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HomeMy WebLinkAboutAllan et al 99-10-18 87E23, 87E24, 87E38 Caat S Local 415 IN THE MATTER OF AN ARBITRATION between ' .ALCON u N'.idOLL CE---- OF APPLIED AR. TS AND TECHNOLOGY ...(hereinafter referred to as. the College) and ONTARIO PUBLIC SERVICE EMPLOYEES UNION, LOCAL 416 '(hereinafter referred to as the Union) 'Classification grievances of Allan, Grant, and McCormick Board of Arbitration: G.J. Brandt',' Chair R. J. Gallivan, College Nominee Larry Robbins, Union Nominee Appearances: For the 'College:' S.L. Moate, Counsel Dr.R. Rowland, Director, Health Services ..G. McRae, Mgr, Personnel Services J. Ross, Supervisor, Recruitment and Classification For the Union: Susan Ballantyne, Counsel Bev Allen, Chief steward and grievor Elizabeth Grant, grievor Margaret McCormick, grievor Hearings: City of Ottawa May 28, 29, 1990 AWARD Introduction These grievances are classification grievances which were originally brought before Professor Ian Hunter pursuant to the expedited arbitration procedure which the parties have negotiated for the resolution of classification grievances. For reasons which will be set out shortly the grievances were referred to this Board. The two positions are Nurse A and Nurse B. The Position Summary for the Nurse A job reads: "The purpose of this position is to maintain an efficient Health Service executing all routines and procedures in the treatment of illness and injury. Provides students and staff with health information/education to achieve and maintain an optimum level of health." The Nurse B performs the same duties as the Nurse A and, in addition, performs certain other clerical and administrative functions. Thus, the position summary for the Nurse B position adds to the Nurse A position summary set out above the following language: "The senior nurse works with the Director of Health Services to co-ordinate the activities of the Health Service personnel and provide the College Community with health information/education to achieve their optimum level of health." Each of these positions was the subject of an interest arbitration award of Mr Swan following the failure of the parties to agree fully on the classification of certain jobs at the time that %he new classification system was introduced in 1986. Mr. 3 Swan issued a consent award placing the Nurse A position in Payband 9 instead of Payband 8 and the Nurse B position in Payband 10 instead of Payband 9. Subsequently the guide charts for these positions (as well as the others dealt with by Mr. Swan) were changed to reflect the findings of the award. In view of the fact that the positions in question in these proceedings were the same ones which were dealt with, on a system - wide basis, in the Swan award, Professor Hunter concluded that it would be preferable to refer the matter to a rtl-partite board of arbitration which would be unrestricted by some of the procedural constraints which characterize the expedited arbitration process. In due course this board was constituted and proceeded to hear the grievances. - It is common ground between the parties that, to the extent that the duties and responsibilities of the jobs in question are accurately reflected in the guide charts, the swan award is binding. It is the position of the Union, however, that the guide charts do not accurately reflect the positions at Algonquin College; that in various respects the positions in question are atypical and should, therefore be sub3ect to independent arbitral evaluation according to the core point rating plan. Indeed, it is maintained that the College itself has acknowledged the atypicality of the positions in that its evaluation of them has, in certain respects, rated some of the factors higher than had been done by Mr. Swan. For example, the Mr. Swan award had rated both positions at C3 for Work Environment, the College has rated that factor at 4 C5. Similarly, while the Swan award rated the manual effort expended by the Nurse A at B3, the College rated it at B4. Thus, it is evident that the Swan award serves only as a general guide. It remains open for both the Colleges and the Union, interpreting local conditions, to evaluate factors differently. Where disputes arise concerning those evaluations they may be brought to arbitration for determination. Both the Nurse A and Nurse B are engaged in the provision of health care services to clients at the various campuses of Algonguin College. There are four such campuses .where nurses are employed. Woodroffe, Rideau, Heron Park and Colonel By. Mrs. Allan, the Nurse B, works full time at the Woodroffe campus. Mrs. Grant, one of the Nurse A s spends most of her time at the Rideau campus but is at Heron Park for 2 mornings a week and may relieve at Colonel By if needed. Mrs. McCormick, the other Nurse A, spends most of her time at the Colonel By campus. At each campus there is an out patient clinic which serves the needs primarily of students and staff Of the College but which also attends to the~needs of some who come in "off the street" The clinics have an "open door" policy; clients "drop in" and are. initially evaluated and assessed by the nurse who determines the appropriate course of action. That may involve treatment of the condition directly (eg. by giving non-prescription medication, bandaging cuts, wrapping sprains, counselling etc.) or referral either to the Director of Health Services, Dr. Rowland (who is the 5 grievors' immediate supervisor), to the patient's own physician, to other physicians in the community, or to a hospital. Dr. Rowland attends at the Woodroffe campus clinic on Monday, Wednesday and Friday mornings and at the Colonel By and Rideau campuses on Tuesday morning and afternoon respectively. [There is no evidence with respect to his attendance, if any, at Heron Park campus.] Annual statistical reports indicate that, for the period April 1989 to March 1990 the total number'of visits to each of the three clinics was as follows: Woodroffe: 8238; Rideau: 3654; Heron Park:455. [No figures were produced with respect to the annual number of visits to the clinic at Colonel By.] While the nurses must see and assess all of the clients who come to the clinic seeking some service, only about one quarter of those are seen by Dr. Rowland. It is the nurses who make the determination as to which clients should see Dr. Rowland and which may be dealt with directly. In making these decisions the nurses are guided by the standards of nursing practice established by the College of Nursing, by the Health Disciplines Act and the Hospitals Act. with respect to, for example, prohibitions against "diagnosing" and "prescribing" and the giving of in3ections except in the presence of a physician. In addition there are certain standing orders in place with respect to what the nurses are permitted to do in the event of emergencies. These permit the nurse to exercise a discretion to 6 administer certain medications (eg. anti-histamines, adrenalin. oxygen, pain killers) which she might otherwise be prohibited from doing. There are a considerable variety of different conditions which "present" at the clinic. The evidence referred to 25 separate classes of conditions. Those classifications in which conditions were presented most frequently included: acute upper respiratory diseases (flu, laryngitis, sore throat, cold~ sinusitis); diseases of the nervous system and sense organs (eg. earache, 'eye strain, migraine, stye, con3unctivitis, neuralgia); diseases of the skin and cellular tissue (eg.skin abscess, acne, boils, dandruff, derma%iris, eczema, warts); diseases of the bones and organs of movement. There is also one large miscellaneous category which accounted for approximately 16% of all of the visits. It includes such