Joy In Striking???

caroladybelle, BSN, RN · Dec 7, 2003

Originally posted by teeituptom
God, who wants to live in Pa anyway too damn cold in the winter. Move your Hospital to florida where its warmer. Sounds good to me.
Or to texas or Mississipi or louisiana anywhere warmer. If you cant golf year round , why live there.

Well, the pay sucks, the work conditions are crappier that PA (or about anywhere else for that matter), it is too darn hot all year around, the licensing board is a PIA to deal with, the fees higher than almost any other state. The majority of the state is an ecological disaster in the making, perpetually on the verge of a water shortage, and seriously overbuilt for its infrastructure.

And it is run by Jeb - a business failure.

No Thank You

Hellllllo Nurse, BSN, RN · Dec 7, 2003

Originally posted by CCL"Babe"
I never thought that I would condone nurses striking. But... These nurses are aiming for a higher goal. Patient safety. Their safety. All our our safety. When you are continually forced to work long hours, you can not function properly. I never quite understood it until I worked a job with mandatory overtime.

The issues of "medical mishaps" being the 9th leadiing cause of accidental death in the US. The dangers of driving overtired, that are just like driving drunk. I have fallen asleep more than once on my way home from work after having performeed overtime.

What about who or what is waiting at home for these nurses. Childcare issues? How would you like going to work and never quite knowing when you were going to be able to leave. How do you plan your day, let alone your life?

If Tenent made a valent effort to clean up it's act and treat it's employees better, there wouldn't be these issues. The search for the almighty dollar. The profit for the high end administrators. Who cares how we get it just show a profit.

The above posting is right on target. Once new nurses have been around awhile and been totally screwed as most nurses have, then they may understand why the nurses erupted into cheers.

The hospitals do not advocate for or give a crap about pts or nurses. The ONLY thing that they focus on is the bottm line $$$.

RNangelER · Dec 7, 2003

We do not get much PR unfortunately. However, today was a good day. A few nurses were interviewed on one of our FM stations, 103.9. And we even made the paper today! Here is a link to our Biggest Newspaper in Philly from today! WooHoo!

http://www.philly.com/mld/philly/news/columnists/tom_ferrick/7430645.htm

I also wanted to thank everyone for their support. You guys are great! We appreciate all the letters and emails to us and the PR people here in Philly.

If anyone is in the Philadelphia area, on December 10 @ 5:30 PM, we are having a Rally (candlelight vigil). It will be the eve of our 1 month anniversary. We are attempting to get other nurses and the community involved.

We will be outside of Medical College of Pennsylvania Hospital also known as MCP. 3300 Henry Avenue Philadelpha, PA 19136.

Thanks again everyone!

SnowymtnRN · Dec 7, 2003

Originally posted by teeituptom
God, who wants to live in Pa anyway too damn cold in the winter. Move your Hospital to florida where its warmer. Sounds good to me.
Or to texas or Mississipi or louisiana anywhere warmer. If you cant golf year round , why live there.

Hey i'm from TX and this is EXACTLY why i left. Who wants to be hot ALL the time, dripping with sweat from humidity, sick all the time cuz its 80's one day, and 40's the next? lol NO THANKS!

I'm in the mountains now where they actually have 4......yes 4 seasons! Its so cool not to have to use your a/c before July!!!!!

Golf?? what's that?? :chuckle

-jt · Dec 7, 2003

The answer to that is no secret - nurses have been broadcasting it loud and clear from coast to coast: IMPROVE WORKING CONDITIONS & COMPENSATION - BAN MANDATORY OT - PROVIDE SAFE STAFFING RATIOS. Stop risking our licenses, our health, and our pts lives.

Here are some resources for your information:

Susanne Gordon:

"A recent poll reported that a majority of nurses in the United States would remain at or return to the bedside if working conditions and salaries were improved."

http://www.sonoma.edu/users/v/vandevee/312/gordon.htm

SEIU study - "Based on data from the US Bureau of Labor Statistics - 45% of nurses surveyed chose to either leave nursing or not work in a hospital. Nearly three-fourths of them cited working conditions as the reason for leaving. Staffing and mandatory overtime were the two most common conditions mentioned. The overwhelming majority of RNs said that staffing and flexible hours are key to keeping nurses at the bedside....."

http://www.seiulocal1107.org/nurse/pdf/NursesGone.pdf

AFL-CIO study: NURSES RETURN TO NURSING WHEN SAFE STAFFING RATIOS ARE IMPLEMENTED ...

