I support ratios and much of what is being proposed by the CNA and do feel that we have to be firm with hospital administrations as they are with us. We will not succeed if we continue to be our own worst enemy. There is so much to do and we will all lose if we focus on our differences as opposed to our common goals of making the acute care setting a safer place for nurses and patients.
I plan to post your comments on my blog at http://nurseadvocates.blogspot.com
On Wed, Apr 23, 2008 at 11:18 PM, The Nurse Unchained
The Nurse Unchained
Nurses alleged that nurses attack them!
Posted: 23 Apr 2008 12:13 PM CDT
Dateline Dearborn, Michigan – Nurses alleged that nurses attack them!Yes, you read correctly, the nurses and other members of the California Nurses Association/National Nurses Organizing Committee (C.N.A./N.N.O.C.) alleged that during their convention in Dearborn that members of the Service Employee International Union (S.E.I.U.), a rival nursing union, barged into their event and began to harass and attack their members. C.N.A./N.N.O.C representatives have alleged that at least one woman was injured during this altercation and had to be treated at a local hospital for her injuries.When I read this report in my e-mail and later in my local newspaper I thought what a sad, sad day for the nursing profession; and a sense of déjà vu came over me. Since several years ago I was very nearly “that” woman who had to be taken to the hospital after being accosted by a male RN who was a C.N.A. member.During a special election that had been called by our Governor the C.N.A., S.E.I.U. took issue with a request from the Governor to delay the implementation of phase two of the California mandated nurse/patient ratio law, asking that a review and report of the impact of phase one first; this request seemed reasonable to me since many hospitals were claiming the law had been at the heart of a series of hospital closure and the nurses were arguing that it had “solved” our state’s nursing shortage. A review of what phase one had or had not done seemed reasonable however some chose to interpret that to mean a rollback of the law. So the C.N.A. started its now famous campaign where it dogged the Governor and many other elected officials to various events throughout the state holding loud and boisterous demonstrations and even interrupting the “non-political” annual Governor’s Conference on Women. Historically this conference has placed a focus on women and women issues with little to no political agenda, a rare venue where divergent groups could gather for an open exchange of ideas – no more because since that day the conference has become like so many public meetings have become susceptible to “hijacking” by one group or another for its own political agenda.I was with a group of nurses who decided that we had had enough with members of the C.N.A. disrupting events through-out our state and when the C.N.A. decided to hold their post-election night event at the same venue as ours we decided to take our signs and hold a low-key, peaceful demonstration outside their room; since of course what’s good for the goose is good for the gander – no? As we stood outside the door of their event with our signs; members of the C.N.A. came out to demand that we leave, when that failed they tried to drown us out and when that didn’t work they tried kicking my cane out from under me so I’d fall.So, while I found it very distressing that nurses would resort to physically assaulting one another (as if they don’t experience this type of bullying enough in the workplace) I found it rather ironic that Rose Ann DeMoro would yell “foul” when treated to some of the same tactics she and some members of the C.N.A./N.N.O.C. was infamous for – talk about the pot calling the kettle black. This recent event also helps highlight what happens when people are intentionally “radicalized”, allowed to funnel all their frustration (both real and imagined) into a perceived “foe”, and then let lose to vent. The past several years have seen the C.N.A./N.N.O.C. aggressively recruiting for new nurse members throughout the country. In many of these recruitment activities there have been accusations made that the C.N.A./N.N.O.C. has engaged in union raiding, the use of State Board of Nursing mailing lists to recruit (this is usually prohibited), and even the attempt to recruit under the guise of emergency response, etc.There is little doubt that the C.N.A./N.N.O.C. has developed a reputation for “bare-knuckle” fighting and not being shy at calling out those that they perceive are hampering their agenda. Most organization members would welcome such aggressive “protection”, however sometimes when a group behaves in a way that is very much outside the societal norm and don’t face consequences then the groundwork is laid for the potential of even more outrageous behavior in the future and where does the line get drawn?Time for disclosure, for those who may be unaware of my personal bias let me make it clear I am not one who supports or promotes the idea of unions for nurses. I am however a firm believer that nurses should seek out, participate and join professional associations, but NOT unions. Strikes and the behavior exhibited by the rival nursing unions in Michigan are a good example of what happens when nurses adopt the no-holds barred mentality of unions.Another thing that has concerned me about the recent confrontations in Michigan is the silence from organizations that claim to be professional nursing associations and advocacy groups on the alleged nurse on nurse violence that was reported to have occurred in Dearborn, MI. You’d think that they would at least issued a statement denouncing such unprofessional, let alone poor human behavior. Of course, I’m sure that if this had been an episode of E.R. or House maybe we’d have received a denouncement.I’m also concerned at the fall-out from this violent encounter, since the S.E.I.U. and C.N.A./N.N.O.C. confrontation over the stalled unionization in Ohio I have received numerous mailers from the S.E.I.U. about the transgression; and now with the events in