conditions as:headache, cramp, vertigo, nausea, insomnia and fatigue. This completes our outline of certain general facts which have application to both grievances. In view of the overlap in functions in the two positions, there are certain other respects in which, as well, the evidence is duplicative. However, it is desirable,' we believe, to approach each grievance as a separate individual grievance and assess separately the evidence led with respect to each. Before doing so we believe that it is useful at the outset to advert to a general difficulty which we have had in connection with the application of the job evaluation plan to these grievors. We 7 acknowledge and recognize that the plan is and must be designed to cover a wide variety of different job functions. As such it must be expressed in language which is capable of adaptation to different situations. We have found, however, that in certain respects, that 3ob of adaptation is particularly difficult in connection with employees who, as professionals, are regulated from outside the College and whose work necessarily involves a substantial element of personal initiative and judgment. Be that as it may it remains our task to attempt to fit the language of the plan to the 3ohs in question. It is not always the case that the "fit" is a very good one. Secondly, we would also note at this 3uncture that there are severa~ r~spec~s in which there are inconsistencies in the way in which the parties have evaluated the various factors as between the two grievors. With respect to certain factors, although there is no relevant difference between the duties performed as between the two nurses, different conclusions have been reached as to how the factors should be evaluated. In this regard we note in particular the following: Guidance Received: Nature of Review where Mrs. Allen claims 5 and Mrs. Grant claims 4; Communications: Purpose of Contacts where Mrs. Allen claims E and Mrs. Grant claims D; and Knowledge: Skill where Mrs. Allen claims 6 and Mrs. Grant claims 5. In no one of these is the claim based on any relevant differences in the 3ob functions or responsibilities. We shall return to these matters again as we deal with each of the job factors. Nurse B - The Allan grievance The following table sets out the respective evaluations of the College and Union: College Union Job Difficulty D5 194 D5 194 Guidance Received D4 150 E5 200 Communications D3 109 E3 135 Knowledge:Training/Experience D6 118 F6 145 :Skill 5 61 6 75 Working Conditions:Manual Effort B4 10 D3 24 Visual Strain A5 3 B2 5 Environment C5 21 D3 24 Total Points 666 802 Pay Band No. 10 12 We shall deal in turn with each of the factors in dispute. a) Guidance Received Both the factors of Guidelines Available and Nature of Review are in dispute. There is little doubt on the evidence that the grievor is not subject to any formal review of her work by Dr. Rowland. She works o~ her own and makes judgments about what is to be done based upon her own knowledge and within the standards established by the College of Nursing, the Health Disciplines Act, the Hospitals Act and standing orders. As indicated those guidelines impose some restrictions on the kind of care that she, as a nurse, is authorized to offer. Certain.other guidelines with which she must be familiar are the policies and procedures of ambulance companies and knowledge of student course requirements which may require a student to have immunization shots. 9 She determines her own work assignments and sets her own priorities. Much of the time she works alone. When Dr. Rowland is present at Woodroffe campus (for 3 mornings a week) she rarely receives any instructions from him and seldom seeks his advice or assistance on any matters which call for a decision from her. The only formal review of her work occurs through an annual performance evaluation. Apart from that her work is only reviewed as and when complaints may be made. Although she does meet with Dr. Rowland approximately every 2 months the purpose of these meetings is not to "review" her work. They are rather in the nature of meetings in which the two people responsible for the administration of the department "share" information with each other with a view to anticipating and/or solving problems which may or have arisen. The union seeks level 5 for Nature of Review and the College has evaluated this factor at level 4. [It' may be noted that the College has evaluated both the nurse A and nurse B at level 4 whereas the Union has claimed the higher level only for the nurse B.] We are persuaded that the appropriate level for the Nature of Review factor is level 5. At best %he only review which conducted by Dr. Rowland is review by exception, viz, when there is a complaint which comes to his attention. We find it difficult to conclude, in that context, that the kind of review conducted is review for "achievement of specific objectives and adherence to established deadlines" as level 4 demands. Rather it appears to us that the kind of review involved is better captured by the language 10 of level 5, viz, "review for achievements of broad objectives, effectiveness of results..." Dr. Rowland does not concern himself, except by exception, with the quality of nursing care provided by the Nurse B to specific individual patients. His concern rather i~ of more general kind. For the Guidelines. Available element the union seeks level' E and the College evaluates the position at level D. On balance it is our view that level D best describes the extent to which the Nurse A works under guidelines. Although it is true that Dr. Rowland is only physically present at the Woodroffe Campus clinic for 3 mornings a week, he is at the campus on other business on Thursdays and may be reached by telephone at other times. He is thus "available" to asSist. Moreover, the kinds of problems on which his assistance might be sought need not be limited to problems of "major importance" as referred to in level E. They can involve matters as routine and commonplace as the proper care and treatment of a particular condition. The Union argued that the only relevant guidelines are those established by the College of Nursing and the relevant statutes of the province of Ontario, and that the nUrse as a professional works within those guidelines rather than within guidelines established by the College. tt is suggested that the relationship between nurse and supervisor is one of two professionals working as a team relating to each other not as supervisor and employee but as team members in pursuit of a common objective. While there is some merit in that characterization it could equally be said that, for 11 the same reasons, the work is not performed in accordance with general instructions and policies", viz, the standard expressed in level E. In that event it would have to be concluded that there is no room in the matrices for considering the position of professionals whose actions are largely regulated by persons other than the employer. Clearly that cannot have been intended and we must attempt to find the best fit. First, we wOuld note that there are some guidelines, in the form of standing orders, which are established by the employer, through the person of Dr. Rowland. The evidence indicates that these standing orders are quite specific and do not qualify as "general instructions". Secondly, various procedures and practices have been established with respect to the running of the clinic, with respect to such matters as when the nurse, for example, will refer a client either directly to Dr. Rowland or to some other health 'care agency. In respect df that we acknowledge that the nurse exercises a considerable.measure of independence and discretion. However, we believe that that independence and discretion brings her within level D which contemplates that the procedures and practices may be "adapted and modified to meet particular situations and/or problems" While we acknowledge that there are difficulties associated with drawing too close comparisons with positions in other Colleges. we would note that this result accords with that reached by Arbitrator Knopf in Re George Brown and OPSEU. Grievance of Louise Wallace. 