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HomeMy WebLinkAboutMINUTES - 04222008 - C.36 C3( - , TO: BOARD OF SUPERVISORS � j -= G� ...;- Contra- _ FROM: LORI GENTLES-Assistant County Administrator - Costa o ;s:.;: .; I� Director of Human Resources ' County DATE: April 22, 2008 A Cou SUBJECT: P300 #20533 — Health Services Department SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: Adopt Position Adjustment Resolution Number 20533,to add seven (7) Registered Nurse-Advanced level (VWXE), positions at salary level L321878 ($7,872-$8,068), and assign position hours for one(1) Registered Nurse—Advanced level at 40/40, four(4) Registered Nurse—Advanced level at 32/40 and two(2) Registered Nurse—Advanced level at 24/as recommended by the Assistant County Administrator-Human Resources Director FISCAL IMPACT: Upon approval, this action will result in an annual cost of$827,467.28 and is 100%funded by County General Fund. BACKGROUND: The Health Services Department is requesting.to add (7)seven Registered Nurses-Advanced Level to enhance the current registered nursing coverage in the Intermediate Care Unit(IMCU). The need to increase nursing coverage for the IMCU unit is necessary to be in compliance with the 2008 RN patient ratio to staffing mandate. Increasing nursing coverage will change ratio from 1:4 to 1:3. CONSEQUENCE OF NEGATIVE ACTION: If this request is not approved, the Department will not be able be able to effective) provide'the reduce t to staffing mandated by the RN 2008 agreement. / CONTINUED ON ATTACHMENT: ✓ YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR ROM dA TION OF BOARD COMMITTEE APPROVE OTHER f SIGNATURE(S;. ACTION OF BO R ON APPROVED AS RECOMMENDED OTHER VOTE OF SUPE=RVISORS I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. UNANIMOUS(ABSENT AYES: NOES: ABSENT: ABSTAIN: Contact: - Teji O'Malley,5-1723(HR) Cc: ATTESTED �� "t.— !� Human Resources Resources JOHN LLEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR BY: ® ` DEPUTY i '"Wt ✓�' ,jA N d; �0�� POSITION ADJUSTMENT REQUEST OF-ICE O. OIJL' NO. COUNTY AOMINI�TRATOR u, � _ DATE 01/25/08 DEPARTMENT N0./ COPERS DEPARTMENT: Health Services/Hospital S Clinics BUDGET UNIT NO. 0540 ORG NO. 6318 AGENCY NO. A-18 ACTION REQUESTED :ADD two(2)24/40,four(4)32/40 and one(1)40/40 Registered Nurse—Advanced Level(VWXE) positions. r1-5 PROPOSED EFFECTIVE DATE:. CLASSIFICATION QUESTIONNAIRE ATTACHED: YES NO X Cost is within dept budget: Yes X No TOTAL ONE TIME COSTS(non-salary)ASSOCIATED WITH REQUEST: $ -0- ESTIMATED TOTAL COST ADJUSTMENT(salary/benefits/one-time): TOTAL ANNUAL COST $827,467.28 NET COUNTY COST $827,467.28 TOTAL THIS FY $413,733.90 N.C.C.THIS FY $413,733.90 - SOURCE OF FUNDING TO OFFSET ADJUSTMENT: 1000/4 County General Fund.. No Funding Offset. DEPARTMENT MUST INITIATE NECESSARY ADJUSTMENT AND SUBMIT TO CAO. USE ADDITIONAL SHEET FOR FURTHER EXPLANATIONS OR COM N for)/William. B. Walker,MbHealth Services Director REVIEWED BY CAO AND RELEASED TO HUMAN$ES DE 9TMENT TibMINISTRTORDEPUTY COUNT DATE HUMAN RESOURCES DEPARTMENT RECOMMENDATION: DATE p r i 1 7 ?008 Add ( 7 ) seven Registered Nurse-Advanced Level positions and assign position hours for (1 ) RN-Advanced Level at 40/40 ; ( 4 ) RN-Advanced v� l level a.-t 32/40 and ( 2 ) RN -Advanced Level at 24/40 . Y Amend Resolution 71/17 establishing ositions and res6l(rtions\o' sses to the Basis/ f salar sche tile. P ,b Effective: Day following Board Action (date) - -(f6r)AIR TOR- F•IIUMAN RESOURCES COUNTY ADMINISTRATOR RECOMMENDATION DATE: —,'%/S /" 1— -'Approve Recommendation of Director of Human Resources Disapprove Recommendation of Director of Human Resources Other: (fcir) COtJNTY ADMINTISTRATOR BOARD OF SUPERVISORS ACTION: John Cullen,Clerk of"th oard of Supervisors/County Administrator Adjustment APPRO ED X DI-SAPPROVED .✓% DATE: 7'iJ:,',k' BY: � S APPROVALbF THIS ADJUSTMENT CONSTITUTES A PERSONNEL/SALARY RESOLUTION AMENDMENT POSITION ADJUSTMENT ACTION TO BE;COMPLETED BY HUMAN RESOURCES DEPARTMENT FOLLOWING BOARD ACTION. Adjust class(es)/position(s)as follows: IF REQUEST IS TO ADD PROJECT POSITIONS/CLASSES.PLEASE COMPLETE OTHER SIDE