DEBRIDE the SCABS

Nurses General Nursing

Published

Replacement nurses arrive to prepare for possible strike http://www.startribune.com/viewers/qview/cgi/qview.cgi?template=health&slug=nurs30

Alternately titled....

SCABS-R-US on the move......

Replacement nurses arrive to prepare for possible strike

Maura Lerner

Star Tribune

Wednesday, May 30, 2001

A small army of replacement nurses has started to arrive for training in the Twin Cities, as a dozen hospitals in the area brace for a probable walkout Friday by more than 7,700 registered nurses.For now, hospital officials are doing their best to keep the incoming nurses out of the public eye. They've scheduled orientation sessions for today and Thursday at secret locations and won't say where the nurses will be housed.

"It's a security thing," said Linda Zespy of the Children's Hospitals of Minneapolis and St. Paul."It's just the way that it's done with replacement nurses," Zespy said.So far, no new talks have been scheduled. But the hospitals called on the Minnesota Nurses Association on Tuesday to let its members vote on the latest contract offer, which the union's negotiators rejected last week."The hospitals have heard from some of their nurses that they would like the opportunity to vote on the proposals," said Shireen Gandhi-Kozel, spokeswoman for the Minnesota Hospital and Healthcare Partnership.She said four of the six negotiating teams, which represent nurses and managers at the 12 hospitals, agreed on staffing, which is one of the thorniest issues.

The main stumbling block was money, she said, with the hospitals offering a 19.1 percent increase over three years and the union seeking a 35 percent increase."We're asking the Minnesota Nurses Association to put the proposals to a vote," she said.But the union said it has heard no such request from its members. "That's the intent of the hospitals, to override the negotiating committee," said Jan Rabbers, the union's spokeswoman. "But what they'll find is that the membership is the one that's driving the demands." On May 17, the nurses voted overwhelmingly to reject the hospitals' contract offers, which included an 18 percent raise over three years. But nurses say staffing levels are a major issue because they're often stretched too thin to care for patients safely.Hospital officials said replacement nurses would need a day or two of training before replacing the striking nurses Friday. They scheduled the sessions off-site, at secret locations, to keep them away from any possible harm.

"I can understand why they wouldn't want to disclose the location and have 10, 20 media people descend on them, as well as picketing going on outside," said Gandhi-Kozel. "The primary focus is to make sure that they receive education, and we need to have a productive environment for that to happen." Hospital officials said that the replacement nurses, hired by agencies that specialize in strike staffing, have a minimum of two years' experience in hospital care and an average of five to 12 years in their specialty areas. "Whether we're talking about physicians or nurses, we have national standards," said Dr. William Goodall, vice president of regional medical affairs at Allina Health System, which owns four of the affected hospitals. "So if you are a degreed and licensed RN, it's highly likely that you're competent to begin with." Thousands of replacement nurses will be arriving, although the hospitals won't say just how many. They will be expected to work 12-hour shifts six days a week, hospital officials said.

In return, they'll get $40 an hour, plus free housing, transportation and other perks.At HealthEast's three hospitals, 340 visiting nurses are expected to replace 1,100 striking nurses, many of whom are part-time. And the two Children's Hospitals expect 300 replacement nurses to help fill in for the 1,200 or so who will go on strike. To help orient them, officials have brought ventilators, IV systems and other hospital equipment to the off-site training location, Zespy said. "It won't be the same; we want our nurses back," she said. "But in the meantime, we'll assure the high-quality, safe care that we're known for."-- Maura Lerner is at [email protected] .

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© Copyright 2001 Star Tribune. All rights reserved.

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Christina Terranova RN, LNC

Our Unity is our Power www.geocities.com/nurseadvocate

www.florenceproject.org

The Florence Project, Inc.

With all due consideration for the opinions posted here, I remain firm in my stand, and that of others, to refer to call those that choose to break a union line a SCAB.

In reference to talk of choices, I say CHOOSE not to belong to a union, CHOOSE to watch your patients suffer helplessly, CHOOSE to let your license be ripped from your hands due to poor workplace conditions, CHOOSE to risk civil or criminal prosecution due to the unsafe staffing conditions, CHOOSE to accept less pay for your professional time-if you like. It is your choice.

