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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: 15,629 (72% Liked) Likes: 29,397

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  • Jun 23
  • Jun 23

    Information from two sources:

    Background on Pivotal Issue in Brigham and Women’s Hospital Talks: Safe Nurse Staffing for Critical Patients
    ...
    Inadequate nurse staffing is jeopardizing safe patient care. This is a key reason why Brigham nurses are willing to strike. They are fighting at the bargaining table for a restoration of nurse staffing in the area of the hospital where patients go to recover from lung transplants, heated chemotherapy and other serious thoracic procedures.

    Nurses who work in this unit have told the hospital twice now across the bargaining table that their patients are suffering.
    The nurses’ request is simple: Restore nurse staffing levels to what they were last year. The hospital has refused. Management has admitted, however, that following the recent departure of nurses from the thoracic step-down unit, they did not replace the nurses. This created a shortage of specialized thoracic nurses and endangered patient care.

    The hospital also admitted that instead of properly staffing the units, it moved nurses around the schedule, “smoothing” over a serious problem rather than addressing it properly. This is emblematic of a wider concern among Brigham nurses. Staffing is a problem in units throughout the hospital. For example, management consistently breaks the new intensive care unit law that limits nurses to one or, at the most, two ICU patients...
    Background on Pivotal Issue in Brigham and Women’s Hospital Talks: Safe Nurse Staffing for Critical Patients - News & Events - Massachusetts Nurses Association
    Brigham and Women's Hospital nurses to hold strike vote

    ... The nurses, who are represented by the Massachusetts Nurses Association, are asking for more comprehensive insurance, more paid time off, higher wages and more staff in the thoracic intermediate-care unit. The nurses say the hospital recently admitted to reducing staff in the unit during the day to make up for a shortage at night.

    The nurses claim the hospital offers fewer benefits to newly hired nurses and provides them with eight fewer days off per year and a health plan with higher premiums. The union also claims hospital administrators have said they'll hire 700 temporary nurses to provide patient care during a potential strike.

    Brigham and Women's Hospital did not respond to a request for comment Friday afternoon....
    - Modern Healthcare Modern Healthcare business news, research, data and events7

  • Jun 23

    Information from two sources:

    Background on Pivotal Issue in Brigham and Women’s Hospital Talks: Safe Nurse Staffing for Critical Patients
    ...
    Inadequate nurse staffing is jeopardizing safe patient care. This is a key reason why Brigham nurses are willing to strike. They are fighting at the bargaining table for a restoration of nurse staffing in the area of the hospital where patients go to recover from lung transplants, heated chemotherapy and other serious thoracic procedures.

    Nurses who work in this unit have told the hospital twice now across the bargaining table that their patients are suffering.
    The nurses’ request is simple: Restore nurse staffing levels to what they were last year. The hospital has refused. Management has admitted, however, that following the recent departure of nurses from the thoracic step-down unit, they did not replace the nurses. This created a shortage of specialized thoracic nurses and endangered patient care.

    The hospital also admitted that instead of properly staffing the units, it moved nurses around the schedule, “smoothing” over a serious problem rather than addressing it properly. This is emblematic of a wider concern among Brigham nurses. Staffing is a problem in units throughout the hospital. For example, management consistently breaks the new intensive care unit law that limits nurses to one or, at the most, two ICU patients...
    Background on Pivotal Issue in Brigham and Women’s Hospital Talks: Safe Nurse Staffing for Critical Patients - News & Events - Massachusetts Nurses Association
    Brigham and Women's Hospital nurses to hold strike vote

    ... The nurses, who are represented by the Massachusetts Nurses Association, are asking for more comprehensive insurance, more paid time off, higher wages and more staff in the thoracic intermediate-care unit. The nurses say the hospital recently admitted to reducing staff in the unit during the day to make up for a shortage at night.

