Is this any way to retain nurses?

Nurses Activism

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Soooo..... We've been unionized with our state nurses assoc since 1983, with significant monetary and professional standard contract gains ever since, and once again are in negotiations with the hospital for a new contract. Is it just us, or does anyone else get the impression that this hospital is doing all it can to drive our nurses out of their jobs???......

On the first day of the first negotiating session, in its opening statements, the hospital refused to recognize some of the RNs on our negotiating team - which had been elected by the rest of the staff RNs to represent them - and refused to release them for negotiations, even though it is required to do so according to our contract. So, in the first 5 minutes of the first negotiating session, the hospital committed an illegal act & we had to stop to file a grievance for arbitration. Nice way to set the tone.

They canceled the next session and gave us dates to meet only once a week. They have given us dates into September, so they apparently have no plans to settle this contract quickly. It expired in June.

At the following session, they announced that recruitment and retention is their focus - BUT they specified that they meant recruitment & retention of new grads. In keeping with that, they proposed to cut the experienced RNs' tuition reimbursement in half & apply that money to establishing sign on bonuses for new grads. They blatantly said they want to be able to take money from experienced nurses & give it to new hires who already start with a base of almost $60,000/yr right out of school. Nice slap in the face for the nurses who already work here.

Then our hospital is refusing to implement retirement benefits that our union RNs have obtained at other area hospitals and, to add insult to injury, is also insisting on cutting its contributions to our retirement annuity plan in half. They also do not want to allow new hires to be vested in 3 years, as the rest of us are, and want to create a 2-tier system by forcing new hires to wait 5 yrs for vesting. So they can work 5 yrs worth of wasted time with nothing added to their retirement funds.

It's insisting on reducing our medical benefits and wants to make us start paying for them too. And it wants to deny new hires the immediate medical benefits they are currently entitled to - forcing them to work more than a month with no benefits at all. Theyll just be out of luck if they get hit by a car on the way to work. What incentive is there for a new nurse to work here when they are more valued at the next facility?

The hospital also wants the right to change our medical benefits plan and providers whenever it feels like it. It's prevented from doing that now.

It's also refusing pay increases in experience, education, charge, shift, or preceptor differentials and offered only a 2% raise. It wants to cut our continuing ed days and reimbursements. It got rid of all the clinical nurse specialists and expects the staff RNs to assume that role for new nurses - without compensation and without a decrease in the RN's pt load. It refused to increase pay for outside experience and insists on being allowed to continue paying a newly hired experienced nurse for up to only 10 years of her outside experience, while we have gotten hospitals all around us to do away with that ceiling and they now pay the nurse for ALL her years in nursing. This hospital also wants to cap the salaries of its own long-time nurses and stop their current increases paid for anything over 25 years at this facility - no matter how long they work there. Again, not competitive with our other hospitals that now recognize and compensate the RN for all her years in nursing. Whats the incentive for an experienced nurse to work here when she is valued more at the next hospital?

The hospital is violating the contract restrictions on mandatory ot pending the arbitration hearing on the matter. It also wants cuts in sick time and retribution against us if we use a sick day. THEN, if we have a sick day, but work an over time shift in that same pay period - mandatory or voluntary - they want to only pay us straight time for the OT and not count the sickday hours in the calculation. We envision the supervisors searching the rolls for anyone who had a sick day that week. We forsee that that's the person who will be mandated to work OT so the hospital can save on the time and a half payroll expense.

There is a punitive atmosphere of intimidation and nurses are suddenly being disciplined for every little thing (like thats really going to scare us into backing down). For example, a unit secretary didnt do her paper work "in a timely fashion" so the NURSE was disciplined. An neurosurgical RN was floated to a med-surg floor & paired with a nurses aid who was floated from mother/baby. An order was written for a lab draw on a pt at change of shift. Lab techs have been laid off & the nurses aid is expected to do those jobs. The RN was still busy with pt care. The mother/baby aid was not certified to draw labs so the RN delegated the lab draw to the aide coming onto the next shift. She gave report, alerted the next RN, stayed late to finish her charting, reminded the aid & the RN about the labs, and went home. She was then written up for not drawing the labs herself before she left.

