WIXLIB

MEMORANDUM OF UNDERSTANDINGBETWEENSTAFF AND PER DIEM NURSES, SEIU LOCAL 1021ANDCITY AND COUNTY OF SAN FRANCISCOJULY 1, 2016 - JUNE 30, 2019Revised per Amendment #1PER DIEM RELATED PROVISIONS ARE IN ITALICS

TABLE OF CONTENTSARTICLE I. REPRESENTATION . ECOGNITION . 1INTENT . 1NO WORK STOPPAGES . 2OBJECTIVE OF THE CITY. 2OFFICIAL REPRESENTATIVES AND STEWARDS . 2Official Representatives . 2Stewards . 3RELEASE TIME FOR SFGH CHAPTER PRESIDENT AND DESIGNEES 5DISSEMINATION OF UNION INFORMATION . 5Bulletin Boards . 5Location of Bulletin Boards . 6Distribution of Union Literature . 6CPHS PROFESSIONAL PERFORMANCE COMMITTEE. 7UNION REPRESENTATIVE VISITS. 7MANAGEMENT RIGHTS & RESPONSIBILITIES . 8UNION SECURITY . 8GRIEVANCE PROCEDURE . 10Definition . 10Grievance Description . 10Procedure. 10Time Limits . 11Employee Grievance Procedure . 11Expedited Arbitration . 13Rights of Individuals . 14"Skelly Rights” . 14Disciplinary Action Appeal Procedure For P103 Per Diem Nurses . 14ARTICLE II. EMPLOYMENT CONDITIONS . 16II.A. NO DISCRIMINATION . 16Discrimination Prohibited . 16No Discrimination on Account of Union Activity . 16Reasonable Accommodation. 16II.B CIVIL SERVICE EXAMINATIONS . 171.CIVIL SERVICE EXAMS FOR STAFF NURSES . 172.PROBATIONARY PERIOD . 17II.C SUBCONTRACTING OF WORK . 17Required Notice to the Union on Prop J Contracts . 18Non-Prop J Contracts . 19II.D. REIMBURSEMENT OF WORK RELATED EXPENSES . 20Use of Private Automobiles . 20Auto Insurance Deductible . 20Reimbursement for Stolen Property . 21Use of Personal Cell Phone . 21SEIU LOCAL 1021 (STAFF NURSE & PER DIEM)Memorandum of UnderstandingJuly 1, 2016 – June 30, 2019i

Recovery of Overpayment. . 21Payroll Procedures . 21II.E. LAYOFF . 22Severance . 22Mandatory Furloughs . 222328 Nurse Practitioner. 23Joint RN/DPH Monitoring Committee Meetings . 23Layoff Limitations . 23II.F. PUBLIC HEALTH NURSE DUTIES . 23Public Health Nurse Caseloads . 23Hazardous Situations. 24Home Care Program . 24II.G. NURSE PRACTITIONERS . 24Scope of Practice . 24Voluntary Job Sharing . 24Standardized Procedures . 25Primary Care Patient Caseload . 25Productivity . 25Professional Development . 25II.H. CLINICAL NURSE SPECIALISTS . 25II.I. INDEMNIFICATION AND DEFENSE OF CITY EMPLOYEES . 26II.J. CHANGES IN PERSONNEL POLICY . 26Departmental Changes . 26City Changes . 26II.K. CONSCIENTIOUS OBJECTOR . 26II.L. PERSONNEL FILES . 27II.M. PERFORMANCE EVALUATIONS . 27II.N. DEVELOPMENT PLANS . 27II.O. LOUNGES AND EATING FACILITIES. 28II.P. PARKING FACILITIES . 28II.Q. INACTIVE STATUS and STATUTORY LEAVES FOR EXTERNAL P103 PER DIEMNURSES . 29ARTICLE III. PAY, HOURS AND BENEFITS . 30III.A. SCHEDULES OF COMPENSATION . 30Class 2830 Public Health Nurses . 30III.B. WORK SCHEDULE. 31Normal Work Schedules . 31Voluntary Reduced Workweek . 33Part-time Work Schedule . 33Part-Time Night Shift . 33III.C. COMPENSATION FOR VARIOUS WORK SCHEDULES . 34Normal Work Schedule . 34Part-time Work Schedules. 34III.D. ADDITIONAL COMPENSATION. 34Shift Differential . 34Interpreter-Translator Pay . 34Supervisory Differential Adjustment . 34SEIU LOCAL 1021 (STAFF NURSE & PER DIEM)Memorandum of UnderstandingJuly 1, 2016 – June 30, 2019ii

