4,000 Nurses strike for patient care.

Nurses Union

Published

4,000 brave women and men, RNs from the California Nurses Association/National Nurses Organizing Committee, are spending this week on the picket lines outside of Sutter Health Hospitals throughout Northern California, on a 10-day strike over patient care issues. This is an important strike for a re-energized American labor movement and a key moment for the nation's battle for quality healthcare.

This is a long strike for any worker, but one that turns on the most basic issues of nursing and patient safety. Sutter Health is, even by HMO standards, an outlier in their push to cut corners on patient care in order to bump up corporate profits. You can't argue with their success on either count. In 2006, Sutter reported record profits of $587 million. Much of those profits come from routinely understaffing their hospital units by denying meal and rest breaks to nurses. As a practical matter, what this means is that if a nurse, in the midst of a 12-hour shift, decides to take her lunch break...then her patients lose coverage.

Hasn't every nurse faced that ethical dilemma? Grab a sandwich or make sure my sick patients are cared for? Especially for nurses, who define our work as "patient advocacy?" And, under California's landmark staffing law, it's no longer legal.

That's why these nurses had to walk out and make a personal sacrifice for the good of their patients and their profession.

Sutter's response? To embark on a campaign of harassment, intimidation, and lies. Sutter has threatened to fire strikers, cut off health benefits, has posted guards at nursing stations to glare at RNs, and has taken to regularly demonizing its own nurses in the press.

The good news? Sutter foolishly picked a fight with a group of (mostly) women who are not easily intimidated...especially by some corporate hack who have shown they don't care about patient care.

The better news? This strike affirms the relevance of America's labor movement to the key questions our country is undergoing. This strike has been marked by deep public support and sympathy, with Sutter Health's behavior roundly criticized by elected officials, the public, and the news media. High-profile strikes like this that win over the public make it easier for other groups of workers to stand up for their own rights. It's worth noting that the recent increase in the numbers of unionized workers has largely come from the ranks of healthcare workers--and that CNA/NNOC is the nation's fastest-growing union.

And the best news? The nurses of Sutter Health are demonstrating the way forward in our country's struggle for guaranteed healthcare. A major reason our health system is so dysfunctional is that corporations like Sutter Health have rigged the system and treat patients as profit-makers, not as human beings. If we can win patient safety advances at Sutter, we can win them across the country--especially if we inspire the nation's nurses to continue taking their patient advocacy from the bedside to the statehouse and even to the streets.

If these nurses inspire you, why not call the CEO of Sutter, Pat Fry at 916 286 6752 and tell him it's time to settle with the nurses!

For more on the Sutter fight and ongoing news, go to: www.calnurses.org

Specializes in ICU/CCU/TRAUMA/ECMO/BURN/PACU/.
Actually, I have read the article. I was not impressed by the Dramatics described with it. If she is that unhappy, go work elsewhere. The Hospital can not be that bad and still pass accreditation inspections. Does not work that way.

I disagree; it CAN be that bad. Hospitals can fail accreditation inspections, and remain open for business. Typical union-buster speak from you too, "if you don't like it here, go somewhere else." I don't call that advocacy. Silence protects no one. As Lillian Wald said, "We commit ourselves to any wrong or degradation or injury when we do not protest against it."

It CAN be that bad. Especially when the agency in charge of monitoring the regulations and following up with compliance after citation is under the direction of a political appointee. JCAHO is quasi-governmental; it's a proprietary organization and hospitals pay to belong. If you've ever phoned in or filed a written complaint, with evidence of regulatory violations, or tried to request a meeting with the inspectors as part of the public notification process, you'll find out just how badly the system is failing us.

