Duke provides "premium pay" to staff in hourly-paid positions for working hours other than the standard Monday to Friday workday ("first shift").

The following rules regulate the ways in which premium pay may be paid to health system staff:

• Majority Hour Rule – This policy stipulates that premiums are paid based on the shift containing the majority of hours worked by staff. There is no capping of the work schedule.
• Pyramiding Rule – The “pyramiding rule” stipulates that special pay premiums such as shift differentials, weekend premiums, standby pays, and emergency callback pay will be paid on overtime hours.

The following categories and classifications of staff are not eligible for premium pay:

• Staff working in temporary and secondary positions
• Staff working out of their assigned position (hourly-paid staff who perform work for a defined period of time at a higher level than their job classification in their own (primary) department)
• Staff in monthly-salaried positions

DUHS pay premiums are applicable to primary hours for all biweekly classifications at DUHS and Private Diagnostic Clinic (PDC). Eligibility rules exclude unclassified jobs.

Qualifying Rules effective July 11, 2005 (08-1 Pay Period)

• Daily Work Schedule - Shift and Weekend Premiums are not capped at the daily work schedule.
• Shift & Weekend Premium Eligibility - The majority hour rule applies across DUHS for all biweekly classifications except secondary and working out of position.
• Pyramiding - Premium pay is provided for eligible primary hours even during “overtime” hours (“Pyramiding”).

Premiums effective July 11, 2005 (08-1 Pay Period)

Second Shift Premium: 3 p.m. to 11 p.m.
All DUHS staff who work more than half of their work schedule between 3 p.m. to 11 p.m. are paid second shift premium for all hours worked. Shift premium amounts are determined by the pay band that the classification is assigned.

Third Shift Premiums: 11 p.m. to 7 a.m.
All DUHS staff who work more than half of their work schedule between 11 p.m. to 7 a.m. are paid third shift premium for all hours worked. Shift premium amounts are determined by the pay band that the classification is assigned.

*Clinical RN includes – Clinical Nurse I, II, III and IV (4023, 4024, 4025 and 4026); Clinical Nurse, Casual (4231); Clinical Nurse, Transfer Center (4237); Nursing Resource Pool (4280); Clinical Lead, RN (4262); Clinical Nurse, Float Pool (4270, 4520, 4525)

Weekend Premium (non-nursing)
The weekend for non-nursing, non-weekend option for staff is defined as first shift Saturday (7 a.m. Saturday) through third shift Sunday (7 a.m. Monday). The premiums listed include both the weekend differential and shift differential.

Clinical Nurse Weekend Premium
The weekend for non-weekend option for clinical nurse staff is defined as second shift Friday (3 p.m. Friday) through 7:30 a.m. Monday.

• Staff must work a minimum of two (2) hours per continuous shift within the weekend window to be eligible for the weekend premium.

Weekend Option (non-nursing)
The weekend for non-nursing weekend option for staff is defined as second shift Friday (3 p.m. Friday) through third shift Sunday (7 a.m. Monday).

• Staff are required to work a shift on two different days during the weekend. Any hours worked (assuming the majority hour rule) are eligible while permanently assigned for weekend option premium.
• Premiums for weekend option incorporate both shift and weekend premiums.
• Staff eligible for this premium are permanently assigned to the weekend.

Weekend Option – Clinical Nurses
The weekend option for clinical nurse staff is defined as first shift Saturday (7 a.m. Saturday) through 7:30 a.m. Monday. Clinical Nurse Weekend Option premium is a flat rate in addition to shift differential and Clinical Nurse Weekend premium amounts. Staff must work a minimum of two (2) hours per continuous shift within the weekend window to be eligible for the weekend premium.

Holiday Premium
Holiday premium is paid based on the majority hour rule. The holiday is defined as the period stretching from 11 p.m. on the day prior to the holiday to 10:59 p.m. on the actual holiday. No capping at the work schedule. Eligible hours are paid at time and one-half.

Standby Pay (On Call)
Applies to staff that are on standby call for the potential return to work.

Standby Pay (Called In)
Staff member continues to receive standby pay for time worked if called in.

Emergency Call Back
Applies to staff member not on Standby who is called to return to work.

Preceptor – Clinical Nurses
Premium provided to clinical nurses who serve as preceptors to new nurses.

Charge – Clinical Nurses
Premium provided to clinical nurses who serve in a charge capacity at the unit level.