12 b) Communications. The dispute regarding this factor concerns the purpose of the communication. The grievor stated that, as part of her treatment of the various conditions which are preSented at the clinic, she is- frequently engaged in the counselling of students in various health or life style issues, eg. smoking, drug/alcohol ~use, nutrition, weight control, pregnancy/abortion counselling.· Dr. Rowland confirmed that the grievor has to deal with clients with emotional problems and that, in some instances, a client will "adopt" the nurse. He also stated that at the Colonel By campus, where there are students with social as well as health problems, the nurse there is engaged to a greater extent of this kind of counselling. He alSo confirmed that, given the nature of the condition, the client is not as highly motiVated to seek assistance or treatment than is the case with some other kinds of health problems. Constantly it falls to the nurse' to ensure that the client understands and accepts the advice that is being offered. We note again that this is one of several factors in respect Of which there appears to be an inconsistency in the Union's evaluation of the value of the factor as between the Nurse A and the Nurse B. The basis for the claim lies in the need of the nurse to engage in various kinds of supportive counselling; yet there is no 'significant difference between the two nurses in terms of their duties in this regard. The Union submitted that the kind of contact in which the grievor was involved required interaction between nurse and client; 13 it was not the sort of "one-sided" contact characterized by level D in which the nurse merely "identifies the problem" and communicates the solution to the client. Rather it requires some teaching, persuasion, and "supportive counselling" all of which, it was submitted involved "securing understanding, co-operation or agreement on sensitive matters" (eg. drug/alcohol abuse, abortion etc.). We are completely satisfied that, to the extent that the grievor is involved in "supportive counselling" on these issues, she is'engaged in contact whose purpose is captured by level E. Dr. Rowland confirmed that when counselling on birth control, drugs and alcohol the client is often not very highly motivated, a circumstance which makes the job more difficult to do. However, we are unable to conclude on the evidence that these contacts "occupy a significant portion of time and are a regular and integral part of the job". (See Notes to Raters for the Communications Factor). In this connection we find support in the admission by the grievor in cross-examination that the prime purpose of her.contacts with clients is to identify problems and provides means of dealing with them. Consequently, it is our view that this factor should be rated at level D3. In that regard she is to be evaluated at the same level as the nurse B, a result which would appear to us to be both logical and consistent. c)Knowledge: Experience 14 The College evaluates the minimum experience required for this position at level D, viz "up to 5 years experience". The' Union seeks level F, "more than eight years of practical experience'`. The grievor stated that she believed that more than 8 years .was required in so far as at least 3 more years, beyond the 5 years needed to become a Nurse A, in order to become fully, familiar with the health service. Time was needed to sharpen skills and achieve a broader experience base. She contrasted 'the health care delivery setting at the clinic with that which obtains in a hospital where, with the benefit of cardex systems and ward routines, and the general hierarchical regime in which the nurse carries out doctor's orders (particularly in the emergency room) the nurse was not obliged to make as many decisions as was necessary at the clinic. She also noted that with the wide age range of clients and a client base which included a number of foreign students with different diseases, a broad base of experience was necessary to do 'the job well. Dr. Rowland testified that the Nurse B,. as a senior nurse, had to have more than 5 years experience; that there had to be a "gap" between the A and the B. Since we have concluded, for reasons set out below, that the appropriate rating for the Nurse A for this factor is D6, we believe that the proper rating for the Nurse B is one l~vel higher, viz, E6. We are unable to find anything in the evidence which would support a "gap" of more than one level. 15 d) Knowledge: Skill The issue here is whether or not the Nurse B is required to apply the "elementary" or the "complex" principles of a professional discipline. The grievor testified that considerable skill was needed in making determinations as to what course of treatment was required.. While she admitted that nurses were not permitted to "diagnose" she claimed that much of what she does comes very close to that. In this regard she, unlike nurses in the Hospital setting, lacked the kind of backup that would be of assistance. Rather she was expected to apply the principles on her own. Dr. Rowland agreed that nursing was a professional discipline and stated that he could not think of any complex principles of that discipline which nurses did not apPly. Indeed, he went further and admitted, on re-examination, that even if one considers the relevant discipline to be that of medicine, there is much overlap between the two and that to some extent the nurse is applying both elementary and complex principles of that discipline as well. Again it may be noted that this is one of the factors in respect of which the Union makes different claims as between the nurse A and nurse B. Yet there is nothing in the evidence which would appear to support the .conclusion that they be treated differently. Admittedly the nurse B has certain other duties of an administrative and clerical nature. However, these do not relate to the degree of skill required of her as part of her professional 16 discipline. To all intents and purposes, in so far as nursing skills are concerned, the nurse A and nurse B, should be treated identically. The evidence from both the grievor and Dr. Rowland would support a finding that the proper level is level 6, viz, understanding and application of complex principles of the professional discipline of nursing. We reject the submission of the College that the relevant profession is the profession of medicine, although we note that even if that were accepted the evidence of Dr. Rowland would still support the claim. Consequently, we rate this factor at level 6. Although we have stated that there is no logical basis for rating the two positions differently we have no jurisdiction to bring about that consistency by raising the rating for.the Nurse A to 6. The parties agreed upon a rating of 5 and it must remain ~ndisturbed. e) Working Conditions: Manual Effort The College claims that the manual effort required is "light" for between 31-60% of the time (B4). The Union claims that it is "heavy" for 10-30% of the time. (D3) The evidence from both Dr. Rowland and the grievor indicates that she is required to engage in lifting of disabled wheelchair clients, (some of whom weigh up to 200 pounds) for the purpose of assisting them with their toiletting, feeding them, or helping them undress. Although there have been as many as 14 such