2021-2024 MEMORANDUM OF UNDERSTANDING

1 2021-2024 . MEMORANDUM OF UNDERSTANDING . BETWEEN. NURSES UNIT &. PER DIEM NURSES UNIT. AND. SAN BERNARDINO COUNTY. Nurses Unit and Per Diem Nurses Unit 2021 2024 MOU. TABLE OF CONTENTS. PREAMBLE ..8. ACCESS TO PERSONNEL RECORDS ..8. ACCESS TO WORK LOCATIONS AND ASSOCIATION VISITATION ..8. ACCIDENTAL DEATH AND DISMEMBERMENT ..9. AGREEMENT ..10. ASSOCIATION MEMBERSHIP AND DEDUCTIONS ..10. BILINGUAL COMPENSATION ..11. CHARGE CONCURRENT COUNTY EMPLOYMENT ..12. COUNTY MANAGEMENT RIGHTS ..13. COVID 19 LEAVE BANK ..13. Section 1 COVID Leave Bank Introduction ..13. Section 2 Leave Bank ..14. Section 3 Limitations and Exclusions ..14. COVID 19 RETENTION BONUS ..14. Section 1 Retention Bonus Introduction ..14. Section 2 Incentive ..15. Section 3 Limitations and Exclusions ..15. DEFERRED COMPENSATION ..16. Section 1 Participation (Nurses Unit and Per Diem Nurses Unit) ..16. Section 2 Salary Deferral Enrollment (Nurses Unit) ..16. Section 3 County Matching Contribution (Nurses Unit).

2 16. DEFINITIONS ..17. DEMOTIONS ..18. DEPENDENT CARE ASSISTANCE PLAN ..18. DIFFERENTIALS AND CERTIFICATION PAY ..19. Section 1 Specialty Unit Floating Differential ..19. Section 2 Admissions Nurse Differential ..20. Section 3 Wound Care Nurse Section 4 Specialty Unit Educator Differential (Nurses Unit) ..20. Section 5 Telemetry Nurses Assigned to the Emergency Department (Nurses Unit) ..20. Section 6 Charge Nurse Assignment ..20. Section 7 Medical Support Weekend Differential ..20. Section 8 Mobile Intensive Care Nurse Certification Differential ..21. Section 9 Preceptor Pay ..21. Section 10 Shift Differentials ..22. Section 11 Chemotherapy Certification Pay ..22. Section 12 Stroke Unit ..23. Section 13 Correctional Certification Differential (Probation and Sheriffs) ..23. Section 14 Behavioral Health Outpatient Medical Support Weekend Differential ..23. ii Nurses Unit and Per Diem Nurses Unit 2021 2024 MOU. Section 15 Behavioral Health In-Patient Detention Differential.

3 23. Section 16 ARMC National Certification Pay ..23. Section 17 Correctional Remote Assignment Differential ..23. Section 18 Correctional Floating Differential ..24. Section 19 Probation Care Coordinator DIRECT DEPOSIT ..24. DISASTER SERVICE WORKERS ..24. DISCIPLINE AND ADMINISTRATIVE APPEALS ..24. DISCIPLINE AND APPEALS ..25. DUAL APPOINTMENTS ..26. EDUCATION LEAVE AND TRAINING ..26. EXPENSE REIMBURSEMENT ..27. Section 1 General Provisions ..27. Section 2 Responsibilities ..27. Section 3 Travel Authorization ..27. Section 4 Authorization for Attendance at Meetings ..28. Section 5 Records and Reimbursements ..28. Section 6 Transportation Modes ..29. Section 7 Meals and Lodging ..30. Section 8 Expense Advances ..31. Section 9 County Credit FITNESS FOR DUTY ..31. FLEXIBLE SPENDING ACCOUNT ..32. FLOAT POLICY ..32. Section 1 Administration (ARMC) ..32. Section 2 Float Policy for Non-Float Pool Classifications (ARMC)..33. Section 3 ARMC Float Pool Classifications.