Those of us that CHOOSE otherwise, CHOOSE to stand up, CHOOSE speak out, and CHOOSE to fight back do so. Those if us that CHOOSE collective bargaining to facilitate meeting the standards of practice in our hostile workplaces follow the federal laws of the NLRA, and make every attempt to bargain in good faith. If management refuses, we then CHOOSE, by democratic membership majority vote, to strike.

We then CHOOSE to risk our livelihoods, jobs, families, health [by losing health insurance] economics, etc.-by standing out on the street in the name of what we feel is fair and right for our patients, and our professions. Not for the moment, but for the long run. The future.

CHOOSE to walk the other way, and not join in, and I say Gods speed to you.

CHOOSE to walk over the line and betray and disgrace our hard efforts, and then I call you SCAB.

This fight is not for the weak at heart. A strike vote is not an invitation for tea and cookies. It is rough, it is harsh, and when my colleagues, east west or in between feel the need to do so, I respect their judgment, their efforts, and will stand by them.

Name calling? No. It is real and frankly a fair and actually kind term for how I and many others actually regard SCABS.

Debride the scabs, and let management bargain in good faith with their own nurses.

My opinion, of course,of which I am most fully entitled to.

first off the site did NOT go underground, it is: www.scab.org, no s on the end of scab. Second of all I live in a free country, and I have the Right..no more like a responsibility to think for myself and chose to strike or work, I chose to work and under no circumstances does that give you the right to deride me or accuse me of undermining you. This is the USA, a democratic nation, not a socialist nation and I have my rights also.

www.scab.org

[ June 01, 2001: Message edited by: Dplear ]

Specializes in CV-ICU.

Dplear, I have chosen to work at my current hospital in CV-ICU for 22 years out of the 32 years I've been an RN. For most of those years, I have loved this job and have really enjoyed the work, the patients, and the atmosphere here. I currently work straight nights, and for working there all of these years and being certified as a CCRN and ACLS, I make slightly over $50K a year. On straight nights.

In the past 3 years, there have been some management decisions which are impinging on my ability to practice the same type of safe, high quality nursing care that I believe each and every patient deserves. I had always felt in the past that this hospital allowed us to treat our patients with respect and dignity.

In the past 3 years, however, the type of patients we are caring for has changed. They are much older and sicker; they are admitted to the hospital on the day of surgery, so the nurse has less chance of assessing each patients' learning needs and what their support system is; and these same patients are discharged home sooner and much sicker than they were 3 years ago.

Over the past 2 weeks, our night ACNM was on vacation and each night I worked I had to work charge in his place. On a 22 bed unit (with an average census during these 2 weeks of 18-22 patients/night); we had 10-12 patients each night that were between the ages of 80 and 93, recovering from heart or vascular surgery. And many of these patients were in our unit for just the one night- the "fast track" policy doesn't take into account geriatrics special needs.

The hospital administration has refused to let nurses work full time for almost 20 years; they preferred to have several part time nurses instead of 1 nurse filling each FTE because they could plug us in to their weak spots on the staffing schedule whenever they wanted. These past 3-4 years, we have had less and less chance of getting vacation when we wanted; even with seniority we have to turn in our vacation requests 6 months in advance. NOW they WANT us to work full time-- to relieve the shortage they have created!

Now add to these decisions the fact that there is a nursing shortage and my unit loses usually 3-5 highly skilled nurses a year to anesthesia school, AND there are 7 FTEs which have not been filled in over a year (which our NM said is about 12 nurses). And we are a unit that nurses want to work on; but there just aren't any nurses available. Our contract does not allow MANDATORY overtime; but we can work voluntary overtime all we want. We are short staffed; everyone tries to pick up the slack by working an extra shift or 2 (or 3 or 4) per pay period.

Suddenly, we are all becoming tired; and workplace injuries are occuring. I fell at work back at Christmas time; and my hip is not back to normal yet, so I still have a work restriction. Out of my 70 co-workers on my unit, about 26 could retire within 5 years if we decided to take the "rule of 85" option (we are not a bunch of spring chicks here).

There is no one to fill our shoes; there is no endless supply of nurses out there to replace us. Why shouldn't we ask for a higher salary to entice nurses back to the bedside? Why shouldn't we ask for a cap on how much we have to pay for our health and dental insurance (for the last 9 years, our raises in our contracts have been eaten up by the raises in our co-pays on benefits).

