DEBRIDE the SCABS

Nurses General Nursing

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Replacement nurses arrive to prepare for possible strike http://www.startribune.com/viewers/qview/cgi/qview.cgi?template=health&slug=nurs30

Alternately titled....

SCABS-R-US on the move......

Replacement nurses arrive to prepare for possible strike

Maura Lerner

Star Tribune

Wednesday, May 30, 2001

A small army of replacement nurses has started to arrive for training in the Twin Cities, as a dozen hospitals in the area brace for a probable walkout Friday by more than 7,700 registered nurses.For now, hospital officials are doing their best to keep the incoming nurses out of the public eye. They've scheduled orientation sessions for today and Thursday at secret locations and won't say where the nurses will be housed.

"It's a security thing," said Linda Zespy of the Children's Hospitals of Minneapolis and St. Paul."It's just the way that it's done with replacement nurses," Zespy said.So far, no new talks have been scheduled. But the hospitals called on the Minnesota Nurses Association on Tuesday to let its members vote on the latest contract offer, which the union's negotiators rejected last week."The hospitals have heard from some of their nurses that they would like the opportunity to vote on the proposals," said Shireen Gandhi-Kozel, spokeswoman for the Minnesota Hospital and Healthcare Partnership.She said four of the six negotiating teams, which represent nurses and managers at the 12 hospitals, agreed on staffing, which is one of the thorniest issues.

The main stumbling block was money, she said, with the hospitals offering a 19.1 percent increase over three years and the union seeking a 35 percent increase."We're asking the Minnesota Nurses Association to put the proposals to a vote," she said.But the union said it has heard no such request from its members. "That's the intent of the hospitals, to override the negotiating committee," said Jan Rabbers, the union's spokeswoman. "But what they'll find is that the membership is the one that's driving the demands." On May 17, the nurses voted overwhelmingly to reject the hospitals' contract offers, which included an 18 percent raise over three years. But nurses say staffing levels are a major issue because they're often stretched too thin to care for patients safely.Hospital officials said replacement nurses would need a day or two of training before replacing the striking nurses Friday. They scheduled the sessions off-site, at secret locations, to keep them away from any possible harm.

"I can understand why they wouldn't want to disclose the location and have 10, 20 media people descend on them, as well as picketing going on outside," said Gandhi-Kozel. "The primary focus is to make sure that they receive education, and we need to have a productive environment for that to happen." Hospital officials said that the replacement nurses, hired by agencies that specialize in strike staffing, have a minimum of two years' experience in hospital care and an average of five to 12 years in their specialty areas. "Whether we're talking about physicians or nurses, we have national standards," said Dr. William Goodall, vice president of regional medical affairs at Allina Health System, which owns four of the affected hospitals. "So if you are a degreed and licensed RN, it's highly likely that you're competent to begin with." Thousands of replacement nurses will be arriving, although the hospitals won't say just how many. They will be expected to work 12-hour shifts six days a week, hospital officials said.

In return, they'll get $40 an hour, plus free housing, transportation and other perks.At HealthEast's three hospitals, 340 visiting nurses are expected to replace 1,100 striking nurses, many of whom are part-time. And the two Children's Hospitals expect 300 replacement nurses to help fill in for the 1,200 or so who will go on strike. To help orient them, officials have brought ventilators, IV systems and other hospital equipment to the off-site training location, Zespy said. "It won't be the same; we want our nurses back," she said. "But in the meantime, we'll assure the high-quality, safe care that we're known for."-- Maura Lerner is at [email protected] .

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© Copyright 2001 Star Tribune. All rights reserved.

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Christina Terranova RN, LNC

Our Unity is our Power www.geocities.com/nurseadvocate

www.florenceproject.org

The Florence Project, Inc.

Specializes in CV-ICU.

JMP, as an "essential service", are you paid a decent salary with decent benefits so you can afford the health and dental packages through your own workplace? Does your employer listen to you with respect and when you tell them you cannot take 1 more patient, or that you need 3 more nurses for the patient load you have this shift, does the employer FIX these problems right away? As an "essential service", can you count on a pension that will support you in your old age when you retire (or will you have to keep working into your 70's)? Are you happy working in your present working conditions and you see that your job will get easier as time goes by because there is a young, new inexhaustible supply of nurses in the future?

If you say "YES" to this, I'm moving up to Ontario!!!!!!!

Specializes in CV-ICU.