4 34. Section 4 NON-ARMC Departments ..34. FULL UNDERSTANDING , MODIFICATION AND WAIVER ..35. GRIEVANCE PROCEDURE ..35. Section 1 Purpose ..35. Section 2 Definition of and Requirements for Filing a Grievance ..35. Section 3 Jurisdiction ..36. Section 4 Exclusions ..36. Section 5 Representation ..36. Section 6 Consolidation of Grievances ..36. Section 7 Time Limitations and Section 8 Steps in the Grievance Section 9 HEALTH AND SAFETY ..39. HOURS OF WORK ..40. IMPLEMENTATION ..41. iii Nurses Unit and Per Diem Nurses Unit 2021 2024 MOU. JOB POSTING AND FILLING OF JOB SHARING AND PART-TIME EMPLOYMENT ..42. LEAVE PROVISIONS ..43. Section 1 Sick Leave ..43. Section 2 Bereavement Leave ..46. Section 3 Vacation Leave ..46. Section 4 Holiday Leave ..48. Section 5 Leave Accruals While on Disability Leave ..50. Section 6 Military Leave ..51. Section 7 Political Leave ..53. Section 8 Special Leaves of Absence Without Section 9 Jury Duty Leave.

5 55. Section 10 Examination Time ..55. Section 11 Witness Leave ..55. Section 12 Blood Donations ..55. Section 13 Time Off for Voting ..56. Section 14 Leave of Absence for Association LIFE INSURANCE ..57. LOW CENSUS ..57. MEAL AND BREAK PERIODS ..58. MEDICAL AND DENTAL COVERAGE ..59. Section 1 Medical and Dental Coverage ..59. Section 2 Opt-out and Section 3 Medical Premium Section 4 Needles Medical Premium Section 5 Eligibility for MPS While on Leave ..61. MEDICAL EMERGENCY LEAVE ..62. MERIT ADVANCEMENTS ..64. Section 1 Section 2 Probationary Employees and Other Employees Without Regular Status ..64. Section 3 Regular Employees (Except those who may be eligible for longevity steps.) ..64. Section 4 Denied Steps ..65. Section 5 Longevity Steps ..65. Section 6 Disputes ..65. MODIFIED BENEFIT OPTION ..65. Section 1 General Provisions ..65. Section 2 Modified Benefit Option Wage Differential ..66. Section 3 Benefits and Leave ..66.

6 NEW EMPLOYEE ORIENTATION ..69. NON-DISCRIMINATION ..70. NURSE ASSIGNMENT ..70. NURSE REPRESENTATIVES ..71. iv Nurses Unit and Per Diem Nurses Unit 2021 2024 MOU. NURSING PROCESS STANDARDS/RN RATIOS ..71. OVERTIME ..73. PATIENT CARE PATIENT CLASSIFICATION COMMITTEE ..75. PATIENT CLASSIFICATION SYSTEM ..75. PAY PAYROLL ADJUSTMENTS ..76. PER DIEM NURSES BENEFITS ..77. Section 1 Medical Plan Section 2 Dependent Care Assistance Plan ..77. PER DIEM UNIT EMPLOYMENT ..78. POSTING OF WORK SCHEDULES ..78. PREHEARING DISCUSSIONS ..78. PROBATIONARY PERIOD AND TRAINEE APPOINTMENTS ..79. Section 1 Probationary Period ..79. Section 2 Trainee Appointments ..79. PROFESSIONAL PRACTICE COMMITTEE ..80. PROMOTIONS ..81. PROVISIONS OF LAW ..82. RECOGNITION ..82. RECRUITMENT BONUS REEMPLOYMENT ..84. RELOCATION RENEGOTIATION ..85. REST BETWEEN SHIFTS ..85. RETIREMENT MEDICAL TRUST FUND ..86. Section 1 Sick Leave Conversion Eligibility ..86. Section 2 Sick Leave Conversion Section 3 County Contribution.

7 86. Section 4 RETIREMENT SYSTEM CONTRIBUTIONS ..87. Section 1 Eligibility ..87. Section 2 Employee Contributions ..87. Section 3 Special Provisions ..88. Section 4 Survivor Benefits for General Retirement Members Administered by San Bernardino County Employees' Retirement Association (SBCERA) ..88. RETURN-TO-WORK COMPENSATION ..88. Section 1 Purpose ..88. Section 2 Standby Compensation ..88. Section 3 Call-Back Compensation ..89. Section 1 Purpose ..89. Section 2 On-Call Compensation ..89. v Nurses Unit and Per Diem Nurses Unit 2021 2024 MOU. Section 3 Standby Compensation ..90. Section 4 Call-Back Compensation ..90. Section 5 Critical On-Call Compensation ..91. SAFE PATIENT HANDLING POLICY ..91. SAFETY PHONES ..92. SALARY ADJUSTMENTS ..93. Section 1 Across the Board Increases ..93. Section 2 Range Restructure (Equity) ..93. Section 1 Across the Board Wage Increases ..94. Section 2 Range Adjustments ..94. SALARY RATES AND STEP ADVANCEMENTS.

