Latest Comments by herring_RN

herring_RN Guide 63,502 Views

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: 16,752 (72% Liked) Likes: 32,708

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  • 0

    Quote from mtcorias
    Hi, I'm working on some bargaining issues with our district and one issue that has come up is RN probationary periods (how long after the first day of work until you become a fully protected member).

    I'm in the information gathering phase to determine the length of time that is typical in the industry. I would appreciate it if any current or former school nurses could let me know what their probationary length was. Also, for documentation's sake, if you can include a screenshot, URL, etc of something I can use to document beyond an online anecdote (for example, if your service district/union has an online contract).

    Thanks a lot, have a great weekend!
    Ask for a copy of the contract.
    All timelines should be there.

  • 0

    In the early 1990s when we were beginning the struggle to achieve nurse-t-patient ratios in California our role models were the Victoria, Australia nurses who were the first in the world to get safe staffing ratios. Our is a state law and theirs were first achieved for their union contract. In 2015 they became law!



    National Nurses United (NNU) and National Nurses Organizing Committee (NNOC) are unions started by California nurses for the entire United States.
    Recent Victories:
    Organizing Victories | National Nurses United

    Here is contact information:
    Who We Are | National Nurses United

  • 0

    Quote from SobreRN
    And we had an ally in democratic governor Gray Davis at the time.
    He was the only candidate of any party willing to promise to sign the bill if it passed.
    So hundreds of us worked on his campaign.

    Our major elected hero was non LA County Supervisor Sheila Kuehl.
    This is from the bio on her Supervisor's page regarding her time as a state senator:
    She authored 171 bills that were signed into law, including legislation to establish paid family leave, establish nurse to patient ratios in hospitals; protect the Santa Monica Mountains and prohibit discrimination on the basis of gender and disability in the workplace and sexual orientation in education.
    She fought to establish true universal health insurance in California.

    Meet Supervisor Sheila Kuehl

  • 0

    A great positive step is the ANA sponsoring a very public event in our nation's capitol. The announcement has already been posted here:
    http://allnurses.com/nursing-activis...n-1098146.html

    The 2017 Rally for Nurse-Patient Ratios , will take place on May 5th 11a-4p at the Capitol Building, in Washington, DC.
    nursestakedc

  • 0

    I am very glad to see this public event by the ANA for ratios!

    #Nurses Take DC for Nurse : Patient Ratios Now!
    California has mandated Safe Nurse Patient Ratios.
    It is time for nurses to stand together, support each other, and demanded that Washington hear the voices of the largest workforce in the united states- nurses.

    This legislation for national nurse to patient ratios has been stalled in the legislative process by big money and associations that do not care about our profession.
    We must let Washington know that no amount of money can drown out the passion of a fed up nurse.

    nursestakedc

  • 4
    GrumpyRN, toomuchbaloney, Ted, and 1 other like this.

    I'm somewhat hopeful while praying we don't end up in another war.

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    US secretary of state says policy of strategic patience has ended due to threat posed by Pyongyang’s nuclear weapons programme
    A pre-emptive US military strike against North Korea may be necessary if the threat posed by its nuclear weapons programme reaches a level that “requires action”, the US secretary of state, Rex Tillerson, has warned.
    Speaking in Seoul on the second day of a visit to the Asia-Pacific region, Tillerson said Washington’s policy of “strategic patience” towards the regime in Pyongyang had ended...

    ... Tillerson conceded that 20 years of US attempts to “denuclearise” North Korea had been unsuccessful. “I think it’s important to recognise that the political and diplomatic efforts of the past 20 years to bring North Korea to the point of denuclearisation have failed,” he said during a visit to Tokyo.
    “That includes a period where the United States has provided $1.35bn in assistance to North Korea as an encouragement to take a different pathway.”...
    Military action against North Korea 'an option', warns Rex Tillerson | US news | The Guardian

  • 4

    It has been a few years since I posted this story so will do so for new members. Please excuse me long time visitors to the Bread Room.
    Someone posted something like people "choosing to have a baby".

    When I left home for college at age 17 my Grandma came with me. She had been born an orphan and raised by people who let her know every day she was not theirs. They were immigrant farmers in Southern Texas, attended a church where theyb thanked God they were White, were taught Catholics were akin to Satan worshipers, and feared educated people.
    Grandma became a Roman Catholic when she was 18, attending mass daily from until death. She got a job, and rented a room in town. (She also visited and helped them financially until she married)

    We were attending Sunday Mass in the 1960s when birth control pills were new. There were many young families with a pregnant wife and a child in every grade K thru 12. She cared for the children of a teacher and I worked minimum wage full time evenings and weekends at a donut shop. We put money in the "Poor Box" to help feed those large families because the fathers pay was not enough.

