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Joined Mar 14, '04 - from 'California, USA'. herring_RN is a retired registered nurse. She has '>40 years' year(s) of experience and specializes in 'Critical care, tele, Medical-Surgical'. Posts: 15,477 (72% Liked) Likes: 28,749

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  • Apr 17

    Quote from gypsyd8
    Sorry you are incorrect. The organizers of the rally are promoting two bills, S.864 and HR 1602. They specify numerical minimum ratios by unit.

    (b)Minimum direct care registered nurse-to-Patient ratios
    (1)In general
    Except as otherwise provided in this section, a hospital’s staffing plan shall provide that, at all times during each shift within a unit of the hospital, a direct care registered nurse shall be assigned to not more than the following number of patients in that unit, subject to paragraph (4):
    (A)One patient in trauma emergency units. (B)One patient in operating room units, provided that a minimum of 1 additional person serves as a scrub assistant in such unit.
    (C)Two patients in critical care units, including neonatal intensive care units, emergency critical care and intensive care units, labor and delivery units, coronary care units, acute respiratory care units, postanesthesia units, and burn units. (D)Three patients in emergency room units, stepdown units, pediatrics units, telemetry units, antepartum units, and combined labor, delivery, and postpartum units. (E)Four patients in medical-surgical units, intermediate care nursery units, psychiatric units, and other specialty care units. (F)Five patients in rehabilitation units, and skilled nursing units. (G) Six patients in well-baby nursery units and postpartum (3 couplets) units.

    The text of the bills can be found here:

    National Nursing Shortage Reform and Patient Advocacy Act (S. 864) - GovTrack.us

    Nurse Staffing Standards for Patient Safety and Quality Care Act of 215 (H.R. 162) - GovTrack.us
    Thank you. You are correct. I'm very glad to be wrong.
    The bills by Senator Boxer and Representative Schakowsky are companion bills that will improve on the California ratios.

  • Apr 16

    My husband and I have had Medicare for many years. We chose a supplement because Medicare Advantage plans don't let you choose any provider. Because Medicare pays about 80% the supplement company has never paid more in a month than what we pay for the premium. They make a profit from us every month.

    With single payer expanded Medicare for All there would be no need for private insurance. Everyone would be covered.

  • Apr 12
  • Apr 12
  • Apr 12

    Management thinks nurses are an expense.
    Fact is that patients are hospitalized because they need nursing care.
    As soon as they no longer need nursing care they are discharged.
    All other care is available as an outpatient.

    The "product" of a hospital is nursing care.

  • Apr 12

    Quote from pmabraham
    Because being in a union offers ZERO guarantees of anything being better. So you have less in your paycheck to support those who may not be doing a single thing to make things better. And if they help bad employees stay employed, then they take a part of your pay to make life worse.
    If "bad" employees are kept it is due to incompetent management.
    A union contract generally requires that discipline, including termination, be for "Just Cause".

    The most extreme I read about in the paper was a hospital where employees were allowed to be late routinely because they traveled from another job. Also some took lunch breaks that took up almost half their shift:
    ... Some employees habitually fail to show up, logging weeks, even months, of unexcused absences each year. And those who do come to work often don't do their jobs, causing one consultant in 2002 to remark that they had "retired in place."
    Others are distracted or impaired. County Civil Service Commission filings tell of staff members grabbing and clawingeach other's necks; inspection reports tell of patients literally dying of neglect.
    Underfunding is a myth, but the squandering is real - LA Times
    The most extreme example I've been told about was a nurse who wanted to fight a termination after he was caught with narcotics in his socks. His fellow nurses were there when he refused to stay when the count came up short, ran, and was stopped by security.
    Because the union had to provide representation a rep attended the meeting and took notes as one after another witness reported the same.
    The union refused to go to arbitration, he threatened to sue. He was given a list of attorneys because he was also reported to the board. He never sued.

    I remember once I was asked to attend an arbitration at another facility. An RN had been terminated for rudeness.
    The manager had written her up once before for refusing to care for a patient in ICU and and four others on her telemetry unit. She had fought that because she was not competent to work in ICY and because it was physically in another nearby unit.
    Even though that nurse had prevailed the manager felt there had been progressive discipline.

    The "rudeness" consisted of an accusation that she had been rude to a patient. The assignment sheet did not include that patient.
    In report she was told the patient was discharged and just waiting for a ride. She was getting an admit from ER into that bed.

    About 7:20 pm she saw the patient in a wheelchair in the hallway. The secretary said no one had been able to contact his family to take him home. The nurse called both phone numbers and left a message. She bought him dinner from the cafeteria because he was no longer in the computer. She helped him to the bathroom.
    he then told the charge nurse who called the supervisor. She put her concern that her assignment was unsafe because her patient had no room and with him to care for she was assigned more patients than allowed by the ratio regulations. The supervisor said, "Do the best you can."

    About 10:30 pm she noticed the patient was gone. The secretary told her, "The daughter came and got him."

    She testified at the arbitration that she had told her manager that she had neither discharges the patient nor took him down to the car, but her manager accused her of lying.
    Plus he was no her patient because he had already been discharged.

