Top 10 Reasons Against Unions

Nurses Union

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Top ten reasons why we don't want a union

10. the union doesn't write my paycheck.

9. unions would rather cause problems than work together.

8. union scale means the best workers are carrying the worst.

7. the people who want a union really need one.

6. too corrupt.

5. too political, too liberal and too partisan.

4. unions are only about power and money for the ones who run the union.

3. unions are negative about everything but how great they are.

2. I like to work steady.

1. I've got too much self respect.

Hmm negligent actions.... You're right a union is needed to protect the RN who commits a negligent act. That should work wonders for healthcare

Specializes in NICU, PICU, Transport, L&D, Hospice.
Hmm negligent actions.... You're right a union is needed to protect the RN who commits a negligent act. That should work wonders for healthcare

Clearly only victims of negligence are harmed or die in the acute care setting and only professionals actually guilty of negligence are involved in litigation, right?

Specializes in Critical care, tele, Medical-Surgical.
Nurses are not the income generators.. The MDs that admit patients and perform procedures generate income.

We nurses are too concerned with how many letters we can make up and add to the end of our names. IT's laughable to the MDs and hospital administrators. They will never take us seriously as long as we keep crying victim...

Patients are admitted to an acute care hospital because they need NURSING CARE.

Is there another reason?

Those of us who work to change conditions for our patients are clearly not victims.

That is what we were taught...

They need MEDICAL care...

The DOCTORS are responsible for that... We as nurses are their acolytes...

This is an example of what I am trying to get across....

We are not the center of the universe...

Patients are admitted to an acute care hospital because they need NURSING CARE.

Is there another reason?

Those of us who work to change conditions for our patients are clearly not victims.

Specializes in Critical care.

You might have 10 reasons for no Union but I have 30000000000000 reasons why nurses do need unions.

You might have 10 reasons for no Union but I have 30000000000000 reasons why nurses do need unions.

Then you should exercise your professional autonomy and join one.... Unions are great pimps...

Specializes in Critical care, tele, Medical-Surgical.
That is what we were taught...

They need MEDICAL care...

The DOCTORS are responsible for that... We as nurses are their acolytes...

This is an example of what I am trying to get across....

We are not the center of the universe...

If you need medical care you go to a clinic, physicians office, outpatient center, or urgent care.

People are admitted to an acute care hospital because they need nursing care.

Here are the outlined requirements for a registered nurse in my state:

http://www.rn.ca.gov/pdfs/regulations/npr-i-20.pdf

They are codified in hospital license requirements:

Title 22. Social Security Division 5.

Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies

Chapter 1. General Acute Care Hospitals Article 3.

Basic Services (Refs & Annos)

22 CCR 70215

70215. Planning and Implementing Patient Care.

(a) A registered nurse shall directly provide:

(1) Ongoing patient assessments as defined in the Business and Professions Code, section 2725(b)(4). Such assessments shall be performed, and the findings documented in the patient's medical record, for each shift, and upon receipt of the patient when he/she is transferred to another patient care area.

(2) The planning, supervision, implementation, and evaluation of the nursing care provided to each patient. The implementation of nursing care may be delegated by the registered nurse responsible for the patient to other licensed nursing staff, or may be assigned to unlicensed staff, subject to any limitations of their licensure, certification, level of validated competency, and/or regulation.

(3) The assessment, planning, implementation, and evaluation of patient education, including ongoing discharge teaching of each patient. Any assignment of specific patient education tasks to patient care personnel shall be made by the registered nurse responsible for the patient.

(b) The planning and delivery of patient care shall reflect all elements of the nursing process: assessment, nursing diagnosis, planning, intervention, evaluation and, as circumstances require, patient advocacy, and shall be initiated by a registered nurse at the time of admission.

© The nursing plan for the patient's care shall be discussed with and developed as a result of coordination with the patient, the patient's family, or other representatives, when appropriate, and staff of other disciplines involved in the care of the patient.

