WEBVTT 00:00:00.500 --> 00:00:06.633 Nurse specialists and health care professionals perform existentially important work. 00:00:06.833 --> 00:00:11.433 They regularly make decisions that affect the lives of others. 00:00:11.433 --> 00:00:16.533 In the process, they face many exciting challenges: medical emergencies, 00:00:16.533 --> 00:00:20.666 intense and challenging moments with patients and relatives. 00:00:20.666 --> 00:00:25.966 Due to the shortage of skilled workers and funding remaining inadequate for a long time to come, 00:00:25.966 --> 00:00:30.300 the exciting, varied and demanding work content is compounded 00:00:30.300 --> 00:00:34.033 by the strain and stress caused by insufficient staffing. 00:00:34.200 --> 00:00:37.800 The labor agreement for our health care professions 00:00:37.800 --> 00:00:43.300 will improve the working conditions of Charité employees over its duration. 00:00:43.300 --> 00:00:48.200 With better working conditions, the quality of work will continue to rise 00:00:48.200 --> 00:00:50.400 and thus the satisfaction of all. 00:00:50.533 --> 00:00:57.166 This also concerns licensed practical nurses, scrub nurses, anesthesiologist assistants, medical-technical radiology assistants, 00:00:57.166 --> 00:01:01.800 midwives, apprentices and students in health care professions. 00:01:01.933 --> 00:01:06.766 A staffing ratio was introduced as a core element. 00:01:06.866 --> 00:01:12.666 It regulates then number of nurses caring for a specific number of patients 00:01:12.666 --> 00:01:17.233 or the specialists supporting ongoing surgery, for example. 00:01:17.233 --> 00:01:21.466 This establishes a standard for minimum staffing levels by specialty 00:01:21.466 --> 00:01:26.800 and enables high-quality care for patients. 00:01:26.866 --> 00:01:33.466 In intensive care, e.g., the staffing ratio is 1:1.8 for early and late shift 00:01:33.466 --> 00:01:40.166 and during the night shift, one nurse specialist looks after 2.2 patients on average. 00:01:40.400 --> 00:01:45.700 So 3 nurse specialists would be caring for 5 patients during the night shift. 00:01:46.033 --> 00:01:50.600 On the admission ward, e.g, the ratio remains the same for all shifts. 00:01:50.600 --> 00:01:55.666 There, one nurse specialist cares for 4 patients at any time of the day. 00:01:55.866 --> 00:02:01.400 Employees are generally not supposed to be in charge of patients on their own at night. 00:02:01.566 --> 00:02:06.333 Another important goal of the labor agreement: reliable duty rosters. 00:02:06.333 --> 00:02:08.700 The Charité creates transparency 00:02:08.700 --> 00:02:12.966 because staff rosters can be viewed precisely for each ward and shift 00:02:12.966 --> 00:02:15.266 and there are regular reports. 00:02:15.266 --> 00:02:21.066 The effectiveness of the measures is to be examined for the long term by means of scientific monitoring. 00:02:21.066 --> 00:02:28.300 The labor agreement is made special by the associated holistic relief system (CHEP system). 00:02:28.300 --> 00:02:31.466 CHEP stands for Charité relief point. 00:02:31.466 --> 00:02:34.966 CHEPs are redeemable on a long-term basis and for a wide range of models 00:02:34.966 --> 00:02:38.066 that directly serve to relieve the burden on employees. 00:02:38.500 --> 00:02:41.166 The new system is a big step forward 00:02:41.166 --> 00:02:44.000 because determining personnel allocation 00:02:44.000 --> 00:02:50.133 for the first time helps measure the stress for each individual and offset it with CHEPs. 00:02:50.133 --> 00:02:54.100 If the minimum staffing level is not met for five shifts, 00:02:54.100 --> 00:03:01.366 the temporary staff ratio exceeds 25 % on the wards and 30 % in the OR 00:03:01.366 --> 00:03:04.366 or there is a violent incident during the shift, 00:03:04.366 --> 00:03:07.533 the nurse specialist will receive one CHEP. 00:03:07.966 --> 00:03:10.966 FIVE stressful shifts generate one CHEP, 00:03:10.966 --> 00:03:16.166 which equals eight hours of time according to the respective agreed wage. 00:03:16.533 --> 00:03:20.100 These can, as per labor agreement, be redeemed for free shifts, 00:03:20.100 --> 00:03:24.533 long-term models like sabbaticals or early retirement, 00:03:24.533 --> 00:03:27.800 recreation allowances or other non-cash offers 00:03:27.800 --> 00:03:30.233 and can also be paid out. 00:03:30.433 --> 00:03:33.666 Transparency is again top priority here. 00:03:33.666 --> 00:03:38.100 Everyone can view the stressful shifts via the Charité reporting system 00:03:38.100 --> 00:03:41.166 and all employees of the health care professions 00:03:41.166 --> 00:03:46.700 can view and redeem their CHEPs in their individual employee accounts. 00:03:46.700 --> 00:03:50.900 Being transparent about the achievement of agreed targets 00:03:50.900 --> 00:03:53.400 creates a culture of openness 00:03:53.400 --> 00:03:57.600 and promotes joint actions for better working conditions. 00:03:57.600 --> 00:04:03.966 Psychosocial care is available for all intensive care units to provide emotional relief. 00:04:03.966 --> 00:04:09.166 Violence prevention concepts and personnel development complement the labor agreement. 00:04:09.300 --> 00:04:13.466 Apprentices also benefit from the new Charité labor agreement: 00:04:13.466 --> 00:04:19.500 In the future, apprentices will have two settling-in days at the beginning of each practical phase. 00:04:19.500 --> 00:04:24.033 In addition, duty rosters are announced 8 weeks in advance. 00:04:24.033 --> 00:04:29.300 Special training stations and an inter-professional intensive care learning unit 00:04:29.300 --> 00:04:32.700 expand the training spectrum of the Charité. 00:04:32.700 --> 00:04:36.100 With 15 % qualified practical instruction 00:04:36.100 --> 00:04:41.833 and a ratio of one practical instructor per 2 apprentices or students, 00:04:41.833 --> 00:04:45.266 the career is accompanied for an even better start. 00:04:45.266 --> 00:04:50.966 At the end of the 2nd training year, the Charité will offer permanent employment. 00:04:50.966 --> 00:04:55.100 Our employees enjoy CHEP treatment here! 00:04:55.100 --> 00:04:59.533 This is how we accomplish true relief for nursing professions.