May 31, 2017 TUFTS MEDICAL CENTER AND MNA FINAL OFFER This is a comprehensive package proposal. Agreement on any one of these proposals is contingent upon agreement on the package as a whole. The Medical Center reserves the right to modify the following proposals accordingly, including the reintroduction of any proposal that has been withdrawn as part of this package proposal. 1. Economics: 1 A. Wages: 2 Effective the first full pay period following ratification, a 2% across-the-board raise will be applied to all steps. Th:e first t'no (2) steps on the wage scale shall be eliminated (housekeeping issue) and Step 3 shall become Step 1. Effective the first full pay period 1?.vo (2) months follo1ning ratification, all Rl'ts hired after 1/1/2007 as non novice nurses (i.e., those hired at Step 4 or higher) shall ad,;ance one step. J'furses v.111 continue to move one step on their am1iversary dates. Effective SHt-four (61) months following ratification, create a new Step Ml 8. 2% above the then Step B 17. On the first day of the first full pay period following the creation of Step M 18, nurses who have been on Step -M-17 for at least twelve full months shall automatically move to Step Ml 8. After the first full pay period following the creation of Step Ml 7, nurses who have been at Step -l-s-17 shall advance to Step -l-e-18 on their anniversary dates. Effective the first full pay period one year following ratification, a 2% across-the-board raise will be applied to all steps. Effective June 1, 2019, create a nevi Step 19 2% above Step 18. On the first day of the first full pay period following June 1, 2019, nurses who have been on Step 18 for at least two full years shall automatically move to Step 19. After the first full pay period follovoog June 1, 2019, 1 Alternatively, the Medical Center will accept the May 16, 2017 iteration of our Final Offer. 2 As a result of changed circumstances, i.e., incurring costs associated with securing replacement nurses, when Tufts MC receives a strike notice, this "Wages" proposal will be modified as follows: on the day Tufts MC receives a strike notice, the 2% across-the-board effective at ratification will become a 1 % across-the-board increase. on the third day following the receipt of the strike notice, the proposed new 5% Step will modified to a new 2% step effective two years after ratification. on the ninth day following the receipt of the strike notice, the 2% across-the-board effective two years after ratification will become a 1 % across-the-board increase. 1
May 31, 2017 nurses 1vvho have been at Step 18 for two full years shall advance to Step 19 on their anniversary dates-:- One year after the creation of Step ¼ 18, increase Step ¼ 18 to 2.5% above Step -1- : 17. Effective the first full pay period two years following ratification, a 1 % across-the-board raise will be applied to all steps. Effective two years after the creation of Step -1-618, increase Step -1-618 to 4.5% above Step-1- :17. Effective the first full pay period three years following ratification, a 0.5% across-theboard raise will be applied to all steps. Effective three years after the creation of Step -1-618, increase Step ¼18 to 5% above Step B. Differentials: a) MNA No. 8 -Float Differential: A. Float Pool Nurse All Tufts nurses who are hired into the float pool will receive the differentials as indicated below in lieu of the normal shift and weekend differential listed in Article IV section 4.4 & 4.5 upon completion of orientation: Category Days Evening Nights Weekends Differential $3.00 $..00 $+.00 $4.00 b) MNA No. 6-Permanent Night Shift Differential: 4.4 Shift Differential Nurses working between the hours of 11 :-M--00 p.m. and 7:-M--30 a.m. shall receive a differential of three dollars and ten cents ($3.10) per hour for hours worked during such period. The shift differential for such shiftrns who commit to working permanent nights for at least four (4) months shall be feur..seven dollars and fifty cents($ 7.00) per hour for any full time nurse who has agreed to \Vork on the night shift for a period of at least three (3) consecutive 2
May 31, 2017 months or for any part time nurse 1.:vho has agreed to work such shift for a period of at least six (6) consecutive months, provided that eligibility for such increased shift differential shall be dependent upon the nurse so committing hersel:e'himself in writing and provided further that the nurse has agreed to reimburse the Hospital for the additional differential received by her/him above three dollars and ten cents ($3.10), which reimbmsement may be deducted from any monies due her/him, if she/he fails to fulfill her/his commitment. c) MNA No. 7 - Weekend Differential 4.5 Weekend Differential Nurses who are assigned to shifts between the hours of 7:00 a.m., Saturday, and 7:00 a.m., Monday, shall be paid a differential at the rate of one dollar and ninety-five cents ($3.00-h%) per hour for all hours worked during such shifts. This section does not apply to Clinical Research Associates I and II. 2. Tufts MC No. 12-The Defined Benefit Plan: The Medical Center agrees to a matching contribution of between 4 and 8% to get nurses to a projected benefit of at least 9-8-100% of their projected DB benefit based on calculations previously given to MNA. The 2% post-tax contribution that nurses currently contribute to the DB plan will no longer be deducted from their paychecks and nurses can chose to apply that amount to their portion of the matching contribution. The JJ67 nurses who do not get to a projected benefit of 9-8-100% of their projected DB benefit with a matching contribution of 8% will receive a restoration payment for the remainder of their employment. Restoration payments equal the difference between the nurse's projected benefit and the 9-8-100% annualized and paid out each pay-period as wages. The Hospital will pay for I 00% of the Restoration payments. The match for nurses cunently in the DC will an increase from 2% to 3%. EffectiveBeginning January L 2018, any nurses currently in the DC with 15 or more years of service, receive a 4% match. 3. Weekend Make-Up 5.4 Weekends The Hospital will endeavor to continue its present practice with respect to scheduling weekends off, by endeavoring to give nurses every other weekend off. The Association recognizes, however, that conditions may arise, from time to time, that necessitate changes in those practices. Subject to its operating requirements, as determined by the Hospital, the Hospital will give full-time nurses who have completed at least ten (10) consecutive years of service with 3
