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.
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