Below are frequently asked questions to address BCNU member questions around the interim PCAP process.
The Nurses' Bargaining Association (NBA) and the Health Employers Association of BC (HEABC) have been working to implement the language of Articles 60 and 28.04 of the Provincial Collective Agreement since the agreement was ratified. Developing a new Patient Care Assessment Process (PCAP) that meets the needs of all parties is extremely complex, and agreement has not yet been reached. The interim PCAP was ordered as part of a decision by a mediation-arbitration panel, to be implemented in all direct patient care areas while the parties continue working towards a final PCAP.
The goal of the interim PCAP is to assist with collaborative nurse staffing decisions at the unit/department/program level, and to determine when the Working Short Premium applies. The data collected through the interim PCAP will also be used to inform the development of the final PCAP.
The interim PCAP includes two forms which must be completed on every shift. The interim PCAP form (completed by the in-charge nurse and manager/designate) and the End of Shift Questionnaire (completed by direct care nurses).
The interim PCAP form includes three questions: one on baseline, two on workload above baseline.
The End of Shift Questionnaire asks direct care nurses to provide their perception on whether they had sufficient staff to meet patient care needs on their last shift. In community settings, it also asks whether patient care was deferred.
All areas that are involved with providing direct patient care. This includes acute care, long term care and community.
There must be a significant reduction in workload to justify not replacing to baseline. Where there is a disagreement between the in-charge nurse and the manager on this, replacement is still required.
Where baseline isn't consistent, use the number of nurses scheduled or planned for that shift per the master rotation.
The master rotation is sometimes called the master schedule. It provides a repeating schedule of shifts for a group of employees over a set number of weeks. Each line on the rotation represents one employee, and when the last week of the rotation is worked, the schedule starts over or 'rotates' back to week one.
The employer can mitigate workload, so long as mitigation efforts do not increase the workload of the nurses. This could include cancelling or deferring appointments or procedures, transferring patients, and other strategies
Connect with your Steward for assistance.
This form is part of the interim PCAP. It provides a means for nurses to document their perceptions of the adequacy of staffing on their last shift, and can help to inform decisions on staffing for the upcoming shift. The End-of-Shift Questions are an important way for direct care nurses to have a voice in how the interim process is working.
Continue to report safety concerns through existing processes in a timely manner (e.g. PSLS, Workplace Health Call Centre, etc.). If reporting work takes additional time after the end of your shift, you are entitled to compensation for that work under the NBA provincial collective agreement.
No. Although the interim PCAP form is filled out by the in-charge nurse and manager/designate, it is crucial that direct care nurses continue to communicate with their in-charge nurses about workload concerns
The premium generally applies to point-of-care Level 1 LPNs and 3 RN/RPNs. L2 LPNs and L4 & L5 RNs/RPNs who provide direct patient/resident/client care are also eligible to receive the Working Short Premium when the unit is deemed to be working short.
The interim PCAP form includes three questions – one for baseline, one for care needs, and one for scope and skill mix. It is possible in answering these three questions to have a circumstance where LPNs and RNs are all impacted and could be deemed to be working short.
Check in with the nurse-in-charge for the shift.
Connect with your Steward for assistance.
Yes. The interim PCAP is to be used in all areas providing direct patient/resident/client care. Where a unit/department/program is deemed to be working short, the Working Short Premium applies.
Not at this time.
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