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California RN union, two others join forces to form new 150K-member association



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No. 10
from felixfelix
Old Feb 19, 2009, 08:50 PM

Default Re: California RN union, two others join forces to form new 150K-member association
well, at least all the new grads in the bay area who can't find jobs can now picket for the CNA...
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No. 11
Old Feb 19, 2009, 11:02 PM
Updated Feb 19, 2009 at 11:08 PM by Teresag_CNS

Default Re: California RN union, two others join forces to form new 150K-member association
I don't see why this is viewed by some as a move toward uniting nurses. The CNA and MNA are organizations that split from the American Nurses Association several years back. The UAN was rejected last year by many state affiliates of ANA over concerns about their leadership and guiding principles, acording to my state nurses' association (Oregon).

ANA provides professional services such as continuing education, certification and research funding in addition to collective bargaining. While there are parts of the new organization's goals that make a lot of sense, e.g., safe staffing, healthy work environments, these are values shared by ANA and most specialty nursing organizations. The CNA were actually rather hostile to the ANA and its state affiliates when I heard CNA representatives speak at a conference. I was not impressed.

I'll remain an ANA member because I value the services of an organized professional organization with a track record, not a labor union that is trying to divide the profession.
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No. 12
from herring_RN
Old Feb 20, 2009, 01:19 PM

Default Re: California RN union, two others join forces to form new 150K-member association
United American Nurses-National Nurses Organizing Committee is for direct care RNs who want safe staffing ratios codified in the law, the right to advocate in the exclusive interest of patients, and whistleblower protection for those who report unsafe practices to a regulatory agency.

The ANA does not support staffing by acuity of which there is a maximum number of patients a nurse may be assigned.
For instance no nurse should be assigned responsibility for more than two critical care patients.
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No. 13
from cjmjmom
Old Feb 20, 2009, 04:33 PM

Default Re: California RN union, two others join forces to form new 150K-member association
Teresag_CNS: I respect your opininion about the ANA however at my level, a staff nurse for over 20 years, I have not seen 1 thing the ANA has done for me or other staff nurses here in Ohio. I worked for a very brief time at a hospital that was unionized by the local chapter of the ANA and I read the contract. Although the pay was a little better than other hospitals, the contract itself seemed more sensitive to the hospital rather than to ITS MEMBERS!

NNOC-CNA know how to take action rather than sitting around for YEARS on end studying something and putting out position statements, only to change the statement when the wind blows a different way! NNOC is NOT trying to divide the profession, in my opinion we have been divided long before NNOC took on the national battle for ratios. Seems to me the ANA is a much more dividing force than any other nursing organization.

I have been to several events and have heard NNOC representatives speak and I WAS VERY MUCH IMPRESSED. They speak reality not lofty ideas.

The ANA has heard from its membership and has chosen not to hear its calls for change so of course another organization will become the one of choice for STAFF NURSES!!
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No. 14
from wjf00
Old Feb 20, 2009, 06:31 PM

Default Re: California RN union, two others join forces to form new 150K-member association
ANA was the driving force behind UAP's. An unmitigated disaster and an assault the nursing profession. The sooner the ANA fades away the better. Why doesn't the ANA just Merge with their Parent organization the AHA.
CNA/NNOC was the sole reason for Ratios in CA.
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No. 15
from yurnurse
Old Feb 20, 2009, 09:12 PM
Updated Feb 20, 2009 at 09:16 PM by yurnurse

Default Re: California RN union, two others join forces to form new 150K-member association
"I am a nurse in Southern IL what benefits are you refering to that IL nurses have. There is not a single hospital in Southern IL that the RN staff is union."

Oh, u misread my statement. I said hopefully we will see some of the same benefits given to us that the california nurses have. Sorry that was unclear
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No. 16
Old Feb 21, 2009, 10:47 AM

Default Re: California RN union, two others join forces to form new 150K-member association
There is power in numbers- and yes I would love to see the LVN/PN INCLUDED, thanks for this thread guys, afterall we know it's been needed for long time.......ONEVOICE UNITED! GO NURSES!!
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No. 17
Old Feb 21, 2009, 11:55 AM

Default Re: California RN union, two others join forces to form new 150K-member association
I should clarify that although I'm licensed as a CNS, I work as an educator, researcher and part-time staff nurse in a trauma ICU. So I do know the perspective of the staff nurse. I am far from an apologist for the AHA, and I do not see ANA as an organization with close links to them, as one writer said.

I also have reservations about ratios. If a maximum of 2 ICU patients is mandated, what is to keep the hospital from always assigning me two patients? The Oregon Nurses Association, an ANA affiliate, passed legislation (HB 2800) that mandates staff nurse involvement in decision-making using an acuity-based staffing system. I consider this far superior to mandated ratios.
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No. 18
from cjmjmom
Old Feb 21, 2009, 01:34 PM

Default Re: California RN union, two others join forces to form new 150K-member association
Ohio has passed legislation (HB346) as well that "mandates" staff nurses be on a committee regarding staffing. I believe this same piece of legislation is in many states...it happens to be the AHA and the ANA's response to ratios! Having this legislation on the books gives the appearance that hospitals will staff appropriately and we all know what the reality will be!


Here in Ohio the only requirements (for the "staffing" bill) are that 50% of the committee is made up of staff nurses...so that implies the other 50% is management, administration or maybe another discipline correct?? The staff nurses at the hospital I work are HAND PICKED by managers to be on the committee. These nurses are good at patient care however they are not the type who will question or challange authority. This so-called staffing committee is only mandated to convene yearly. There is NOTHING in the law about enforcement or what happens if the staffing committee's recommendations are not followed. The law is not worth the paper it's written on! It is deceptive, purposely deceptive.

There is room in ratio legislation which allows for acuity of the patient so if a patient requires 1:1 than that's what the patient will get.
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No. 19
from herring_RN
Old Feb 21, 2009, 02:29 PM

Default Re: California RN union, two others join forces to form new 150K-member association
The California regulations required for licensure of all acute care hospitals include acuity. These are direct quotes and a link to the regulations.
If the direct care RN who assessed the patient determines that the patient requires 1:1 then it is illegal for the hospital to force that patient to share his or her nurse with another patient.
I am so tired of hearing that the California ratios are "One size fits all."
It is not true.

...Licensed nurse-to-patient ratios represent the maximum number of patients that shall be assigned to one licensed nurse at any one time. ...
...In addition to the requirements of subsection (a), Tthe 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....
.... 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. ..

http://www.cdph.ca.gov/services/DPOP...ation_Text.pdf


There is much more. You can read the entire section.
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