    The nurses claim the hospital offers fewer benefits to newly hired nurses and provides them with eight fewer days off per year and a health plan with higher premiums. The union also claims hospital administrators have said they'll hire 700 temporary nurses to provide patient care during a potential strike.

    Brigham and Women's Hospital did not respond to a request for comment Friday afternoon....
    - Modern Healthcare Modern Healthcare business news, research, data and events7

  • Jun 23

    Information from two sources:

    Background on Pivotal Issue in Brigham and Women’s Hospital Talks: Safe Nurse Staffing for Critical Patients
    ...
    Inadequate nurse staffing is jeopardizing safe patient care. This is a key reason why Brigham nurses are willing to strike. They are fighting at the bargaining table for a restoration of nurse staffing in the area of the hospital where patients go to recover from lung transplants, heated chemotherapy and other serious thoracic procedures.

    Nurses who work in this unit have told the hospital twice now across the bargaining table that their patients are suffering.
    The nurses’ request is simple: Restore nurse staffing levels to what they were last year. The hospital has refused. Management has admitted, however, that following the recent departure of nurses from the thoracic step-down unit, they did not replace the nurses. This created a shortage of specialized thoracic nurses and endangered patient care.

    The hospital also admitted that instead of properly staffing the units, it moved nurses around the schedule, “smoothing” over a serious problem rather than addressing it properly. This is emblematic of a wider concern among Brigham nurses. Staffing is a problem in units throughout the hospital. For example, management consistently breaks the new intensive care unit law that limits nurses to one or, at the most, two ICU patients...
    Background on Pivotal Issue in Brigham and Women’s Hospital Talks: Safe Nurse Staffing for Critical Patients - News & Events - Massachusetts Nurses Association
    Brigham and Women's Hospital nurses to hold strike vote

    ... The nurses, who are represented by the Massachusetts Nurses Association, are asking for more comprehensive insurance, more paid time off, higher wages and more staff in the thoracic intermediate-care unit. The nurses say the hospital recently admitted to reducing staff in the unit during the day to make up for a shortage at night.

    The nurses claim the hospital offers fewer benefits to newly hired nurses and provides them with eight fewer days off per year and a health plan with higher premiums. The union also claims hospital administrators have said they'll hire 700 temporary nurses to provide patient care during a potential strike.

    Brigham and Women's Hospital did not respond to a request for comment Friday afternoon....
    - Modern Healthcare Modern Healthcare business news, research, data and events7

  • Jun 22

    Information from two sources:

    Background on Pivotal Issue in Brigham and Women’s Hospital Talks: Safe Nurse Staffing for Critical Patients
    ...
    Inadequate nurse staffing is jeopardizing safe patient care. This is a key reason why Brigham nurses are willing to strike. They are fighting at the bargaining table for a restoration of nurse staffing in the area of the hospital where patients go to recover from lung transplants, heated chemotherapy and other serious thoracic procedures.

    Nurses who work in this unit have told the hospital twice now across the bargaining table that their patients are suffering.
    The nurses’ request is simple: Restore nurse staffing levels to what they were last year. The hospital has refused. Management has admitted, however, that following the recent departure of nurses from the thoracic step-down unit, they did not replace the nurses. This created a shortage of specialized thoracic nurses and endangered patient care.

    The hospital also admitted that instead of properly staffing the units, it moved nurses around the schedule, “smoothing” over a serious problem rather than addressing it properly. This is emblematic of a wider concern among Brigham nurses. Staffing is a problem in units throughout the hospital. For example, management consistently breaks the new intensive care unit law that limits nurses to one or, at the most, two ICU patients...
    Background on Pivotal Issue in Brigham and Women’s Hospital Talks: Safe Nurse Staffing for Critical Patients - News & Events - Massachusetts Nurses Association
    Brigham and Women's Hospital nurses to hold strike vote

    ... The nurses, who are represented by the Massachusetts Nurses Association, are asking for more comprehensive insurance, more paid time off, higher wages and more staff in the thoracic intermediate-care unit. The nurses say the hospital recently admitted to reducing staff in the unit during the day to make up for a shortage at night.

