CNA contracts have created new standards for RNs
and patient protection
A crucial part of quality
patient care is reversing the trend of inadequate
hospital staffing that is putting patients at risk and driving
nurses out of the profession. CNA representation provides
nurses with a voice in patient care decisions, which we can
use to create safer healthcare facilities to protect our
patients, our licenses, and ourselves.
Professional Practice Committees
CNA contracts negotiate staff RN-controlled committees with
the authority to document unsafe practices and the power to
make real changes. The Professional Practice Committee
(PPC) is an elected, staff RN committee with representatives
from every major nursing unit. The PPC meets in the hospital
on paid time and tracks unsafe conditions through
an independent documentation system called the
Assignment Despite Objection (ADO).
Staffing Ratio Protections
■ Ratios in contract to protect against future attacks:
Enforced through the RN's legal contract guarantees,
with disputes settled by a neutral third party arbitrator.
■ Binding arbitration for safe staffing: Disputes between
management and PPC may be submitted to a neutral
arbitrator for a binding decision.
■ All-RN staffing: A commitment to only hire RNs into all
open non-relief licensed positions in designated units.
Safe Lift Policies
Contract language to assure safer lift policies, including
"appropriately trained and designated staff" to assist with
patient handling available 24 hours a day.
Precedent-setting language that prevents new technology
from displacing RNs or RN professional judgment.
Binding Arbitration for Safe Staffing
Disputes between management and the RN-elected staffing
committee may be submitted to a neutral arbitrator for
a binding decision.
Floating Policy Improvements
Floating not required outside the RN's clinical area.
No floating allowed unless RN clinically competent.
Ban on Mandatory Overtime
Prevents nurses working when they are exhausted,
Staff RNs selected by CNA who work as independent
patient care monitors on staffing problems and structural
concerns regarding quality of care improvements and
Not counted in the staffing matrix. Has the authority
to increase staffing as needed.
Paid Education Leave
Up to 12 days per year.
RNs who are not given a patient care assignment or
counted in the patient acuity mix available to assist RNs
as needed on their units.