It's a system of hear no evil, see no evil, and a deadly game of "catch us if you can". The inspectors are often surrounded by suits, and they have little to no opportunity to speak with a staff nurse or group of staff nurses alone. Even IF they do, and there are deficiencies, a hospital files a plan of correction. There's often no follow-up inspection to see if the corrections were anything more than an "empty promise" window dressing. When State budgets are cut, public services are cut first; sorry, no money in the budget for enforcement. It does work that way.:nono:

I believe that will change, if we stick together and do the right thing by holding our elected officials accountable. I hope when we need a nurse he or she won't quit, rather than speak up, and who will work collectively to change working conditions, laws, or enforce laws as required, to protect our safety and their ability to do their job as they are educated and ethically bound to do.:twocents:

http://takingnote.tcf.org/2008/08/medicare-bill-c.html

I disagree; it CAN be that bad. Hospitals can fail accreditation inspections, and remain open for business. Typical union-buster speak from you too, "if you don't like it here, go somewhere else." I don't call that advocacy. Silence protects no one. As Lillian Wald said, "We commit ourselves to any wrong or degradation or injury when we do not protest against it."

It CAN be that bad. Especially when the agency in charge of monitoring the regulations and following up with compliance after citation is under the direction of a political appointee. JCAHO is quasi-governmental; it's a proprietary organization and hospitals pay to belong. If you've ever phoned in or filed a written complaint, with evidence of regulatory violations, or tried to request a meeting with the inspectors as part of the public notification process, you'll find out just how badly the system is failing us.

It's a system of hear no evil, see no evil, and a deadly game of "catch us if you can". The inspectors are often surrounded by suits, and they have little to no opportunity to speak with a staff nurse or group of staff nurses alone. Even IF they do, and there are deficiencies, a hospital files a plan of correction. There's often no follow-up inspection to see if the corrections were anything more than an "empty promise" window dressing. When State budgets are cut, public services are cut first; sorry, no money in the budget for enforcement. It does work that way.:nono:

I believe that will change, if we stick together and do the right thing by holding our elected officials accountable. I hope when we need a nurse he or she won't quit, rather than speak up, and who will work collectively to change working conditions, laws, or enforce laws as required, to protect our safety and their ability to do their job as they are educated and ethically bound to do.:twocents:

http://takingnote.tcf.org/2008/08/medicare-bill-c.html

I could not agree more. "Just go ahead and quit". All that has caused, is nurses who have no incentive to stick around and fight for better working conditions, pay, etc. That, is of course what administration wants. A mobile work force who leave before they figure out what is going on and they can inspire other nurses to demand change. The "revolving door employment" of the nursing profession has been our downfall. No one stays long enough to know what is going on or want to change anything. JMHO and my NY $0.02.

Lindarn ,RN, BSN, CCRN

Spokane, Washington

Specializes in ICU/CCU/TRAUMA/ECMO/BURN/PACU/.
Actually, I have read the article. I was not impressed by the Dramatics described with it. If she is that unhappy, go work elsewhere. The Hospital can not be that bad and still pass accreditation inspections. Does not work that way.

Dramatics? Unhappy? Hospitals know the rules and they'll blame nurses every time if they can get away with it. They shouldn't be open for business unless they have sufficient staffing to meet the needs of patients; enough equipment in good repair/working order, and adequate supplies for the provision of care. Patient's shouldn't have to sue for preventable injuries! The nurses often are told "do the best you can," or, "there's no money in the budget for new...(you name it)," by unscrupulous employers.

That reminds me of another important non-economic benefit of having CNA/NNOC union representation: An all direct care RN Professional Practice Committee (PPC), elected by their peers, to document and track safety issues like faulty equipment, technology, and unsafe staffing. Here's another example, if you didn't like the other article, although you were not specific in regards to your complaint about it. I believe the nurse was truthful and direct.

http://findarticles.com/p/articles/mi_6837/is_/ai_n28410208

I wonder if the Texas nurses at that hospital tried to use the "safe harbor" internal review and reporting process to file a complaint about the unsafe equipment? We'll probably never know, but my colleagues in Texas tell me Safe Harbor only protects the hospital. It's weak, permissive language is slanted to protect the employer's interests, and doesn't protect RNs from retaliation. In a CNA/NNOC union hospital, staff nurses could've brought their concerns forward to the PPC; it's a democratic, transparent process of documentation, notification, response, and action, that eliminates administrative deniability.

Specializes in ER,ICU,L+D,OR.
I could not agree more. "Just go ahead and quit". All that has caused, is nurses who have no incentive to stick around and fight for better working conditions, pay, etc. That, is of course what administration wants. A mobile work force who leave before they figure out what is going on and they can inspire other nurses to demand change. The "revolving door employment" of the nursing profession has been our downfall. No one stays long enough to know what is going on or want to change anything. JMHO and my NY $0.02.