http://www.aflcio.org/issuespolitics/healthpolicy/nurses/upload/staffing.pdf

ANA Survey: Nurses Say Health and Safety Concerns Play Major Role in Employment Decisions

http://nursingworld.org/pressrel/2001/pr0907b.htm

Institute of Medicine's Study reinforces call to eliminate mandatory overtime; improve staffing levels, work environment

http://nursingworld.org/pressrel/2003/pr1105.htm

JCAHO report underscores long-standing concerns of the nursing community http://nursingworld.org/pressrel/2002/pr0807.htm

ANA SURVEY REVEALS DETERIORATING WORKING CONDITIONS, DECLINE IN QUALITY OF CARE

http://nursingworld.org/pressrel/2001/pr0206.htm

107th Congressional Research Report Says: 'Maldistribution' of Nurses is More Likely than Actual Shortage:

http://nursingworld.org/gova/federal/legis/107/gacrs.htm

JAMA Article Links Hospital Staffing and Patient Mortality, Nurse Burnout and Job Dissatisfaction (University of PA study - 232,342 PA patients & 168 hospitals in PA - Linda Aiken)

http://nursingworld.org/pressrel/2002/pr1023.htm

and

http://www.aflcio.org/issuespolitics/healthpolicy/nurses/upload/aiken_study.pdf

New England Journal of Medicine: Study Reveals Link Between Increased Nursing Care, Better Patient Outcomes in Hospitals

http://nursingworld.org/pressrel/2002/pr0529.htm

Harvard University Study Identifies Inadequate Nurse Staffing as A Major Factor in Medical Errors

http://nursingworld.org/pressrel/2002/pr1216.htm

Statement of the American Nurses Association

for the Institute of Medicine's Committee on

Work Environment for Nurses and Patient Safety

http://nursingworld.org/pressrel/2002/iom924.htm

ANA Addresses the Impact of the Nursing Shortage at Senate Committee Hearing

http://nursingworld.org/pressrel/2001/pr0614.htm

University of Pennsylvania Receives Federal Grant to Study Nursing Work Hours, Fatigue and Patient Outcomes

http://nursingworld.org/pressrel/2001/pr1016.htm

Pennsylvania State Nurses Association (PSNA): PA State legislation Introduced To Impose Limitations on the Use of Mandatory Overtime

http://www.psna.org/HotIssues/MObill.htm

PSNA Nursing Leadership Platform on PA Nursing Shortage

http://www.psna.org/HotIssues/NSforum.htm

Federal Legislation to Mandate Safe Nurse-To-Patient Ratios

http://nursingworld.org/pressrel/2003/pr0506.htm

Federal Mandatory Overtime Legislation Introduced

http://nursingworld.org/pressrel/2003/pr0212.htm

pickledpepperRN · Dec 7, 2003

Thank you -jt-!

I am saving the resources to share.

Here is an almost 4 year old article:

It is MUCH better to click the link to see the graphics, pictures, and so on.

http://www.revolutionmag.com/newrev2/engineering.html

March-April. 2000 Vol.1 - No.2

By Don DeMoro

Don DeMoro, director of the Institute for Health & Socio-Economic Policy, has authored numerous studies critiquing health care industry policies, including "California Health Care: Sicker Patients, Fewer RNs, Fewer Staffed Beds" (1999) and "A Methodological Critique of the East Bay Hospital Capacity Study" (2000).

The health care industry and its proponents, including investment banks and management consulting firms, have had much to say in recent years about the origins of RN shortages and solutions. However, nearly all of their analysis has focused on causes that leave the industry itself invisible and devoid of responsibility for its own role in causing the nursing shortage.

Nursing shortages are certainly not a new phenomenon. Like other market and labor trends, the supply of nurses has historically been uneven, and nurses have entered or re-entered the workforce to stave off national crises of care.

But the nursing shortage that has grabbed headlines across the country in recent years, and left scores of unfilled vacancies on hospital bulletin boards, is unique and threatens to be far more enduring.

Increasingly, trends indicate that many RNs simply have lost trust in the industry; they've left the hospital setting and they are not readily coming back.

The health care industry and the numerous management consultants it employs have a catalog of explanations for the current shortage.

They cite an aging workforce - the average age of RNs is now 46 - and opportunities for women in other professions as long-closed doors in business, law and other male-dominated venues begin to slowly crack open. They note drops in nursing school enrollments and declining graduation rates. They blame the "invisible hand" of the market, which in supposedly neutral fashion dictates supply and demand, as well as changes in medical technology and patient care trends that require fewer nurses

Not coincidentally, the industry analysts paint these factors as beyond their control. Notably absent from these clarifications is any recognition or accountability for the industry's own actions.