The grievances will get all these ridiculous disciplines thrown out, but the effect that nonsense like this has on morale is not so easily fixed. One nurse reported a patient safety problem in his unit to our union delegate. That nurse was then harrassed by management and fired. That was illegal and he will win his job back, along with back pay once the arbitration is heard - but he will not accept the job back - and we lost another excellent RN. There are all these grievances, arbitrations, and Unfair Labor Practice charges filed with the NLRB up the wazzoooo, but the hospital doesnt seem to care.

It's demanding that we allow nurses to be disciplined if there are any doctor complaints about them or their unit or if their unit's Press Ganey patient satisfaction surveys are not improved - even though doctors' and patients' complaints usually stem from the fact that there isnt enough staff - and that is not the nurses fault - but the hospital is demanding that we actually agree to hold ourselves responsible for it. It also wants to be able to force the nurses who have received complaints or nurses on units that have not improved their customer satisfaction surveys to attend "customer satisfaction" courses - on our own time and at our own expense as punishment.

In this current round of contract negotiations, the hospital is even demanding the elimination of our clinical divisions and wants to be allowed to have unrestricted floating, irregardless of whether the RN has training in the area she is floated to or not. Thats something we did away with 20 years ago! But the hospital wants it back. It's refusing to implement 12 hr flextime on units that dont already have it, even though our contract allowed for alternative work schedules and required the hospital to consider it on any unit where the RNs want it. Although they agreed to that long ago, the hospital has refused to abide by it - another violation - and told us to "take it to arbitration".

Ok. Done.

It also wants to change our hard-won staffing ratios - because there is no state law that says they must have staffing ratios. (our union's nurses wrote the bill for that state law, got it into the legislature, but it hasnt yet been passed, therefore the hospital is not yet forced to provide staffing ratios by law). So, they want the critical care RN-to-pt staffing ratio changed from 1:2 to make it 1:3. They want the med-surg and oncology ratio to go up to 1:8/9. They want the L&D ratio to be 1:2 instead of 1:1. They accused the nursing staff of slacking off on the job and think we dont have enough work to do to justify our salaries if we dont have that many patients to be responsible for. Instead of instituting measures that would make the place one that nurses want to work in, being able to attract, hire, and keep the staff we need, the assistant VP of Human Resources shrugged his shoulders and actually stated "We dont have the staff for the current ratios. They need to be changed because we dont have the staff. If you force us to comply with your ratios, we'll just mandate YOU with ot to meet them".

Cant even call that a "hidden" threat.

With all the media attention on why nurses are leaving hospital jobs, youd think this kind of attitude towards nurses would be past us & administration would be eager to find ways to bring us back to the bedside. No such reality here.

Why would any nurse want to work at my hospital? Maybe the fact that they wont doesnt matter. The hospital is also demanding to eliminate our entire long-standing job security clause from our contract. Hmmm... does that mean Lay-offs are planned??

After hearing all these proposals, I thought they were joking. Our jaws hit the floor when we realized they werent. We asked if they read the newspapers lately and if they knew what the reasons were that RNs do not want to work at the bedsides anymore.

The corporation VP told us to our faces: "This is a business. We have to run it economically and do whats best for the business. We are not going to lose in business just for some RNs. If we dont have business - YOU dont have a job."

We responded:"Without nurses, YOU dont have a business".

And that was the end of that negotiations session.

I cant believe that they actually had the audacity to seriously make these kinds of demands of us in this time of bedside nurse shortages - and in the same breath state they are "focusing on retention". How is any of this going to attract nurses & keep them working here? Its just going to drive them straight to the hospital around the corner or down the street, where the RNs are in the same union and the hospital administration there does read the newspapers.

Bear in mind that if we were not a union, the administration could have made all these changes already all by itself & we'd already be living with it all. But since we ARE a union, they cant do any of it unless we agree. And we dont. The hospital so far will not change its position or even listen to reason, so the nurses are already demanding that our union take a strike vote to make it listen. This is how hospitals provoke and cause nurses strikes.

