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Per Diem Nurse Clinician Scheduling of Work (4.63)

Per Diem Nurse Clinician Scheduling of Work (4.63) - Policies, Administrative, UWHC, Department Specific, Nursing Administrative, Personnel

4.63

POLICY & PROCEDURE





Effective Date:
July 8, 2015

Administrative Manual
Nursing Manual
 Other _______________

Policy #:
4.63

 Original
 Revision

Page 1
Of 4

Title: Per Diem Nurse Clinician and
Nursing Assistant – Resource Center -
Scheduling of Work


I. PURPOSE

To establish the minimum work requirements for each per diem option and procedure used to create
work schedules for University of Wisconsin Hospital and Clinics (UWHC) Per Diem Nurse Clinicians
in Nursing & Patient Care Services, Surgical Service, American Family Children’s Hospital (AFCH),
Home Health, Wisconsin Dialysis Inc. (WDI), Digestive Health Center (DHC), Ambulatory Clinics
and Emergency Services and Nursing Assistant – Resource Center (NA-RC)

II. PER DIEM OPTION WORK SCHEDULES

Nurse Clinician
A. Option IA: Per Diem Nurse Clinicians must commit to work a minimum of 16 hours, per
four (4) week scheduling period in direct patient care. One shift must be an evening, night,
weekend or holiday as applicable to operations.
B. Option IB: Per Diem Nurse Clinicians must commit to work a minimum of thirty-two
(32) hours per four (4) week scheduling period in direct patient care. One shift must be an
evening, night, weekend or holiday shift as applicable to operations.
C. Option II: Per Diem Nurse Clinicians must commit to work a minimum of 48 hours per
four (4) week scheduling period as follows:
1. Inpatient, Radiology, and Dialysis: Sixteen (16) hours of the forty-eight (48)
hours must be weekend shift hours and sixteen (16) hours of the forty-eight (48)
hour must be scheduled for the evening or night shift. These hours can be
combined to meet the requirements. A minimum of at least one Winter Holiday
and one Summer Holiday must be worked as applicable to operations.
2. Home Health: A minimum of one weekend (Saturday and Sunday sequence) in
every four weeks must be worked based on operational needs. A minimum of at
least one winter holiday and one summer holiday must be worked.
3. Clinics and Surgical Services: The Per Diem may be required to work evening
or night shifts, a weekend, and holiday hours.
D. Option III: A Per Diem Nurse Clinician Option III must commit to work a defined period
of time for specific Inpatient Unit(s), Clinic(s), Home Health, or Surgical Services. Option
III assignments require at least sixty percent (60%) FTE time commitment and may
require a designated schedule commitment. A Per Diem III may be required to work
evening, nights, holidays, weekend hours and/or stand-by/on-call hours based on the
operational needs of the area. A minimum of one summer and one winter holiday may be
required. A Home Health Per Diem III must work a minimum of one weekend (Saturday
and Sunday sequence) every four weeks.




POLICY & PROCEDURE





Effective Date:
July 8, 2015

Administrative Manual
Nursing Manual
 Other _______________

Policy #:
4.63

 Original
 Revision

Page 2
Of 4

Title: Per Diem Nurse Clinician and
Nursing Assistant – Resource Center -
Scheduling of Work



Nursing Assistant (NA-RC)
A. The Nursing Operations Support (NOS) office will obtain the schedule of available hours
from the NA-RC. The NA-RC may not be forced to pick up work or stay over their agreed
upon shift.
B. Manager’s may request a NA-RC through the NOS office for an extended need and work
with the NOS – Nursing Resource Center manager on an agreed upon schedule. Once the
NA-RC has agreed to work on an inpatient unit for a specified time frame, the NA-RC
will fulfill working the agreed upon shifts.
C. The NA-RC may cancel any scheduled shift if necessary. The Nursing Coordinator/NOS
may cancel the NA-RC if not needed in staffing. In both cases, the established guidelines
for cancelling shifts will be followed.

