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Christina Terranova RN

Christina Terranova RN

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  1. Christina Terranova RN

    Nurse Tracking Devices: Whats Your Opinion?

    Greetings This was aired on world News tonight on 1/4/01. There was also an article in the NYT on the issue in november, as well as an article in the American Nurse in April, 2001. If I can find them , Ill post them for you. Every Step You Take ... Companies Using Tracking Devices to Monitor Employees By Betsy Stark [] N E W Y O R K, Jan. 4-Memo to American workers: Many big employers admit they are watching you with cameras, reading your e-mails or listening in on your phone calls. And now a growing number have gone a step further. STORY HIGHLIGHTS Helps Increase Productivity Invasion of Privacy At the University of California-San Francisco Medical Center, pediatric nurses are required to wear electronic locators that monitor them wherever they go. "Every time a nurse goes into a room, it records that," says Inez Wiegig, head nurse at the center. Some employees think the monitor, which also records how long a person stays in a room, makes their job easier. "Things that need to be accomplished right away, you can actually find the nurse and get those things accomplished," says nurse Nicole Hodgebloom. Helps Increase Productivity The city of Aurora, Colo., has put tracking devices inside its sweepers and snowplows to make sure they're being used as taxpayers intended. Supervisor and project engineer Lynn Center says it's working. "We have seen an overall increase in productivity for our units, about 15 percent, just by having the units in the vehicles," Center says. And truck driver Maria Coleman is also under constant surveillance while working. She says she doesn't mind it, but she doesn't kid herself about it, either. "It's Big Brother. It's watching you, making sure you do what you're supposed to do, but if you are doing what you're supposed to be doing then you shouldn't have a problem," Coleman says. All sorts of industries are using tracking devices, among them security guards, casinos and restaurant workers and miners-often with no problem. Invasion of Privacy? But lots of employees and civil libertarians do have a problem with workers being asked to wear electronic tracking devices, especially devices originally designed for felons on parole. They say the technology is easily abused. Officials at Wyckoff Hospital in Brooklyn say they require nurses to wear personal tracking devices to improve care, but the local nursing representative calls the practice a clear violation of privacy. "These badges are worn every place they go," says Christine Terranova of the New York State Nurses Association. "If they take their break, if they go to the bathroom, it reads out on a computer-generated real-time screen and it's logged." The nurse's union filed a grievance against wearing the sensors but lost that battle in arbitration. The pressure on nurses to account for every moment is a threat to patients, too, says Terranova. "[Patients are] crying cause they just found out they have cancer, and I can't stop for five minutes and hold their hand because I know the schematic is going to say that I spent 35 minutes there instead of five," says Terranova. The American workplace is trading privacy for efficiency, say employee advocates, and the costs are high. "It can stifle all kinds of activity," says Jeremy Gruber, legal director of the National Workrights Institute. "It can stifle union organizing, it can stifle whistle-blower activity, not to mention the lack of privacy that employees will have when they have absolutely no ability to have some individual time for themselves." An increasing number of workers have no choice but to wear the devices. In the hospital industry alone, 55,000 employees now wear an electronic monitor as a condition of employment. That means the cost of objecting to it may be their job. []
  2. Christina Terranova RN