clients at 17 Woodroffe campus she testified that an average figure of 9 (which is the current figure) would be accurate. It appears as well that some attention to a disabled client is required for one reason or another at least 3 times a day on average. The grievor also is expected to be able to lift clients who may have fainted or fallen or injured themselves in some way which requires that they be lifted from the floor to a wheelchair and taken to the clinic for further assessment and treatment. The grievor stated that this kind of event occurs on average of once every 2 days. In addition, the grievor is required, every 2 weeks to lift bundles of pamphlets weighing between 50 and 75 pounds and boxes~of supplies (sheets, pillow cases, weighing 35-50 pounds, twice a _year. Having regard to all of the evidence it is our conclusion that this factor should be rated at D2. We have little doubt that the position requires the incumbent to engage in lifting which can only be described as "heavy". In this regard we note in particular the requirement to lift and toilet wheelchair patients. However, we have some difficulty in accepting that this is required for more than 10% of the time. Although it may be necessary to perform these functions a number of times a day each individual instance would not occupy a significant portion of time. Further we are unable to give credit for the lifting of pamphlets and supplies which Occurs on a very periodic basis. 18 f) Working Conditions: Visual Strain The College rates this factor at A5: normal strain continuously. The Union seeks B2: moderate strain for less than 10~ of the time. The grievor is required to focus on such things as slivers, cuts, rashes, head lice, small print on medicine bottles and fine. needle gradations. She has various kinds of clinical equipment (magnifying glass, auroscope, flashlight,etc.) to assist her. This requirement to focus is a regular and recurring Dart of the 3ob. However, the length of time during which focusing is required is generally very brief and would not, in Dr. Rowland's estimation, ever exceed 15 minutes. We believe that the College rating of A5 should be confirmed. In doing so we do not accept the College argument that, in order to qualify for level B, it is necessary to focus on small areas or objects for a minimum period of 1 hour. That argument fails to acknowledge the plain meaning of the words "up to one hour", words which clearly contemplate periods of less than an hour~ However, the reference to a period of hour can be taken is illustrative of what is meant by a "short period of time". It is not a minimum standard but one which serves as a rough guide. With that consideration in mind it becomes difficult to accept the claim of the Union. The grievor is required to concentrate on small areas for periods which, at the longest, would be 15 minutes. It is our impression that for a good deal of the time the concentration will be over a much shorter period. Moreover, it is 19 instructive to note the kind of concentration differs from that typically required of employees who are classified at level B, viz, typist stenos, secretaries, computer operators. It appears to us that the kind of concentration required of the nurse is not as constant as that which would be expected of those other classifications. For example, the eyes of a typist steno or computer operator move from printed or written page to printed page or to screen with very little relief. We do not believe that can accurately be 'said of ~he kind of concentration required of the nurse. g) Working Conditions: Environment The College rates this factor at C5: disagreeable for more than 608 of the time. The Union claims a rating of D3: very disagreeable for 10-30% of the time. The grievor stated that she is exposed to risks of infection from various communicable diseases as well as from Hepatitis B and AIDS. Nurses receive vaccinations against some such diseases Hepatitis B, tetanus, polio, flu) but such protection is not available for all diseases. Moreover, there are some diseases, brought to the campus by foreign students, against which no protection may be had. Nurses also wear rubber latex gloves to protect against infection from AIDS. The grievor also referred to a risk of physical injury from clients who are emotionally upset. In this regard she testified to personally having suffered a broken hand, to having been chased 2O with a gun, and to having been administered a karate chop by a client. Except for the 3 mornings when Dr. Rowland is present in the clinic the grievor works alone. Although she wears a device which allows her to cause an alarm to ring in the security offic~ it may not always be the case that- the security officer is present to answer the call. She disagreed with the suggestion that these threats.were very rare. She estimated that, on average, she had to deal with someone or something that was potential dangerous once or twice a month. Dr. Rowland acknowledged that threats of this kind were a problem although he felt that they were not frequent. He admitted, however, that they can happen suddenly and without any warning. As for the risks presented by exposure to infectious diseases it was Dr. Rowland's opinion that there was a very high possibility that a nurse will get some infectious disease although he thought that generally it would not be very serious. He agreed that the risk of contracting an infectious disease should raise this factor to the D3 level, as the Union claims, if there was a distinct possibility of injury arising from the infection. The Union seeks a finding that. the work environment is such as to expose the grievor to "potentially hazardous conditions where there is a distinct possibility of injury". The College claims that the exposure is only to "some possibility" of injury. The parties agree that there is exposure to potential hazardous conditions. Indeed they could not but agree to that. The dispute is around the likelihood that these conditions will 21 lead to some injury. It should be noted that the matrix does not speak of "probability of injury" but rather of "possibility of injury", a far lower threshold. Moreover, the measurement of "posSibility'' of injury is not a matter of the frequency of occurrence, since that is taken into account in the Prevalence element of this factor. Furthermore it does not appear from the matrix that the severity of the injury that might be suffered is material. However, there does remain a significant question as to' the kind of "injury" that is intended to be covered by the matrix. We must take care not to be overly influenced by the ordinary, inherent risks of injury or harm which accompany the job. In benchmarking the Nurse A and Nurse B positions at level C the parties have expressed their view as to what kinds of injury are. contemplated by the matrix. All nurses face a risk of infection, or contraction of a communicable disease, etc. They are risks which are inherent to the job and presumably have been taken into account in rating the position at level C. For the Union to succeed in disturbing that evaluation it must establish that the grievor faces risks which go beyond those ordinarily associated with the job, i.e. risks'which make the position atypical in so far as this factor is concerned. We are satisfied that the union has established this claim. The grievor does face certain risks of injury from emotionally upset clients, and certain unusual risks of infection from diseases' of foreign students which may not be seen as risks ordinarily inherent to the job. Finally there is the risk presented through exposure to AIDS. 22 The College appears to have recognized this atypicality in that it has evaluated the position at C5 rather than C3, the