Bargaining Unit Present: Emily Paine, AO SEIU; Ed D'Angelo, E Board London; Carl Bridgeforth, E Board PCI; Patrick Powell, E Board London; Janice Vurginac, Lebanon; Leticia Kelley, FMC; Norm Evan, WCI; Les Smith, MCI; Kevin Krenisky, BeCI; Chad Lee, ToCI; Ron Mowery, GCI; Joan Tidd, OCF; Teri Lovett, RiCI; Jeremy Estes, SOCF; Leon Walker, PCI; Sandra Smith, MaCI; Pam Kelly, London; Vicky Muncy, OSC; Rod Krausher, LoCI; Greg Morrow, ManCI; African Grant, TCI; Ken Confer, CRC; Diana Aziz, HCI; Tracy Calloway, DCI.

Management: OSC-Dir. HR Al Lazaroff, OSC- Mang. Labor Chris Lambert, OSC-LRO3 Venita White, BOMS-Chief Stuart Hudson, BOMS-Director of Nursing Jennifer Clayton, BOMHS-Chief-Dr. Bob Hammond, Office of Prisons-North Regional Human Services Administrator-Brian Byorth, Office of Prisons-South Regional Human Services Administrator-Rona Dorsey

1. RN Job Duties- Jenny Clayton advised that the HCA Assistant is not a clinical position. The QIC is a pay range 12 that's why they are not clinical. They can do business not clinical- scheduling, inventory and other work. RN2s predated the HCA assistants. The HCA assistants are taking on those roles and every prison is unique. The PD is on the intranet for the RN1 that starts on 1/1/12. Per Jenny, the "Charge Nurse" position-people won't have to do. HCA's are trained. They will be rotated in a fair manor but some institutions may not have at all. Locally it will be decided. The core PD will cover all RN duties. Those who don't have a "Charge Nurse" don't need it. You can run without it. The HCA's have been told not to force people to do it. Talk to the staff and ask who wants to do it. Rotate it amongst those who want to do it. The RN2 duties are to be in the percentage of the new RN 1 PD and HCA's and assistants.

Kelley FMC asked if they are rotating assignments they are training people to be in charge because not everyone is cut out to be "charge nurse"? Jenny advised that the HCA will make the determination and there is a meeting on 12/1/11.

Krausher Lorain- functions as a "charge rn"? Jenny advised that it will vary at each prison. Example is at a parent institution the captains' office calls a squad and at FMC it's different.

2. Posting for RNS- Stuart Hudson advised that Lebanon posted all ready. Next wave 14/15 posted. First wave was 66 posted. They are filling those right now.

3. Ambulance Contracts- Powell - London brought up vendor that covers Madison, London and ORW and the incidents that have occurred with response times etc. Who is overseeing contracts, etc? Stuart Hudson advised that DAS oversees contracts on vendors and complaints. They are routed and they deal with. If no resolution in sight that gives DRC 2 options. 1. Back to bid or to mediation/payout. The vendor that covers Madison and London advised he did have some vandalism to their business- Fire Bombed and is being investigated by an outside county. Jenny Clayton advised that past cases have been investigated by HCA at London and the DW. Stuart Hudson advised that we have to call them first or we have to pay twice. There was an issue at CCI, and PCI. But Madison County was the largest problem. Aziz - Hocking- advised they couldn't find Hocking once. Contractually we have to call them first and if they don't respond in the appropriate time we can call the County Squad then. Concern was then what about RN Licensure asked by Confer out of CRC- Stuart Hudson advised you're fine if you follow policy for your license. Stuart Hudson said that the Dept. of Public Safety gave layers of legal blessings

4. General Medical Questions-

Lebanon Question- 4B unit in C Block RNs- other duties not worked with this level before then 4A?

Stuart Hudson advised that they would get with the HCA Amy about this issue.

5. NCCTF Staffing Levels- Per Stuart Hudson

2 Recovery Services 2 RNs 2 CMs (in Addition)

Al Lazaroff advised that it's a part of the main institution so there is no official funding letter. An example would be like E Unit PCI. Mowery GCI asked since the population jumped to 700 from 150 why only 2 more RNs when the current staff is 5 RNs, 7 LPNs. Stuart Hudson said the entire complex (GCI) would have 13 RNs total and it would give the "camp" 2 RNs and 3 LPNs. Jenny Clayton advised that Belmont has a Large Camp and they are not staffed with medical 24/7. An LPN will be there at night but not an RN.