Lindarn ,RN, BSN, CCRN

Spokane, Washington

Here is you $0.01 back for your Union dues. "Revolving door employment" Where I am at there are so many nurses who are at 20+ years of employment there, and still happy to be there. They boast of their magnet accreditation.They have plenty of incentive to stick around and encourage others to do so also. I have been offered better money to work at other facilities, But I like what we have to offer and to what I and others like me have contributed to that product. The only revolving I see is by new nurses who are looking to find their niche in life.

Specializes in ER,ICU,L+D,OR.
After 8 years of Bushism, I really do not like the term militancy. unity and militancy so you can get the best wages. No where does that speak anything of doing what is good for the patients, only what is good for the nurse. This is why I will never support unions.

:idea:Well, there it is! You just don't like unions, although in some of your previous posts, 46, you've tried to appear neutral. We've attempted to have a civil debate back and forth in the AN healthcare politics forums and you just can't seem to see beyond your anti-union bias to recognize that patients are safer when their nurse's role as a patient advocate is protected against unjust retaliation, (whether it be outright firing under the guise of an "at-will" employment clause in the employee handbook, unpaid suspension, and/or constructive discharge practices (selective schedule changes or vacation/day off denials/predatory audits/working condition changes, blackballing, etc.). Weingarten Rights and Just Cause Discipline are two of the most important non-economic benefits of union representation that are good for patients.

On the issue of fair wages, patients suffer when hospitals fail to offer competetive salaries to attract and retain enough nurses to provide the sophisticated and complex care, (assessment, planning, implementation, evaluation, education, advocacy and documentation), needed by patients. When hospitals hire layers upon layers of middle managers, and offer exhorbitant salaries and compensation packages to their executives, and pay consultants and union busters millions of dollars, patients suffer because their needs are for the skill and experience of direct care Registered Nurses. When the budget serves the interests of the management, at the expense of the interests of patients, direct care nurses have a duty and should have the protected right to exercise freedom of speech, and freedom of association to collectively advocate to change those circumstances that are against the interests of patients.

The public has a right to know. If it takes a strike, (and it rarely does), then so be it. If the nurses are on the outside, then there's something very wrong on the inside. Yes, we must engage in "elegant" militancy. When our weapons are facts, and our voice is collective, and we assert our rights as patient and professional nursing practice advocates in unity, our vision for health care is powerful. You may choose not to support unions; that's your right. As for our union, we'll continue to fight, as circumstances require, to remove any and all barriers to the ability of nurses to provide you and your loved ones, and all patients, with safe, therapeutic and effective care. To do that, we need a strong all RN union and professional association: CNA/NNOC!

Native American wisdom: "As individual fingers we can easily be broken, but all together we make a mighty fist."

Florence Nightingale: "It may seem a strange principle to enunciate as the very first requirement in a hospital that it should do the sick no harm." and,

"I think one's feelings waste themselves in words; they ought all to be distilled into actions which bring results.":up:

And, since you mentioned Bush, check this out: "Send Bush Packing"

http://www.sendbushpacking.com/

My discussions have all been and will continue to be civil. Is it me or is it you who can not see beyond your pro union bias. As you brought that matter up.

Your arguments always seem to go back to one thing. Better wages for nurses. As a nurse I feel well compensated for what I have delivered over the numerous years. And you keep on describing militancy as "elegant". I really fail to understand that. When I see very good health care delivered daily without harsh words and without harsher comments. I see nurses making a good living by any standards. RNs do well in this state. We are treated well, and there is no need for militancy in any form.

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

Sendbushpacking.com is cute but hardly new or informative. Soon he will be gone, not soon enough, but soon.

At my hospital I am known as the "Queen of Green". Long story there.

Specializes in LTC/SNF, Psychiatric, Pharmaceutical.
This listserve is full of threads from Texas and Oklahoma nurses who are scared for their licenses due to the deplorable working conditions in hospitals. A group of Texas nurses just organized under NNNOC due to these conditions.