I.M.Standby Pay. 35Callback Pay. 35Quality of Care Premium . 35Health at Home On-Call Premium . 36Weekends Off For Nurses . 36Weekend Premium . 36Court Duty Compensation and Jury Duty . 37Charge Nurse and Acting Assignment Pay . 37Preceptor and MERT Premiums . 38Class 2323 Clinical Nurse Specialist Pager Premium . 39OVERTIME COMPENSATION . 39OVERTIME PAYROLL . 40HOLIDAYS AND HOLIDAY PAY . 40Holiday Compensation for Time Worked . 41Holidays for Employees on Work Schedules Other Than Monday Through Friday41Holiday Pay for Employees Laid Off. 42Employees Not Eligible for Holiday Compensation . 42Part-time Employees Eligible for Holidays . 42Holiday Scheduling . 43SALARY STEP PLAN AND SALARY ADJUSTMENTS . 43Promotive Appointment in a Higher Class . 43Provisional to Promotive . 44Nonpromotive Appointment . 44Appointment Above Entrance Rate . 45Determination of Pay for Position Formerly Exempt . 45Appointive Position. 45Reappointment with Six (6) Months . 45Compensation Adjustments . 46Compensation Upon Transfer or Reemployment . 47CHANGE IN STATUS . 47Dual Status Nurses . 47SENIORITY INCREMENTS . 48Step Advancement for As-Needed Nurses . 48Date Increment Due . 48Exceptions . 48SENIORITY INCREMENTS/P103 PER DIEM NURSES . 49Step Advancement for External P103 Per Diem Nurses . 49Retiree P103 and As-Needed Nurses . 49SENIORITY AND SHIFT ASSIGNMENT/STAFF NURSES . 49Seniority Defined . 49Seniority for Purposes of Layoff . 49Seniority for Purposes of Shift Assignment . 49Guidelines for Shift Changes for Worksites with Multiple Shifts . 50Twelve (12) Hour Shifts (S.F. General Hospital) . 50(S.F. General Hospital Inpatient Nursing Department Only) . 50SENIORITY AND SHIFT ASSIGNMENT/P103 PER DIEM NURSES . 52Definitions . 52Utilization of Outside Per Diems versus Inside Per Diems . 52SEIU LOCAL 1021 (STAFF NURSE & PER DIEM)Memorandum of UnderstandingJuly 1, 2016 – June 30, 2019iii

Scheduling Procedures. 53Short Call Assignment . 54Cancellation . 54III.N. HEALTH INSURANCE . 551.HEALTH INSURANCE . 552.HEALTH INSURANCE /P103 PER DIEM NURSES . 55III.O. DENTAL INSURANCE . 56III.P. BENEFITS WHILE ON UNPAID STATUS . 56III.Q. LONG TERM DISABILITY . 56III.R. RETIREMENT CONTRIBUTION. 56III.S. TIME OFF FOR VOTING . 56III.T. LONGEVITY LEAVE . 57III.U. VACATION SCHEDULING . 57III.V. CHILDCARE . 58Dependent Care Assistance Program (DCAP) . 58Child Care Referral Fair and Enhanced Referral Package . 59III.W. MATERNITY/CHILD CARE LEAVE . 60Adoption. 60III.X. REQUESTS FOR VOLUNTARY REASSIGNMENTS . 60III.Y. MUNICIPAL TRANSPORTATION AGENCY PASSES . 631.Staff Nurses . 632.Per Diem Nurses . 63III.Z. STAFF NURSE EXPENSES ALLOWANCE . 641.Staff Nurses . 642.Per Diem Nurses . 64III.AA. STATE UNEMPLOYMENT AND DISABILITY INSURANCE . 641.Staff Nurses . 642.Per Diem Nurses . 64III.BB. PAID SICK LEAVE ORDINANCE . 65III.CC. LIFE INSURANCE . 65ARTICLE IV. TRAINING AND CAREER DEVELOPMENT . 66IV.A. EDUCATIONAL OPPORTUNITIES. 661.Special Educational Leave for Health Personnel . 662.Mandatory Class Scheduling and Testing . 674.Tuition/Educational Reimbursement . 675.Orientation and In-Service Education . 686.Out of Specialty Assignments . 697.Continuing Education . 698.Registered Nurse Crosstraining Program . 69IV.B. TRAINING CLASSES FOR P103 PER DIEM NURSES . 71IV.C. CHARGE NURSE TRAINING . 71IV.D. NURSING SPECIALTY AREA TRAINING. 711.STAFF NURSES . 712.PER DIEM NURSES . 72ARTICLE V. WORKING CONDITIONS . 73SEIU LOCAL 1021 (STAFF NURSE & PER DIEM)Memorandum of UnderstandingJuly 1, 2016 – June 30, 2019iv

