July PCC Minutes and Updates
ADOs
(Assignment Despite Objection)
There were 3 ADOs--2 from 4S and 1 from NBMI, regarding staffing and acuity. The conversation regarding these scenarios involved judgment calls surrounding patient acuity during floor transfers, 1:1 sitter shortages (CNAs are still being offered incentives, there is a clinical academy to increase the number of talent available), and resource utilization.
Additionally, the wrong ADO form has been circulating around the floors. We asked admin to have the appropriate triple carbonate form (one copy is for your records, one is for us, and one is for admin) stocked on the floors. They should be printed soon and stocked. Please let us know if you are still having difficulties finding the forms.
A reminder: ADOs should not be filled out just for short staffing.
ADOs are to be filled out if you verbally object to an assignment, have notified House Supervisor, Leadership, your Charge RN, and nothing is done to help the situation.
An example of an ADO we reviewed at PCC:
Because the ICU was full and needed to make room for admits, the ICU transferred a patient to the floor that was not floor appropriate (4-point restraints, high aspiration risk, high fall risk, 1:1 cares).
The receiving nurse verbalized to her charge RN, house supervisor, and manager that she did not feel like this was a safe assignment, considering she was going to have to take care of this patient and 2 other patients. She verbally objected to the assignment, but the patient transferred to the floor anyways.
At PCC, the ICU and floor managers both reviewed this case and deemed a patient of this acuity was indeed inappropriate for the floor. We determined that managers will communicate with each other and the house supervisor when beds are tight to ensure patients transferring out of the ICU are floor appropriate.
Short staffing continues to be a challenge. Your officers and administration understand that. This is why your officers are in the beginnings of a retention campaign; we hope to improve incentives and keep our RNs at St. Pat's.
In the meantime, we are keeping track of days that are short staffed with a different form, which you can find on the Local 17 Website. Click here for the form.
4th of July Crisis Pay
Many of you reached out to us regarding the crisis pay incentive that was offered over the 4th of July weekend. Beth took a moment at PCC to discuss the rationale behind the incentive and we'd like to share it with you. Click here to view a PDF providing Beth's rationale.
In short, the crisis incentive administration offered over the 4th of July weekend has to meet a definition determined by the state. The weekend in question qualified for "contingency staffing," which means spaces, staff, and supplies used are not consistent with daily practices.
This incentive was provided without any warning to your MNA officers. We have asked admin to give us a heads up when they decide to offer these incentives in the future so that we can explain the difference between these incentives and the existing MOUs.
"Genesis" Timecard Pay Issues
Were you paid improperly on your last paycheck in regards to certification/preceptorship, or other pay codes? Karyn Trainor says the quickest way to resolve these issues is to go through our HR website and make a ticket. If you continue to have issues, please reach out to Karyn and her team with as much detail about the problem as possible.
Don't Forget About the BBQ on July 27th!
Any other concerns or questions? Please reach out to us, we are always here for you if you need us. Here is the Local 17 Contact List.
In Solidarity,
Rachel, Jeff, Casey, Tyler, Alyshia, & Leslie