Either you are in la la land or you live in a different Texas than these nurses do. JMHO and my NY $0.02.

Lindarn, RN, BSN, CCRN

Spokane, Washington

A-MEN! No California nurse would accept the working conditions common in Oklahoma facilities!

Specializes in ICU/CCU/TRAUMA/ECMO/BURN/PACU/.
A-MEN! No California nurse would accept the working conditions common in Oklahoma facilities!

Where I work, we've met a lot of really competent nurses from Oklahoma on travel assignment who come to visit California and work with us. They've heard about our CNA/NNOC nurses' union and the work on we've done that benefits the nursing profession and patients. They really enjoy nursing again and have experienced higher job satisfaction because they are able to give the best care possible because of our ratio law in California. I believe when they leave, they are educated and are encouraged to fight for safe staffing in their hospitals when they return home, because it's the right thing to do for our patients.

"YES WE CAN!"

Click the link to tell President-elect Obama that we need safe staffing ratios now, for all patients.:up:

http://www.nursetopatientratio.org/

Specializes in LTC/SNF, Psychiatric, Pharmaceutical.
Where I work, we've met a lot of really competent nurses from Oklahoma on travel assignment who come to visit California and work with us. They've heard about our CNA/NNOC nurses' union and the work on we've done that benefits the nursing profession and patients. They really enjoy nursing again and have experienced higher job satisfaction because they are able to give the best care possible because of our ratio law in California. I believe when they leave, they are educated and are encouraged to fight for safe staffing in their hospitals when they return home, because it's the right thing to do for our patients.

"YES WE CAN!"

Click the link to tell President-elect Obama that we need safe staffing ratios now, for all patients.:up:

http://www.nursetopatientratio.org/

Unfortunately, Oklahoma, with the blessing of our then-governor, passed the right-to-work law in a landslide. The governor proclaimed, "Oklahoma is OPEN FOR BUSINESS!" Yeah, maybe for minimum-wage jobs like Wal-Mart associate. Whatever. This is also one of the reddest of the Red States.

Specializes in ICU/CCU/TRAUMA/ECMO/BURN/PACU/.
Unfortunately, Oklahoma, with the blessing of our then-governor, passed the right-to-work law in a landslide. The governor proclaimed, "Oklahoma is OPEN FOR BUSINESS!" Yeah, maybe for minimum-wage jobs like Wal-Mart associate. Whatever. This is also one of the reddest of the Red States.

:smokin:Once again, the business interests have bought themselves a "right to abuse workers" law. And, they've framed the debate around the issue in such a way that people were hoodwinked into voting for something that is against their best interests. As if individuals, banding together collectively for job protection and advocacy is a bad thing for nurses or other workers? The corporate business community has formed a powerful union and unwitting working class people voted to support the boss man's ability to weaken the worker's ability to organize a closed-shop, "everybody in, nobody out" union.

In the words of Mother Jones: "My friends, it is solidarity of labor we want. We do not want to find fault with each other, but to solidify our forces and say to each other: "We must be together; our masters are joined together and we must do the same thing."

And, Frederick Douglass: "Those who profess to favor freedom and yet depreciate agitation, are people who want crops without ploughing the ground; they want rain without thunder and lightning; they want the ocean without the roar of its many waters. The struggle may be a moral one, or it may be a physical one, or it may be both. But it must be a struggle. Power concedes nothing without a demand; it never has and it never will."

Specializes in ER,ICU,L+D,OR.
Unfortunately, Oklahoma, with the blessing of our then-governor, passed the right-to-work law in a landslide. The governor proclaimed, "Oklahoma is OPEN FOR BUSINESS!" Yeah, maybe for minimum-wage jobs like Wal-Mart associate. Whatever. This is also one of the reddest of the Red States.

There is a reason in Oklahoma, Why marijuana has been, and is, and will continue to be the biggest cash crop in the state.

Specializes in Critical care, tele, Medical-Surgical.
There is a reason in Oklahoma, Why marijuana has been, and is, and will continue to be the biggest cash crop in the state.

Ah is a ignorant Okie. Will you edgie kate me? :chuckle

I am curious as to where this information came from, what is the reason, and what does it have to do with nursing?

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