    The priest in his sermon yelled with emotion, "Anyone who uses birth control will burn in hell for all eternity."
    I quietly walked out of church.
    Grandma followed me out.
    She told me, "You can't have a happy marriage without sex. That is why I made your grandfather wear a rubber."

  • 0

    Quote from RNOTODAY
    Because hospitals have lobbyists, many many of them with unlimited $$$ behind them.
    california did because, well California should be considered its own country, plus the CNA-- their union, is the best and most powerful in the country
    I believe other states can do it too. It took us a long time in California.
    In 1995 we voted at our CNA Convention by 92 percent to leave the American Nurses Association (ANA) because the national organization was not yet ready to insist on safe staffing with minimum ratios.
    We adopted a program to reallocate resources to organize RNs, strengthen contracts, confront hospital industry attack on RN jobs and practice, and enact legislative and workplace protections.
    https://donate.nationalnursesunited....ganize/101.pdf

  • 3
    ICUman, SobreRN, and Kooky Korky like this.

    Quote from SobreRN
    @ hppygr8ful, I remember it well and it was not Schwatrzenegger who signed staffing ratios into law 1999, it was Democratic governor Gray Davis.
    Governor Arnold Schwarzenegger tried to eliminate the safe staffing ratios for med-surg and emergency departments with executive action. We had to take him to court. He was defeated three times before he gave up.
    Schwarzenegger Abandons Court Fight Against Nurses
    Gov. Arnold Schwarzenegger has given up a yearlong legal battle with the state's nurses union, among his most ardent critics, over a state law that requires more nurses in hospitals...
    ... A judge in Sacramento ruled in March that Mr. Schwarzenegger, a Republican, had acted illegally, but the governor's office appealed the decision. Late Thursday, the state attorney general's office withdrew the appeal on Mr. Schwarzenegger's behalf, state officials said on Friday....
    http://www.nytimes.com/2005/11/12/us...st-nurses.html

  • 0

    Quote from NurseSpeedy
    Mandated numbers would be a nice start but it will never take into account the workload of a specific assignment. My facility does a pretty good job of not going over a given number of patients per nurse (we are always full). However, even if you discharge all the patients that you started with in the morning, expect to be reassigned those beds with transfers or admits as soon as the room is clean.

    Also, just because a patient meets criteria for a specific floor does not mean that a given number of patients would be safe. I've had days where everything went haywire and I couldn't keep up even within our given number, not getting out until almost three hours after my 12 was supposed to be finished. I didn't even chart until after giving report. It's impossible to say that a certain number will provide safety. I definitely could see administration using it as a way to justify that there is enough staff if there was a law. IVs/inserting and maintaining tubes/pain med frequency/confused patients that are constantly trying to get out of bed-better not fall/declining patient status/phone calls/doctors/families-the list goes on and it's impossible to determine prior to the beginning of a shift what will happen since there is no crystal ball seeing into the next 12 hours. I've had the exact same group one day when everything will go okay for the most part and then the next day it's a total crap shoot. The only thing that would have helped would be another nurse to jump in to give meds and do tasks-but I have rarely seen a facility that will bring on another nurse who doesn't have a patient load assigned.
    The California regulations attempt to address this in several ways.
    One is to require additional staff to meet the needs of each patient.
    ... In addition to the requirements of subsection (a), the hospital shall implement a patient classification system as defined in Section 70053.2 above for determining nursing care needs of individual patients that reflects the assessment, made by a registered nurse as specified at subsection 70215(a)(1), of patient requirements and provides for shift-by-shift staffing based on those requirements.
    The ratios specified in subsection (a) shall constitute the minimum number of registered nurses, licensed vocational nurses, and in the case of psychiatric units, psychiatric technicians, who shall be assigned to direct patient care.
    Additional staff in excess of these prescribed ratios, including non-licensed staff, shall be assigned in accordance with the hospital's documented patient classification system for determining nursing care requirements, considering factors that include the severity of the illness, the need for specialized equipment and technology, the complexity of clinical judgment needed to design, implement, and evaluate the patient care plan, the ability for self-care, and the licensure of the personnel required for care. The system developed by the hospital shall include, but not be limited to, the following elements
    1) Individual patient care requirements.
    (2) The patient care delivery system.
    (3) Generally accepted standards of nursing practice, as well as elements reflective of the unique nature of the hospital's patient population...
    View Document - California Code of Regulations
    Also the charge nurse is not to be counted in the ratio. At my hospital charge nurses are often very helpful.
    Charge nurses are allowed to take over a nurses assignment during a break, but my hospital eventually hired nurses for break relief. Often they work for five or six hours in the middle of a 12 hour shift. Often the break relief nurse will stay to admit one or more patients.
    From Title 22 of the California Code of Regulations:
    Nurse Administrators, Nurse Supervisors, Nurse Managers, and Charge Nurses, and other licensed nurses shall be included in the calculation of the licensed nurse-to-patient ratio only when those licensed nurses are engaged in providing direct patient care.
    When a Nurse Administrator, Nurse Supervisor, Nurse Manager, Charge Nurse or other licensed nurse is engaged in activities other than direct patient care, that nurse shall not be included in the ratio.
    Nurse Administrators, Nurse Supervisors, Nurse Managers, and Charge Nurses who have demonstrated current competence to the hospital in providing care on a particular unit may relieve licensed nurses during breaks, meals, and other routine, expected absences from the unit.
    View Document - California Code of Regulations
    Please watch the short video. You will understand that nurse's working conditions and patient lives and comfort are worth the years of hard work we put in. New York nurses are doing it now.
    State by state, and the country by country safe staffing will someday be the standard expected for those who need nursing care.