    The nurses claim the hospital offers fewer benefits to newly hired nurses and provides them with eight fewer days off per year and a health plan with higher premiums. The union also claims hospital administrators have said they'll hire 700 temporary nurses to provide patient care during a potential strike.

    Brigham and Women's Hospital did not respond to a request for comment Friday afternoon....
    - Modern Healthcare Modern Healthcare business news, research, data and events7

  • Jun 22

    Information from two sources:

    Background on Pivotal Issue in Brigham and Women’s Hospital Talks: Safe Nurse Staffing for Critical Patients
    ...
    Inadequate nurse staffing is jeopardizing safe patient care. This is a key reason why Brigham nurses are willing to strike. They are fighting at the bargaining table for a restoration of nurse staffing in the area of the hospital where patients go to recover from lung transplants, heated chemotherapy and other serious thoracic procedures.

    Nurses who work in this unit have told the hospital twice now across the bargaining table that their patients are suffering.
    The nurses’ request is simple: Restore nurse staffing levels to what they were last year. The hospital has refused. Management has admitted, however, that following the recent departure of nurses from the thoracic step-down unit, they did not replace the nurses. This created a shortage of specialized thoracic nurses and endangered patient care.

    The hospital also admitted that instead of properly staffing the units, it moved nurses around the schedule, “smoothing” over a serious problem rather than addressing it properly. This is emblematic of a wider concern among Brigham nurses. Staffing is a problem in units throughout the hospital. For example, management consistently breaks the new intensive care unit law that limits nurses to one or, at the most, two ICU patients...
    Background on Pivotal Issue in Brigham and Women’s Hospital Talks: Safe Nurse Staffing for Critical Patients - News & Events - Massachusetts Nurses Association
    Brigham and Women's Hospital nurses to hold strike vote

    ... The nurses, who are represented by the Massachusetts Nurses Association, are asking for more comprehensive insurance, more paid time off, higher wages and more staff in the thoracic intermediate-care unit. The nurses say the hospital recently admitted to reducing staff in the unit during the day to make up for a shortage at night.

    The nurses claim the hospital offers fewer benefits to newly hired nurses and provides them with eight fewer days off per year and a health plan with higher premiums. The union also claims hospital administrators have said they'll hire 700 temporary nurses to provide patient care during a potential strike.

    Brigham and Women's Hospital did not respond to a request for comment Friday afternoon....
    - Modern Healthcare Modern Healthcare business news, research, data and events7

  • Jun 19
  • Jun 10

    Quote from nrsadvocate
    I believe the most important issue that unions resolve is nurse-patient ratios. That's why unions are able to organize and get voted in by nurses. It's all about patient safety. I would like to hear from the nurses who are never short staffed and feel that their patients and nursing licenses are never in jeopardy because of short staffing. Do these hospitals exist??? Unions have nurse committees for the purpose of bargaining and negotiating, so that their members voices and needs are at the forefront. If union dues are the issue, just think about the cost of one mistake...it could cost your license and your career So where are the hospitals that staff their floors appropriately on a regular basis because I would like to apply for a job at these hospitals. Let's get real, hospitals are not going to provide safe staffing unless forced to do so.
    While nothing is perfect it is SO MUCH BETTER since our ratios went into effect January 1, 2004!

    Until we elect new members of congress I think ratios will have to be done state-by- state or in union contracts.

    National Campaign for Safe RN-to-Patient Staffing Ratios:
    National Campaign for Safe RN-to-Patient Staffing Ratios | National Nurses United

  • Jun 4

    Quote from pmabraham
    For safe ratios, you need strong laws which are enforced rather than corruptible unions
    I hope we don't let OUR union be corrupted.
    Ratios were achieved by thousands nurses working with their union.

