This 2014 agreement lays out measures to train and protect caregivers treating Ebola patients.
Agreement Between the Coalition of Kaiser Permanente Unions and Kaiser Permanente
December 15, 2015
1.正如Kaiser Permanente和Kaiser Permanente union联盟都同意的那样，照顾埃博拉患者所带来的威胁和恐惧是必须解决的事实。双方相信，通过保持冷静和教育我们的员工/成员，我们可以共同努力，确保员工通过知识和培训做好照顾埃博拉患者的准备。雇主和工会承诺共同努力，有效执行CDC有关埃博拉的指导方针。如果指导方针发生变化，各方将举行会议，审查和协商这些变化的影响。此外，双方将针对所有员工开展联合沟通，当Kaiser Permanente的国家指南比CDC和加州OSHA指南更具保护力时，以Kaiser Permanente的国家指南为准。在任何情况下，Kaiser Permanente的国家指南都不会低于CDC的标准。在加州，接收医院将符合加州/职业安全与卫生管理局的规定和指南，包括《住院医院埃博拉病毒暂行指南》和《气溶胶传播疾病标准》。此外，设施必须遵守适用的OSHA或当地公共卫生要求。
2. In reference to number 1 above, the Employer will ensure sufficient levels of all required PPE in the ambulatory setting, Emergency Department and Inpatient settings. All trained employees have the opportunity to regularly practice these skills with drills, simulat ions or other relevant activities.
3. All staff with the potential to interact with, care for, or do terminal cleaning/waste handling for suspected Ebola patients, or those with a positive diagnosis, shall receive paid time for the purpose of
a) education on Ebola to include but not limited to:
i) pathophysiology
ii) signs and symptoms
iii) care and treatment of the patient
iv) proper donning and doffing of PPE
v) simulation of actual care e.g. IV starts while donned, etc.
vi) proper disposal of body fluids and waste
vii) terminal cleaning of isolation rooms in the ambulatory, Emergency Department and Inpatient settings
viii) the appropriate duration of time in room or in PPE, per KP guidelines and CDC, Cal OSHA, and OSHA standards
ix) proper protocols for intake areas
b) such training shall be paid training time by the Em ployer with backfill for those in training
4. The CDC recommends that there are Ebola teams to care for patients. Ebola teams will be selected in alignment with National HR policy 043
a) volunteers first; in the event there are insufficient volunteers, then
b) team member selection shall be identified by the parties at the local level
5. In the event an employee is excluded from work or receives care as a result of occupational exposure to Ebola, the employee will receive Paid Administrative Time Off, and all medical costs will be covered through Employee Health and Workers' Compensation in accordance with HR Policy 042 Exposure to Ebola. In addition, if psychological support is needed , all employee costs shall be covered under Workers ' Compensation and/or the employee's health plan benefits in effect at the time of the injury. Paid Administrative Leave shall be considered time worked for purposes of benefits accrual.
6. In each region, joint communication plans will be put into place or continue, as appropriate.
7. In the event there is a dispute over the above, a designated CKPU Member Union Representative and the local Ebola KP site manager will convene a meeting within 24 hours to resolve the dispute within one meeting.
Download a PDFof the agreement with signatures.