V.A.V.B.V.C.V.D.V.E.V.F.V.G.STAFFING . 731.Commitment to Staffing Levels . 732.Staffing . 73Standards of Care . 73a.S.F. General Hospital . 73Medical-Surgical . 74Critical Care . 75Maternal Child Health . 76Psychiatric as of July 1, 2016. 77Psychiatric Emergency Service Staffing (PES) as of July 1, 2016 . 78SFGH Emergency Department (ED) . 78Determination of Acuity . 80Evaluation of Staffing Methodology. 81b.Laguna Honda Hospital (LHH). 81c.Jail Health Services (JHS) . 82d.Primary Care Community Based Services . 83e.Tom Waddell Clinics . 83f.San Francisco Behavioral Health Center (SFBHC) Mental Health RehabilitationFacility . 84g.Health at Home . 84h.Filling of Positions . 84i.Overtime . 85j.Dispute Resolution . 85SFGH SKILLED NURSING FACILITY - HOURS PER PATIENT DAY (HPPD)87Skilled Nursing Facility . 87JOINT RN/DPH MONITORING COMMITTEE . 89HEALTH AND SAFETY . 91Commitment to Safe and Healthy Work Environment . 91The Department of Public Health Bloodborne Pathogen Safety Devices Committee 91Information . 94Alternative Assignments . 94Labor Code Compliance . 94SMART Training . 94Battery Leave with Pay for Assaulted Employees . 94Traumatic Event . 95SFGH Violence Prevention Team . 95Safe Patient Handling and Movement Policy . 95Joint Labor-Management Occupational Safety and Health Committee . 97Assault Prevention . 97Mandatory HIV Testing . 98Reassignment Following Assault . 98JAIL HEALTH SERVICES DIVISION . 99THE IMPAIRED NURSE . 99SFGH BUILDING 25 . 99ARTICLE VI. SCOPE . 100VI.A. ADMINISTRATIVE PROVISIONS . 100SEIU LOCAL 1021 (STAFF NURSE & PER DIEM)Memorandum of UnderstandingJuly 1, 2016 – June 30, 2019v

VI.B.VI.C.VI.D.VI.E.1.STAFF NURSES . 1002.PER DIEM . 100SCOPE OF AGREEMENT. 100CIVIL SERVICE COMMISSION JURISDICTION . 100SAVINGS CLAUSE . 100DURATION . 101APPENDIX A: PROPOSED WORKPLAN FOR THE LABOR/MANAGEMENT OSHCOMMITTEE . 103APPENDIX B . 107SIDE LETTER OF AGREEMENT: SFGH LABOR MONITORING COMMITTEE. 108SIDE LETTER OF AGREEMENT: VOLUNTARY REDUCED WORK PERIOD FOR PUBLICHEALTH NURSES . 109SIDE LETTER OF AGREEMENT: SFGH JUST CULTURE PROCESS PILOT PROGRAM(PILOT PROGRAM) . 110INFORMATION ITEMS . 111SEIU LOCAL 1021 (STAFF NURSE & PER DIEM)Memorandum of UnderstandingJuly 1, 2016 – June 30, 2019vi

ARTICLE I – REPRESENTATIONARTICLE I. REPRESENTATIONI.A.1.RECOGNITIONThe City acknowledges that the Union has been certified by the Civil Service Commission as therecognized employee representative, pursuant to the provisions of the City's Employee RelationsOrdinance for the following classifications included in the non-supervisory registered nurse unit:2320232323252330234028302328P103Registered Nurse - Unit 42Clinical Nurse Specialist - Unit 42Nurse Midwife – Unit 42Anesthetist - Unit 42Operating Room Nurse - Unit 42Public Health Nurse - Unit 42Nurse Practitioner - Unit 42Per Diem Registered Nurses, Unit 422.The terms and provisions of this MOU shall also be automatically applicable to any classificationsdesignated for inclusion in this unit for which the Union has become appropriately recognized duringthe term of this agreement.3.It is the intent of the parties signatory hereto that the provisions of this MOU shall not become bindinguntil adopted or accepted by the Board of Supervisors and the City and County of San Francisco byappropriate action and ratified by the Registered Nurse membership of the Union. Moreover, it is theintent of the Board of Supervisors acting on behalf of the City to agree to wages, hours and other termsand conditions of employment as are within the Board's jurisdiction, powers and authority to act asdefined by the Charter, state law, California Constitution and other applicable bodies of the law. TheBoard does not intend nor attempt to bind any board, commission or officer to any provisions of thisagreement over which the Board has no jurisdiction.I.B.INTENT4.Each existing ordinance, resolution, rule or regulation over which the Board of Supervisors hasjurisdiction pursuant to provisions of the San Francisco Charter, and which is specifically changed ormodified by the terms of this MOU, shall be deemed incorporated in this MOU in its changed ormodified form from the effective date of this MOU to and including the date of expiration thereof.5.The Employee Relations Director and the Union negotiating team shall present one full tentativeagreement, signed by the Employee Relations Director and representatives of the Union negotiatingteam, to the Board of Supervisors and the Union Registered Nurse membership for ratification withinsixty (60) days of signing of such full tentative agreement.6.The City agrees to notify the Union in advance of any intended changes in working conditions withinthe scope of representation which fall within the authority of the City and shall meet and confer andendeavor to reach an agreement with the Union prior to implementation of any intended actionprovided, however, that in cases of emergency, action may be taken on working conditions within theSEIU LOCAL 1021 (STAFF NURSE & PER DIEM)Memorandum of UnderstandingJuly 1, 2016 – June 30, 20191