Union, yes or no? - page 8
I am a new nurse and have recently heard that the nurses at my hospital are considering going union. It seems (at least on my unit) that the biggest issue is pay. Are any of you guys union and if... Read More
May 26, '03http://www.calnurse.org/cna/calnurse...pellitout.html
Three days of dramatic testimony
CNA RNs spell it out clearly for Department of
On November 15, 2002 in Los Angeles, November 19 in San
Francisco and December 16 in Fresno, the California
Department of Health Services conducted public hearings
on the state's new nurse-to-patient staffing ratios set forth in
January by the DHS and the office of Governor Gray Davis.
The following are selections from the testimony presented
by members of the California Nurses Association.
Deborah Burger, RN
Good morning, my name is Deborah Burger, vice president
of the California Nurses Association, a professional and
labor organization representing more than 45,000 registered
nurses. We sponsored State Assembly Bill 394 (Kuehl) a
law designed to address unsafe staffing in acute care
A recently published study in the Journal of the American
Medical Association entitled "Hospital Nursing Staffing and
Patient Mortality, Nurse Burnout, and Job Dissatisfaction,"
by Linda Aiken supports our position that patients in acute
care settings demand the license of a registered nurse.
The study shows sizable and significant effects of the RN
staffing ratios on preventable deaths.
In addition, RN rich staffing ratios contribute to the rescue of
patients with life threatening conditions due to increased
surveillance, early detection, and timely interventions that
The effectiveness of the RN surveillance is influenced by the
number of RNs available to assess patients on an on-going
The study finds that for each additional patient assigned to
an RN, there is a 7 percent increase to the likelihood of
death within 30 days from a complication not present upon
admission to the hospital.
Finally, with respect to the patient mortality rate, the study
finds that an increase of 4 patients per RN would increase
the patient mortality rate by 31 percent in California.
The hospital industry and some groups you will hear speak
would seek up to 50 percent Licensed Vocational Nurses
(LVNs) in the ratio.
If granted, the staffing ratio formula proposal
the patient load of the RN because of the severely restricted
scope of practice of LVNs when applying the nursing
Using the findings of the Aiken study and applying the 50
percent LVN ratio proposed by the hospital industry and
their supporters, would translate into 4,100 additional deaths
Why? Because the direct care RN, for instance on a
medical/surgical unit will in effect have 12 patients when
LVNs are allowed to have a primary patient care
While CNA research called for a ratio of 1:3 RNs on the
medical/surgical floor, we believe the proposed regulations
are a good start. We will be sponsoring legislation to monitor
and enforce the ratios including the collection of data to
determine the efficacy of these ratios and whether or not
they need to be lowered.
Malinda Markowitz, RN
Good morning, my name is Malinda Markowitz. I am a
registered nurse and member of the CNA Board of Directors.
I work as a direct care RN on a surgical, orthopedic,
neurological unit of a major healthcare system in the San
Jose area. I have been an RN for 22 and a half years.
... Caring for the patient with complex diagnosis requires the
clinical judgment of the registered nurse. Registered nurses
utilize knowledge derived from social, biological and physical
sciences as she /he assesses, develops their nursing
diagnosis and implements the plan of care and evaluates the
care for each patient. It was for all these reasons that
several years ago it was decided that the use of LVNs on
our surgical unit was not beneficial due to the severity and
complexity of our patients.
Studies indicate that around the clock surveillance of
patients by registered nurses account for early detection and
prompt intervention when a patient's condition deteriorates.
The effectiveness of nurse surveillance is influenced by the
number of RNs available to assess patients on an ongoing
Nurses are required by law to be patient advocates. I feel
that to seemingly allow the hospitals to include LVNs in the
count up to 50 percent would not be in the best interest of
our patients. My job is to improve the healthcare provided to
my patients. This would be against the interests of our
May 27, '03Spacenurse,
Popular thought around my hospital was that those pro-union with very loud mouths were organizers or plants as most were recent hires with less than 1-year employment. The are gone now and, hopefully, everything has quieted down. Management is good and really listens to us.
May 27, '03Originally posted by Gomer
Management is good and really listens to us. [/B]
Hope it lasts. I only say that because a hospital where I worked was bought by Tenet. The first week the best managers quit and people were floated to areas where they did not know how to care for the patient. Imagine a geriatric ICU nurse in L&D!
Hope all stays well at your hospital.Last edit by pickledpepperRN on May 28, '03
May 28, '03Spacenurse....I'm guessing but do you work at DF? I know Tenet bought them some months ago and there has been trouble ever since. Sorry if you do.
May 28, '03Don't blame you Spacenurse. Tenet is famous for buying and closing hospitals. I just heard their CEO resigned today.
May 28, '03Originally posted by Gomer
Don't blame you Spacenurse. Tenet is famous for buying and closing hospitals. I just heard their CEO resigned today.
Jun 1, '03California Nurses Want Federally Supervised Union Elections at Tenet Hospitals
May 30, 2003 03:24 AM
May 30--The California Nurses Association filed on Thursday with the National Labor Relations Board for
federally supervised union elections at Western Medical Center-Santa Ana and four other California hospitals
owned by Tenet Healthcare Corp.
CNA had petitioned the NLRB earlier this month for union elections at eight other Tenet hospitals, including Los
Alamitos Medical Center and Coastal Communities Hospital.
