Common use of Safe Staffing Clause in Contracts

Safe Staffing. There shall be a programme of regular monitoring of staffing levels and mix. Any identified staffing deficiencies shall be addressed. In the event that an acute staffing shortage can not be alleviated, patient cares, and the volume and range of services may be reduced in accordance with direction by the appropriate manager and employer policies. In addition, the following escalation process shall apply: When a midwife considers she has reached the limits of safe practice, she will be supported to resolve the situation as follows: • The midwifery manager or duty manager will be immediately informed of the situation by the midwife • The midwife will not be required to take additional workload until strategies have been implemented to address the immediate workload issues (e.g. the redeployment of staff or patients), notwithstanding any immediate duty-of-care requirements If the process outlined above does not resolve the situation, steps will be taken immediately to elevate the issue to that level of midwifery service management authorised to resolve the immediate problem and take steps to reduce the likelihood or a recurrence of similar problems. The most senior midwife in the DHB, at the time of the event, will report the event to the most senior manager in the DHB as soon as is reasonably possible. Direct assistance will then be given from this level in the organisation, and the event reported to the Chief Executive by the senior manager as soon as is reasonably possible. All incidents shall be reported and investigated and a XXXXX representative will be involved in investigations and corrective measures.

Safe Staffing. There The parties accept that implementation and evaluation of the effectiveness of CCDM in maternity services is primarily the responsibility of the DHBs, in partnership with the midwifery workforce and their respective unions. At the local level, there shall be a programme of regular monitoring of staffing levels and mix. Any identified staffing deficiencies shall be addressed. In the event that an acute staffing shortage can cannot be alleviated, patient cares, and the volume and range of services may be reduced in accordance with direction by the appropriate manager and employer policies. In addition, the following escalation process shall apply: When a midwife considers she has reached the limits of safe practice, she will be supported to resolve the situation as follows: • The midwifery manager or duty manager will be immediately informed of the situation by the midwife • The midwife will not be required to take additional workload until strategies have been implemented to address the immediate workload issues (e.g. the redeployment of staff or patients), notwithstanding any immediate duty-of-care requirements If the process outlined above does not resolve the situation, steps will be taken immediately to elevate the issue to that level of midwifery service management authorised to resolve the immediate problem and take steps to reduce the likelihood or a recurrence of similar problems. The most senior midwife in the DHB, at the time of the event, will report the event to the most senior manager in the DHB as soon as is reasonably possible. Direct assistance will then be given from this level in the organisation, and the event reported to the Chief Executive by the senior manager as soon as is reasonably possible. All incidents shall be reported and investigated and a XXXXX representative will be involved in investigations and corrective measures.

Safe Staffing. There shall be a programme of regular monitoring of staffing levels and mix. Any identified staffing deficiencies shall be addressed. In the event that an acute staffing shortage can not be alleviated, patient cares, and the volume and range of services may be reduced in accordance with direction by the appropriate manager and employer policies. In addition, addition the following escalation process shall apply: When a midwife considers she has they have reached the limits of safe practice, she practice they will be supported to resolve the situation as follows: •  The midwifery manager or duty manager will be immediately informed of the situation by the midwife •  The midwife will not be required to take additional workload until strategies have been implemented to address the immediate workload issues (e.g. the redeployment of staff or patients), notwithstanding any immediate duty-of-care requirements If the process outlined above does not resolve the situation, steps will be taken immediately to elevate the issue to that level of midwifery service management authorised to resolve the immediate problem and take steps to reduce the likelihood or a recurrence of similar problems. The most senior midwife in the DHB, at the time of the event, will report the event to the most senior manager in the DHB as soon as is reasonably possible. Direct assistance will then be given from this level in the organisation, and the event reported to the Chief Executive by the senior manager as soon as is reasonably possible. All incidents shall be reported and investigated and a an XXXXX representative will be involved in investigations and corrective measures.

Safe Staffing. There shall be a programme of regular monitoring of staffing levels and mix. Any identified staffing deficiencies shall be addressed. In the event that an acute staffing shortage can not be alleviated, patient cares, and the volume and range of services may be reduced in accordance with direction by the appropriate manager and employer policies. In addition, the following escalation process shall apply: When a midwife considers she has reached the limits of safe practice, she will be supported to resolve the situation as follows: • The midwifery manager or duty manager RCML Midwife Clinical Manager (MCM) will be immediately informed of the situation by the midwife • The midwife will not be required to take additional workload until strategies have been implemented to address the immediate workload issues (e.g. the redeployment of staff or patients), notwithstanding any immediate duty-of-care requirements If the process outlined above does not resolve the situation, steps will be taken immediately to elevate the issue to that level of midwifery service management authorised to resolve the immediate problem and take steps to reduce the likelihood or a recurrence of similar problems. The most senior midwife in the DHBbirthing centre, at the time of the event, will report the event to the most senior manager in the DHB as soon as is reasonably possible. Direct assistance will then be given from this level in the organisation, and the event reported to the Chief Executive by the senior manager employer as soon as is reasonably possible. All incidents shall be reported and investigated and a XXXXX representative in accordance with company policy. A report on incidents will be involved in investigations and corrective measureson the agenda of staff meetings for discussion.

Safe Staffing. There The parties accept that implementation and evaluation of the effectiveness of CCDM in maternity services is primarily the responsibility of the DHBs, in partnership with the midwifery workforce and their respective unions. At the local level tThere shall be a programme of regular monitoring of staffing levels and mix. Any identified staffing deficiencies shall be addressed. In the event that an acute staffing shortage can not be alleviated, patient cares, and the volume and range of services may be reduced in accordance with direction by the appropriate manager and employer policies. In addition, the following escalation process shall apply: When a midwife considers she has reached the limits of safe practice, she will be supported to resolve the situation as follows: •  The midwifery manager or duty manager will be immediately informed of the situation by the midwife •  The midwife will not be required to take additional workload until strategies have been implemented to address the immediate workload issues (e.g. the redeployment of staff or patients), notwithstanding any immediate duty-of-care requirements If the process outlined above does not resolve the situation, steps will be taken immediately to elevate the issue to that level of midwifery service management authorised to resolve the immediate problem and take steps to reduce the likelihood or a recurrence of similar problems. The most senior midwife in the DHB, at the time of the event, will report the event to the most senior manager in the DHB as soon as is reasonably possible. Direct assistance will then be given from this level in the organisation, and the event reported to the Chief Executive by the senior manager as soon as is reasonably possible. All incidents shall be reported and investigated and a XXXXX representative will be involved in investigations and corrective measures.