And when we say we can't handle one more patient on our unit, why can't we be the judge of that? There should be no reason that the nurses who are at the bedside at the time can't make that decision. We often don't get breaks-- indeed, nights rarely gets out of the patient care areas to eat a normal meal.

The hospitals here were very disrespectful when it came to bargaining for new contracts. Aside from being rude at the bargaining table, they refused to compromise on patient safety, health benefits, longevity, and even pensions. We were told to accept the pension that was offered to us (0.5%) because if we didn't, they would withdraw the offer. The hospital chose to misrepresent facts to the media, break some labor laws, and lay off non-nurses staff hoping to divide the employees and nurses.

So when we protest the work conditions and vote to strike because administration is not bargaining in good faith; WE should be HAPPY that you are exercising YOUR RIGHT to come in here and strike break?

Sorry, Buddy, but we will not be at all happy that you are in collusion with a system that is potentially harmful to our patients. We do not want to harm our patients.If it was your parents or grandparents in the bed, wouldn't you want the nurses who work in that hospital to be able to care for your relatives appropriately? To make the assessments necessary to give good care to your relatives? To make the discharge plans needed? If it was you laying in that bed, wouldn't it be a comfort to you to know that there are enough nurses to give you decent care and adequate teaching? Or if you are young and healthy now, wouldn't it be nice to know that there are good salaries in nursing for future nurses?

This is what we are facing now here in Minnesota. I don't believe a single strikebreaker knows or even CARES to know the facts about our reasons we voted to walk. To strikebreakers, this is just fast money; not an investment in the facility and community. It occurs to me that strikebreakers prostitute their nursing skills to the highest bidder for short periods of service. No commitments; just the old "slam, bamm, thank you ma'am" and off you go to the next strike. That should make a strikebreaker feel very proud of the "services" they provide.

I don't like feeling like an indentured servant; but at least I'm not prostituting my nursing skills.

Jenny P,

I can sympathize with your postion in being understaffed, as I too have worked in locations that have and are still understaffed, but I still firmly believe if the way you want to change something is to first look at yourself for change. If you are not happy with your current situation, change jobs. Yes it is that easy to do. You saqy you want safe staffing levels, well I cannot argue with wanting that at all, we all want safe levels and I pray that someday we can get them, but to make that happen the hospital has to realize that they need more nurses, and the way for that to happen is not a strike but rather the nurses,leaving and finding different jobs. When enopugh nurses leave and they have to shut down units they quickly realize they need to staff better, thus you have your change. Any promises that are met out at a bargaining table can quikly go the wayside, even with a contract, they hospitals will just say sue us, the case might make it to court in 5 years if you are lucky. the best way to effect a change is on the lowes level possible and that is the personal level. So until there is no more strikes I will continue to work strikes.

Originally posted by Christina Terranova RN:

With all due consideration for the opinions posted here, I remain firm in my stand, and that of others, to refer to call those that choose to break a union line a SCAB.

In reference to talk of choices, I say CHOOSE not to belong to a union, CHOOSE to watch your patients suffer helplessly, CHOOSE to let your license be ripped from your hands due to poor workplace conditions, CHOOSE to risk civil or criminal prosecution due to the unsafe staffing conditions, CHOOSE to accept less pay for your professional time-if you like. It is your choice.

Those of us that CHOOSE otherwise, CHOOSE to stand up, CHOOSE speak out, and CHOOSE to fight back do so. Those if us that CHOOSE collective bargaining to facilitate meeting the standards of practice in our hostile workplaces follow the federal laws of the NLRA, and make every attempt to bargain in good faith. If management refuses, we then CHOOSE, by democratic membership majority vote, to strike.

We then CHOOSE to risk our livelihoods, jobs, families, health [by losing health insurance] economics, etc.-by standing out on the street in the name of what we feel is fair and right for our patients, and our professions. Not for the moment, but for the long run. The future.

CHOOSE to walk the other way, and not join in, and I say Gods speed to you.

CHOOSE to walk over the line and betray and disgrace our hard efforts, and then I call you SCAB.

This fight is not for the weak at heart. A strike vote is not an invitation for tea and cookies. It is rough, it is harsh, and when my colleagues, east west or in between feel the need to do so, I respect their judgment, their efforts, and will stand by them.

