MDO Procedure Clause Samples
The MDO Procedure clause outlines the specific steps and requirements for managing and documenting modifications, deviations, or objections (MDO) within a contractual or project framework. Typically, this clause details how parties should submit requests for changes, the necessary documentation, and the approval process, ensuring that all alterations are formally recorded and agreed upon. For example, if a contractor needs to deviate from the original project specifications, they must follow the MDO Procedure to seek approval and document the change. The core function of this clause is to provide a clear, standardized process for handling changes, thereby minimizing disputes and maintaining project integrity.
MDO Procedure. Nurses scheduled to work in the unit and shift where the 23 MDO will occur will have their shift or portion of their shift canceled in the 24 following sequence:
25 A. Agency registered nurses other than travelers, (unless the Medical 26 Center’s contract with the travelers permits such MDO , in which case
MDO Procedure. 3 1. Nurses scheduled to work in the unit and shift where the MDO will occur 4 will have their shift or the remaining portion of their shift canceled in the 5 following sequence:
6 a. Agency registered nurses
7 b. Traveler nurses
8 c. Providence Share Care registered nurses
9 d. Nurses whose work would be payable at overtime or incentive shift 10 premium rates
11 e. Volunteers, with the earliest request for time off given preference
12 f. Managers and supervisors taking a patient care assignment will 13 hand over their patient care assignment before additional nurses 14 are given MDO; however, managers and supervisors who have 15 specific skills and abilities necessary to patient care may continue 16 to perform those patient care duties.
17 g. Per Diem nurses
18 h. Remaining nurses in accordance with the unit's rotation system, 19 provided, however, that a Float Nurse who has already been 20 assigned 144 hours in a calendar year will be removed from the 21 MDO rotation on the Float Nurse's unit for the remainder of the 22 calendar year. If two nurses are equal in the unit's normal rotation, 23 the MDO will be assigned to the less senior nurse. 24 (1) A regular nurse will not be required to 25 take involuntary MDO more than once per pay 26 period unless all other similarly skilled nurses 27 working the same shift and department have also 28 taken MDO at least once during that same pay 29 period. Each unit will develop a system to best 30 effectuate this provision.
31 2. When a nurse is given an MDO, the Hospital may also assign the nurse to 1 standby during the canceled shift hours. Whether or not the nurse is 2 placed on standby, the nurse shall receive call back pay in accordance 3 with Article 9, Section B if they are called in to work.
4 3. If two or more nurses volunteer for an MDO at the same time, the MDO 5 shall be rotated based on who last received an MDO. If the nurses both 6 received an MDO on the same prior day, the MDO will be given to the 7 more senior nurse.
8 4. The Hospital will attempt to notify nurses by telephone that they will be 9 given an MDO at least two (2) hours before the nurse's shift begins. If the 10 Hospital fails to make this attempt, the nurse will not be given an MDO 11 prior to the start of his/her shift. A nurse who reports to work will be 12 guaranteed a minimum of four (4) hours of work or, if work is not available, 13 a minimum of four (4) hours of pay. If work is available but a nurse does 14 not wish to remain, the H...
MDO Procedure. Nurses scheduled to work in the unit and shift where the MDO will occur will have their shift or portion of their shift canceled in the following sequence:
a. Agency registered nurses, other than travelers (unless the Medical Center’s contract with the traveler permits such MDO, in which case the traveler nurse will be cancelled first).
b. Nurses whose work would be payable at overtime.
c. Volunteers, with the earliest request for time off given preference.
d. Seasonal nurses.
e. Per diem nurses.
f. Remaining nurses in accordance with the unit's MDO rotation system, which looks at all of the nurses scheduled for that shift and unit, and selects for MDO from among those nurses the individual nurse with the least MDO hours in the immediately preceding two pay periods. The system of MDO rotation shall be the one currently in effect on each unit at the time of ratification, and shall be written and communicated by the manager, in consultation with the nurses on the unit. Notwithstanding the prior sentence, nurses on a unit may change the system of rotation, provided that the system is in writing and approved by the unit manager. The staffing office will be responsible for accurately tracking and recording MDO hours on units they are responsible for staffing. All other units shall track their own MDO hours.
i. Float nurses will be considered in the rotation described above only in Spine/Total Joint, Medical/Surgical, Telemetry, and Inpatient Rehabilitation.
MDO Procedure. 14 1. Nurses scheduled to work in the unit and shift where the MDO will occur 15 will have their shift or portion of their shift canceled in the following sequence:
16 a. Agency registered nurses 18 b. Traveler nurses
MDO Procedure. 1. Nurses scheduled to work in the unit and shift where the MDO will occur will have their shift or the remaining portion of their shift canceled in the following sequence:
a. Agency registered nurses
b. Traveler nurses
c. Providence Share Care registered nurses
d. Nurses whose work would be payable at overtime or incentive shift premium rates
e. Volunteers, with the earliest request for time off given preference
f. Managers and supervisors taking a patient care assignment will hand over their patient care assignment before additional nurses are given MDO, provided that an appropriate skill mix on the unit is maintained; however, managers and supervisors who have specific skills and abilities necessary to patient care may continue to perform those patient care duties.
g. On callPer Diem nurses
MDO Procedure. 13 1. Nurses scheduled to work in the unit and shift where the MDO will occur 14 will have their shift or portion of their shift canceled in the following 15 sequence:
(a) Agency registered nurses, other than travelers.