    DEBRIDE the SCABS

    "(Both sides are just greedy and don't care about patients " Not true. If the nurses who are forced to strike didn't care about their patients, and the work conditions they are forced to provide care under,[which ultimately determines the level of care provided] then they would just take Charles' advice, and leave hospital nursing and just worry about themselves. In fact, that is why there is a nursing "shortage" for clinical nursing as we speak. Because so many have done exactly that, follow their ID and take care of themselves. And they have every right to remove themselves form the abusive work conditions that exist. But these Nurses are not. They are mustering up their courage, and fortitude and standing up for those that cannot stand up for themselves-the ill patient in the bed. They are working to preserve the profession by creating decent reasonable work conditions. They are standing up for the rights of patients to receive safe, quality care, and they are fighting for the right of the RN to provide that caliper of care under safe equitable work conditions. As I said before, sure, this is a free county. Carpetbaggers, SCABS, whatsoever you want to cal them, they are opportunists who feed off the weakened system-kinda like the definition of a parasite actually. Accuse me of name calling if you wish. My position is that these SCABS take high wages that could pay for multitudes of nursing in the communitas these hospitals serve. They are flown around the country, held up in first rate hotels and accommodations, meals, etc., paid for, so that a corporate action to keep the little nurses laborer in line will be successful. When they fly off into the sunset to undermine the next unified effort of their professional colleagues, they brag about their money [see the AJN SCAB ad] and start the cash register for the next ride. Least that should happen is they are called out publicly for what they are, for their lack of integrity and greedy actions.
  3. Christina Terranova RN

    DEBRIDE the SCABS

    In reference to the Supreme court decision-there are many contingency plans in motion. Things shall be revealed in the proper time frames. But what we Must realize is this: This decision determining these nurses as supervisors under the NLRA and therefore not entitled to collective bargaining is based upon the position that these nurses, while exercising "independent judgment" in responsibly directing other employees-do so in the primary INTEREST OF THE EMPLOYER. This decision on a much deeper level rips away the nurses primary role as patient advocate. This ruling says a nurses responsibility is to the employer FIRST, not the patient. However, this ruling does not affect our state statutory obligations to act in the interests of our patients. Why our role-our responsibility-as patient advocate-was not argued before the court boggles my mind. I can tell you I personally wrote each nurses association, union, etc.-and beseeched them to write amicus briefs on this issue. Only the ANA responded and did so, but from how I see it their language in the brief only sealed this fate, and did not help us at all. This effectively places a noose around our necks at the state level, and ties our hands behind our backs at a federal level. I for one am not willing to give up my role as the primary patient advocate, union or no union. The battle has just begun.
  4. Christina Terranova RN

    DEBRIDE the SCABS

    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.
  5. Christina Terranova RN

    Supreme court ruling

    Greetings Here is a link to the actual decision/ opinion of the Court in this case. http://laws.findlaw.com/us/000/99-1815.html
  6. Christina Terranova RN

    DEBRIDE the SCABS

    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 mlerner@startribune.com . Return to top © Copyright 2001 Star Tribune. All rights reserved. ~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~ Christina Terranova RN, LNC Our Unity is our Power www.geocities.com/nurseadvocate www.florenceproject.org The Florence Project, Inc.
  7. Christina Terranova RN