benchmark evaluation. We find it difficult, however, to accept that there is exposure, even to "some possibility" of injury, on a "continuous" basis. In our opinion the more appropriate rating for this factor is D2. We believe that, on the evidence, as recited above, it can be said that there is more than 3ust ,some pOssibility" that an injury of relevant kind might materialize. We think that it is a distinct possibility having regard to the fact that the grievor often works alone and in circumstances in which the security arrangements established by the College may not be effective. Furthermore we would note that the grievor must now wear latex gloves to protect herself from infection from AIDS. In this respect the position can be said to "require the use of protective equipment", one of the elements relevant to a rating at level D. Thus, we believe that, in terms of the Work Environment element, the appropriate rating is at level D. However, we have difficulty in concluding, on the evidence, that_the prevalence of this exposure is as high as the Union maintains. Our 'assessment would be that'the grievor is exposed to these extra risks "rarely. Accordingly we would rate the prevalence element at level 2. 23 Summary The following table summarizes our conclusions respecting the Nurse B position.. Job Difficulty D5 194 Guidance Received D5 172 Communications D3 109 Knowledge: Training/Experiencei E6 131 Knowledge: Skill 6 75 Working Conditions Manual Effort D2 ~20 Visual Strain A5 3 Work Environment D2 20 Total Points 724 Pay Band No. 11 The ultimate disposition of the grievance of Mrs. Allan presents some difficulty. The other two members of the board dissent from the result herein reachehd. Mr. Gallivan would have rated the position at Pay Band 10 while Mr. Robbins~would have rated it at Pay Band 12. Consequently, there is no majority award on the issue of the proper classification of the position. The collective agreement does not explicitly require a majority decision. Although Article 18.7.7 is entitled "Majority Decision" it merely provides that the finding of the "board" shall be final and binding. Moreover the collective agreement does not appear to provide that, in the event that there is no majority, the award of the chairperson is to govern. In these circumstances section 46(2) of the Colleges Collective Bargaining Act becomes applicable. According to that 24 clause, where the provisions of the collective agreement do not provide a procedure for the "final and binding" settlement of disputes by arbitration the collective agreement must be deemed to provide, inter alia, that "if there is no majority the decision of the chairman governs" For the reasons set out above there is no decision of the majority. Therefore' it is the award of the board that the grievance of Mrs Allan succeed and that she be placed in payband 11 and compensated accordingly. The board remains seised of 3urisdiction to resolve any difficulties which may arise concerning the implementation of this award. Nurse A The Grant and McCormick grievances The following table sets out the respective evaluations of this position by the College and Union respectively College Union Job Difficulty C4 144 D4 171 Guidance Received D4 150 E4 177 Communications D3 109 D3 109 Knowledge: Training/Experience D6 118 E6 131 Knowledge: Skill 5 61 5 61 Working Conditions: Manual Effort B4 10 D3 24 Visual Strain A5 3 B2 5 Environment C5 21 D3 24 Total Points 616 702 Pay Band 9 11 a) Job Difficulty The dispute between the parties is over the factor of complexity. The union claims level D (performance of varied non- routine tasks that normally required different and unrelated processes and methods) and the College rates the factor at level C (performance of various complex tasks that include rOutine and non- routine aspects requiring different and unrelated processes and methods). Mrs. Grant testified that most of her day is spent in screening patients and determining what to do about the particular problem which is presented. In that respect she stated that there were no routines, that it was difficult to plan her day in advance 26 since, with the open door policy of the clinic, she had to attend to the needs of clients as they came in the door. In this respect she contrasted her work with that of a nurse~ working in a hospital setting (where she had had some experience) where the existence of systems (cardex, report) in Which information and instructions are given regarding the care and treatment of a patient establishes certain routines within which the job functions can be carried out. Under cross examination she admitted that there are a number of conditions which recur and that there are certain established practices and Drocedures Which are "routine" that have to be followed in dealing with the problem. Dr. Rowland acknowledged that all patients are different but claimed that there was a certain order or routine involved in the approach to be taken to each problem. For example, the "routine" response to a person appearing at the clinic with a head cold would be to give.them a decongestant. At the same time he recognized that there may be various non-routine aspects of a routine condition; that the notion of "holistic" health care requires that health care personnel not simply treat a person as a "headache" but consider the whole person and all the other factors that might contribute to the condition. It was his opinion that in terms of routine, there was no difference between the nurse A and the nurse B. This factor is one in respect of which it might be said that the Nurse A and Nurse B positions are rated inconsistently under the benchmark ratings and by the College. On the element of Complexity the Nurse B position is rated at level D. However, for the Nurse A position that factor is rated at level C. We are not troubled by that inconsistency since we believe that a case can be made for regarding the Nurse B position as more complex because of the added administrative and clerical duties that are required. The issue before us is one of assessing the extent of routine involved. Level C refers to "complex tasks that include both routine and non-routine aspects requiring different and unrelated processes and methods." Level D refers to "varied non-routine complex tasks that normally require different and unrelated processes and methods." It is submitted by the union that it is very difficult for the grievor to plan her day; that she must attend to clients as and when they appear at the clinic presenting with a great variety of conditions. Furthermore it is submitted that, although the conditions themselves may recur with' some regularity, each individual client has a different history and must be treated and assessed accordingly. The College acknowledges that each patient is different and will require individualized unique attention. However, it is maintained that there remain certain routine elements to the job. Certain common types of problems recur with some regularity; the "approach" or "procedure" followed wi%h respect to each follows a certain pattern; and finally, certain clerical aspects of the job (which occupy some 10-15% of the time) are routine. This is one of those factors whose application to persons practising a profession is extremely difficult. However, we believe that level C best captures this particular job. It simply cannot be said that there are no non-routine aspects to the 3ob.