Common use of Floating Clause in Contracts

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 outside their primary unit more than once per shift. Nurses will be expected to perform all basic nursing functions but will not be required to perform tasks or procedures for which they are not qualified or trained to perform. If during the floating assignment the 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 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 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 orientation with completion of any required checklists at least annually. The float nurse agrees to keep his/her new skills current by floating to the other unit at least once every three (3) months, as the schedule permits.

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 outside their primary 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 more than once 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 shiftdiem, 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. Nurses 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 perform all basic 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 functions but 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 procedures for which they are not qualified or trained to perform. If during the floating assignment the nurse is asked to perform a task or procedure operate equipment for which the nurse does has not feel qualified or trained been trained. Only chemotherapy certified nurses will be permitted to performadminister chemotherapy. No nurse will be expected to float more than two (2) times within any given shift unless that nurse agrees. Upon request, the nurse should immediately discuss the matter Medical Center will perform a quarterly review of float usage 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 recommendations made for unit hiring and indicate the results of the conversations. Requests for orientation scheduling so as to other units as a 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 orientation with completion of any required checklists at least annuallyminimize floating. The float nurse agrees to keep his/her new skills current by floating report will be presented to the other Nurse Conference Committee. The Medical Center will educate Clinical unit at least once every three managers and ANS’s as to the above listed floating guidelines and keep them updated on appropriate data for making these decisions (3) monthsi.e., as the schedule permitsguaranteed vs. non-guaranteed travelers).

Floating. The hospital retains the right A Nurse may be required to change the nurse’s daily work assignment assist in patient care needs on a shiftunit 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 workload is such that assistance with task-by-shift basis oriented duties will meet the patient’s needs, floating will be utilized to meet 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 needsand safety. All Nurses required shall be expected to float to a different unit will receive orientation 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 which is appropriate to Nurse’s, respective department managers (if available) and/or the assignmentHouse Supervisor. Orientation will be dependent upon If issues arise regarding that decision, the nurse’s previous experience and familiarity with Vice President of Patient Care Services or the unit to which such nurse is assignedA/C on Call shall make the final decision. 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. All Nurses will not may be required to float outside their primary unit more than once per shiftin the event that patient care and safety requires additional RN’s in a particular unit. Nurses Float RN’s shall be rotated within the individual departments. Tracking of floating will be expected the responsibility of the RN’s in each unit, with management oversight. The Nurse to perform all basic nursing functions but be floated will not function under the guidance of a regularly scheduled nurse from the receiving unit who will serve as the RN’s resource person. If floated, the Nurse shall be given only task oriented duties as to assure that if the need arises, she may return to, her assigned unit unless required to perform tasks or procedures for which they are not qualified or trained maintain safe patient care. A Nurse will be floated to performan area where she could best provide a high level of basic patient care. If during The unit receiving the floating assignment floated Nurse should assure the nurse is asked to perform a task or procedure for which the nurse does not feel qualified or trained to performNurse receives appropriate guidance, the 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 that unit, and a float nurse (not resource Nurse will be assigned. Float Nurses are responsible to report any immediate concerns with a primary) may be granted when scheduling permits and patient assignment or the nurse agrees to work support she is receiving from the Nurses in the new unit in to the future to maintain his/her skills in that area. Orientation as a float nurse to other units requires at least eight (8) hours RN responsible for assignment of orientation with completion of any required checklists at least annuallypatient care. The float nurse agrees House Supervisor should be made aware of, and involved in, all staffing decisions regarding the need for extra staff or low census of staff to keep his/her new skills current by floating ensure adequate Nurses are on duty to the other unit at least once every three (3) months, as the schedule permitsensure patient safety and maintain a high quality of patient care.

