WhistleBlowers

Nurses Activism

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ANA Files Amicus Brief in Support of Six Nurse Whistleblowers

Washington, DC -- The American Nurses Association (ANA) has filed an amicus curiae ("friend of the court") brief on behalf of six registered nurses (RNs) from New Mexico who have chosen to stand together and act as whistleblowers regarding a physician whose alleged incompetent and unprofessional conduct is claimed in a lawsuit to have resulted in the death of a patient.

The six nurse employees of Memorial Medical Center in Las Cruces, NM, have agreed on ethical grounds to testify in support of the patients in a lawsuit brought forth by Thomas Smith and Irene Dockray against Lorraine Martinez, D.O., an obstetrician-gynecologist. Martinez is accused of negligence and incompetence involving Smith's wife, Deborah, who died from sepsis, a massive infection, after Martinez allegedly failed to treat her. She is also accused of permanently harming Dockray during a medical procedure. Memorial Medical Center has challenged the nurses' actions, citing a provision in state regulations that prohibits the sharing of any patient information, regardless of how it may be used.

The ANA, citing conflict and ambiguity in New Mexico law, has urged the court to protect the nurses, who are exercising their ethical responsibility. ANA argues that the application of the state regulation in question limits the ability of the nurse to report incompetent practice, which is a statutory mandate.

"The ANA is standing behind these nurses because we support the right of RNs to disclose, reveal and disseminate their concerns about care, even when health care institutions challenge such actions and threaten the job security of nurse whistleblowers," said ANA President Mary Foley, MS, RN. "The ethical stand these nurses are taking is supported by the ANA Code of Ethics, which provides nurses with principled reasons for taking such stands regarding issues of patient safety and competent practice."

According to court documents, the six Memorial Medical Center nurses had independently voiced concerns to their nurse managers regarding the care provided by Dr. Martinez, and noticed alleged deficiencies in her practice for several years preceding Smith's death. In addition, it is claimed that other nurses brought Martinez's alleged shortcomings to the attention of other physicians. But, according to the court documents, over a six-year period no action was taken by the hospital to investigate or correct the alleged deficiencies of Dr. Martinez's practice prior to the death of Smith and injury to Dockray.

Of particular concern to the nurse whistleblowers is possible retaliation by the hospital. After the case was filed against Martinez and the nurses agreed to testify, one of the nurses retired and later heard from other nurses that she had been blackballed by the institution, while a second nurse allegedly was offered a job in management after being identified as a potential witness on behalf of the hospital. Several nurses have since secured their own attorneys and have also turned to the New Mexico Nurses Association and ANA legal counsel for help. But Memorial Medical Center contends that its attorney represents past and present nurses, regardless of whether those nurses have consented to hospital attorney representation.

"The Memorial Medical Center case is particularly disturbing because it overwhelmingly points to the dangers and ambiguities inherent in a health care system that does not protect health care workers who speak up to safeguard their patients," Foley noted. "The nurses in this case were doing the right thing, but now they are being punished. That is why we need stronger state and federal protections for whistleblowing nurses and ultimately their

patients."

http://www.ana.org/pressrel/2001/pr0619.htm

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These nurses are testifying AGAINST the hospital & the MD yet the hospital is insisting that they use ITS lawyer to represent them! - even though the nurses have their own legal counsel thru their association & solely for their own protection & interests. WHY is the hospital trying to stop the nurses from using their own lawyers. Why would the hosptial try so hard to force the nurses who are testifying against it to use ITS lawyer to represent them. Could it be so the nurses can get the shaft? hmmmmmmmm.....

If anyone would like to send a note of support to the "New Mexico Six", can email:

E-mail: [email protected]

or visit

http://www.nursingworld.org/snas/nm

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In that case you will be able to vote - for State Association delegates, on bylaws & all other business. Check the voting times for convention. Read up on who is running for what in the association & what issues are coming up for votes. Vote into the leadership positions the STAFF RNs who are working in the trenches - especially the ones who have collective bargaining experience. Visit the website & do your homework before convention. As a member, you'll have a big responsibility there. Your votes direct the association for the coming year. A strong state association exists because of the committment & strength & of its members.

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The same has been said for the ANA but as youve just seen, no matter how many times we say it, people will just have to find out for themselves. Theres a lot of directions for you to go in the associations. Not the least of which is joining a state committee, practice, governmental, educational forum, etc, attending the ANA House of Delegates convention as an observer in Philadelphia next June & even running for delegate & leadership positions yourself after that.

Good luck in whichever you choose.

(and I hope we here had something to do with your decision!)