Our hospital just posted about 30 vacant RN positions. Some had been filled just a few months ago but those nurses have already left. And it thinks that while its doing all of the above, sign-on bonuses for new grads, with money stolen from experienced nurses, are going to make a difference.

The hospital has the attitude it has towards nurses, makes the kinds of contract proposals and demands that it has just made, and then cant understand why it cant fill the spots & keep them filled.

Well... duh.....

I am a staff RN in the ICU and am on the negotiating team. Yesterday I kept getting called to the phone to take calls from staff nurses all over the hospital wanting to make it clear that, if the hospital doesnt move off its stance, the nurses are ready to take a strike vote & authorize our union to schedule a strike, rather than allow any of the hospitals demands as they are. (The union takes direction and its orders from the staff nurses - it's not the other way around)

Another negotiating session is tomorow.

I just cant wait to hear what the hospital has come up with to show how much it disrespects & devalues us next.

Specializes in cardiac, diabetes, OB/GYN.

Hospitals don't care about nurses. They care about bodies to take care of patients, who are reasonably intelligent in order to avoid lawsuits. They don't want unions to be active let alone present because that impacts on their ability to boss people around and give them the least of all benefits. I have been around long enough so nothing surprises me...When we have continued to keep the union active and working, the benefits far outweigh the bad things, however badly they are treated it is best for nurses to not take things management throws out personally...Have to treat it like a business and demand the respect you deserve...They certainly don't care. It is all about money and how much they can save to pay themselves coupled with how much they can take away from you (us)...

"So instead of petty bickering over some contract, why not stand up and look for ways to create a win-win situation, demonstrate with quantitative data how nurses help the hospital improve itself and deliver high quality care that people will return for, show how nurses GENERATE revenue not consume resources...." (ainz)

I believe that answer should be painstaking clear to all administrators. If your hospital doors are still open we ARE generating revenue. Nurse are constantly told that we are the largest cost center of the hospital and therefore it is understandable why that's where cuts are being made. What they fail to realize is that we are THE largest revenue generators. The brass tacks of it all, hospitals sell nursing services and without us they don't have a business. Adminsitration knows this, nurses are begining to learn this, henceforth, changes are coming as we learn that we no longer have to put up with unsafe conditions and there are ways to deal with this problem. Striking is not something anyone wants to do, nurses included, HOWEVER, by the time a strike is imminent, it means that we have already gone to adminsitration with suggestions...etc and they refuse to listen. Problem with that choice is that nurses aren't backing down anymore, we're learning to play hardball. I had a good friend of mine, who is also an employment attorney tell me one time that "all these places understand is a baseball bat to the temples." Tis so true, unfortunate, but true.

Originally posted by -jt

sooooo back to my initial question.....

Is it just us, or does anyone else get the impression that this hospital is doing all it can to drive our nurses out of their jobs???......

Maybe they just want to drive certain pro-union nurses out of their hospital.

jt-the hospital's demands are just a smoke screen. After 20 years of dealing with NYSNA, they obviously know there is no way they will be able to actually get an agreement that accepts all these changes. So the possibilities are these:

1) figure out what the hospital REALLY wants (their bottom line); the rest of the demands were just to make you feel they are actually "negotiating" when they agree to drop those "demands"

or

2) figure out if the hospital is actually just attempting to union bust so they can implement ALL their demands.

Then work from there. In neither scenario however, do I see "recruitment and retention" of ANYONE as their main objective (except perhaps the admin & shareholders).

It sounds like you have a good fight ahead but stay strong. You have a lot of support-myself included. I will pray that negotiations actually take place and that you are able to avoid a strike.

Good luck today, I am rooting for you!

THANKS. Thats what I wanted to know cause thats how I was seeing it too. We know how to deal with the situation but just wanted to know if maybe we were missing something when we couldnt see how the hospital actually expected to do all that & still have ANY nurses. Thanks for confirming that we arent the crazy ones.

Specializes in Gerontological, cardiac, med-surg, peds.

