Common use of Meals and Breaks Clause in Contracts

Meals and Breaks. During each nurse's workday, the nurse shall receive the following: 4.2.1 One paid fifteen (15) minute rest period during each four (4) consecutive hours of work. Insofar as practicable, the breaks shall be near the middle of such work duration. 4.2.2 One uninterrupted meal period of one-half (1/2) hour on the nurse's own time, subject to the provisions below. The Medical Center will make good faith efforts to allow the nurse to take the meal period near the middle of the nurse’s shift, subject to operational and patient care needs. If a nurse is specifically requested by the Medical Center to remain at or return to his/her duty station during a meal period, such period shall be paid time. 4.2.3 The Medical Center acknowledges the importance of breaks and meal periods to the nurses. The parties further acknowledge that the provision of regular rest periods may not be possible due to the nature and circumstances of work in an acute care facility (including emergent patient care needs, the safety and health of patients, availability of other qualified nurses to provide relief, and intermittent and unpredictable patient census and needs). It is understood that a missed break or meal period due to any of the above-referenced situations is not a basis for disciplinary action. The parties therefore agree to the following: 4.2.3.1 Scheduling of breaks is best resolved by unit-based decisions, where the affected nurses are involved in creative and flexible approaches to the scheduling of rest and meal periods. 4.2.3.2 Each unit has the flexibility to develop a plan for scheduling nurses for the total amount of rest and meal periods set forth in this section, subject to the following: 4.2.3.2.1 The plan must have the agreement of the unit manager, and then be made available for review on the Medical Center’s Intranet. 4.2.3.2.2 The preferred approach is to relieve nurses for two 15-minute rest periods and one 30-minute meal period within an 8-hour shift. Shift-based variances from the preferred approach may be made with the approval of the charge nurse on duty or the supervisor, if the charge nurse is not available. 4.2.3.2.3 If a nurse believes that he or she is unable to take the breaks or meal periods described above, the nurse will inform his or her charge nurse (or supervisor, if the charge nurse is not available) as soon as possible. The charge nurse/supervisor or manager will make reasonable efforts to provide the nurse with such break(s) or meal period. 4.2.3.2.4 Nursing mothers who are breastfeeding a child age 18 months or younger will be entitled to additional break time of up to fifteen minutes (for a combined total of up to 30 minutes) as provided under state law. 4.2.3.2.5 Each unit will review its written plan on no less than an annual basis to determine whether revision to the plan is necessary. Such revision will take place with input from the nurses on that unit as to whether the nurses are regularly receiving the opportunity to take meal periods and breaks. Each annual review will include a list of practices on the unit that have been successful in allowing nurses to regularly receive meal periods and breaks, as well as any challenges. This analysis will be provided in writing to the house-wide Staffing Plan Committee. The Staffing Plan Committee will maintain a list of the various successful practices on breaks and meal periods in the different units throughout the