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It was big news - the Michigan Board of Nursing ruled that refusal of mandatory over time DOES NOT constitute patient abandonment.

The attorney general's opinion was asked for by the MI NA to cement the Boards ruling & pave the way for the defense of any Michigan nurse who in the future is charged by her employer with pt abandonment for refusing to work forced OT...

It was about covering all bases & strengthening the ruling. Maybe you missed the press release. It was in June........

FOR IMMEDIATE RELEASE:

Nurses Celebrate Attorney General's Opinion on Mandatory Overtime

Lansing - A nurse's refusal to work overtime does not constitute grounds for discipline, according to Attorney General Jennifer Granholm's opinion issued today.

The AG opinion strengthens the MNA-supported resolution unanimously passed by the Michigan Board of Nursing early this year, stating the refusal of mandatory overtime does not, in and of itself, constitute patient abandonment.

"This opinion is a victory for the thousands of nurses who provide health care to Michigan's citizens," says Marylee Pakieser, Michigan Nurses Association (MNA) President. "Coupled with the Board of Nursing resolution, this opinion strengthens nurses' rights in the workplace and affirms their ability to speak up and refuse to work additional hours."

At issue is the pervasive practice of regularly requiring nurses to continue working after their scheduled shift has ended. Many nurses work a 12-hour shift and are then mandated to work an additional four-hour shift, for example.

"The use of mandatory overtime comes up with each contract we negotiate for our members," says MNA Chief Labor Officer John Karebian. "Rather than increase wages and benefits, and improve the work environment to attract additional nurses, employers use overtime as a staffing mechanism."

"Obviously nurses are the core of patient care in our health systems. Forcing nurses to work beyond what they know is safe jeopardizes both the nurse and the patients," says Tom Renkes, MNA CEO. "We are unwilling to let this practice continue. This is part of our continuing push toward the elimination of mandatory overtime."

Flint Senator Bob Emerson (D) asked for the AG opinion at the request of the Michigan Nurses Association.

"We appreciate Senator Emerson's efforts and concern for nurses and the patient for whom they care," says Renkes.

To read the opinion, go to: http://www.ag.state.mi.us/; double click on "AG Opinions," located on the bar on the left side; scroll down until you see "Locate Opinion No."; type in 7084, which will bring up the header; then double click on 7084, which will bring up the opinion.

The Michigan Nurses Association, a constituent of the American Nurses Association, is the largest professional association and labor union for registered nurses in Michigan. MNA fosters high standards of nursing practice, promoting the economic and general welfare of nurses in the workplace, and lobbying the legislature and regulatory agencies on health care issues affecting nurses and their patients.

http://www.minurses.org/whatsnew.shtml

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Specializes in CV-ICU.

Julie, in Minnesota, the delegates are the only ones who can vote at our state convention, so I'm not sure if Helen will be able to vote or not-- it depends on what their bylaws say (I'm sure each state is different). In Minn., you must be elected to become a delegate, but if your name is written in on the ballot, there is a good chance that you can become a delegate if your District doesn't have all of it's delegates' seats filled (which happens; something about nurses not being able to predict the future 6 months ahead when they request time off). ;)

Yes, Helen, there is so much more to ANA than most people (even members!) are aware of. I've been on N-STAT in the past but am not currently just because of lack of time and too much paper and commitments to keep track of these days. I will be back involved with it again probably after the new year, when life should be a bit less hectic here.

The Michigan Atty. General's opinion was big news here in Mn., our MNA web site had posted it in their "News-Scan" email info (we have a media specialist at MNA (Mn.) who forwards nursing and health related news and info to members who are interested in this each day; the website has some of the more regional news items posted on it). Just trying to keep up with some of the nursing and health care news would be an ardent task each day without this service. I love it.

Anyway, take a good look at what Mi NA has to offer you and I'm sure you will agree that it "ain't the same" as what so many non-members keep thinking it is. Good luck.

I knew about the board ruling about mandatory overtime, printed it out and took it to work, made several copies and quietly dropped them off on the floors of BCHS. The Attorney General's opinion was issued just before going to DC. Got a kick out of the fact that it was one of the docs I work with that called me to tell me about it. I talk to the docs I work with alot. Have given out copies of some of the things Natalie has posted about the docs economics and the nursing shortage. That got some attention! :D Figure we need everyone on our side.

I live about 45 minutes away from Lansing, so I am going to just go to the MNA's office to sign up since that is where they are located. Figure that way I will have an opportunity to do a little chatting with someone. Then go from there.

So begins a new adventure. :cool:

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You might want to call & make an appointment first to be sure that a staff person handling membership is there when you get there.

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