They are truly wicked, jt. Thank God you have a union. I wish ALL hospitals had unions, especially the ones down South. We have nothing in place to protect us from administration's whims and power trips and we can only answer with our feet.

Specializes in MICU, neuro, orthotrauma.

jt,

Will you journal in this thread what happens? I would really appreciate that. And as my only suggestion, I would say that it is a waste of time to be livid about this. Disrespect is par for the course in business. It's not personal. Each of you is on one side of the ring, as it always is in business and you have to size up the strengths and weaknesses of both yourself and the opponent.

It might be fun for you to read "The Art of War" by Sun Tzu. http://www.amazon.com/exec/obidos/tg/detail/-/0195014766/103-7485282-8201465?vi=glance

I am excited to know how the proceedings go. Thank you for posting what is happening so thoroughly.

kathy

Specializes in ER, ICU, L&D, OR.

I see the Union sympathizers are at it again

I would be very hesitant to even look at a job w/a hospital that had 30 vacant postions!!!! That just screams: "nobody can stand to work here!" GREAT comeback though about the no business without nurese. Did they think that the docs were going to pass meds and ambulate pts.????

Make that 41 vacant positions as of the latest in-house posting. Who knows how many more there really are that still havent been posted yet.

The hospital is livid because the nurses wont give it permission to institute sign-on bonuses for new hires. The hospital threatened to do it anyway. We informed them we will file an Unfair Labor Practice if they do. They accused us (the RN staff) of "just being difficult". But their sign-on bonuses would be coming from money taken from the nurses who already work there & would just be thrown away when those new hires get fed up & leave too. The hospital is ignoring all the data that proves sign-on bonuses have not worked as intended.

That money could be better used to fix the things that will KEEP nurses working there. But they want these sign-on bonuses at the same time they also want to abandon our staffing ratios & have us agree to new ratios that increase our pt load. They want us to agree to unlimited floating and unrestricted mandatory ot. Like any of that is ever going to happen. I just dont know how they think sign-on bonuses are going to change anything if the nurses have to kill themselves with those conditions in order to get it. It will just become a place where people say "you cant pay me enough to work in that hell hole". So until they start spending some bucks to improve the workplace, we arent permitting any kind of sign-on bonuses.

They replied (warned? threatened?) that they will look into recruiting from over-seas. I guess then they wont have to offer any sign on bonuses at all. But where will they get their travel budget from? No doubt they intend to take money from the nurses already working here for that too. Wouldnt it just be easier to fix the problems - starting with their attitude towards nurses? Dont they wonder why the hospital down the street & the one around the corner have better RN retention and are applying for Magnet status? All this trouble theyre going thru to figure out a way to recruit nurses without having to repair the workplace environment enough to attract & keep them. And then they wonder why we laugh when they say "there are no nurses to be found".

Their other big focus is "Customer Satisfaction" which they want to add to the Staff Development section. What does that have to do with staff development??? At the last session, while they kept saying "this is not meant to be punitive", they also insisted that we be forced to take customer services classes at our own expense & on our own time if we get any MD or pt complaints against us or if the pt satisfaction surveys show decline on a unit. Sure sounds punitive to me.

With all the variables that go into pts being dissatisifed (like their meal tray was late, or cold, or missing the coffee, or the staffing sucks and they had to wait for their ice pitcher to be filled or the linen supply has been cut and they couldnt get an extra blanket), we are not going to hold ourselves responsible for that. So the hospital is pissed because we wouldnt put "Customer Satisfaction" and their discipline in our contract. We offered a counter proposal to go into our Staffing section instead - stating that the hospital agrees that staffing and a list of other variables affect the delivery of quality care and impact upon the level of pt satisfaction. Problems with those can be addressed at our monthly meetings. Period. No surveys. No punishment.

They are mulling it over till the next session.

I like being able to say "NO this is not acceptable". If we werent a union, we wouldnt have that power & all their BS would already have been done to us.

Specializes in MICU, neuro, orthotrauma.

that unrestricted mandatory overtime is especially frightening with that bill just passing house and in senate.

JY:

You know what's what.

Your fellow nurses are fortunate to have you representing them.

Thank you for keeping us informed.

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