An assessment can begin with a brief look back at the last major nursing shortage in the mid-1980s. As noted by Judith Shindul-Rothschild, RN, assistant professor at the Boston College School of Nursing, that shortage was reversed when hospitals abandoned fragmented models such as team nursing and turned to primary care nursing, which enabled RNs to provide a patient's total care. The result was what Shindul-Rothschild calls a "renaissance in nursing," and RNs returned to the workforce.

Within a few years, however, virtually everything had changed. Nursing care no longer was prioritized as the health care industry had begun to systematically deskill, displace and deprofessionalize nursing.

Guided by market-driven goals of cost-cutting and profit-making rather than assurance of quality care, corporate health care firms began to implement restructuring programs in the corporate, clinical and technological arenas.

On the corporate level, large-scale mergers and acquisitions intended to increase market share and build economies of scale resulted in an unprecedented concentration of health care resources in the hands of a shrinking number of very large companies.

In the past six years, mergers and acquisitions have consumed an astonishing $453 billion in health care, concurrent with a rise in profits and executive stock portfolios, resources that could have been better spent elsewhere ......

(See Slide Show)

The binge was fueled by a 1994 change in U.S. anti-trust law (ironically, the only major change adopted by Congress in response to the Clinton administration's 1993 health care plan) that granted extraordinary latitude to merging health care corporations, reputedly to encourage competition.

The anti-trust law was reflective of the increased political clout of the industry. It was also a harbinger of vigorous lobbying against any policy legislation, including scores of health care reform proposals, that would inhibit its corporate expansion and profit generation.

Similarly the industry was successful in manipulating tax laws - for example, shifting assets from for-profit to non-profit entities to avoid taxation and regulations, such as moving patients to hospital units or other areas with lesser regulatory oversight.

To accumulate the cash needed for their expansion, and to pay off the staggering debt load they incurred, hospital corporations increasingly turned to squeezing labor costs - and nursing care in particular, their main source of expenditures.

At the bedside, management consulting firms like McKenzie, Booz Allen & Hamilton, American Practices Management (APM), Andersen Consulting and the Hunter Group, were paid hundreds of millions of dollars to implement work redesign models.

Carrying pleasing-sounding names such as Patient Focused Care or Population Based Care, the re-engineering was premised on models first introduced in the manufacturing sector of the economy and forced onto the health care workplace and direct caregivers.

The emphasis was on "just-in-time" production techniques that cut staff to dangerously low levels and only provided care for patients when they reached the periphery of crisis and presented a legal liability if they were not treated.

At their core, the redesign plans were intended to deskill and disempower direct caregivers. Most of the models featured the carving up of the care process into assorted "tasks," and shifting RNs away from hands-on patient care to serve as "team leaders" of unlicensed assistive personnel who would perform the tasks. It would mean replacing direct care RNs with unlicensed staff and RNs with advanced degrees who would supervise them.

New technologies also played a major role in the deskilling process, such as computerized diagnostic and treatment protocols that some institutions began to use in areas from bedside care to telephone advice.

Large numbers of RNs were simply laid off - Kaiser Permanente alone laid off 1,600 RNs in Northern California from 1994 to 1997, and a 1997 survey by the California Board of Registered Nursing found that 5 percent of respondents had left nursing due to downsizing.

Health care had been "transformed," the industry and its consultants proclaimed. With fewer RNs ostensibly needed in hospitals, hospital-based education and training programs for RNs were dropped. As hospitals signaled to nursing schools that fewer nurses were needed, education curricula and expenditures were cut back. Enrollments in entry-level bachelor's degree programs had fallen by 4.6 percent in the fall of 1999, although advanced degree programs were growing, according to the American Association of Colleges of Nurses. The Boston College School of Nursing was among the healthiest programs, with admissions flat rather than declining, Shindul-Rothschild said.

The restructuring programs had a huge economic cost. Kaiser Permanente alone spent about $100 million in only one year on its top four consultants - enough to insure at least 80,000 people.

Results for patients also have been disastrous. In an examination of more than 18.2 million patient discharge records from 1993-1997, a study by the Institute for Health & Socio-Economic Policy found that the proportion of patients admitted to a hospital in a given year who were well enough to be discharged home dropped 5.2 percent.