Dearborn one wonder if there will be an intervention or will things continue to escalate? However, Ms. DeMoro shouldn’t be allowed to cry wolf about the S.E.I.U. members “stalking” C.N.A./N.N.O.C. members since it has been my experience that the C.N.A./N.N.O.C. has engaged in this behavior, usually meant to coerce uncooperative nurses at hospitals targeted by the C.N.A./N.N.O.C. for union organizing. Don’t believe me just read the testimony of nurses from Cedars-Sinai hospital that describe what they experienced at the hands of C.N.A. representatives when they opposed unionization; as well as the documented threats made to some nurses’ families. This does not mean I believe such behavior is justifiable or acceptable but it is interesting that when C.N.A./N.N.O.C. members experience such hostility it is suddenly not so palatable. Maybe this might be a significant emotional event for both groups to step back and take a look at what has happened and what is happening and maybe alter the collision course they are both on. Of course there are some observers who also see this as an opportunity to expose the darker side of nursing unions, and it very well maybe but the question remaining is will the media report and investigate, or will they take their usual role of union sympathizer and sweep it under the rug? Meanwhile, this morning a brief news article revealed that a court official had lifted the temporary restraining order that had been granted to the C.N.A./N.N.O.C. against the S.E.I.U. The court official ruled that the restraining order was “not supported” by the evidence filed by the C.N.A./N.N.O.C. (source Los Angeles Times, April 23, 2008)
I would like to thank you for your comments to my recent posting on my blog, “The Nurse Unchained.” I agree that nurses need to show strength and conviction when faced with situations that place their patients and the nurse's ability to perform his/her job safely (and sometimes that means standing up to not only hospital administration but to fellow nurses as well).
ReplyDeleteUnlike you I am not a supporter of ratios as they have been implemented in California. Why, because I believe in the need to assess the acuity of patient and the assignment of nurses in respect and relation to the nurse's skill sets and the severity/or lack thereof of the patient and this law does not make use of the nurse's critical thinking skills and education. I advocated for an acuity based system since our State's “title 22” already called for the implementation of an acuity system; since there was already well established reporting tools and fines and punishment associated with failure to comply. I also felt that the safe nurse/patient ratio bill that was signed into law though a possible step in the right direction failed to fulfill one of its greatest promises since there wasn't an associated enforcement bill attached to it. The enforcement bill was a companion bill, and to my knowledge it remains unsigned to this day. In some way the Governor's suggestion that a review of phase one should take place before further implementation was not such a bad idea since it might have laid to rest “this law is causing hospitals to close” rumors or substantiated it (in whole or part). It would have also validated or invalidated the C.N.A.'s claim that it had ended the nursing shortage that they made to the various news outlets (a claim which published BRN statistics also did not seem to substantiate).
If you are so inclined, I invite you to read my column (published monthly in Working Nurse Magazine and with a readership of approx. 300,000 RNs in Southern California and Arizona). You can find copies of my column archived on my business website at http://www.solutionsoutsidethebox.net/Articles--and--Studies.php and you can also find copies of my various letters to the editor and guest views archived under the sections “In the News” (including letters to the editor that addressed the nurse/patient ratio)
Cordially,
Geneviève
My Response
nurse advocate to Raconte
show details 10:06 AM (3 minutes ago) Reply
I would support acuity if I the law stated that it would be designed by bedside nurses and administered by the bedside nurses. The places where I have worked that had an acuity system had the same staffing as a straight division staffing matrix.
I actually prefer the Ratio system adopted in Victoria, Australia, that calls for 5 nurses for 20 patients on a medsurg floor and then allows the charge nurse or the nursing staff to decide the acuity of the patients and divide out the assignments. One nurse may have 5 or 6 patients while another may only have 3 depending on the issues and acuity of the patients.
There is no perfect system but we can do better than we currently are . I wish we were debating here in Tennessee the effectiveness of a mandated ratio system. Our nurses here are often faced with very unsafe ratios and no regard for skill level at all. The administrations at Tennessee hospitals float medsurg nurses into the ICU, OB nurses to adult medsurg, non psych nurses to psych units, the list goes on and on. I don't know if that is addressed in California but it needs to be dealt with nationally.
I have no trust in the administrations of most hospitals to do the right thing over the mighty dollar, so at very least the ratios push them in the right direction. I was at one point in my career a nurse manager and was witness first hand to the lack of regard for the safety of patients and the lack of respect for our profession of nursing. I have witnessed administrations in Florida, California and Tennessee put patients safety at risk and treat nurses as interchangeable parts of the machine they call modern health care. It has to stop. Ratios are only the tip of the iceburge in the reform that is needed in our health care system and as the largest voice in that system nurses are the logical ones to push that change.
As a nurse and patient advocate I am dedicated to bringing about reform and I wish more nurses like your self would get involved in the conversation. Thank you for your time and commitment to the issues even if we don't agree.