(d) Information related to the patient's initial assessment and reassessments, nursing diagnosis, plan, intervention, evaluation, and patient advocacy shall be permanently recorded in the patient's medical record.

Note: Authority cited: Sections 1275 and 131200, Health and Safety Code. Reference: Section 2725(b)(4), Business and Professions Code; and Sections 1276, 131050, 131051 and 131052, Health and Safety Code.

https://govt.westlaw.com/calregs/Document/IFD69DB90621311E2998CBB33624929B8?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=%28sc.Default%29

Here are selected parts of CMS Federal regulations required for all hospitals participating in Medicare and/or Medicaid

State Operations Manual

Appendix A -Survey Protocol,

Regulations and Interpretive Guidelines for Hospitals

482.23 Condition of Participation: Nursing Services

The hospital must have an organized nursing service that provides 24-hour nursing services. The nursing services must be furnished or supervised by a registered nurse.

482.23(b) Standard: Staffing and Delivery of Care

The nursing service must have adequate numbers of licensed registered nurses, licensed practical (vocational) nurses, and other personnel to provide nursing care to all patients as needed.

There must be supervisory and staff personnel for each department or nursing unit to ensure, when needed, the immediate availability of a registered nurse for bedside care of any patient.

Interpretive Guidelines 482.23(b)

The nursing service must ensure that patient needs are met by ongoing assessments of patients' needs and provides nursing staff to meet those needs. There must be sufficient numbers, types and qualifications of supervisory and staff nursing personnel to respond to the appropriate nursing needs and care of the patient population of each department or nursing unit.

http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_a_hospitals.pdf

Semantics... The facility will not function with nurses alone... Who will write the orders? Take rads? Labs? It may be "nursing" care by regulation but nurses are not rendering all of the care or even most of it... Again.. we are not the center of the universe.... We work in the field of medicine. We are ancillaries

Specializes in Critical care, tele, Medical-Surgical.
Semantics... The facility will not function with nurses alone... Who will write the orders? Take rads? Labs? It may be "nursing" care by regulation but nurses are not rendering all of the care or even most of it... Again.. we are not the center of the universe.... We work in the field of medicine. We are ancillaries

Oh silly, of course we need physicians. :yes:

They know their patients need nurses.

Competent registered nurses know when to notify the physician.

The facility will not run with doctors alone.

Specializes in Critical care, tele, Medical-Surgical.

Neither nurses nor physicians are acolytes.

I always thought attorneys learned to communicate accurately.

Full Definition of ACOLYTE

1: one who assists a member of the clergy in a liturgical service by performing minor duties

2: one who attends or assists

http://www.merriam-webster.com/dictionary/acolyte

Neither nurses nor physicians are acolytes.

I always thought attorneys learned to use communicate accurately.

You had to look it up..

Nurse: one who attends or assists... That is what we signed up for.. be comfortable with it

Specializes in Critical care, tele, Medical-Surgical.
You had to look it up..

Nurse: one who attends or assists... That is what we signed up for.. be comfortable with it

A registered nurse must consistently transfer scientific knowledge from social, biological, and physical sciences in applying the Nursing Process.

A registered nurse must transfer scientific knowledge from social, biological and physical sciences in applying the nursing process. The nursing process is a scientific problem solving method for providing safe, effective, therapeutic nursing care.

A registered nurse is an independent practitioner with dependent functions requiring physicians orders for standardized procedures.

Many procedures such as ACLS, cardiversion, PICC line insertion, and many others once required an order, and are now common nursing practice.

PS: Is there a reason other than nursing care for which a person needs to be admitted to a hospital?

The nursing assessment is an analysis and synthesis of data (vital signs, hemodynamics, laboratory and and other test results, observation of the patient's physical condition and behavior, and through information obtained from the patient, family, and others including the physician and other members of the health team.

We must advocate in the best interest of our patients, including doing all we can to help our patients be a comfortable as possible.

Since I don't need a nurse at this time my comfort is up to me. I advocate for myself and am comfortable

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