Industry attempts to limit admissions and reduce costs have forced many patients to seek the ER as their only means of access to a hospital bed of any kind. California ERs now account for almost 34 percent of all hospital admissions statewide.

And hospital-based errors leading to the deaths of up to 98,000 Americans every year have become a national scandal. Notably, the Institute of Medicine, which produced the findings, studied every conceivable variable except RN staffing ratios and deteriorating patient care conditions to explain the shocking numbers.

Patients are sicker than ever, and there are fewer RNs at the bedside.

Some states, such as New York, Massachusetts and Pennsylvania, have experienced steadily declining numbers of full-time RNs, coupled with a rising uninsured population. As more patients use the emergency room as their entry point to health care, RNs struggle with higher nurse-to-patient ratios and higher acuity levels of patients.

Click here to view charts of RN numbers inMassachussetts, New York and Pennsylvania

In Maryland, the nursing shortage is reaching epidemic proportions. Dr. John Burton, director of geriatric medicine at Johns Hopkins Bayview Medical Center told a Baltimore Sun reporter that the staffing problems are "having a dramatic impact, and it's likely to get worse. We're headed for a crisis." Maryland hospitals are suffering nurse vacancy rates of 10 percent to 12 percent, with some hospitals facing a 20 percent shortage. The Professional Staff Nurses Association of Maryland, which represents nurses in six of the state's 55 institutions, reports that complaints on unsafe assignments or mistakes have doubled since the beginning of the new year.

Although Maryland hospitals are offering higher salaries and extra benefits like tuition or day care provisions, they aren't finding takers. The state's Board of Nursing reports that the number of registered nurses available for work dropped by about 2,300 from 1998 to 1999.

In other states, hospitals are also offering signing bonuses of $6,000 or more, seemingly to little avail.

A closer look yields disturbing information. According to the American Hospital Association, the number of California full-time employed hospital RNs peaked at about 63,700 in 1994 and has not quite attained that level since. But figures obtained from the California Board of Registered Nursing this year reveal that 266,800 RNs are licensed statewide and, of that number, about 248,000 are actively licensed.

So, where have all the nurses gone?

"All you have to do is talk to a direct care nurse to find out what the conditions are like," said Echo Heron, RN, and author of Tending Lives: Nurses on the Medical Front. "Forced overtime, working double shifts, having far too many patients to care for, then being asked to 'delegate' your work to a person with very little training, well, it all adds up. The hours. The strain. The stress on you, not to mention your family.

"And too many RNs feel that they aren't safe and their patients aren't safe," Heron said. "When nurses are overworked and exhausted, run ragged by too many patients, mistakes happen."

A Maryland nurse, who refused to give her name to a reporter for the Baltimore Sun for fear of losing her job, said that a nurse missed a very unsafe cardiac arrhythmia with one of her patients because she was busy with another one. Yet a number of Maryland hospitals assign ICU nurses three patients instead of the standard ratio of one nurse to two ICU patients.

Nurses across the nation are extremely concerned about the quality of care in their hospitals. A survey conducted by Fingerhut Granados Opinion Research revealed that 66 percent of RNs believe that "staffing levels are inadequate at the place where they work." Sixty-nine percent of them worried that "patients aren't getting the care they need." And 75 percent of RNs were concerned that "because of short staffing, a mistake affecting a patient will occur."

If we look at the evidence, we are forced to a conclusion about the nursing shortage.

Nurses are losing trust in their institutions and in their management. They are losing trust in the entire health care industry.

Nurses see speed-up at the expense of patient care while executives in the hospital chains where they work sit on wealth undreamed of only a few years ago. They see inner city hospitals closed while the companies shift services to more affluent communities, and they see the most vulnerable patient populations, including the poor, seniors, and some minorities, medically redlined and deprived of needed care.

They see ever-decreasing lengths of stay while acuity levels skyrocket, and sicker patients moved to the new patient dumping ground of "sub-acute" care. They see implementation of computer programs that reduce skills to tasks and unlicensed staff performing increasingly complex procedures.

They have so little faith in hospitals today that increasing numbers will not even recommend hospitals they work in to family members because they are not sure the facility will care for them properly.

"Our profession is mostly women, and it's true that there are more alternatives for women wanting professional careers," says Shindul-Rothschild. "But then, those slots aren't being filled by men, either. So you have to ask the question, 'Why aren't men coming into the field?' Whether male or female, people aren't entering the profession because of money. The salaries are competitive. And during the last nursing shortage in the '80s, nurses came back to the profession. We aren't seeing that happen today. So that leads me to the conclusion that it must be the working conditions."