    Timeline of nurses achieving safe staffing ratios:
    www.nationalnursesunited.org/page/-/files/pdf/ratios/12yr-fight-0104.pdf

  • Jun 4

    Quote from nrsadvocate
    I believe the most important issue that unions resolve is nurse-patient ratios. That's why unions are able to organize and get voted in by nurses. It's all about patient safety. I would like to hear from the nurses who are never short staffed and feel that their patients and nursing licenses are never in jeopardy because of short staffing. Do these hospitals exist??? Unions have nurse committees for the purpose of bargaining and negotiating, so that their members voices and needs are at the forefront. If union dues are the issue, just think about the cost of one mistake...it could cost your license and your career So where are the hospitals that staff their floors appropriately on a regular basis because I would like to apply for a job at these hospitals. Let's get real, hospitals are not going to provide safe staffing unless forced to do so.
    While nothing is perfect it is SO MUCH BETTER since our ratios went into effect January 1, 2004!

    Until we elect new members of congress I think ratios will have to be done state-by- state or in union contracts.

    National Campaign for Safe RN-to-Patient Staffing Ratios:
    National Campaign for Safe RN-to-Patient Staffing Ratios | National Nurses United

  • Jun 4

    Quote from Icunicenurse
    I really don't understand. I am a newish nurse that landed my "dream job" in the icu. My hospital is the biggest and best in the area and we are currently on a journey to magnet. I feel like I was lied to about how this would help nurses and we would be supported and taken care of.

    In my icu we have a very high acuity. We are constantly short staffed and tripled. 1:1 for ccrt pts is advertised but never actually happens!

    I have seen a patient self extubate during the holy interdisciplinary rounds due to that nurse being tripled and spread out across the unit. None of the bosses said any thing and just went on to round on the next patient.

    The majority of our assistants will not help unless asked and it's like pulling teeth just to get them to help with a blood sugar check. Often they are sitting on their cellphones or just catching up on gossip. But since they have worked there a long time it is widely accepted by the staff.

    We have are losing staff nurses left and right.

    I have been talked down to by our surgeons and blatantly disrespected on more than one occasion for trying to help a patient but not enough to be considered abusive so that I could report it. Once, I calmly asked a doc to update the close family members of a dying patient at their request. Since a distant family had been updated, the doctor was visibly offended and proceeded to call my charge nurse and say "I got in her face" which was completely false. Luckily the charge was within ear shot and heard everything. This was swept under the rug.

    During my new nurse orientation the nursing instructor preached against unions especially since we were going magnet and would have so many benefits.

    I feel like a strong nurse union could solve many of our problems and help our patient care. But the majority of nurses I have talked to are completely against it. I can't understand this for the life of me.

    Sadly, my dream job has turned to hell. I love my sick patients and family but sick of being overworked, tripled, never even getting a lunch break, all while being talked down to and humiliated by the Dr.s that see me as a stupid new nurse.
    On page 14 of this magazine is an article about a newish ICU nurse who was fired after a losing union election at her hospital. She is workin ICU at a different hospital now.
    National Nurses United - National Nurse magazine October 2015
    You can contact someone from the Southern regional Headquarters without your management knowing about it.
    We organized for more than a year and filed for an election before out management knew. But that was more than 20 years ago.

    Scroll down the the Southern Regional contact information:
    Florida | National Nurses United

    Lots of information here:
    http://nurses.3cdn.net/1d1e00cd8cc7b03592_jy8m6v5hd.pdf

  • May 17

    Quote from pmabraham
    For safe ratios, you need strong laws which are enforced rather than corruptible unions
    I hope we don't let OUR union be corrupted.
    Ratios were achieved by thousands nurses working with their union.

    Timeline of nurses achieving safe staffing ratios:
    www.nationalnursesunited.org/page/-/files/pdf/ratios/12yr-fight-0104.pdf

  • May 7
  • 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.


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