Common use of Staffing System Clause in Contracts

Staffing System. The Medical Center and registered nurses will act in compliance with ORS 441.162 and OAR ▇▇▇-▇▇▇-▇▇▇▇. The Medical Center shall be responsible for the implementation of a written Medical Center-wide staffing plan for nursing services. The staffing plan shall be developed, monitored, evaluated and modified by the Staffing Committee. Consistent with ORS 441.162, all changes in structure proposed by the Medical Center that (1) support the staffing plan, (2) affect direct patient care on the individual units and (3) have an impact on multiple units, will be discussed and reviewed by the Staffing Committee prior to implementation. 18.4.1 The staffing plan shall: a. Be based on an accurate description of individual and aggregate patient needs and requirements for nursing care. b. Be based on the specialized qualifications and competencies of the nursing staff. The skill mix and competency of the staff shall ensure that the nursing care needs of the patients are met and shall insure patient safety. c. Be consistent with nationally recognized evidence-based standards and guidelines established by professional nursing specialty organizations and recognize differences in patient acuteness. d. Establish minimum numbers of nursing staff including licensed practical nurses and certified nursing assistants required on specified shifts. At least one registered nurse and one other nursing staff member must be on duty in a unit when a patient is present. e. Include a formal process for evaluating and initiating limitations on admission or diversion of patients to another acute care facility when, in the judgment of the direct care registered nurse, there is an inability to meet patient care needs or a risk of harm to existing and new patients. 18.4.2 The Medical Center shall evaluate and monitor the staffing plan for effectiveness and revise the staffing plan as necessary as part of the Medical Center’s quality assurance process. The Medical Center shall maintain written documentation of these quality assurance activities. 18.4.3 The Medical Center shall maintain and post a list of on-call nursing staff or staffing agencies to provide replacement for nursing staff in the event of vacancies. The list of on-call nurses or agencies must be sufficient to provide replacement staff. 18.4.4 In the event that the provisions of ORS 441.162 are changed, the provisions of this Article 18 will be deemed modified in accordance with such changes.

Staffing System. The Medical Center and registered nurses will act in 29 compliance with ORS 441.162 and OAR ▇▇▇-▇▇▇-▇▇▇▇. The Medical Center shall be 30 responsible for the implementation of a written Medical Center-wide staffing plan for 31 nursing services. The staffing plan shall be developed, monitored, evaluated and 32 modified by the Staffing Committee. Consistent with ORS 441.162, all changes in 33 structure proposed by the Medical Center that (1) support the staffing plan, (2) affect 1 direct patient care on the individual units and (3) have an impact on multiple units, will 2 be discussed and reviewed by the Staffing Committee prior to implementation. 4 18.4.1 The staffing plan shall: 5 a. Be based on an accurate description of individual and 6 aggregate patient needs and requirements for nursing care. 8 b. Be based on the specialized qualifications and competencies 9 of the nursing staff. The skill mix and competency of the staff shall ensure 10 that the nursing care needs of the patients are met and shall insure patient 11 safety. 13 c. Be consistent with nationally recognized evidence-based 14 standards and guidelines established by professional nursing specialty 15 organizations and recognize differences in patient acuteness. 17 d. Establish minimum numbers of nursing staff including 18 licensed practical nurses and certified nursing assistants required on 19 specified shifts. At least one registered nurse and one other nursing staff 20 member must be on duty in a unit when a patient is present. 22 e. Include a formal process for evaluating and initiating 23 limitations on admission or diversion of patients to another acute care 24 facility when, in the judgment of the direct care registered nurse, there is 25 an inability to meet patient care needs or a risk of harm to existing and 26 new patients. 28 18.4.2 The Medical Center shall evaluate and monitor the staffing plan for 29 effectiveness and revise the staffing plan as necessary as part of the Medical 30 Center’s quality assurance process. The Medical Center shall maintain written 31 documentation of these quality assurance activities. 33 18.4.3 The Medical Center shall maintain and post a list of on-call nursing 34 staff or staffing agencies to provide replacement for nursing staff in the event of 1 vacancies. The list of on-call nurses or agencies must be sufficient to provide 2 replacement staff. 4 18.4.4 In the event that the provisions of ORS 441.162 are changed, the 5 provisions of this Article 18 will be deemed modified in accordance with such 6 changes.