Update on Break Buddy Settlement Agreement

WSNA recently reached a settlement for the Break Buddies and Charge Nurse grievances.  The settlement included a promise that the Hospital would add “Additional Staffing [ ] equivalent to 16.2 new FTE” for the purpose of staffing some units and shifts with dedicated break relief. Importantly, these nurses are to be in addition to the nurses required in the hospital staffing plan.  It was agreed break relief would be an assignment, not a position.

The Settlement provided for a gradual phase in, with the Hospital agreeing to post new positions within 60 days, to begin scheduling additional staff for the Break Flex role within 90 days, and to begin tracking the time spent in the Break Flex role to ensure that 16.2 FTE worth of new staffing was being spent on break relief. We are currently at Day 59. Starting on April 16 (90 days from the date the settlement was executed), 16.2 FTE of additional staffing to support the break relief role must be pre-scheduled, in accordance with existing department scheduling guidelines and the CBA.

Virginia Mason has conveyed that it only intends to hire 11 new RNs – equivalent to 9.9 FTEs. WSNA believes that this does not fulfill VM’s obligation to provide 16.2 FTE of new staffing for break relief and has filed a grievance over the inadequate number of postings.  VM insists that it will somehow be able to fill the 16.2 FTE’s worth of additional staffing for break relief with only 9.9 new FTEs. WSNA disagrees, and will continue to hold VM accountable.

Please stay tuned for further updates, and reach out to your local unit officers or to Sara Frey (sfrey@wsna.org) to share any updates from your unit.


The leading voice and advocate for nurses in Washington

WSNA provides representation, education and resources that allow nurses to reach their full professional potential and focus on caring for patients. WSNA has represented nurses in our state since 1908, leveraging our collective voice to successfully advocate with employers, state agencies and the state Legislature for better working conditions, safe staffing, fair compensation and patient safety. For more than 110 years, WSNA has championed issues that support nurses, advance professional standards and improve the health of individuals and families in Washington.


The Washington State Nurses Association is affiliated with

Washington State Nurses Association
575 Andover Park West, Suite 101
Seattle, WA 98188

Contact us


Washington State Nurses Association is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Washington State Nurses Association, WSNA, and related logos are registered trademarks of the Washington State Nurses Association and may not be used without prior written permission.
© 2005-2026. All rights reserved. Privacy policy