- Common sense dictates that, with respect to the administration of certain kinds of nursing care, viz, the prescription of a decongestant, the application of a bandage to a cut, etc. the steps which are followed are highly routine. It overstates the complexity of the job to claim that these kinds of functions require an attention to the "whole patient" etc. In this regard it may be noted that the grievor conceded that, if you disregard the individual patient, approximately 40% of the job is routine. In our opinion there are occasions where the nurse does treat a "headache" or a "cut"; where she does not involve herself in any meaningful sense in uniquely fashioned adaptation of a treatment to a particular patient. We acknowledge that many of her duties do involve her in such tasks. In particular we refer to the supportive counselling involved in the areas of birth control or drug and alcohol abuse. However, the matrix makes it clear that where the job involves a mixture of routine and non-routine elements the proper rating is level C. We confirm that rating. b) Guidance Received The factor in dispute is Guidelines Available. The College rates this factor at level D (procedures and past practices which may be adapted and modified to meet particular situations and or 29 problems-supervisor available to assist); the Union seeks level E (general instructions and policies involving changing conditions and problems-supervisor involved on problems of major importance). Mrs. Grant is located at the Rideau campus which is 20 kilometres from the Woodroffe campus. Her supervisors are Mrs. Allan and Dr. Rowland both of whom are generally at Woodroffe campus. Consequently, she works alone for all but 3 hours of the week on Tuesday afternoon when Dr. Rowland is at the clinic. She testified that she rarely calls Dr. Rowland for any guidance concerning what should be done with a client. She stated that she might review unfamiliar situations with him but that she would also assess and determine whether or not to send a patient to hospital or to some physician in the community or make an appointment with their own doctor without consulting with Dr. Rowland. Like Mrs. Allan she works within the standards of nursing prescribed by the College of Nurses, the Health Disciplines Act, the Hospitals Ac%, and standing orders. Dr. Rowland confirmed generally that Mrs. Grant works essentially on her own and is not subject to any kind of formal review of her work. For the Nature of Review element the Union has advanced a claim different than that advanced on behalf of Mrs. Allan. (level 4 v. level 5). As we have said in our award on the Allan grievance we see little difference between the two positions in terms of the 30 Nature of Review. In our award in the Allan grievance we rated this factor at level 5. However, insofar as that factor has not been put in dispute by the Darties, we have no jurisdiction to award grievors Grant and McCormack the same level as was awarded to grievor Allan. The factor which is in dispute in this grievance is the Guidelines Available factor. In respect of the issue as to whether or not her work is performed in accordance with "procedures and past practices which may be adapted and modified to meet particular situations and/or problems" (D) or "in accordance with general instructions and policies involving changing conditions and problems" (E) there are no differences between Mrs. Grant and Mrs. Allan. Consequently, we wish to reiterate our views expressed above in connection with those elements insofar as they apply to the Grant grievance. The primary relevant difference between the Nurse A and the Nurse B in this regard is that, unlike the situation with Mrs. Allan where Dr. Rowland is in .the clinic three mornings a week and at the Woodroffe Campus all day Thursday, Mrs. Grant only has an opportunity to consult with him directly for one morning a week. It might be said that Dr Rowland is therefore "less available" to assist in resolving problems which arise for Mrs. Grant than he is for Mrs. Allan. We do not consider this to be persuasive. He remains available to be contacted on the telephone. Moreover the kind of assistance he may offer is not restricted to "problems of ma3or importance" as contemplated by level E. 31 Having regard to the full complement of the elements which go to make up the Guidelines Available factor we are of the view that, on balance, the proper rating is level D. Accordingly we would rate this .factor the same for bOth positions. - Consequently, the Guidance Received factor is rated at D4. c)Knowledge: Experience The College claims that up to 5 years of experience is sufficient for the position; the Union claims that up to 8 years are necessary. Dr. Rowland stated in evidence that the College was looking for "at least" 5 years of experience. Mrs. Grant testified that She believed that up to 8 years was needed since the position required a mature individual with a lot of experience capable of dealing with the problems of insecure and impressionable students. The Union submitted that, in view of Dr. Rowland's opinion that .the position required "at least" 5 years of experience, the College. rating of this factor at level D, "up to 5 years" was inappropriate. Counsel for the College argued that the phrase "up to 5 years" includes 5 years of experience. We agree with this submission. Levels E and F refer respectively to "up to" 8 years and "more than" 8 years of practical experience" Reading these together "up to" 8 years must include 8 years. Similarly, "up to" 5 years means up to and including 5 years of experience. Consequently, Dr. Rowland's opinion that the position required 5 32 years of experience fell within the range contemplated by level D, ~ albeit at the top of the range. Consequently, we confirm the rating of this factor at D6. d) Working Conditions - Manual Effort The Union seeks level D3 (heavy - 10-30%) while the College rates this factor at B4 (light - 31-60%) Mrs Grant testified that at least once a day she has to do one of either lifting a disabled student (one wheelchair student and one cerebral palsy student on crutches) or a client with a bad back, dealing with some emergency which requires her to lift a client,.or lifting boxes (either large (70-75 pounds) or small (30- 40 pounds) of pamphlets. In addition she may be required to lift oxygen tanks (15 pounds empty - 20-25 pounds full) once every 2 weeks; scales (20 pounds) twice a day; and supplies twice a year. This evidence was generally confirmed by Dr. Rowland. For the reasons set out in the Allan award we rate this factor at D2. e) Working Conditions - Visual strain The Union claims B2 (moderate for more than 10% of the time) and the College rates this factor at A5 (normal strain continuously) Mrs. Grant, like Mrs. Allan, is required to focus for short periods of time on the various conditions which are presented to her, viz, foreign bodies in the eye, sp~inters, lice. She also has 33 to repair lacerations. She is assisted in this regard by the availability of various clinical equipment. She admitted that she would never be expected to focus on any one object for a period of up to an hour. However, she maintained that it would not be uncommon for her to be engaged for periods of more than an hour at a time in focusing on small areas or objects as they were presented in a succession of clients coming in to the clinic. For the reasons set out in the Allan award we rate this factor at A5. e) Working Conditions -' Environment The College rates this factor at C5 (disagreDable for more than 60% of the time); the Union seeks D3 (very disagreeable for 10-30% of the time. Mrs Grant claimed that there is a distinct possibility of infection; that one can't be vaccinated against every infectious disease. She is also exposed to the risk of needle pricks and infection from AIDS, for which she wears latex gloves. She too spoke of the risks of physical injury from abusive clients one of whom threatened to shoot her. She also spoke of an uncomfortable feeling that she had as a result of the fact that the clinic