May 31, 2017 the Hospital, two (2) out of every three (3) weekends off. Effective January 1, 1997, the Hospital will expand the universe of nurses who would be eligible for consideration for two (2) out of every three (3) weekends off to include nurses who are regularly scheduled to work at least thirty (30) hours per week, provided that this change will not increase the number of nurses who are actually granted two (2) out of every three (3) weekends off during any given three (3) week period. Subject to staffing and scheduling requirements on particular units, as determined by the Hospital, nurses will not be required to make up one (1) weekend per year on which they are scheduled to work but do not work due to being on vacation. After efletwo occurrences of a nurse being absent on a weekend shift that s/he is scheduled to work during a rolling twelve (12) month period, s/he may be required by the Hospital to make up a missed weekend shift(s). Such makeup shift(s) will be scheduled during the subsequent schedule posting or another at a time mutually agreed upon by the nurse and the clinical nurse director. This section does not apply to Clinical Research Associates I and II. 4. MNA counter to Tufts MC No. 5 - Clusters: 4.6 Float Differential B. Cluster Position N,u-se Nurses in Cluster positions will receive the differential as indicated in l\.rticle IV section 4.6 above for all non orientation hours v10rked vmen floating to units outside their base unit. C. Competency Requirements As of the date of ratification, nurses hired into the float pool must have a minimum of one (1) year mcperience in an acute care setting as an ru-l A float pool or a cluster nurse will co :11 lete unit specific orientation and unit familiarization prior to taking assignment on that umt. Add new Section 4.7: 4.7 Temporary Reassignment Differential A. In addition to any shift and weekend differentials that mav apply (i.e., differentials under Sections 4.4 and 4.5), any RN who is temporarily reassigned will receive a temporary reassignment differential of eight dollars ($8.00) per hour. B. Cluster Position Nurse Cluster nurses are RNs hired to work in more than one care area/department. At the time of hire, Cluster nurses will receive a written offer letter listing both their home and alternate 3 The MNA has previously agreed to this change. 4
May 31, 2017 units. The cluster nurse's home unit will be the first unit listed on the Nurse's job offer. Seniority for Cluster nurses is based on the home unit. Nurses in Cluster positions will receive the differential as indicated in Article IV section 4.7 above for all non-orientation hours worked when assigned to Cluster units outside their home unit. A Cluster nurse will complete unit specific orientation and unit familiarization prior to taking assignment on that unit. CLUSTER SIDE LETTER As of the date of ratification, any nurse in a cluster position hired before January 3, 2010 shall have a one-time option to request to convert to a non-cluster position in his/her primary unit. All opt-out requests shall be received by the clinical nursing director within four ( 4) weeks of ratification, and non-cluster status shall be communicated in writing to the nurse within 6 weeks of ratification. The non-cluster status shall be effective six (6) weeks post ratification. 5. Tufts MC counter to MNA No. 11-- Charge Nurse 4.9 Charge Nurse (a) A staff nurse who is assigned for four (4) hours or longer to be in charge of a floor on the evening or night shift will be paid a differential for hours worked on such duty at the rate of two dollars and ten cents ($HG2.50) per hour. A Staff Nurse who is assigned for four ( 4) hours or longer to be in charge of a floor on the day shift, because of the absence of both the Clinical Nurse Director and the Clinical Nurse Leader, will be paid a differential for hours worked on such duty at the rate of two dollars and ten cents ($HG2.50) per hour. (b) Effective January I, 2018. +9 Charge RN FTEs will be distributed according to need in the following patient care areas. Nmih 4 Nmih 7 N01ih 6 Prager 7 Floating 7 Prager 5 N Subject to patient care needs, a nurse placed in charge in the above units shall not have an initial assignment. and may be used to assist other nurses on the floor. provide coverage for breaks (including lunch breaks), and/or take an assigmnent to meet patient care needs as necessary. Utilization of these nurses shall be detennined with input of the staff nurses of that unit. 5
May 31, 2017 If at any time, the Medical Center becomes subject to legally mandated staffing ratios, formulae, or the like, (whether through legislation. ballot question, or any other means), this Section 4.9(b) will automatically sunset. This Section 4.9 does not apply to Clinical Research Associates I and II. 6. Duration: 23.1 Duration Except as expressly provided in this Agreement, this Agreement shall become effective on May 19, 2014(the date of ratification) and shall remain in full force and effect through J.w.y 30, 2016 202l(four years from the date of ratification) and from year to year thereafter, unless written notice of a desire to modify or terminate this Agreement is given by either party to the other at least ninety (90) days prior to any such renewal date. 7. Tentative Agreements. All tentative agreements to date: a) Tufts MC No. 3 -Eliminating Waiting Period for Degree Differential b) Tufts MC No. 4-Float Pool Eligibility c) Tufts MC No. 11 -- Health Insurance d) MNA No. 10 - On Call Pay e) MNA No. 11 -- Preceptors f) MNA No. 12 -Holiday Pay g) MNA No. 14-Assault Victim Compensation h) MNA No. 15 -Bereavement i) MNA No. 16 -Seniority j) MNA No. 17 -Vacancies k) MNA No. 18 -Reduction in Force I) MNA No. 20 and Tufts MC No.6 -Flex m) MNA No. 23 -On-Call n) MNA No. 24-Tuition Reimbursement 6
May 31, 2017 o) MNA No. 25 -- Professional Activities 8. All other Tufts MC and MNA proposals are withdrawn without prejudice. 7
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