Meals and Breaks. During each nurse's workday, the nurse shall receive 2 the following: 4 4.2.1 One paid fifteen (15) minute rest period during each four (4) 5 consecutive hours of work. Insofar as practicable, the breaks shall be near the 6 middle of such work duration. 8 4.2.2 For each work period of more than six (6) hours. One 9 uninterrupted meal period of one-half (1/2) hour on the nurse's own time, subject 10 to the provisions below. : The Medical Center will make good faith efforts to allow 11 the nurse nurses to take the meal period near the middle of the nurse’s nurses’ shift, subject to 12 operational and patient care needs. If a nurse is specifically requested by the 13 Medical Center to remain at or return to return to his/her duty station during a 14 meal period, such period shall be paid time. 16 4.2.3 The Medical Center acknowledges the importance of breaks and 17 meal periods to the nurses. The parties further acknowledge that the provision of 18 regular rest periods requires appropriate staffing and scheduling, teamwork, 19 professional accountability and charge nurse’s involvement and may not be 20 possible due to the nature and circumstances of work in an acute care facility 21 (including emergent patient care needs, the safety and health of patients, 22 availability of other qualified nurses to provide relief, and intermittent and 23 unpredictable patient census and needs). It is understood that a missed break or 24 meal period due to any of the above-above referenced situations is not a basis for 25 disciplinary action. The parties therefore agree to the following: 27 4.2.3.1 Scheduling of breaks is best resolved by unit-within the unit- 28 based decisions, Practice Council where the affected nurses are involved in creative 29 and flexible approaches to the scheduling of rest and meal periods. 31 4.2.3.2 Each unit has the flexibility will utilize missed meal and break information 32 to develop a plan for scheduling nurses for the total amount of rest and 33 meal periods set forth in this section, to be included in their staffing plan 34 and subject to the following: 1 4.2.3.2.1 The UBPC plan must have the agreement of 2 the unit manager, manager and then be made available for review on to the Medical Center’s Intranetstaff. 4 4.2.3.2.2 The preferred approach is to relieve nurses for 5 two 15-minute rest periods and one 30-minute meal period within 6 an 8-hour shift. Shift-based variances from the preferred approach 7 may be made with the approval of the charge nurse on duty or the 8 supervisor, if the charge nurse is not available. 10 4.2.3.2.3 The charge nurse/supervisor or manager will 11 make reasonable efforts to provide the nurse with such break(s) or 12 meal period. If a nurse believes that he or she is unable to take the 13 breaks or meal periods described above, the nurse will inform his or 14 her charge nurse (or supervisor, if the charge nurse is not 15 available) as soon as possible. The If the charge nurse/supervisor or manager will make reasonable efforts nurse is unable to 16 provide assistance the nurse with such break(s) or meal periodmay contact the House Supervisor for 17 assistance. 4.2.3.2.4 Nursing mothers who are breastfeeding a child age 18 months or younger will be entitled to additional break time of up to fifteen minutes (for a combined total of up to 30 minutes) as provided under state law. 4.2.3.2.5 Each unit will review its written plan on no less than an annual basis to determine whether revision to the plan is necessary. Such revision will take place with input from the nurses on that unit as to whether the nurses are regularly receiving the opportunity to take meal periods and breaks. Each annual review will include a list of practices on the unit that have been successful in allowing nurses to regularly receive meal periods and breaks, as well as any challenges. This analysis will be provided in writing to the house-wide Staffing Plan Committee. The Staffing Plan Committee will maintain a list of the various successful practices on breaks and meal periods in the different units throughout the

Meals and Breaks. During each nurse's workday, the nurse shall receive the following: 4.2.1 One paid fifteen (15) minute rest period during each four (4) consecutive hours of work. Insofar as practicable, the breaks shall be near the middle of such work duration. 4.2.2 One uninterrupted meal period of one-half (1/2) hour on the nurse's own time, subject to the provisions below. : The Medical Center will make good faith efforts to allow the nurse to take the meal period near the middle of the nurse’s shift, subject to operational and patient care needs. If a nurse is specifically requested by the Medical Center to remain at or return to his/her duty station during a meal period, such period shall be paid time. 4.2.3 The Medical Center acknowledges the importance of breaks and meal periods to the nurses. The parties further acknowledge that the provision of regular rest periods may not be possible due to the nature and circumstances of work in an acute care facility (including emergent patient care needs, the safety and health of patients, availability of other qualified nurses to provide relief, and intermittent and unpredictable patient census and needs). It is understood that a missed break or meal period due to any of the above-referenced situations is not a basis for disciplinary action. The parties therefore agree to the following: 4.2.3.1 Scheduling of breaks is best resolved by unit-within the unit- based decisions, Practice Council where the affected nurses are involved in creative and flexible approaches to the scheduling of rest and meal periods. 4.2.3.2 Each unit has the flexibility to develop a plan for scheduling nurses for the total amount of rest and meal periods set forth in this section, subject to the following: 4.2.3.2.1 The plan must have the agreement of the unit manager, and then be made available for review on to the Medical Center’s Intranetstaff. 4.2.3.2.2 The preferred approach is to relieve nurses for two 15-minute rest periods and one 30-minute meal period within an 8-hour shift. Shift-based variances from the preferred approach may be made with the approval of the charge nurse on duty or the supervisor, if the charge nurse is not available. 4.2.3.2.3 If a nurse believes that he or she is unable to take the breaks or meal periods described above, the nurse will inform his or her charge nurse (or supervisor, if the charge nurse is not available) as soon as possible. The charge nurse/supervisor or manager will make reasonable efforts to provide the nurse with such break(s) or meal period. 4.2.3.2.4 Nursing mothers who are breastfeeding a child age 18 months or younger will be entitled to additional break time of up to fifteen minutes (for a combined total of up to 30 minutes) as provided under state law. 4.2.3.2.5 Each unit will review its written plan on no less than an annual basis to determine whether revision to the plan is necessary. Such revision will take place with input from the nurses on that unit as to whether the nurses are regularly receiving the opportunity to take meal periods and breaks. Each annual review will include a list of practices on the unit that have been successful in allowing nurses to regularly receive meal periods and breaks, as well as any challenges. This analysis will be provided in writing to the house-wide Staffing Plan Committee. The Staffing Plan Committee will maintain a list of the various successful practices on breaks and meal periods in the different units throughout thePlan