Despite the negative consequences of the transformation of health care the past few years, the industry is gearing up for a new stage of deskilling and restructuring programs. They will be prompted by industry attempts to cope with the huge debt load created by the mergers and acquisitions, fallout from the 1997 cuts in Medicare reimbursements, and the recent wave of pharmaceutical mergers and the resulting increases in formulary prices as HMOs seek to pass costs to hospitals.

Most critically, the industry will use the excuse of the devout refusal of actively licensed RNs to enter a workplace they consider unsafe for themselves and their patients.

The mysterious workings of the market and employment opportunities for women elsewhere can not begin to explain the current shortage of RNs.

More likely, the industry shortage is a self-inflicted wound brought about by years of market- and industry-led restructuring programs that led to indiscriminate downsizing, increased patient complaints about the quality of care, deteriorating RN-to-patient ratios, and most critically, a marked loss of RN trust.

Just as the industry has created this crisis, it can help to resolve it. The industry can do its part to alleviate the RN shortage by adopting in word and practice a few simple principles:

* Value patients as human beings and not as "covered lives."

* Rather than expending resources fighting RNs and patients on safe staffing ratios, use those resources to enhance the ratios. The market is not able to set ratios that are safe for patients or that will assure adequate numbers of RNs.

* Trust in the professional judgment and skills of the bedside nurse to advocate for the patient.

* Terminate all contracts with management consultant deskilling programs and invest those hundreds of millions into preventative care and improving nurse-to-patient ratios.

* When RNs testify that many health care restructuring programs are a form of patient endangerment - listen.

* Accept that a profession dominated by women can and should earn a living wage commensurate with skills and dedication.

* Promote direct caregiver role models as opposed to nurse executive models. The archetypal nurse executive may appeal to an MBA student but is decidedly less appealing to those who value nursing as a noble and hands-on calling.

* Adopt RN work schedules that allow RNs some semblance of a normal life.

* Provide RNs with adequate retirement and health benefits.

* Provide increased funding for RN scholarships.

* Expand educational and training opportunities for generalist RNs to learn specialty skills, and for LPNs, LVNs and aides to become RNs.

* Work with nursing unions on projects to develop new programs for the future of nursing.

Most importantly, do whatever it takes to restore the traumatic loss of RN faith in the industry that they see as having forsaken both them and their patients in the pursuit of private wealth over and above public health.

That trust must be earned. It cannot be purchased with sign-on bonuses and certainly not with broken promises. The path back to that lost trust will be difficult. Common decency, an industry reaffirmation of the centrality of patient health in its mission and a commitment to the nursing profession that has made the industry one of the wealthiest in the nation demand it.

Click here to read hownurses are fighting back against short staffing

For more information, contact the IHSP at (510) 267-0634, or e-mail at [email protected].

pickledpepperRN · Dec 7, 2003

Tenet in the News

Bad Debts Weigh on Tenet's Quarter

- The Street.com 11/11/03 Senator Seeks Inquiry Into Tenet Hospital - Los Angeles Times (registration required) 11/9/03 Blue Cross of California to End a Tenet Contract

Los Angeles Times (registration required) - 11/5/03 Insurer blasts DMC surgery

Modesto Bee - 11/4/03 Audit finds state overpaid Tenet by nearly $12 million

Associated Press - 11/3/03 Heart Care Scrutinized at 3 L.A. Hospitals - Los Angeles Times (registration required) - 11/1/03 Tenet Healthcare Probe Widened - Reuters - 10/31/03 Court Ruling Adds to Tenet's Tribulations - The Street.com - 10/31/03 Will new medical oversight and new leaders be able to revive hospital? - Sacramento Bee 10/27/03 Tenet Watchers Heed the Trouble Signs - The Street.com 10/24/03 Not much healing at Tenet healthcare - Business Week 10/24/03 Tenet Warns of Third-Quarter Profit Shortfall - Los Angeles Times 10/23/03 UPDATE 2-Tenet warns on earnings, cites bad debt - Reuters 10/22/03 Tenet Gets Another Subpoena on Medicare Payments - Reuters 10/17/03 Tenet New Orleans Affiliate Gets Second Subpoena - Reuters 10/15/03 Tenet Joint Venture Probed U.S. prosecutors subpoena a firm that does billing and claims processing for a unit of the hospital owner. - Los Angeles Times 10/7/03 (registration required) Redding doctors will take the Fifth in civil trial - Record Searchlight 10/01/03 Whistleblowers Piping Up at Tenet - The Street.com 9/30/03 Tenet General Counsel Leaving Company - Reuters 9/26/03 Alvarado exec faces additional charges - San Diego Union Tribune 9/26/03 Senator expresses doubts about Tenet reforms - Record Searchlight 9/26/03 Tenet Takes Another Shot - The Street.com 9/24/03 Hospital Official Arrested in Tenet Probe - Associated Press 9/24/03 Tenet Healthcare grants CEO options to buy 350,000 shares - San Francisco Chronicle 9/22/03 National joint commission conducting survey of patient care at Daniel Freeman Marina Hospital - The Argonaut 9/17/03 Tenet Selects Insider as CEO