8 94. SECTION 125 PREMIUM CONVERSION SENIORITY, LAYOFF AND RECALL ..99. 72-Hour Nurses ..101. SHORT-TERM DISABILITY ..101. SPECIALTY CARE RN CLASSIFICATIONS ..101. Section 1 Nurses Unit Specialty Care RN Hiring ..102. Section 2 Nurses Unit Specialty Care RN Floating/Temporary Reassignment ..105. Section 3 Per Diem Specialty Care RN Hiring ..105. Section 4 Per Diem Nurses Unit Specialty Care RN Floating/Temporary Reassignment ..107. STANDARD TOUR OF DUTY ..107. SUCCESSORS ..108. TEMPORARY PERFORMANCE OF HIGHER LEVEL DUTIES (TEMPORARY PERFORMANCE COMPENSATION ..108. TIME AND LABOR REPORTS ..109. TUITION LOAN REPAYMENT PROGRAM ..109. TUITION REIMBURSEMENT AND CONTINUING EDUCATION UNITS ..112. USE OF BULLETIN USE OF COUNTY RESOURCES ..113. VISION CARE INSURANCE ..114. VOLUNTARY TIME OFF ..114. WORK APPENDIX A APPROVAL BY BOARD OF SUPERVISORS ..116. APPENDIX B JOB CODE CLASSIFICATION ..118. APPENDIX C NURSES UNIT SALARY SCHEDULE ..121.)

9 Effective 8/14/2021 ..121. Effective 7/16/2022 ..123. Effective 7/15/2023 ..125. Effective 7/13/2024 ..127. APPENDIX D PER DIEM NURSES UNIT SALARY SCHEDULES ..129. Effective 8/14/2021 ..129. Effective 9/25/2021 ..130. vi Nurses Unit and Per Diem Nurses Unit 2021 2024 MOU. Effective 7/16/2022 ..131. Effective 7/15/2023 ..132. Effective 7/13/2024 ..133. APPENDIX E SIDE LETTER LOW CENSUS ..134. APPENDIX F SIDE LETTER CLINICAL LADDER ..135. APPENDIX G SIDE LETTER FLOATING FROM POST-ANESTHESIOLOGY CARE UNIT (PACU) TO THE PRE-OPERATIVE. HOLDING AREA ..136. APPENDIX H SIDE LETTER SCHEDULING OF WEEKEND SHIFTS FOR 20-YEAR NURSES ..137. APPENDIX I TITLE 16, CALIFORNIA CODE OF REGULATIONS ..138. APPENDIX J IN-HOUSE REGISTRY ..139. APPENDIX K NURSE PROCESS STANDARDS/RN RATIOS ..140. vii Nurses Unit and Per Diem Nurses Unit 2021 2024 MOU. MEMORANDUM OF UNDERSTANDING NURSES UNIT AND PER DIEM. NURSES UNIT 2021-2024 . PREAMBLE. The parties recognize that San Bernardino County Arrowhead Regional Medical Center (ARMC) is a safety net hospital with the primary mission of providing quality healthcare, a basic necessity of humankind, to the residents of San Bernardino County.

10 The parties commit to improving the health status of the diverse community we serve through offering compassionate care and delivering patients quality treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence. Further the parties commit to continue treating all patients with courtesy and respect, listening carefully to their needs and taking the time to keeping them informed, all while promoting patient safety. Therefore, the parties agree to the following terms of the MEMORANDUM of UNDERSTANDING . ACCESS TO PERSONNEL RECORDS. NURSES UNIT AND PER DIEM NURSES UNIT. Personnel records are confidential and access to personnel records of the employee shall be limited to the Director of Human Resources, the appointing authority, the Board of Supervisors, or their authorized representatives. Employees currently employed by the County of San Bernardino and/or their representatives, designated by the employee in writing, will be allowed to review the employee's personnel records during regular business hours.