EXHIBIT A
NURSING PERSONNEL REQUIREMENTS
The University of California, San Diego Medical Center system is a multi-site health
system comprised primarily of two hospitals located 14 miles apart. The hospital in
Hillcrest, which has 391 beds, is located adjacent to downtown San Diego and the
Thornton Hospital facility, with 120 beds, is located on the University of California campus
in La Jolla. It is a requirement that any supplemental staff being provided to UCSD
Medical Center be available to work/float to other locations, as needed, during their
contracted work term, providing they meet the qualifications and requirements for the
position. Transportation between facilities is the responsibility of the contract personnel.
1.
Rev. 2/15/2016
All nursing personnel referred to work at any UCSD Medical Center
location must meet all health standards required by Title 22, JCAHO and
must comply with UCSD Medical Center’s Immunity and Testing
Requirements. In the event a worker assigned to UCSD Medical Center by
a contract agency does not comply with these requirements and adverse
consequences result (for example, a contract worker exposes patients and
personnel to measles), the contract agency will be billed for the expenses
associated with the follow-up evaluation necessitated by the exposure.
a.
Such personnel shall be free from symptoms indicating the
presence of infectious diseases.
b.
The initial health examination will include a urine drug screen and
Ishihara test for color blindness.
c.
The initial health examination and subsequent annual health
examination shall include, a purified protein derivative intermediate
strength skin test for tuberculosis, or a chest x-ray. Positive
reactions to the skin test shall be followed by a 35.56 cm x 43.18
cm (14” x 17”) chest x-ray. Subsequent follow up will include an
annual respiratory health questionnaire and repeat chest x-ray
every three to five years.
d.
Proof of immunity to rubella based on immunization or titer.
e.
Proof of immunity to measles/rubeola based on immunization with
two doses of live measles vaccine given since 1979, positive titer.
f.
Natural or acquired immunity to chickenpox (varicella) based on
serologic titer or documentation of receipt of varicella vaccine.
g.
Proof of Hepatitis B immunity status. Either, care provider
provides documentation of receipt of hepatitis vaccine series (three
doses) with immunity titer or signed a waiver stating that: “I
understand that due to my occupational exposure to blood or
other potentially infectious materials, I may be at risk of
acquiring hepatitis B virus (HBV) infection. However I decline
hepatitis B vaccination at this time. I understand that by
declining this vaccine, I continue to be at risk of acquiring
hepatitis B, a serious disease. If you are undecided or DO NOT
want to receive hepatitis B vaccine, you must sign the
declination statement declining to take the vaccine.”
h.
The client shall maintain employees’ annual health records,
including reports of all employment-related health examinations for
each employee. Such records shall be kept a minimum of three (3)
years following termination of employment.
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EXHIBIT A
NURSING PERSONNEL REQUIREMENTS
2.
All nursing personnel referred to work at any UCSD Medical Center facility
shall have a minimum of one year work experience in the United States
within their specialty, or the rate will be re-negotiated through UCSD
Medical Center Nursing Administration and Purchasing. It is understood
that the facility will provide basic unit orientation to ensure that Agency
personnel are competent to perform nursing care. However, any unit
orientation required beyond 30 minutes will be at the expense of the
Agency. In addition, they must maintain current professional credentials
and competencies as follows:
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
3.
Rev. 2/15/2016
Current California Registered Nurse, LVN, or Certified Nursing
Assistant Certification.
Current CPR Certification. BLS for Healthcare Providers, from
either the American Heart Association or Red Cross for all RN’s,
LVN’s, CNA’s and MHW’s. Online renewal certification will require
additional documentation of hands on mannequin competency from
the American Heart Association or the American Red Cross.
All personnel to have at lease one (1) year acute health experience.
Documentation of successful completion (>85% score) of a
medication/ dosage calculation exam in the nurses specialty field.
Emergency Room Nurses: ACLS certified. In addition, CEN
certification preferred.
ICU Nurses: ACLS certified.
Pediatric ICU Nurses: PALS certified.
Neonatal ICU Nurses: Neonatal Resuscitation certified.
All Labor and Delivery, and Post Partum nurses must also have
Neonatal Resuscitation Certificate.
