Well our state nurses association DOES support our RN union. I was one of the thousands of women and some men who accomplished much. We have only just begun after 100 years. This organization was instrumental in initiating licensure of nurses. We are the first nurses union in the United States. My participation has mostly been in the last decade:
CNA has authored and lobbied hard for passage of precedent-setting legislation such as:
* First in the nation state mandated nurse-to-patient staffing ratios (AB 394)
* Whistleblower protection for healthcare providers
* $5 million dollars for nursing education
* State Department of Health Services Title 22 regulations addressing safe floating practices, competency validation and patient classification systems.
State Senator Sheila Kuehl,
Author of AB 394:
"When other organizations said nurse ratios were not important and the hospital industry said nurse ratios were not necessary, CNA enlisted the support of RNs throughout California and together we carried the day."
CNA's 10-Year Campaign for Safe Staffing Ratios
All of the following initiatives were introduced by CNA.
First ratio legislation, AB 1445
Proposition 216: Ratios were a core component of this HMO reform ballot initiative, co-sponsored by CNA. 3.2 million Californians vote for 216.
Staffing ratios bill (AB 695) wins approval in the legislature for the first time. Governor vetoes bill after extensive lobbying by the hospital industry.
AB 394 introduced by then-Assemblymember Sheila Kuehl. CNA gathers over 14,000 letters in support and commissions public opinion poll showing 80% public support for bill.
AB 394 passed by legislature after CNA mobilizes 1500 RNs for rally on steps of the Capitol on the day Senate votes on bill. Governor Davis signs the bill, making California the first in the nation to legislate staffing ratios.
CNA mobilizes over 2000 RNs for a rally in Sacramento demanding adoption of CNA's proposed ratios. The hospital industry proposes 1:10 for medical-surgical, telemetry and oncology units.
Governor Davis and the Department of Health Services (DHS) announce specific unit ratios. Hospital industry ratios soundly defeated.
With the DHS expected to issue the official regulations this fall, the hospital industry continues to push for higher ratios for ER, psychiatric units, and night shift and use of LVNs. CNA continues to mobilize massive public and RN support for adoption of DHS proposal, and all-RN ratios.
2004 January 1st, Implementation of ratios.
(MANY hospitals are already staffing to the ratios. Others are almost there. We want only an RN assigned to patients with LVNs in an assistive role. At hospitals that have implemented the ratios already all the LVNs are still working with better staffing and less threat to their license because the RN has time to assess the patients and plan the care (Nursing Process).