    The daughter testified that the doctor had told her at 3:00 pm her father would stay another night. She went shopping. She didn't have a cell phone with her. When she got home she was surprised and angry with the message. She came to get her father and a nurse seemed to be in a hurry. She pushed him out to the car. That nurse was so rude she wouldn't answer any questions. After her father was in the car she asked, "Why is my father going home? The doctor told me tomorrow."
    She said, "That rude nurse just kept saying, "OK, Bye."

    When the union representative's turn came to question the daughter he said, "Do you know the name of the nurse?
    daughter, "Yes it is *****." (the name of the terminated nurse)
    Union rep, "Did you read her name tag?"
    Daughter, "No ***** told me her name." (gave name of terminated nurae)
    Union rep, "Would you recognize her if you see her?"
    Daughter, "Yes I would. I looked at her face and asked her questions and she just said, "OK. Bye"
    Union rep, "Is she here in this room?"
    The daughter looked at all us women. She made eye contact with me and the six other women at the table and against the wall. Then she said, "No. She is not here."

    The terminated RN began to cry. The arbitrator said, "I will reverse the termination. You will receive my written judgment in three days."

    The RN was crying. She asked her manager, "Why do you hate me?"

    The manager yelled, "Because you look like the woman my husband left me for."

    That was the most exciting arbitration.
    But although most are tedious and boring they are important sometimes when a nurse is terminated and there was no just cause.

  • Apr 11

    My husband and I have had Medicare for many years. We chose a supplement because Medicare Advantage plans don't let you choose any provider. Because Medicare pays about 80% the supplement company has never paid more in a month than what we pay for the premium. They make a profit from us every month.

    With single payer expanded Medicare for All there would be no need for private insurance. Everyone would be covered.

  • Apr 11

    My husband and I have had Medicare for many years. We chose a supplement because Medicare Advantage plans don't let you choose any provider. Because Medicare pays about 80% the supplement company has never paid more in a month than what we pay for the premium. They make a profit from us every month.

    With single payer expanded Medicare for All there would be no need for private insurance. Everyone would be covered.

  • Apr 11

    My husband and I have had Medicare for many years. We chose a supplement because Medicare Advantage plans don't let you choose any provider. Because Medicare pays about 80% the supplement company has never paid more in a month than what we pay for the premium. They make a profit from us every month.

    With single payer expanded Medicare for All there would be no need for private insurance. Everyone would be covered.

  • Apr 8

    Sanders calls on Congress to protect workers

    ...
    “Management retaliated by firing me and one of my co-workers in the ICU,” claimed Allysha Almada, a registered nurse from Pasadena, Calif.
    Almada urged Sanders and other members of Congress to protect workers like herself who feel threatened and intimidated because of anti-union hostility...

    ... "This is legislation that I have supported since the first year I was in the Congress,” Sanders said.

    Sanders calls on Congress to protect workers | WOODTV.com

  • Apr 8

    A nurse who alleges Huntington Hospital fired her in retaliation for her unionization efforts will get her voice heard by President Obama later this week.

    Allysha Almada leaves today for Washington, D.C. to participate in the White House’s Summit on Worker Voice on Wednesday...

    Nurse fired from Huntington Hospital to visit White House, discuss union efforts


    Nurses, Vicky Lin and Allysha Almada, center, hold a 250-signature petition at a rally in August signed that calls on Huntington Hospital to reinstate their jobs. (Photo by Walt Mancini/Pasadena Star-News)

  • Apr 7

    Management thinks nurses are an expense.
    Fact is that patients are hospitalized because they need nursing care.
    As soon as they no longer need nursing care they are discharged.
    All other care is available as an outpatient.

    The "product" of a hospital is nursing care.

  • Apr 5

    When we were kids our Mom played Broadway musicals "South Pacific" and "OKLAHOMA!" while we cleaned house. I cleaned the bathroom and kitchen, sister dusted. When we finished we took off our clothes and put them in the washer. Then we took a bath. I cleaned the bath tub naked and then put on clean pajamas.

    Then we made root beer floats and turned on the TV. It was fun!

    Now I go to a monthly hoot where we all sing together. No matter how tired I am it makes me feel great.
    I love when the congregation sings in church.

    Over the years I've occasionally sung with a patient. They were special times.

    I think that study got it right.

  • Apr 5

    There is growing evidence that psychosocial interventions can have psychological benefits for people affected by cancer, including improved symptoms of mental health and wellbeing and optimised immune responses...

    ... This study provides preliminary evidence that singing improves mood state and modulates components of the immune system. Further work is needed to ascertain how this differs for more specific patient groups and whether repeat exposure could lead to meaningful, longitudinal effects...

    Singing modulates mood, stress, cortisol, cytokine and neuropeptide activity in cancer patients and carers. ecancermedicalscience - The open access journal from the European Institute of Oncology and the OCEI

  • Mar 31

    Quote from Laurie52
    Doesn't California have mandated staffing ratios?
    Yes. Too many hospitals are violating the law.
    They start with correct staffing and then don't provide break relief and/or plan for newly admitted patients.

    This is regarding HIPAA violations, but the California Department of Public Health almost never cites hospitals for ratio violations either:
    The Consequences for Violating Patient Privacy in California? Depends Where the Hospital Is - ProPublica


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