    Should nurses be held responsible for their mistakes

    Greetings There have been a number of cases over the years of nurses being held criminally accountable for errors. Here is the latest one from Texas below this message. Indeed, as noted above by our colleagues, nurses are individually accountable for their mistakes as professionals. If the error results from another base root problem [AKA short staffing = inability to assess, intervene, monitor, document, etc.= patient harm] then that situation must be recognized by the "reasonable and prudent" RN and the chain of command involved [notifiyng the supervisor, etc] and documented as such,BEFORE the harm occurs in order for there to be any protection. If the RN accepts an assignment they know is unsafe, and goes on to take it without protest, that mere action of accepting it can be construed as negligent. Some professional nursing unions have special forms to document protests to insulate a nurses license under such conditions. A generic assignment despite objection form can be found at The Florence Project, Inc. main web page at www.florenceproject.org. Please review the disclaimer, as filling out such written documentation without the protection of a professional union may result in retaliation. My stance is- a license is a terrible thing to waste, and while you can always get another job, you cannot get another license. Christina http://www.geocities.com/nurseadvocate TEXAS AP WIRE FRIDAY, MAY 4, 2001 > >Nurse indicted in boot camp death > >FORT WORTH, Texas (AP) - A Tarrant County grand jury has indicted a >nurse who provided medical treatment for a Mansfield boot camp >probationer until two days before he died of pneumonia. > >Knyvett Jane Reyes was accused Thursday of manslaughter and >negligent homicide in connection with the death earlier this year of >Bryan Alexander. > >An inquest into the death of Alexander, 19, concluded that the >Arlington man died Jan. 9 of bacterial pneumonia caused by a staph >infection. > >The Texas Rangers have been investigating treatment of inmates at >the privately operated prison, including the death of Alexander. He >was serving a sentence at the camp for a drunken driving conviction. > >Rick Alexander has claimed that his son, who complained of a sore >throat, received inadequate medical care. The younger Alexander died >later at John Peter Smith Hospital. > >Dr. Nizam Peerwani, Tarrant County's chief medical examiner, said >medical staff at the boot camp did not perform a common bacterial >test used to determine the nature of a sore throat. He said doctors >and hospitals routinely swab a sore throat and grow a culture to >identify the bacteria present. > >The legal definition of manslaughter includes recklessly causing the >death of another person. > >Jack Strickland, Reyes' attorney, criticized the indictment against >his client. > >``If there's any act of recklessness in this case, it's by the >Tarrant County grand jury,'' he told the Fort Worth Star-Telegram in >Friday's editions. ``She's devastated by this and has been >heartbroken by the death of this young man.'' > >The boot camp and workers at the facility have had other legal >problems. In March, a judge awarded damages of $2.8 million in a >sexual harassment lawsuit against the boot camp's private managers. > >In another incident at the boot camp, a Fort Worth area probationer >serving four months in a drug rehabilitation program reported that >he received inadequate treatment. The 19-year-old Mansfield man's >pulse had stopped and he had to be resuscitated. > >AP-WS-05-04-01 0733EDT > >http://www.express-news.net/auth/ennews/ap/texas/d0643.html
  8. Christina Terranova RN

    ANA & You: History & Current Vision

    I generally refrain from doing posting like this, but.....The ANA, founded in the beginning of this century and incorporated originally in NY - was formed at a time when women were still considered in some circles as "chattel," property-and barely had the right to vote. To actually organize a group of women in that time frame must have been a tremendous event. Forgive me fellas- but-We could all write in on the psychology of women in power, or psychology of the oppressed of women to illustrate the varying degrees of membership and representation within the ANA over the years. For what ever reasons, they may not have followed the exact path ALL of us-as MEMBERS wanted. Well, today, in 2001 we as MEMBERS have EVERY chance to redirect our own history. WE are history in the making NOW. Our actions NOW will be the ones that will be looked upon one day and I hope it is with the reverence and respect I hold for those that blazed the trail for us. It was in NY in 1965 that our legal right to be called REGISTERED NURSES was won. It was obtained through UNITY and a sense of dignity that we, as nurses, must reclaim. Sure, other organizations have claimed great recent success, and want to be on their own from ANA. But always remember they are building on what was GIVEN to them by those who came before us in ANA's past-not starting from scratch. Why should a near century of nurse activism be wholly discredited because of discontent with a small fraction of years [if you look at the situation as an time line equation] Our colleagues who sit on the sidelines, yet judge, and report on the activities of others who are out there working to effect true change on our profession and ultimately patient care [that is WHY our profession exists] will get angry when I say I think of them as "Howard Cosell Nurses", reporting play by play but never going out on the field to make a play themselves. But they are. And that does not mean they are bad-all publicly outstanding areas of practice have their critics, their reviews, their efforts reported on. I have been slammed myself more than a few times. But we must perhaps become theatrical-and despite some bad reviews-press on. Learn, practice, and ACT to change things for the better. Any one of us can walk away from the bedside-or the ANA for that matter. Some of us are forced away due to disability, or other reasons. Some of us go to other areas to enact change where our strengths are better defined-But our patients cannot walk away. They do not have a choice if they are sick. They need healthcare. What we must always remember is that our overall goal is to protect and provide safe quality patient care. That includes changing our work conditions to provide for safe nursing practice as well which I believe in this era only collective bargaining can do. We MUST take action. Lives are at stake, both ours, and our patients. Forget the criticisms-just get involved and DO something.
  9. Christina Terranova RN

    Survey: Would you cross a picket line when RNs were striking?