Floating. 7.1 Floating. The hospital float pools on each campus (7.3) will serve as primary resources for meeting floating needs within a campus. The Multi-Campus Float Pool will serve as primary resources for meeting floating needs between campuses. The Employer retains the right right, however, to change the nurse’s 's daily work assignment on a shift-by-shift by shift basis to meet patient care needs. Provided safe and cost effective staffing alternatives are available, every effort will be made to limit floating assignments to designated work groupings or to areas where the nurse has been cross-trained. Nurses required who float will be adequately oriented and have the appropriate basic skills for the units to which they float. Volunteers will be sought first when floating is necessary. Per-diem and Traveling nurses will be floated in rotation along with all other unit based staff. Each unit will decide if permanent charge nurses will float in rotation. This will be decided by secret ballot majority vote. If a nurse on standby is called in and that unit needs to float a nurse, that unit will float a nurse by mutual agreement except in extreme emergencies where a patient would go without care. These extreme emergency situations will be on a staffing exception form to a different unit be made available by the Employer, and forwarded to the Unit Based Staffing Co-chairs. The Co-chairs will evaluate whether the matter needs further review, and if so, will bring the matter to the Unit Based Staffing Committee for evaluation and review. For ongoing and unresolved issues, the matter may be forwarded to the Labor Management Committee. Each affected nurse will receive orientation to the unit which is and will be assigned a resource person from the unit's permanent staff for clinical guidance as needed. Orientation will be appropriate to the assignment. Orientation assignment and will be dependent upon the nurse’s 's previous experience and familiarity with the nursing unit and patients to which such nurse is assigned. Floating assignments shall will be made by seeking volunteers first and then based on matching the skills of the nurse to her/his assigned unit/patients. If a nurse is floated off the nurse's own unit when there is either (1) another nurse floated in from another unit or (2) an equitable basis consistent with the hospital’s needsagency nurse or a management nurse working on that unit, nurse’s experience and level of assignment. A resource nurse these occurrences 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 tracked according to the unit. Nurses will not be required to float outside their primary unit more than once per shiftprocess described above. Nurses will be expected to perform all basic nursing functions but will not be required to perform tasks or procedures specifically applicable to the nursing unit for which they are not qualified or trained to perform. If during the floating assignment the a nurse is asked to perform a task or procedure for which the nurse does not feel qualified or trained to performperform or is otherwise unable to provide the appropriate care for the patient, the nurse should immediately discuss the matter with the resource nurse. If charge nurse or manager or if the issue remains unresolvedsituation continues, the house supervisor should be paged immediately. Newly hired nurses will not float during the first ninety (90) days of their employment. Resident nurses shall not float during the first six (6) months of their employment. Nursing managers in consultation with staff nurses regularly assigned to the unit will develop unit specific orientation tools (including but not limited to examples of charting, a map of the unit, unit specific protocols, special procedures and the assignment of a resource person) to be used by staff nurses floated to the unit. It is the responsibility of the charge nurse/resource nurse should discuss to assure the issue with the supervisor. If the issue remains unresolved, tool is given to 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 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 orientation with completion of any required checklists at least annuallyfloated. The Employer will make a good faith effort not to assign float nurse agrees to keep his/her new skills current by floating to the other unit at least once every three (3) months, nurses as the schedule permitscharge without mutual consent.

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 in accordance with applicable provisions of Title 22 of the California Code of Regulations, as amended from time to time, and then on an equitable basis shall be consistent with the hospitalNurse’s needs, nurse’s experience and level of assignmentvalidated competencies. A resource nurse will be identified for a nurse floating to an unfamiliar unit, so that the floating nurse Nurse who has someone with whom to consult for specific questions throughout the shift. A nurse floated outside shall have his/her regular competencies validated on the receiving unit will 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 assigned an independent patient care assignmentcounted in productive hours during such orientation. Nurses floating to a unit outside the Nurse’s unit shall receive the orientation contemplated by this section, until such time as unless the nurse is fully oriented Nurse has previously floated to the unit. Nurses will not be required to float outside their primary unit If eighteen (18) or more than once per shift. Nurses will be expected to perform all basic nursing functions but will not be required to perform tasks or procedures for which they are not qualified or trained to perform. If during months have elapsed since the floating assignment the 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 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 float nurse (not a primary) may be granted when scheduling permits and the nurse agrees to work Nurse has worked in the new unit in the future to maintain his/her skills in that area. Orientation as unit, a float nurse to other units requires 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 orientation with completion the Nurse’s unit, will be 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 required checklists unit. Float Positions: The Hospital may, at least annuallyits discretion, create a nurse classification for purposes of having a nurse dedicated to floating. The float nurse agrees Hospital and the Association shall meet and confer on the implementation of the Float positions. The meet and confer shall include but not be limited to keep his/her new skills current by floating to hours, wages, benefits and working conditions. Nurses in the other unit at least once every three (3) months, as Float positions shall not be counted in the schedule permitsHospital’s staffing matrix.