was accessible to persons wandering in'from the street (particularly those in winter seeking refUge from the cold). Although there are security peoDle on the campus who are able to deal with these kinds of problem they may not be in the area at the time that the risk materializes. Mrs. Grant, unlike Mrs. Allan is 34 not provided by the College with an alarm device. Furthermore, although it is possible to call the security officer at the switchboard it is sometimes closed at times when she is still at work, eg. during lunch hour and after 4.00 p.m. For the reasons set out in the Allan award we rate this factor at D2. Summary The following table sets out our evaluation of the Nurse A position. Job Difficulty C4 144 Guidance Received D4 150 Communications D3 109 Knowledge: Training/Experience D6 118 Knowledge: Skill 5 61 Working Conditions: Manual Effort D2 20 Visual Strain A5 3 Environment D2 20 Total Points 625 Pay Band No. 9 Mrs. Grant and Mrs. McCormick are both currently in Pay Band 9. Accordingly, their grievances are dismissed. Dated at LONDON, Ont. this ~-' day of ~ , 1990 G. ~. Brand'l:, Chair R. J. Galli'v'a~, College Nominee Larry Robbins, Union Nominee IN THE MATTER OF AN ARBITRATION B E T W E E N: ALGONQUIN COLLEGE Employer ONTARIO pUBLIC SERVICE EMPLOYEES UNION Union AND IN THE MATTER OF THE GRIEVANCE OF ALLEN, GRANT AND McCORMICK DISSENT I have revieWed the Award of the Chairman in this matter. The Award allows Ms. Allan's grievance by moving her to Pay Band 11, and dismisses the grievances of Ms. Grant and McCormick, leaving them'at Pay Band 9. I would have allowed all of the above grievances. More specifically, I have three areas of disagreement with the Chairman's evaluations. They apply to both the Nurse A and Nurse B positions, and, therefore, would affect the total points awarded in both cases. I would also state at the outset that I agree with the overall approach used in the Award, that one must examine each of the factors individually, based on the evidence presented, and that this applies whether or not the job in question is a so-called "benchmark" classification. I will now deal with each area of dispute separately. Guidance Received - Guidelines Available In my view, Level E was by far the better fit for both the Nurse B and Nurse A positions than Level D. The description for Level E is as follows: "Work is performed in accordance with general instructions and policies involving changing conditions and problems. Supervisor may be involved on problems of major importance." The Level D description does not do justice to the independence of these Nurses or to the nature of the relationship with Dr. Rowland. The evidence was clear that they rarely received instructions from Dr. Rowland, and that they work more as parallel professionals. The nurses provide professional nursing services to the client body, and Dr'. Rowland basically provides professional medical services, as well as carrying out certain administrative functions. The nurses in fact determine which patients Dr. Rowland will see. Of course, they work within their own professional standards, and do give medications in accordance with certain standing orders. However, the instructions the nurses would receive from Dr. Rowland with respect to how to carry out their job functions would only be general in nature. Moreover, in my view, he would only be Called in to assist either of the nurses on a problem of major importance. I would, therefore, have rated the Nurse B position at E5 instead of D5 for Guidance Received increasing the points awarded by 28. Similarly, I would have rated the Nurse A position at E4 instead'of D4, increasing the points awarded by 27. Visual Strain I would have rated this factor at B2 rather than A5 for both the Nurse A ~nd Nurse B position. The description for the B -3- category is as follows: "Moderate visual concentration required. Required to focus on small areas or objects for short periods of time. i.e. up to one hour." To achieve a B2 rating, it is only necessary that this occur rarely, or less than 10% of the.time. The evidence was that the grievors were required to concentrate on small areas for periods of up to 15 minutes. In my view, that satisfies the test. The reference to "up to one hour" is clearly not to be seen as a minimum, which the Chairman does state in the Award. It cannot be seen as a "guide" either. Clearly, the reference to one hour is a "maximum" for the B category, and therefore, the fifteen minute periods that the nurses spend would be sufficient to take the activity beyond simply "normal visual concentration", which is the Level A test. I would, therefore, have rated both positions at B2 rather than A5, which would mean an increase of 2 points. Environment I would have rated this factor at D3 rather than D2. In my view, when one considers both the risk of physical injury from clients, and the exposure to infectious diseases, D3 (occasional) is the better fit in terms of prevalence than D2 (rare). Dr. Rowland, the Employer's sole witness, himself agreed that with the risk of infectious disease D3 would be the better fit. I would, therefore, have rated both positions at D3 rather than D2, which would mean an increase of 4 points. There is one final aspect of this last result which is troublesome. The College rated this factor at C5 (continuous disagreeable) for 21 points, which is one point, higher than the -4 - Chairman's rating of 20, the points awarded for D2. It would seem to me at the very least that the employee should not be placed in a square on the matrix which is given fewer points than that proposed by the Employer on any factor. The Union has been prevented from achieving higher ratings than what it asked for on certain factors, and this has clearly had a detrimental effect on- the result for the Nurse A position. If one is to accept that, then by the same token, the College's position of C5 (21 points) must be seen as the absolute floor for this factor. -5- The following tables would summarize my conclusions respecting both the Nurse B and Nurse A position: Nurse B Job Difficulty, D5 194 Guidance Received E5 200 - Communications D3 109 Knowledge:Training/Experience E6 131 Knowledge:Skill 6 75 Working Conditions Manual Effort D2 20 Visual Strain B2 5 Work Environment D3 24 Total Points 758 Pay Band No. 12 Nurse A . Job Difficulty C4 144 Guidance Received E4 177 Communications D3 109 Knowledge:Training/Experience D6 118 Knowledge:Skill 5 61 Working Conditions Manual Effort. D2 20 Visual Strain B2 5 Work Environment D3 24 Total Points 658 Pay Band No. 10 -6- In conclusion, I would have allowed the Allan grievance by moving her position up two levels to Pay Band 12 rather than one level to Pay Band 11, which the Chairman has awarded. I would have allowed the Grant and McCormick grievances in part by moving their position up one level to Pay Band 10. Larry Robbins Union Nominee DECISION OF R.J. GALLIVAN - ?'kRTIAL DISSENT I su,nnort the Chairman's evuluation of the ~,~urse A ~osi_tion, ~l,,hou~h I No not agree that had the union not been inconsistent ~r f.,'.~iled to make the am~romriate demand the Nature of 2evie~'; element of the Guidance Received matrix should other;vise have been rate~!, at level instead, of ~. For reasons which will be set out below %n respect of +.he ?,~urse B nosition, I conclude 'that the correct rating on this m~trix ~r both nositions is 0~. '7he =r~evances before uS raise the kev issue of the meanln~ of an "a~vnical nosition" The avnlicable Job Evaluation ':~anua! (at Section II, ~a~%e 2) defines "at?~ical" as those "~ositions that enc~nass ~uties and resnonsibilities which are not adequately covere~] b:.; the exis~n= .!ob Fa-il~ Definitions" =he ~-~anua! shows a ,/ob Fa~il:,; for "Nurse" an~~. a Guide evaluo,~fon for both ?:urse '~. and }~urse B. Thus ..the ?