(b) Providence Share Care registered nurses.
(c) Nurses whose work would be payable at overtime or incentive shift 19 premium rates.
(d) On-call nurses. 21 (e) Volunteers, with the earliest request for time off given preference.
MDO Procedure. Nurses scheduled to work in the unit and shift where the 24 MDO will occur will have their shift or portion of their shift canceled in the 25 following sequence:
26 1. Agency registered nurses other than travelers, (unless the Medical 27 Center’s contract with the travelers permits such MDO, in which case 28 the traveler nurse will be cancelled first).
30 2. Nurses whose work would be payable at overtime.
32 3. Volunteers, with the earliest request for time off given preference.
1 4. Per diem nurses.
3 12.2.1 Remaining nurses in accordance with the unit's MDO rotation 4 system, which looks at all of the nurses scheduled for that shift and 5 unit, and selects for MDO from among those nurses the individual 6 nurse with the least MDO hours in the immediately preceding two 7 pay periods, or per unit specific plans.
9 12.2.2 The system of MDO rotation shall be the one currently in effect on 10 each unit at the time of ratification, and shall be written and 11 communicated by the manager, in consultation with the nurses on 12 the unit. Notwithstanding the prior sentence, nurses on a unit may 13 change the system of rotation, provided that the system is in 14 writing and approved by the unit manager. Each unit’s manager 15 will decide who will record MDO hours on a unit and those records 16 will be available to RN’s, who shall be responsible for the accuracy 17 of their own MDO hours. All units shall track their own MDO hours. 18 Each Unit’s specific plan shall be posted on the unit’s SharePoint
21 12.2.3 Float nurses will be considered in the rotation described above 22 only in Spine/Total Joint, Medical/Surgical, Telemetry, and
MDO Procedure. Nurses scheduled to work in the unit and shift where the MDO will occur will have their shift or portion of their shift canceled in the following sequence:
a. Agency registered nurses other than travel nurses,(unless the Medical Center’s contract with the travelers permits such MDO , in which case the traveler nurse will be cancelled first). other than travelers (unless the Medical Center’s contract with the traveler permits such MDO, in which case the traveler nurse will be cancelled first).
b. Nurses whose work would be payable at overtime.
c. Volunteers, with the earliest request for time off given preference. d. Seasonal nurses.
MDO Procedure. Nurses scheduled to work in the unit and shift where the MDO will occur will have their shift or portion of their shift canceled in the following sequence:
a. Agency registered nurses other than travelers, (unless the Medical Center’s contract with the travelers permits such MDO , in which case the traveler nurse will be cancelled first).
b. Nurses whose work would be payable at overtime. Volunteers, with the earliest request for time off given preference. Per diem nurses.
i. Remaining nurses in accordance with the unit's MDO rotation system, which looks at all of the nurses scheduled for that shift and unit, and selects for MDO from among those nurses the individual nurse with the least MDO hours in the immediately preceding two pay periods, or per unit specific plans. The system of MDO rotation shall be the one currently in effect on each unit at the time of ratification, and shall be written and communicated by the manager, in consultation with the nurses on the unit. Notwithstanding the prior sentence, nurses on a unit may change the system of rotation, provided that the system is in writing and approved by the unit manager. Each unit’s manager will decide who will record MDO hours on unit and those records will be available to RN’s, who shall be responsible for the accuracy of their own MDO hours. All units shall track their own MDO hours. Float nurses will be considered in the rotation described above only in Spine/Total Joint, Medical/Surgical, Telemetry, and Inpatient Rehabilitation.
ii. In the Critical Care Unit (CCU), only those float pool nurses who have been signed off on at least the beginning Critical Care Unit competency will be considered in the rotation described above, subject to the need for skill mix with charge nurse input.
12.2.1 Nurse’s Status While on MDO. A nurse may be placed by the Medical Center in one of the following three categories only once per shift:
a. Full Day MDO. This means that the nurse is not obligated to the Medical Center for that shift.
b. Partial Day MDO (with one of the two options below). If a nurse is assigned to partial day MDO under either 12.2.1.b.i (with standby) or 12.2.1.b.ii (without standby) and is scheduled to report to work for the last four (4) hours of a 12-hour shift (or any portion of such last four hours), the nurse will paid time one and one-half (1 ½) times the nurse’s regular hourly rate for hours worked during such four-hour period.