III. PROCEDURE:
A. Submission of Available Hours
1. When Per Diem Nurse Clinicians are required to submit a schedule of
availability in advance of each scheduling period, they will do so in accordance
with the Option to which they have been hired. If a Per Diem submits available
hours that fail to conform to the option they were hired into, the employer will
assign the Per Diem to the Option that meets the requirements of their submitted
available hours.
2. A NA-RC schedules him/herself by adding shifts through the Nursing
Operations Support (NOS) office. It is management’s exclusive right to
schedule or not schedule RCs.
3. A NA-RC is expected to work a minimum of 32 hours in a 4 week scheduling
period. Within those 32 hours the NA-RC is expected to work one weekend
every scheduling period. 16 hours must be worked on a weekend. The A or B
weekend will be negotiated with the NOS manager and Nursing Staff
Scheduler.
B. Failure to Maintain Requirements
1. Per Diem Nurse Clinicians that fail to meet the requirements of their Per Diem
Option during any four (4) week scheduling period shall be moved to the next
lower option for which they are qualified for the next four (4) week period.
Option 1A Per Diems that do not work at least sixteen (16) hours in the next
four (4) week period will receive a notification that they must work at least
sixteen (16) hours in the upcoming four (4) week schedule. If the minimum
hour’s requirement is not met in that four (4) week period, the Per Diem will be
separated from employment.
2. A Per Diem Nurse Clinician that is maintaining the Option 3 hour’s requirement
will not be moved to the next lower Per Diem Option if they are unable to meet
the hours requirement because a holiday falls on their scheduled work day.

POLICY & PROCEDURE





Effective Date:
July 8, 2015

Administrative Manual
Nursing Manual
 Other _______________

Policy #:
4.63

 Original
 Revision

Page 3
Of 4

Title: Per Diem Nurse Clinician and
Nursing Assistant – Resource Center -
Scheduling of Work


C. Cancellation of Pre-scheduled Hours
1. Employee Initiated Cancellation:
a. A Per Diem Nurse Clinician may cancel pre-scheduled work hours by
following the established call-in procedure for their assigned work areas.
b. Shifts are cancelable by the RC NA and by the NOS office, by filling out
a Shift Request Form and depositing it in the office inbox, or by adding
shifts on Schedule PC.
c. A NA-RC must cancel his/her shift or part of a shift if desired within the
timeframe designated for absentee calls (see Hospital Administrative
Policy 9.13, Attendance and Punctuality). The NA-RC v is responsible
for ensuring the NOS office or Nursing Coordinator is aware of the
cancellation within the acceptable absentee call timeframe. A NA-RC
must call the NOS office or contact the nursing coordinator to cancel any
shift.
d. If a NA-RC cancels their own shift, they must make up those hours in
order to meet the 32 hour minimum requirement.
2. Manager Initiated Cancellation
a. Pre-scheduled Per Diem Nurse Clinician hours, except those shifts
granted in the extra shift scheduling process, may be canceled in whole or
in part by the manager or their designee if the staffing needs change. The
manager or their designee will make every attempt to notify the per diem
of a cancellation of hours one (1) hour in advance of a 7 or 8 a.m. start
time and will attempt to give a two (2) hour notice for all other work
hours.
b. If the NA-RC has added a shift with the NOS office and is not needed,
the NOS office can cancel the NA-RC a minimum of one hour before the
start of the shift. If less than one hour notice is provided, the employee
will be granted a four hour shift if desired by the employee.
c. If the NA-RC shifts are canceled by the NOS office, it will not count
against the 32 hour minimum requirement. However, the NA-RC must
maintain working a minimum 16 hours regardless if their shifts are
canceled by the NOS office.
d. The typical order for canceling non-guaranteed NA shifts are as follows:
i. Agency
ii. Overtime NA- RC
iii. Overtime Expansion
iv. Overtime Float
v. Non-overtime Expansion
vi. Non-overtime Float
vii. Non-overtime NA- RC


POLICY & PROCEDURE





Effective Date:
July 8, 2015

Administrative Manual
Nursing Manual
 Other _______________

Policy #:
4.63

 Original
 Revision

Page 4
Of 4

Title: Per Diem Nurse Clinician and
Nursing Assistant – Resource Center -
Scheduling of Work



D. Per Diem III -Time- Off Requests
1. Time off requests for Per Diem Option 3 must be submitted at least six (6)
weeks in advance of the posted scheduled.

VI. REFERENCES
Hospital Administrative Policy 9.13, Attendance and Punctuality


VII. REVIEWED BY

A. Nurse Manager, Resource Ctr & Per Diem Pool, July 2015
B. Sr. Employee & Labor Relations Consultant, July 2015
C. HR Consultant, July 2015
D. Assistant Director, Surgical Services, June 2014
E. Clinic Staffing Manager, July 2015
F. Vice President, Development, Nursing & Patient Care Services, July 2015
G. Nursing Administrative Policy & Procedure Committee, July 2015

SIGNED BY

Beth Houlahan, DNP, RN, CENP
Senior Vice President Patient Care Services, Chief Nursing Officer