~urse jobs are consiSered bT.; the marries tn the collective a.~ree~ent to be =h~.e bein~ the case the onus is on the union to ~!e~onstr?.te ~'.'h~~ the ..%l~.onquin Nurses shou!a~ be rated differently than elsev.:here throushoua the Co!le~e system. In ~: ju{]~ement the union has failed to ~o excent in the relativel.v minor elements of [~ianual Effort (where ~here no,.,~ a~nears to be a trend at :%l~on~uin towards having ~ore students on ca~us requirin.~ nhysical assistance from the Nurses.,, Environment (where the nossibilit? of illness or injur:' a~ee~rs to hive incremsed in recent -.,,ears because of the chan~ed nature o~ t~e clientele). ~herefore, I disagree '.',~ith the Chairman's ratin~ of the Guidance Receive,~ and Skill factors for the ~,~urse~ ~ nosition. In m,~., ju~).~ement' evid. ence ,.,-~s., 1.~c~-~ing that the Gui~ance Receive~.. or Skill level required was ,fifferent at A!~onouin thnn for the benchmark Nurse jobs. · +~ is common ground, between the marries thc~t, in the absenc~ of comvellin~ evidence of at.vnic~lit.v, the benchmarks are bin~inz. ?here is aver?.; ~ractical reason for this. ,/ob evaluation recu%res a number of stems ~temanding carefullM weighed judgements on each evaluation criterion use'~ in the s!~stem. To reduce the likelihood t~at each - 2 - evaluator (where more than one is involved) will a~ly his or her own standard even to agreed and straight-forward facts, the job evaluation systeTM before us uses Job Family definitions and Guide Chart levels so as to ensure a common standard[ The system also requires (Manual SeCtion II, ~age 2) that a ~ro~osed evaluation be compared to other mositions in the work unit so as to maintain consistency and internal relativity. A third ~arty such as this Board, looking at one job in isolation, must attempt to understand the agreed standards used by the evaluators and must consider how the disputed job relates to others in the work~lace. In this case the agreed standards are the benchmark jobs which show how the ~arties intend the rating factors to be interpreted and am~lied. Our Board, therefore, should defer to those benchmarks except where it is abundantly clear that at~ica!ity exists. Failure to ~o so can lead 'to inconsistencies and such a hodge-~odge of evaluations that the system itself is ~ut into chaos and disrepute. In other words, while a third ~arty ~ieht conclude that a oarticular job warranted a rating of "X", but the ~arties themselves either being skilled in the evaluation Drocess or familiar with both the lob in ~uestion and w~ere it fits into the overall work~lace rate it "Y", deference should be made to the rating by the ~arties. We should not substitute our judgement for those who must live with the result. The exception to that general rule of course would be where evidence was given that the original benchmark rating did not take into account major facts or significant ~onditions which made the job atyDical. This is further underscored in this case where the evidence before us (Exhibit 10 - the "Swan Award") was that the Nurse A and B ~obs were among those in dispute before the Swan interest arbitration board. That evidence shows that the Darties did considerable compromising of their mositions under that board's mediation in order to resolve the evaluations of the fifteen or so jobs in dispute. Me~.iation involves compromises and trade-offs and it is clear from the S,...'an award that the ~arties did that. Our Board was not made aware of what the aarties may have conceded to one another at that time to reach the decision they did to increase the evaluation of both the Nurse ,~ and~B classifications. However, fairness dictates that our Bonrd should be loathe to uoset a b~r..~ine? a~reement on ~h~ ~!urse benchmarks in the absence ,of cle~ ev.tr~ence of ~tv~ic~li~l'. ntherw[se we r~sk !e~[m~,~ .... ~r,..~" to ~ bar~ain have its ca~e anr~ eat it too. nhose ....~ut.~ons' shoul~ be ke~t in m~n~~ar~icular' + lv. w~..~re, ~s ~nere, the umion aerees w~t~ the College ti~.'~t for a ~.,urse t'~e benchm'~rk rt~tt~q:, for ~ture~..~ of Review in the Gu[~mnce Receive4. matrix.., shoul-~ stay ~t level ~. Even th~u~h a third ~arty mt~ht be ~nclined to rate tt ht~her stroll;...- from reac]in~v the e.le~ent r~efini'tion tn isolation from the "~'~ m'~rt[es themselves .... ~.ave a~mlie4 [t to other ,jobs in the systat. ~_ ,, t'~a benchmar~ ts level 4 for this tv~e of job. Uhere was no evil, once before us that the form or review Yor the Nurse .~ was any (~ifferent than f~r the ?urse B or that the review was different at Algonquin than tn Co!]eees elsewhere. Both work with consi4erable indemendence as woul~ be exnecte~[ of well-traine~ and exmer~enced mrofessionals who do not need sumerviston to achieve the s~ecific objectives of their jobs. 2otb ' _evor~s of their a. ctivittes for their ~ro~t~e re.~lar statistical ~ + supervisor to review as ~art of his monitoring of their workloa4 and nerformanoe .. e . ~h re is thus si~ly no evidence to warrant rati..o one h~her than the other. Since the union agrees the level ~ henna .~ ~. is correct fo'~ the Nurse A, there is no justification for rating the Nurse B any higher. ~o ensure consistency '_~n~ as a required ste~ in the ~rocess which we are mandated 2o follow, it is necessar? to stu~'~'~ the Gui~e Chart ~escrivtions of other benchmark .~obs rated '~t the sa~e level ~ as the ~urses,. such as Support Services ?ricer and Techno!o~ist and C for exammle. In view of the remits and marameters of those .~obs as set out in the Guide Charts compared to the ~furse ~ an:~ :~ a level ~ rating am~ears to mrovide more internal consistency than level ~ and so is av~romriate in my judgement for both of the ~.~urse ilthough ~4s. Knovf in re: George Brown and O~SUE, Grievance of ','~allace awar4s a level ~, it should be noted that 'the nurse in that case re~orted to a non-medical supervisor unable to make technical reviews of the nurse's job ~erformance. That is quite distin&~ishable from '~lgon~u~n where the Yurse re~orts to a full time~*~. ~h~'siciun. .. ,~,~ho has overall resvonsibiiitM for the College's health services. I also ~isa~ree with the a~ro~r~_ateness of a'~."~rding Skill le~'el 6 un~.er the ~[nowledge matrix for reasons similar to those. outlined above for the Guidance Received element. The union a~rees the bench~ar~ level ~ is a,v~ro~riate for the Nurse A but im ~.:~ I agree '~..'ith the Chairman here) the union ~as unable to demonstr~te an~- ~if~erence in the Skill level of the two nursin~ jobs. ~he e~.~tra a~minis+rative,~ ~.~n~s,~, ~ ~ .... u~on ~he ?~urse _~ ~ ~osition com,~are~~ +o,~ ~ ~k~rse are commensated through the-h'igher 'ratin~ the former receives under the Experience element of the !~[nowled~e matrix. Care ~nust be taken doin~ job evaluation to avoid ~!.ouble crediting for the same job function. In my ~u~_~ement the ~romer Skill rating for both jobs is level ?~'Ty rating for the Nurse B ~osition thus would be: job Difficult.~ D~ !9~ Guidance Received D4 1~0 Communications D3 109 ~<no'~le~ge: Trainin.~/Ex~er~ ence E6 131 [fnowledge: Skill ~ 61 ',~,'orkin~ Conditions: ~anual Effort D2 20 Visual Strain _-~ h~ork ?nvi ronment D2 20 Total Points -~a.~.~ ~and No. 10 I believe that ratins best slots the Nurse B job taking account of the ~uties described to us, the varties' a~reement on benchmarks, internal consistenc.v with other ~ositions in the ~.~ork unit and ~articular]..V the relationshi~ with the Nurse A ,~ob remains a~,~ro~riatelv at ~a.vband 9. The difference between the ~,~urse A anU B ~ositio:as is onl.v the latter's responsibility for fairll~ simmle a~ministrative functions and ~oes not warrant a two ~avband dif~_er~n~a! above the Nurse 'k. Accordingly, I would dismiss the Allan ~.[urse grievance.