Ornurse, you ask some good questions that I don't know the answer to. It would be like evicting the residents of a nursing home if the nurses would go on strike there. I do not know how to answer your questions since I haven't worked in a nursing home since I was an aide in one in high school (more than 35 years ago). Anyone else able to answer this question?

On another note, it sounds as though all is not well in the world of "scabs". I didn't see it, but I guess there were several scabs on the news Friday night here that were upset and complaining about being scabs here. I guess several had to sleep in lounge chairs in the lobby of a hotel because their contracts with the scab agencies weren't completed. They complained that several hadn't eaten all day either (I think because they didn't get their per diem pay). Their complaints about taking unpaid LOAs from their own hospitals back home to earn big bucks here fell on deaf ears here in Minnesota. So being a scab may not be such fun after all. :eek: ;) :p

Understand, I was told about this news interview from a couple of nurses from my hospital Saturday, and I haven't been able to verify what channel it was on on TV. It would be interesting to watch though.

JennyP

Was anything done about mandatory overtime?

Originally posted by Charles S. Smith, RN, MS:

...I make no distinction between the nurses who were to strike and the nurses who would come to relieve the strikers. Both groups have important missions to fulfill. What I would prefer, however, is to see the negativity associated with both groups and the overt conflict between the groups ended. Like you said...stop the name calling. We must stand together at the end of the day.

best regards

chas

Thanks, Charles, I appreciate your clarification. Also, I appreciate your comments about how negativity breeds conflict. Witness this board. And no, folks, I am not saying that any of us are not entitled to our opinions but all the adrenalin here is expensive and divisive. I think Chas' previous comments about the social costs of a strike are certainly witnessed here and JT, the NY hospital may have held out for 6 months at a nurse replacement cost of $19 million BUT that is a small fraction of the cost of loss of trust from the community. Additionally, I'm sure the management-nurse relationship resembles Jerusalem to this day. And that, added up, more closely approximates the true cost of the 6 month long strike.

I appreciate our neighbors to the north who reflect their discomfiture with the idea that some of us would even see essential services not covered.

I have come to appreciate that those of you who do believe name calling is an essential part of this discussion are not likely to change that perspective. I respectfully disagree. Please don't lose sight of the issues. Frankly, ANA has lost some ground in my eyes. (Hear that, Wildtime?)

Onward and upward. Time to move on.

Why must things be revealed in a proper time frame? By reading what you wrote Christina I wonder why every association is not screaming like a stomped on eagle! Not over the union issue, but over the idea that we are not patient advocates. We are strongly taught that in school, in my experience I can't think of one nurse I have worked with in my ten years that has not acted in this role. I can't for the life of me understand why only the ANA bothered to answer in a brief, or how it is that the ANA wrote something that helped the other side. It leds me only further down the path that the way we have been doing things to bring about the issues that are so prevelant in the healthcare system now is not working. Be it through unions, workplace advocacy, the associations etc... a new model is required, or we will go whimpering into the night.

In the new contract the Minnapolis nurses have was mandatory overtime addressed? What about patient to staff ratios? Do these hospitals have UAPs doing licensed nurses procedures and if so was that in any way addressed? What I am looking for is how did the new contract protect safe patient care. Please anyone involved let me know.

ornurse-although I do not do LTC, I have friends that do. RNs who work in LTC are by and large supervision-they may do some bedside care, but as supervision, they are unable to join unions or strike. Most of the hands on care is done by LPNs and CNAs supervised by RNs. If the LPNs strike, then the supervising RNs will do all the bedside care. Same as if the CNAs strike.

So while your question is a good one, and I understand your concern, I believe that a nurses' strike in LTC is really not comparable to one in an acute facility. And even in an acute facility, there are management RNs who do patient care during a strike.

I hope this addresses some of your concerns.

Specializes in CV-ICU.

Mandatory overtime was prohibited in the MNA Twin City contracts back in 1987; so that wasn't an issue here at this time. The non-contract hospitals here do use mandatory overtime, and outstate areas do not address it in many of their MNA contracts. We are trying to get the state of Minnesota to ban mandatory overtime for nurses within the state and have been actively lobbying for this. I'm not sure if the bill has been passed yet (our state government is still trying to finish all of their last minute stuff), but we feel very strongly that NO NURSE should be forced to work beyond her scheduled shift. So, you can volunteer to work an extra shift, or we work short-- and that is what has caused the burn out here.