The move intensifies a battle between CNA and two other labor groups--Service Employees International Union
and United Nurses Associations of California/Union of Health Care Professionals--which recently signed an
agreement with Tenet calling for raises of as much as 29percent over four years. Under the agreement, Tenet
would facilitate union elections by SEIU or UNAC at its 40 hospitals in California.
The CNA, which organizes only registered nurses, has asked the NLRB to nullify Tenet's pact with SEIU and
UNAC, saying it is illegal and amounts to the company "hand-picking" its unions.
Sonia Moseley, executive vice president at UNAC, said that even if the NLRB mandates federally supervised
elections, her union would contest CNA at all Tenet hospitals in Orange and San Diego counties. "We welcome
a fair contest with an even playing field," Chuck Idelson, CNA's spokesman said.
Tenet spokesman Steve Campanini said that at hospitals where SEIU or UNAC win, whether in private elections
or federally administered ones, the terms of the deal would apply. "Either there's a vote for CNA, which would
likely result in a protracted strike as they haggle over a contract. Or there's a vote for SEIU/UNAC, which
would result in an immediate 8 percent raise," he said. "Or the employees could vote no union representation
To see more of The Orange County Register, or to subscribe to the newspaper, go to www.ocregister.com
Jun 1, '03Spacenurse, I've said it before....CNA and SEIU are in a war and it is the bedside nurse who has become the victim of their battles. Why any nurse would want to belong to such groups is beyond me.
Jun 1, '03http://www.signonsandiego.com/news/n..._1mi21pph.html
Palomar Pomerado contract includes 22% raise in 1st
By John Berhman
UNION-TRIBUNE STAFF WRITER
May 21, 2003
ESCONDIDO - Nurses in the Palomar Pomerado Health district will vote today and
tomorrow on a contract that would make them among the highest-paid nurses in
the county, district and union officials say.
The contract would give district nurses a 30 percent increase in salary over the
next three years, including an average 22 percent increase the first year.
Experienced clinical nurses would earn $37.91 an hour, or about $73,000 a year, in
the first year of the contract. Jan France, a nurse and member of the bargaining
team, said veteran nurses make slightly more than $32 an hour now.
Beginning nurses would make $25 an hour, or about $48,000 a year, in the first year.
France said they are paid about $21 an hour now.
The contract, which includes other provisions favorable to nurses, is the first
negotiated since Palomar Pomerado nurses voted last year to join the California
CNA spokesman Charles Idelson said the contract will make nurses at the district's
two hospitals the highest paid in the county. Michael H. Covert, Palomar
Pomerado's chief executive officer, said beginning nurses would be the county's
highest paid, and more experienced nurses among the highest paid.
Members of the union bargaining team said yesterday that they are pleased with
the proposed contract and are confident the district's 725 nurses will vote
overwhelmingly to approve it. "I think we have done very well for our first-time
contract," France said.
Palomar Pomerado, a public district with an elected board, operates Palomar
Medical Center in Escondido, Pomerado Hospital in Poway and smaller facilities in
inland North County. The seven-member hospital board is scheduled to consider
the contract at its next meeting June 2 and is expected to approve it.
"We believe that this agreement with CNA is not only fair and generous for our
nursing staff, but is one that will protect the financial and operational strength of
PPH in the future," Covert said. "I am confident that the result will be a recognized
win-win agreement of which we can all be proud."
Nurses gained CNA union recognition from the district last July. Negotiations
began the following month, said France, a critical-care nurse at Palomar Medical
Center, and the tentative agreement was reached late Friday.
"I think the majority of the nurses will be very pleased with an average increase of
22 percent in their wage this year, no increase in their health care premium for 2004
and an enhanced pension plan," said Donna Johnson, an emergency room
registered nurse at Palomar and also a member of the bargaining team.
The contract was negotiated by a team of nurses and CNA representatives and
district managers. District administrators estimate the contract would cost the
district between $20 million to $22 million over its three-year duration.
The contract's guaranteed raises will replace a merit-pay system, the CNA's Idelson
said. "This is one of the items we are most proud of because the merit system is so
subjective and open to cronyism," he said. "Years of experience will now be
Other benefits include a ban on mandatory overtime, a commitment to guarantee
pension benefits through the California Public Employees system, a restriction on
"unsafe floating," referring to nurses working in areas where they do not have the
proper expertise, and input on staffing issues with arbitration for resolution of
Much of the country is dealing with a severe nursing shortage, and Palomar
Pomerado and many hospitals had been losing nurses because of pay and job
Covert and Lori Shoemaker, Palomar Pomerado's chief nursing officer, said they
believe the higher salaries will encourage more nurses to stay with the district.
"In taking this step, Palomar Pomerado is recognizing the invaluable contribution
of registered nurses to the quality of care, as well as responding to the realities of
the current market," Shoemaker said.
John Berhman: (760) 737-7577; firstname.lastname@example.org
Jun 2, '03Top 5 Reasons RNs Vote for a NURSES union, California 2003
1. Salaries and Benefits That Recruit and Retain RNs
2. New Standards for RNs And Patient Protection
3. Dramatic Gains in Retirement
4.Voice and Respect
5. A Legally Binding Contract
Jun 2, '03that makes me really sad I read it because my base is not that of even the new grads & I've been outta school since the '80's....& have certification in my specialty....(heavy sigh). I tried to get union at my hospital but it just got me alot of people who were scared to talk to me.