6. Teleconferencing-It was brought up that at some locations it has become a burden and not cost effective. Also, the employee is being made to flex their time to avoid the payment of overtime. Dr. Hammond advised that teleconferencing is used to fill the gaps where there are no psychiatrists or cnps. Kelly from London brought up that the CNP is not on time for the teleconferencing, returning the scanned items, the physician monitoring the externship is never available to the cnp and they have to hunt him down and wait on him. Dr. Hammond said there are temporary bugs in it but I said it's been going on since he has been there. Dr. Hammond said he would check on.

7. Involuntary Med Hearings- Kelly from London brought up issues with this process. Example being why would there need to be a hearing to place an inmate on meds like this at an institution that does not have an RTU? Why shouldn't they be sent to an RTU? What are the criteria for mandated meds? Dr. Hammond said that if an inmate is stable on meds leave them but if they are not stable and no RTU bed is available that is not a reason not to send them. The movement at GCI, CCI has bottlenecked the RTU"s but inmates still need sent. Dr. Hammond said a peer review should be done for the Mandated Medication hearing if it's inappropriate or even a MH Care Occurrence. He will be contacting London about this. -

8. Posting of OT in Medical/Posting Schedule in Medical/RTU - It is not being done. Al said will follow contract on posting schedules and OT.

1. Case Managers CaseLoads/Staffing- Case Loads are currently:
Walker PCI- 400
Morrow ManCI-400
Evans WCI -252
Powell London-480
Smith MCI-284
Grant Trumbull -284
Bridgeforth PCI-264
Toledo- 400
Lebanon- 296
Belmont- 252
Jan Lebanon- 444

Al Lazaroff said that vacant case manager jobs can be requested may be done by a 29.06 agreement for those who want to move around in Jan/2012. May be post Dec 5th/10th. Rona Dorsey advised that Jan 1 2012 is Phase 1 is 75 Case Managers but there is no agreement for where they should go. There is a 3 tier system recommended on they why should do. Al Lazaroff said it is general 250/500 for a unit. 1/250- CM ratio and 1/500 for UM ratio.

Evans-WCI asked what the timeline on this was and Rona advised that the 1/1/12 is still on target. She also advised that Dir. Mohr knows that there is a great budget deficit and 76 understaffed. They have to relook at, but it does not change the vision. Al Lazaroff said the budget is 11-12 million dollars short and no idea what it's going to be like come the new budget in July 2012. The Director is looking for savings from the contract and now won't be getting from OCSEA and is looking to get some from our (SEIU) contract.

Emily asked how can the vision remain if the money is not there for the staffing. Rona said again, the vision will remain the same.

2. Case Manager/Job Duties- With ORAS, Programming, Visibility in the unit, etc, Leads, Records consolidating.

Rona asked who gave LEADS. Al said with all the increasing concern with "Joe the Plumber" LEADS is highly regulated. D'Angelo advised that LEADS is SORC now as well. Al advised that even when he was a Warden he had to do an annual refresher but he never used it. Ron advised that there is a huge push to get the information out to case managers and allows CM to have access to gang information. Lee-Toledo brought up that 400/1 is still not in line for the vision example- Case Managers 400/1, plus programming, ORAS, etc. Rona advised that it will be going to 250/1. There have been meetings at CTA with 4 committees that have 40 case managers on them and they listed out everything they did and list the top 10 things. Ron Patterson from Dayton headed up but, per Rona, it didn't help as much as we thought it would. DRC is trying to sub prioritize. They have 10/15 butcher block sheets full of duties. Bridgeforth - PCI advised that while the committee was fine duties are added daily/weekly that Case Managers have never had before. Vurginac - Lebanon added yet nothing is being added to the UM. Rona advised that CM are not responsible for all the programming: UM, Sgts, UMAs can all do programming. Walker -PCI advised that the UM's not picking up the slack. Bridgeforth - PCI advised that the Vision of the Director vs. the Vision of the UMA vs. the Vision of the Institution do not match. Byron Byorth advised that the UM, Correctional Counselors and UMAs are all being redefined. Rona advised that the Captains do not like it. Al Lazaroff advised that the UM Scheduling that the Director wants is 12 hrs of unit coverage on the weekday and 8 on the weekends. This is to include ALL UNIT STAFF NOT JUST CASE MANAGERS. Al proposed that CM come up with alternative schedules and present them at the next APC on 2/15/12.

1. Vacations- not honoring. Not returning leave forms within the 10 days. Al Lazaroff advised that vacations will be followed via the contract and the leave forms whether approved or denied will be returned within 10 days.

1. Josh Norris is now the Director of the Public Division SEIU District 1199 WV/KY/OH.
2. Chris Lambert is now the Manager of Labor ODRC.