Psychiatric care units: Professional assault training course, such as
P.A.R.T., M.A.B., or equivalent standard is preferred for RN, LVN,
LPN, or MHW.
LVN’s must provide evidence/documentation that they have
completed BVN/PT Board approved courses of IV therapy and
blood withdrawal/phlebotomy.
The Center for Disease Control has recommended that healthcare
professionals shall have no artificial nails or wraps. Nails are to be
kept short, natural, and clean. All who provide direct patient care or
have contact with patient care supplies, equipment or food are
expected to be in compliance with the policy as a condition of
continued employment throughout the organization.
See Exhibit F for competency tool to augment documentation of
nursing qualifications and requirements.
Fit Testing: Respirator fit testing of all health care workers who have direct
patient contact or even have a possibility of being exposed to patients with
infectious tuberculosis is required by OSHA standard for respiratory
protection for M. tuberculosis (29 CFR 1910.139). Arrangements must
be made to have fit testing performed meeting standards using Client
provided products, i.e. masks before providing patient care. An
inability to be fit tested will result in non compliance and an
ineligibility to accept assignments at UCSD Medical Center
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EXHIBIT A
NURSING PERSONNEL REQUIREMENTS
4.
Daily registry personnel will sign in on the Daily Log and receive Daily Time
Cards (DTC) provided by the Staffing Office (Hillcrest) or Patient
Administration Office (Thornton). UCSD Medical Center personnel/charge
nurses must authorize sign-in and out times on the DTC. Agency staff is
responsible for returning the completed DTC to the Staffing Office/Patient
Administration Office at the end of their shift and before leaving the
facility. Overtime and/or missed lunches must have signature approval
before leaving the facility. Copies of the DTC’s will be faxed to the
individual Agencies. If no DTC is received, no invoice will be generated
for actual payment.
5.
Staffing Office Supervisor will prepare the billing report on UCSD Medical
Center Billing Report, one sheet per Agency (Sunday – Saturday,
weekly). On Tuesday morning a copy of the billing report will be faxed to
the individual Agencies. Accounts Payable will receive an email of the
exact same Invoice. Registry payment is dependent upon this billing
report. Discrepancies must be addressed in a timely manner (72hrs) to
the Staffing Office Supervisor (619-543-6707). Copies of Billing Report
must be sent with invoices. Note: Holiday schedules may impact the timing
of the above process by 24-48hrs.
6.
UCSD Medical Center requires all nursing personnel to show proof of valid
license, picture identification badge, certifications and evidence of
compliance with UCSD Medical Center Health Standards prior to start of
shift. Personnel reporting to work without proof will be sent home and the
registry will not be paid for that employee. In addition, the cancellation
terms in paragraph #10 below of the main agreement will be applied, which
will result in a 4-hour credit to Client.
7.
All the above-required documentation must be faxed to the Staffing Office
prior to shift as well as copies presented at time of arrival of shift.
8.
For Traveling Nurses and Allied Health personnel:
a. Client is permitted to cancel one shift per two-week pay period due to
low census. Client will cancel Healthcare Professionals in rotation with
the Client’s full time personnel and Healthcare Professionals will be
given the option to float to other units once they have been properly
oriented.
b. Traveling nurses shall not have a local, permanent address, within a
100 mile radius. Client reserves the right to terminate an
assignment if found to have a local permanent address. By
definition, living in San Diego over one year, constitutes a
permanent address.
c. With regard to each Traveler provided by agency and accepted by
client, agency agrees to provide arrangements for 1) Lodging and travel
to assignments, 2) Workers Compensation Insurance in accordance
with the Laws in the State of California, 3) A contact person for direct
communications concerning all aspects of the Traveler placement.
d. Client will accept Traveler assigned by agency for a minimum of 3months based on a 36 to 40-hour workweek.
Rev. 2/15/2016
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EXHIBIT A
NURSING PERSONNEL REQUIREMENTS
e. Client will provide Traveler with orientation to include, but is not limited
to, hospital policies, procedures, and a medication/dosage calculation
exam.
f. Exhibit D, Procedures for Traveling Nurses /or/ Exhibit D, Procedures
for Traveling Allied Health Personnel is attached.
Rev. 2/15/2016
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