    Yes, that is correct. The law generally requires that at least a 10 day strike notice be given in writing to the administration. [and the NLRB in NY and likley other states] Nurses do not just walk off the floor for a strike on a whim. Gives them enoughtime to mvoe critically ill patients, and call the scabs R Us replacement. They give 10 + days so the employer knows you are serious, and can try to negotiate to avoid a strike. Strikes occur after all the hard work of both the committee of nurses working at the facility and their union representation in negotiating contract language with management breaks down. It is about coming to a place in negotiations of a contract where the employer won't budge on issues that the majority of nurses are willing to stand up for. Generally, a open memeberhip vote is taken before action is filed for and implemented. I have rarely seen nurses strike for financial reasons soley. I doubt any of us would insist we entered our profession for the bucks, the glory or the fame! LOL Nursing is hard, hard work. It has always been physically, emotionally, intellectually and spiritually challenging for the sake of our patients entrusted to our profesional care. But it has come time for all nurses to look beyond our workplace conditions and what they subject us to, and look towards our Nurse Practice Acts and understand what our states expect of us by law no matter what conditions the institution provides for. Within professional nurses unions is the awareness that it has also become legally challenging to practice without not only putting patients in terrible harms way knowingly, but risking our own civil liberties through civil or criminal liability for conditions we should have control over but historically do not. This is the battle cry of the "union RN mentality" as I have seen it referred to. To create a safe professional envionment to provide safe quality nursing care to our patients- and get it in legal writing[ contract] that we can challenge when they break it [protests of assignments, greivances and arbitration] and utilize the agencies [dept of health, OIG, etc] to force wayward administrations to do the right thing and take care of the patients without worrying we will get fired for speaking out or making a stand. Today's professional Nurses union protects the nurse via practice guidelines and focuses on protecting our precious licenses in hostile workplaces where you are still legally held to the standard of "reasonable and prudent'. Now, ask yourself"- would a reasonable and prudent nurse know taking care of 28 patients alone with a few UAP's was unsafe? Ask yourself that question more and more as you are forced to shortcut your care- and it becomes scarier to practice. Hence we are back to the origional issue at hand..... Would you walk past your colleages who were putting their ~own~ well being- not their patients remember notice is given- at risk for their own integrity and home lives and that of their patients, past present and future? I think NOT Would I grab a sign and join in ? You Bet.
  10. The Historic First Annual Florence Project, Inc., Conference shall take place on Friday, November 13th and Saturday, 14th at The Maritime Institute in Linthicum Heights, MD. SPEAKERS: Leah Curtin DSc, MS, MA, RN, FAAN Author of "nursing into the 21st Century" and former editor of "Nursing Management Magazine" Rachel Sheeran, RN, JD Course creator and Presenter for "The Law and Nursing Practice" Margot Reid, RN Past president of The Michigan Council of Nephrology nurse, Ms. Reid has testified before Sentate on issues of public healthcare policy Elise Bryant RN shall be presenting a Motivational/ theatre workshop Teresa Philips RN Discussion of issues affecting Healthcare today Cost: $40.00 for both days advannce registration prior to October 21, 1998 or $60.00 thereafter Saturday night Dinner with cash bar includes a special Presntation of "Too Live Nurse!" With a Special dedication to The Five Hearts of Florence. Cost: $20.00 per couple advance registration, @20.00 per person at the door Dinner for those not registered at The Maritime may be additional Please visit our Web site at: http://florenceproject.org for additional information The Florence Project, Inc is a non profit organization of Healthcare advocates dedicated to returning HEALTH to healthcare. We are Patient and Nurse practice advocates unified in our mission. We belive equal access , quality healthcare is a human RIGHT, not a privilege
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