The short staffing was addressed; and no, nurse patient ratios were not addressed in my contract, but patient flow (admissions, discharges, closing units to admissions, etc.) was, and unit autonomy was also. The hospital will be hiring extra nurses to help with admissions and transfers and discharges. More ceative scheduling will be allowed, with Baylor weekend plans, intermittant casual staffing and per diem staffing (which we've never had at my hospital before), and shift and rotating differentials were significantly increased. They have also added a differential to the float pool staff (which has become almost non-existant this past year).

Specializes in CV-ICU.

I forgot to mention, 2 hospitals did vote to strike and are out on strike right now and a third hospital is voting today whether to strike or ratify their contract. The 2 hospitals that are on strike have about 1500 nurses out.

Please note: the hospital corporations got together and offered all 13 hospitals similar salary and pension packages; but the benefits, longevity, educational and staffing issues are all different. That is why North settled on their first vote back on May 17th, and why each of the 11th hour votes were so different-- each hospitals' nurses decided if their whole contract would be a workable solution for their facility or not.

Originally posted by Christina Terranova RN:

"(Both sides are just greedy and don't care about patients "

Not true. If the nurses who are forced to strike didn't care about their patients, and the work conditions they are forced to provide care under,[which ultimately determines the level of care provided] then they would just take Charles' advice, and leave hospital nursing and just worry about themselves. In fact, that is why there is a nursing "shortage" for clinical nursing as we speak. Because so many have done exactly that, follow their ID and take care of themselves. And they have every right to remove themselves form the abusive work conditions that exist.

But these Nurses are not. They are mustering up their courage, and fortitude and standing up for those that cannot stand up for themselves-the ill patient in the bed. They are working to preserve the profession by creating decent reasonable work conditions.

They are standing up for the rights of patients to receive safe, quality care, and they are fighting for the right of the RN to provide that caliper of care under safe equitable work conditions.

As I said before, sure, this is a free county. Carpetbaggers, SCABS, whatsoever you want to cal them, they are opportunists who feed off the weakened system-kinda like the definition of a parasite actually.

Accuse me of name calling if you wish. My position is that these SCABS take high wages that could pay for multitudes of nursing in the communitas these hospitals serve. They are flown around the country, held up in first rate hotels and accommodations, meals, etc., paid for, so that a corporate action to keep the little nurses laborer in line will be successful.

When they fly off into the sunset to undermine the next unified effort of their professional colleagues, they brag about their money [see the AJN SCAB ad] and start the cash register for the next ride.

Least that should happen is they are called out publicly for what they are, for their lack of integrity and greedy actions.

Christina...where on earth did you get the idea that I suggest nurses leave nursing or leave the bedside? I have never advocated anything of the sort. I have spent my life and career advocating for nurses, but not in an adversarial way. My focus is on nurse retention at the bedside, always has been and always will be, just in a different way than you. There are other options besides across a bargaining table. Please dont have tunnel vision about this, merely because I disagree with the labels you use for your nurse colleagues. I am very supportive of your efforts to change your system, to take a stand for your rights and to be vocal. Your anger, however, comes through loudly and clearly and probably overshadows your real intent. Just remember that your solution is not the only one.

regards

chas

I can not even though my primary role is nursing strike by law.we can picket but not strike.but we by far (or should I say the officers get what they want by their contract for the most part)I belong to bargaining unit 6 in california or CCPOA.but the reason it works is we work togeather with a very strong representative in sacramento.we no matter what stand togeather.After reading these post I have agood understanding why nursing will never really get to the point it should for its patients or employees.we undermind each other and want to benifit our selves instead of the profession as a whole.why cross a strike line except the only benifit is yourself and why even stay a nurse if your primary goal is money and not the patient?nursing will stale mate for another 30 years the way it is going with even more missions and responsibilities placed on nurses.

The website www.scab.orgdid not go underground, and yes you need authentication to go into the forums, but anyone can join for free, there is a button to register. It even has a BB for union nurses to post on so feel free to pos away there :p

"My focus is on nurse retention at the bedside, always has been and always will be, just in a different way than you. There are other options besides across a bargaining table.....Just remember that your solution is not the only one."

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Chas-what are some of the options you have used to focus on nurse retention? I would like to hear some other solutions that have worked for you. I have always felt that it would be better if nurses were respected enough to do their own bargaining and to be listened to when they try to tell admin what is needed for the good of the patients. Unfortunately, I have never met an admin like that, and so collective bargaining is the next best thing. But without, I have never seen more than three nurses at a time agree with ANYTHING!.

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