Spotlight on Union RNs
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Spotlight on Union RNs
Staff nurses around the country are changing nursing for the better
For Stanna Laprath and her fellow RNs and MSWs, it came down to respect.
Management at St. Luke's Rehabilitation Institute in Spokane, Wash., ruled with an iron fist. It allowed nursing positions to disappear through attrition, refused to recognize the seniority of nurses from other facilities who came to St. Luke's through a merger process, based patient/staff ratios on finances, not the needs of the patients and, at the end of a fiscal quarter, sent staff home on "excused absences" rather than pay salaries.
And disciplinary actions were handled entirely "at manager's discretion."
In February 2002, the nearly 70 staff members voted to form a union with the Washington State Nurses Association, a member of the United American Nurses (UAN) - the national union for RNs.
"The biggest obstacle we faced is that we had no process for providing input" on management's decisions," Laprath says. "Over time, we decided enough was enough-and called WSNA because we wanted 'nurses for nurses' . . . we wanted a nurses union representing us."
"Not everything changed once we began organizing," she says. "In fact, the day before the election, management fired three RNs. But they did begin to sit up and take notice that we were going to be organized....Then we gradually got things like a Nurse Practice Committee."
The successful election moved the process forward with management, starting with contract negotiations.
"Now we have a process to work on our problems," Laprath notes. "Our biggest challenge is educating the nurses on what we can work for in our contract - and educating them on such things as the ins and outs of Washington State's mandatory overtime bill and the use of an ADO form, for instance."
St. Luke's nurses are seeking a real disciplinary policy with Weinberg Rights, established guidelines on the delegation of tasks to nurses' aides and a policy for respectful behavior toward nurses.
"We'll get to wages and benefits," she says. "But first we want some basic respect.
"Since we've been in negotiations, I think we've put management on notice that we mean to keep this union and make it work," Laprath says. "The nurses are less fearful now of being retaliated against for speaking up." Nurses there are in the process of negotiating their first contract.
The ability to go to management and say "you can't do that - and if you continue, we're going to call you on it has made all the difference in the world", she says.
Organizing a union is a labor of love-and a job rife with pitfalls.
Lori Gay, RN is a veteran navigator on the road to a union after campaigning for nearly two years at the Salt Lake (Utah) Regional Medical Center. Gay's efforts, along with those of her 200 fellow RNs, to gain a voice at the workplace and a real say in decision making that affects patients and staff culminated in a National Labor Relations Board election in June 2002. The nurses voted to unionize with the national RN union, the United American Nurses (UAN).
The medical center appealed the vote and those ballots remain uncounted pending NLRB action. In the meantime, community organizations, local unions, religious groups and political allies are pitching in on behalf of the RNs to convince Iasis Healthcare Corp., owners of the facility, to end their opposition to the nurses and let them begin to build their union.
"We're waiting, but we're confident of the outcome," Gay says. "The nurses at the Medical Center [have] decided that we've gone long enough without a real voice in our workplace, and we will succeed.
"Iasis bought the facility nearly four years ago and changed it to a for-profit status. Immediately, things changed. There were staffing cutbacks, leaving floor nurses with too many patients and too much to do. There were new managers every three to six months.Patient care and staffing issues were our No. 1 complaint," Gay says.
"Then management started cutting into nurses' health benefits and leave time. Iasis took away one week of our vacation time when they came! "She also noted that nurses with seniority - 25 years' worth in some cases - no longer were rewarded for their time in service, leading to problems with nurse retention."We got tired of it," she says. "So we decided to stop complaining and do something about it. We called The United American Nurses (UAN).
"Once the campaign started, it really took off like wildfire. Nurses felt empowered," Gay says. In typical fashion, the hospital responded with the usual obstacles to organizing - such as "voluntary" meetings at which nurses were shown videos of people getting beaten up on the picket lines and showdowns with three lawyers and two union-busting firms.
Gay says the nurses easily filled up the "checklist of management tactics" that is part of the organizer's handbook. The nurses' committee responded with an education effort so that members would know beyond all doubt that the RNs are the union and they call the shots.
A defining moment in the campaign came when management fired two of the RNs who had started the union effort-galvanizing nurses against the hospital. "I've been a nurse for 16 years, but I've never been a part of a union - although other nurses in my hospital have," Gay says.
"Throughout it all, I've been impressed by what we can do when we unite."We're so busy and so short-staffed, sometimes we don't think outside the box. But forming a union has, in turn, formed a community at my hospital, and it's opened our eyes to what else is out there."
VA nurses making a difference .
Veterans Affairs psychiatric nurse Deanna Jones, RN of Denver, Colorado says "Our nurses have gone for too long without a real say in important management decisions that affect us. Like lots of hospital managers, the federal government is in the process of cutting services and scaling back-eliminating jobs, contracting out veterans' medical care to private providers, talking of attaching our facility to a private university, making decisions and telling us after the fact."That inspired a lot of fear in the nurses as to what will happen to us." So, they called the United American Nurses.
Jones worked non-union for nearly four decades--but she's glad to have the United American Nurses at her side now. "I never really supported unions," Jones says. "But with the situation we have in VA facilities right now, it is clear to me that nurses want a union-and we need a union."
The efforts of Jones and her 275 fellow nurses at the Denver VA Medical Center to choose UAN paid off in July 2002 with a representation election victory. The Denver VA nurses joined nearly 6,000 other VA nurses in the UAN.
"We chose UAN because our nurses want a professional union made up of staff nurses like us, who understand the unique nursing issues we deal with every day," says Jones, who worked as a med-surg nurse, intensive care nurse, head nurse and nursing supervisor before becoming a psych nurse.
The issues for Jones and her colleagues are commonly faced by nurses nationwide--job security and benefits security, a voice in hospital decision-making and control over staffing levels.
She says support from the Colorado Nurses Association and UAN helped the nurses stay together and vote for the union."Once our campaign got off the ground and our vote came closer, we had visits from UAN staff, other UAN VA nurses, UAN Vice President Ann Converso, RN..... I began to realize the amazing level of nurse support we had from UAN," Jones says.
That support--and the link to other RNs facing the same problems Deanna Jones and her colleagues are-was key to the Denver VA nurses' choice to go with UAN. Denver VA nurses knew they needed to connect with the nursing community and nurses around the country, says Jones, who points out the 100,000 RN-strong UAN comes through for them.
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http://www.UANnurse.org