- Los Angeles Times(registration required) 9/17/03 Doctor protests Tenet terms - Modesto Bee 9/9/03 Senate Finance Committee Demands Tenet Documents - New York Times

(registration required) 9/8/03 Tenet Says Medicare May Exclude Redding Hospital -

Reuters 9/4/03 Tenet's Mr. Outside Has Inside Game Too - - TheStreet.com- 9/2/03

Tenet Trims Hospital Ranks Once MoreOverburdened Tenet is lightening it's load.

- TheStreet.com 8/25/03

For Tenet, a broken strategyThe once booming chain sheds two of eight hospitals here. Despite rumors, it says it's staying put

- Philadelphia Inquirer 8/17/03 Former Heart Patients Sue Tenet

- Los Angeles Times

(registration required) 8/16/03 OPERATING PROFITS How One Hospital Benefited on Questionable Operations

- New York Times (registration required) 8/12/03 Tenet Healthcare faces probe in Florida

- Seattle Times 8/9/03 Untangling Tenet's Ties to Watchdog

- The Street.com 8/8/03 Tenet Says Being Investigated By Florida Medicaid

- Reuters 8/8/03 Tenet's fine just tip of trouble

- Sacramento Bee 8/7/03 Tenet to Pay $54 Million in Surgery Scandal

- Los Angeles Times (registration required) 8/6/03 Tenet Feels the Heat From the Feds

- thestreet.com 7/28/03 Tenet Healthcare Needs a Cure for Anger Things got tense at its annual meeting, where nurses protested about working conditions and shareholders vented about lost value - Business Week 7/24/03

More newspaper articles on Tenet /watch/tenet/tenarch.html>

http://www.calnurse.org/cna/watch/tenet/

PMHNP10 · Dec 8, 2003

spacenurse..

I know this is another thread, but people actually want to defend those pt. ratio meetings in CA when we see tenet hospitals being frontrunners of those meetings...:angryfire :rotfl: :angryfire

-jt · Dec 8, 2003

Tenet's Track record:

*conducting seminars in California to teach healthcare administrators and nurse managers how to evade & sabatoge the staffing ratio law

*Medicare Fraud in California & Florida

*Illegal billing in Texas & Louisiana

*Fined for performing expensive but unnecessary surgeries in California

*Bribing physicians for referrals in Texas

*Ongoing US Senate & FBI investigations

*CEO paid millions while stocks plummeted

*Trouble with National Labor Relations Board

AND........

*$6 MILLION $$$ Squandered in ONE MONTH on union-busting tactics! (how many nurses, safe ratios, and mandatory ot bans could that money have paid for?)

http://www.calnurses.org/cna/watch/tenet/

and

http://www.calnurses.org/cna/watch/tenet/tenarch.html

colleenmayo · Dec 12, 2003

The joy was not in the vote to continue to strike but in the strength to stand united in our principals,We are a small group to Tenet but we are fighting for QUALITY CARE for our patient population.sometime there is joy in knowing you are a person of principle,that your core values are intact despite all the hardship

colleenmayo · Dec 15, 2003

NO THERE IS NO JOY IN STRIKING THE JOY PART CAME WHEN WE ALL STOOD UP FOR OUR BELIEFS AND SAI NO TO TENET. UNFAIR LABOR PRACTICE MANDATORY OVERTIME . I WAS PROUD TO CAST MY NO VOTE AND WAS ELATED THAT TENETS DIVIDE AND CONQER TECHNIQUE DID'NT WORK:devil:

SmilingBluEyes · Dec 15, 2003

Man Tenet sounds like an employer to AVOID like plague. But I am sure they do not stand alone in such evil, greedy business practices, hmmm?