mutually designated clinical units. Prior to reporting, when staffing is such that per diems would be required to float outside their mutually designated clinical units, they will be called by the Staffing Office and offered an opportunity to stay home. A per diem nurse who has reported for duty may be required to float outside of her or his mutually designated clinical units for at least three (3) hours unless the nurse requests and signs a waiver for the three (3) hours report pay. When a nurse is required to float within the Medical Center, the nurse will receive a brief reorientation appropriate to the assignment. This orientation will be dependent on the nurse’s experience and familiarity with the nursing unit to which the nurse has been floated. Such an orientation will be expected to include unit routines, physical layout of the unitlayout, location of supplies/equipment, unit resources and charting requirementsessential work protocols. The Orientation will occur before the Registered Nurse assumes patient care duties. All Registered Nurses who are floated nurse will be assigned supported by a unit resource nurse whom and/or charge nurse from the nurse can access unit’s primary staff for assistance. The floated nurse clinical guidance. C. Floating Requirements - Registered nurses will not be required to be the only float more than once per shift. Registered Nurse on a unit to which the nurse is floated unless the nurse has so agreed. The floated nurse will not be required to perform tasks and procedures or to operate equipment for which the nurse has not been trained. Only chemotherapy certified nurses will be permitted to administer chemotherapy. No floated on a rotational basis, unless the charge registered nurse will be expected to float more than two (2) times within any given shift unless determines that nurse agrees. Upon request, the Medical Center will perform skill mix of the unit or the patient needs warrant a quarterly review of float usage with recommendations made for unit hiring and scheduling so as to minimize floating. The report will be presented to change in the Nurse Conference Committee. The Medical Center will educate Clinical unit managers and ANS’s as to the above listed floating guidelines and keep them updated on appropriate data for making these decisions (i.e., guaranteed vs. non-guaranteed travelers)rotation.

Floating. ‌ Floating shall be in accordance with applicable provisions of Title 22 of the California Code of Regulations, as amended from time to time, and shall be consistent with the Nurse’s validated competencies. A nurse will Nurse who has floated shall have his/her competencies validated on the receiving unit prior to an unrestricted assignment. In the event a Nurse feels that s/he lacks competency for an assignment, the Nurse shall so inform the immediate supervisor. At the request of a Nurse, the Unit Manager or supervisor shall make an assessment of the Nurse’s assignment to ensure that the Nurse is appropriately assigned in accordance with the Hospital standards and applicable provisions of Title 22 of the California Code of Regulations. While such assessment is being made, the Nurse may be assigned to nursing care duties that the Nurse and the Unit Manager or supervisor agree are clearly within the Nurse’s capabilities. Orientation for floating shall include one orientation shift for floating to Med Surg. For floating to one of the following specialty units, orientation of the Nurse shall be two orientation shifts: ICU, ED, Procedure Room, PACU, and Holding area. Orientation shall include a shared assignment on the unit with a Resource Nurse or another Nurse. Nurses in orientation for purposes of floating shall not be required counted in productive hours during such orientation. Nurses floating to float for a minimum of two (2) months from date of hireunit outside the Nurse’s unit shall receive the orientation contemplated by this section, or until completion of residency, whichever is later. During unless the nurse’s initial orientation Nurse has previously floated to the Medical Centerunit. If eighteen (18) or more months have elapsed since the Nurse has worked in the unit, each nurse a reorientation of at least eight (8) hours shall be provided as described above. Except as provided in Section 13 - Cancellation, Layoff and Reduction in Time, floating outside of the Nurse’s unit, will be scheduled up voluntary. Nurses, by majority vote, shall select a float procedure of either by seniority or a rotational system. Elections for float procedures shall not be allowed more than once per calendar year in any unit. Float Positions: The Hospital may, at its discretion, create a nurse classification for purposes of having a nurse dedicated to four (4) hours on each unit to which the nurse may be required to floatfloating. The Hospital will make a good faith effort to avoid floating a nurse who agrees to work and the Association shall meet and confer on the nurse’s day off unless implementation of the nurse agrees Float positions. The meet and confer shall include but not be limited to floathours, wages, benefits and working conditions. No regularly scheduled full-time or part-time nurse will be required to float if agency, non-guaranteed travelers, per diem, float pool, or overtime nurses are being used on the nurse’s unit unless the nurse so agrees, or, Nurses in the discretion of the Chief Nursing Officer (or designee) floating is needed to maintain competencies Float positions shall not be counted in the float pool. Regularly scheduled full-time and part-time nurses and guaranteed travelers will be floated in an equitable rotation based on who has floated most recently, provided the needs of the unit to which the nurse is being floated and from which she or he has been floated are met. No nurse will be expected to float if assigned to precept a nurse. When a per diem nurse accepts a regularly scheduled shift from a nurse, she or he accepts the full responsibility of that nurseHospital’s obligation for that shift and therefore must float as that regularly scheduled nurse would have floated for that shift. If the per diem nurse is scheduled to work a shift for the Medical Center and has not agreed to work for a specific nurse, the per diem nurse may be required to float to any of the mutually designated clinical units. Prior to reporting, when staffing is such that per diems would be required to float outside their mutually designated clinical units, they will be called by the Staffing Office and offered an opportunity to stay home. A per diem nurse who has reported for duty may be required to float outside of her or his mutually designated clinical units for at least three (3) hours unless the nurse requests and signs a waiver for the three (3) hours report pay. When a nurse is required to float within the Medical Center, the nurse will receive a brief reorientation appropriate to the assignment. This orientation will be dependent on the nurse’s experience and familiarity with the nursing unit to which the nurse has been floated. Such an orientation will be expected to include unit routines, physical layout of the unit, location of supplies/equipment, and charting requirements. The floated nurse will be assigned a unit resource nurse whom the nurse can access for assistance. The floated nurse will not be required to be the only Registered Nurse on a unit to which the nurse is floated unless the nurse has so agreed. The floated nurse will not be required to perform tasks and procedures or to operate equipment for which the nurse has not been trained. Only chemotherapy certified nurses will be permitted to administer chemotherapy. No nurse will be expected to float more than two (2) times within any given shift unless that nurse agrees. Upon request, the Medical Center will perform a quarterly review of float usage with recommendations made for unit hiring and scheduling so as to minimize floating. The report will be presented to the Nurse Conference Committee. The Medical Center will educate Clinical unit managers and ANS’s as to the above listed floating guidelines and keep them updated on appropriate data for making these decisions (i.e., guaranteed vs. non-guaranteed travelers)matrix.