Name calling? No. It is real and frankly a fair and actually kind term for how I and many others actually regard SCABS.

Debride the scabs, and let management bargain in good faith with their own nurses.

My opinion, of course,of which I am most fully entitled to.

You have offered an either/or choice situation and I firmly believe there are many more choices available to us. I personally choose to have a successful, fulfilling career and be financially sound at the same time without depending on an outside source for it. I depend on me. That is my choice. I have stood up for me and for my colleagues and we are heard. We offer a different option to the healthcare community and to the public and are well received. We don't have to walk off the job to get what we want. We simply ask for it.

regards

chas

Dplear and Jenny, I support each of your's right to do what you think you must. It is, for me, that difficult and that simple.

I think when a whole city's worth of hospitals involving, what, 8 or more hospitals strikes, nurses are saying, "This is one sick system. There is no refuge where I can go to give Safe Care. I care about my community and this is what I must do." And I disagree that imported nurses dilute this message because those traveler nurses are there to fill a gap. They deliver the babies that are stupid enough to be born during a strike, take care of the MI patients who were union-insensitive and occluded their coronary arteries anyhow during that time. We as nurses know that not all patients can wait until after a strike to need us. But they (the imported nurses) are not committed enough to the community to want to stay there over the long haul, no matter how good the money. Sooner or later they will travel on to a place where there are new adventures, where they don't have to deal with the unit hassles (a true advantage of being a traveler). They are not, at their high cost, meant to be a sustainable solution, but a stop-gap measure. [Please don't think I disparage the traveler nurse. You serve our communities on the short term and through some critical times but you _choose_ to be a traveler.] But the message of the nurses who live and vote in that community comes out louder. They are saying, "This city's hospital system is so unsafe, so scary that I was left with nothing else to do but strike."

Do not focus your energy on these nurses that come in to fill the gap while you make your very important points with YOUR community.

And please, watch your words. We have to work with each other in the not so distant future. We need all of each other.

And Charles, while I have taken a leaf out of your book and given myself more options in nursing practice, the real plight of the bedside nurse concerns all of us. Someone has to be there--for us, for our families when we need those services. In total, I believe it when these nurses say they have tried to jimmy the system, work with the system, move around the system, but everywhere they turn, there are grave problems. We hear the grindings of a dying system. But nurses must advocate for themselves and their patients. But please don't second guess your colleagues who, during this time, feel that their place is at the bedside.

The reality is someone has to be there, even now.

Solidarity is such an important issue when a group of workers decide to walk off the job and fight for better working conditions and pay. The working conditions that union workers were fighting for in the early part of the century were things that we now take for granted, such as a forty hour work week. They also fought against child labor and horrific working conditions. I firmly believe in and will stand by the American worker and will not cross a strike line, no matter who it is. I still do not respect a strike-breaker, relief worker, opportunist, or whatever you want to refer to them as. For me they are still SCABs! If this makes me a bad person, then so be it.

The real injustice is, not only are these scabs benefiting monetarily by working at these striking hospitals, but they also will reap benefits in the future from what these striking nurses are fighting for.

[ June 02, 2001: Message edited by: feistynurse ]

The problem with strikebreakers and strikes in the US is the problem with nursing: NO UNITY. (Notice I didn't say "union"). Unless a profession has similar goals and sets about achieving them together, the gains are going to be small.

As an aside, what does happen to emergency patients that need care during strike time? We are in the middle of a job action in my province and no one can undermine it because all nurses who work here are in the union. They can't bring in travellers because to work here you need to have membership in the union. We are not working any overtime or doing non-nursing duties. Thousands of elective surgeries have been cancelled. BUT, in the event of an all out strike we have to maintain "essential services" level of staffing. Don't you?

And I don't see how people can get mad that others express their opinion about strikers or strikebreakers. The name calling goes both ways (Both sides are just greedy and don't care about patients :rolleyes: ).

Specializes in CV-ICU.

Dplear, I was raised by my aunt, a woman who taught me to stand up and fight to CHANGE problems, not to run away from them. Going from one hospital to another in a sick system will never fix the underlying system, that can only be done by those who stand up and say "this is broken, and we need to fix it."