  • 0

    Quote from Tippyrn
    I heard new York passed laws also but I don't know the details.
    The New York State Assembly passed the Safe Staffing for Quality Care Act.
    The Yew York State Nurses Association continues their work to pass the bill.
    I hope all nurses and supporter in New York contact their legislators and tell them they was safe nurse staffing.
    NYSNA 217 Lobby Day: Tuesday, April 25 | New York State Nurses Association

  • 1
    elkpark likes this.

    Quote from toomuchbaloney
    Nobody said anything about waiting for a man to advocate for you. But it is disingenuous to suggest that it is not helpful to have allies from the side of the "opposition pov".

    Whether or not you feel you need my male advocacy, I'm going to offer it because it is the right thing to do.
    I think we are always better working together.
    She was responding to this post:
    Quote from Avid reader
    Starbrown, and that's the Catch 22 situation that prevents nurses from progressing. Enhanced empathy and sympathy levels. As stated before, we need male nurses to advocate for us. That's their forte' anyway. As we employ lawyers to do our dirty work, we need to push male nurses to represent us. They actually enhance their reputation by being strident, we would be described far more colourfully

  • 1
    ranseralis likes this.

    Worst Chemical Attack in Years in Syria; U.S. Blames Assad
    APRIL 4, 2017
    One of the worst chemical bombings in Syria turned a northern rebel-held area into a toxic kill zone on Tuesday, inciting international outrage over the ever-increasing government impunity shown in the country’s six-year war.
    Western leaders including President Trump blamed the Syrian government of President Bashar al-Assad and called on its patrons, Russia and Iran, to prevent a recurrence of what many described as a war crime.
    Dozens of people, including children, died — some writhing, choking, gasping or foaming at the mouth — after breathing in poison that possibly contained a nerve agent or other banned chemicals, according to witnesses, doctors and rescue workers...
    ... The dead were still being identified, and some humanitarian groups said as many as 100 had died...

    ... The White House called the attack a “reprehensible” act against innocent people “that cannot be ignored by the civilized world.”...
    https://www.nytimes.com/2017/04/04/w...pgtype=article

  • 0

    I think it will be achieved if enough nurses and others continue the work.
    We can't give up. How about struggling FOR something good?

    We assigned nursed to each and every statewide elected official and visited them or their staff. We made cards with our title (RN), phone number, and later email.
    We answered their questions explaining what a Foley Catheter is, the difference between systolic and diastolic BP, and just about any question your friends and family members ask.
    We listened to their hospital stories.
    We explained our frustration at our patients being forced to share us with too many other patients.

    We let them know that all night, every holiday and weekend the sickest patients in town were cared for by nurses. Patients are admitted to the hospital because they need nursing care. That is the only reason.

    We worked on the campaigns of those who promised to support our safe staffing legislation.
    We interviewed candidates for office and ONLY supported those who promised to support safe nurse staffing for hospitals.

    Nurses 12 year campaign for safe staffing ratios:
    http://www.nationalnursesunited.org/...fight-0104.pdf
    Here is the law Governor Davis signed:
    ftp://www.leginfo.ca.gov/pub/99-00/b...chaptered.html
    Here are the regulations enabled by the statute:
    View Document - California Code of Regulations
    Please enjoy this video even if you don't read any of the above:


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