MollyJ, There were originally 13 hospitals in this large group that were under the MNA collective bargaining agreements here in the Twin Cities (1 hospital settled at the first vote). There are 4 other hospitals (including 2 level 1 trauma centers) where people could go for care. When we served the intent to strike notice, the hospitals were given 10 days to lower their census and transport patients to the other hospitals in the area, or sit down at the negotiationg table and bargain fairly with us. They chose to hire strikebreakers; not negotiate at the table, but rather through the media, spreading misinformation instead until their cartel broke up and 3 smaller hospitals settled(whom a strike would probably bankrupt-- Gee, do you suppose THAT is why the larger corporations wanted a strike? I wonder!). Then the 2 Childrens Hospitals' doctors went to their boards and insisted on them settling because of the children being too sick for strikebreakers to care for. In theory,no one would have had to be at these remaining hospitals.

Christina, I was being facetious and pointing out the fact that this is what each side calls the other. The strikers are called selfish because they "desert" their patients. The strikebreakers are called selfish because they want the big bucks. Both sides argue they are "doing it for the patients".

JMP,

I thought all nurses in Canada were essential services. Didn't the Quebec nurses break the law when they went on strike? I remember they were fined huge amounts of money for not going to work after a judge ordered them back.

Originally posted by MollyJ:

Dplear and Jenny, I support each of your's right to do what you think you must. It is, for me, that difficult and that simple.

I think when a whole city's worth of hospitals involving, what, 8 or more hospitals strikes, nurses are saying, "This is one sick system. There is no refuge where I can go to give Safe Care. I care about my community and this is what I must do." And I disagree that imported nurses dilute this message because those traveler nurses are there to fill a gap. They deliver the babies that are stupid enough to be born during a strike, take care of the MI patients who were union-insensitive and occluded their coronary arteries anyhow during that time. We as nurses know that not all patients can wait until after a strike to need us. But they (the imported nurses) are not committed enough to the community to want to stay there over the long haul, no matter how good the money. Sooner or later they will travel on to a place where there are new adventures, where they don't have to deal with the unit hassles (a true advantage of being a traveler). They are not, at their high cost, meant to be a sustainable solution, but a stop-gap measure. [Please don't think I disparage the traveler nurse. You serve our communities on the short term and through some critical times but you _choose_ to be a traveler.] But the message of the nurses who live and vote in that community comes out louder. They are saying, "This city's hospital system is so unsafe, so scary that I was left with nothing else to do but strike."

Do not focus your energy on these nurses that come in to fill the gap while you make your very important points with YOUR community.

And please, watch your words. We have to work with each other in the not so distant future. We need all of each other.

And Charles, while I have taken a leaf out of your book and given myself more options in nursing practice, the real plight of the bedside nurse concerns all of us. Someone has to be there--for us, for our families when we need those services. In total, I believe it when these nurses say they have tried to jimmy the system, work with the system, move around the system, but everywhere they turn, there are grave problems. We hear the grindings of a dying system. But nurses must advocate for themselves and their patients. But please don't second guess your colleagues who, during this time, feel that their place is at the bedside.

The reality is someone has to be there, even now.

Molly...I could not agree with you more about the plight of the bedside nurse. I am there working at the bedside too. I work side by side with nurses who are struggling with important life decisions, not only patient and work decisions. I applaud anyone who makes a choice for her/his own nursing life and even if I dont value the decision, I can still support it for them....just not for me. My approach is to help folks look for all the options possible and not be locked into an either/or situation, which by its very nature leads to confusion and discontent. I love nursing, always have and always will...but now is my time to help others find a less frustrating, more satisfying way to have a great nursing career. I want nurses to be there when I am in need, just as I have been for the last 30+ years. I am getting close to the time when I will need nursing care. My legacy must be one that helps reshape this profession even if it is "one nurse at a time". I make no distinction between the nurses who were to strike and the nurses who would come to relieve the strikers. Both groups have important missions to fulfill. What I would prefer, however, is to see the negativity associated with both groups and the overt conflict between the groups ended. Like you said...stop the name calling. We must stand together at the end of the day.

best regards

chas

Gee, before this discussions goes away and is forgotten- someone please update us when it is over to see if the strike was effective- I have heard nothing about it until I read this BB. I am skeptical about the effectiveness of striking- I have no other knowledge except what has happened locally- and that is NOT MUCH CHANGE- after a whole lot of trouble.

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