Posted by rogerhollander in Health.
Tags: aisha jahangir, california health, California Nurses Association, canada health, cna, eileen prendiville, health worker's union, health workers, healthcare, healthcare funding, national health service, nhs, northern ireland health, nursing, ontario health, ontario nurses association, patient care, patient ratios, patricia campbell, private health insurance, quality care, registered nurses, rns, roger hollander, single payer, unions
People First! International Health Workers for People Over Profit (IHWPOP); March 29, 2009
Eileen Prendiville (RN – San Francisco, USA)
I’m struck by how similar our concerns are, even though we care for different kinds of patients in three different countries with different health-care systems. We are all facing budget cuts that are making it more difficult to care for our patients.
Aisha Jahangir (RN – Ontario, Canada)
Hospitals across the province of Ontario are chronically under-funded, and they are cutting nursing positions to balance their budgets. Every RN position lost is equivalent to 1,950 fewer hours of nursing care per year.
We are very concerned about this, because a higher proportion of RNs in a hospital has been shown to reduce patient deaths. For every ten percent rise in the proportion of RNs, patient deaths drop by five percent. Every patient added to the workload of an average RN causes the rate of complications and deaths to increase by seven percent.
Patricia Campbell (RN – Belfast, Northern Ireland)
I want to express my admiration for the work of the California Nurses Association (CNA) for winning legislation to ensure a minimum ratio of nurses per patient. That’s got to make it easier to practice safely and provide quality care for patients.
Our National Health Service (NHS) prefers to blame frontline workers than provide them with more resources. I’m eager to learn how the CNA achieved this benefit.
Eileen
Australian nurses won the first RN to Patient Ratios in 2001.
After a 12-year battle involving numerous rallies at the Capitol in Sacramento and meeting with legislators while facing fierce opposition from the hospital industry, the California Nurses Association (CNA) won the first RN to Patient ratios in the United States in 2004.
We won ratios of 1 nurse for every 4 patients in the ER – 1 to 2 for ICU patients and 1 to 1 for trauma patients. The ratios apply at all times, including meals and breaks. We also won restrictions on the use of unlicensed staff, restrictions on unsafe “floating” of nursing staff and no cuts to ancillary staff as a result of ratios. You can find out more by visiting the CNA website.
Aisha
We have a long way to go. In our ER, RNs have worked 24-hour shifts and been responsible for 15 patients at a time! Nurses are being forced to care for patients in hallways, and they are burning out.
Our local newspaper carried a front-page story about the deterioration in patient care at the hospital where I work. The hospital recently closed 16 beds and laid off 30 staff. The loss of beds and nurses means that patients are waiting much too long for care, and there aren’t enough nurses to provide the care that’s needed.
Too much work and too much stress are driving people out of nursing. More than one in four of the RNs currently working in Ontario are over age 55. Who will replace them?
Eileen
In California hospitals, safe RN ratios have improved the quality of care as well as nurse recruitment and retention.
Unfortunately, the California Department of Health Services, the government agency that regulates healthcare facilities and should be enforcing the law, is understaffed and beholden to the Schwarzenegger administration. As hospital administrators constantly seek ways to cut budgets in order to increase profits, we nurses must be diligent and insist on enforcing the law in our workplaces.
Also, California law states that the ratios must be reviewed after five years – in 2009. The hospital industry recently released two studies questioning whether the ratios really work, so we know that another is battle brewing to undermine the ratios again.
Patricia
I work as a Community Psychiatric Nurse, and CPNs are very concerned about the number of patients under our care. Can you tell me about community nursing in California? Does the nurse-to-patient ratio legislation protect nurses and patients in the community?
Eileen
I’m sorry to say that the law mandating nurse-to-patient ratios in California applies only to RNs in acute-care hospitals.
When patients with complex medical issues are sent home or to post-acute or skilled nursing facilities, the number of RNs is much lower. However, in the non-acute-care setting, we have gained improvements in nurse-to-patient ratios using our union-mandated staff nurse committees. Home health or visiting nurses who are unionized can also negotiate decreased case loads.
Patricia
We don’t have a strong union leadership here in Northern Ireland, and this is reflected in the way our health service is being run down. I’ve been involved in forming a new union for health workers, because the existing unions are more interested in developing a relationship with management than in protecting the rights of patients and health workers.
Eileen
While you mentioned the cuts to the NHS, the idea that all patients can access health care is something that Americans want, but don’t have. As more people lose their jobs and their health insurance benefits, we’re going to see many more people with no access to healthcare.
How has the NHS changed since its original inception, and would the residents of the U.K and Canada ever give up the idea of national healthcare?
Aisha
After winning national medicare in the 1970s, Canadians never imagined that we would see such a severe and escalating deterioration in our health-care system. We have been fighting back, but we have to fight much harder.
Patricia
NHS has changed significantly since its inception. Privatisation has taken a stronger hold since the Thatcher years, and New Labour continued Thatcher’s policies, dismantling a health service that was once the envy of the world.
The idea that all patients would not have access to health care would be beyond comprehension for us. However, while all NHS patients have health care in principle, the waiting lists for essential procedures and life-saving operations are increasing. As a result, many people are forced to go private.
Mental health services in Northern Ireland are grossly underfunded. For example, young people requiring specialist treatment for eating disorders and personality disorders must go to England for treatment. They are effectively exiled from their own country, far away from their families and friends. So health care is not really available for all.
I cautioned US health-care campaigners at a recent Labor Notes conference. I told them if you are going to fight for health care, fight for quality health care. A half-baked health-care system isn’t good enough.
Aisha
In Canada, the reintroduction of for-profit competitive bidding is putting a downward pressure on wages, making it even more difficult to keep people in nursing.
Eileen
I think we are headed for a public health disaster if we don’t get the profit factor out of healthcare.
The demand for a single-payer healthcare system is growing in The United States. For-profit insurance companies shouldn’t be involved in our healthcare decisions and any healthcare reform that keeps them in the mix will surely fail.
Patricia
We need to build stronger unions so we can improve our working conditions and make sure that our patients get the quality care they deserve.
Aisha
All these cuts on the backs of patients have to stop. Only in solidarity can we win this tough battle. 
Aisha Jahangir is an RN in the Family Birthing Unit at the Guelph General Hospital in Ontario, Canada. She is also a local coordinator for the Ontario Nurses Association.
Eileen Prendiville is an RN at an acute-care hospital in San Francisco, USA. She is also on the bargaining team of the California Nurses Association.
Patricia Campbell is an RN and Community Psychiatric Nurse in Belfast, Northern Ireland. She is also a founder of the UNIVERSI health workers’ union.
Posted by rogerhollander in California, Health.
Tags: andy stern, California Nurses Association, cna, eileen prendiville, health, health care, healthcare, roger hollander, sal roselli, seiu, uhw, union democracy, unions, united healthcare workers
by Eileen Prendiville – USA
“People First,” International Health Workers for People Over Profit (IHWPOP), February 12, 2009
http://hosted.verticalresponse.com/301992/d9dc259f54/1304001583/2e64d22247/
On January 27, the Service Employees International (SEIU), headed by Andy Stern, put its United Healthcare Workers-West local (UHW) into trusteeship. This means that the local’s assets are seized, its constitution and bylaws are suspended, its elected officers are removed, and Stern-appointed ‘trustees’ replace the local’s elected leadership.
The hostile takeover followed UHWs refusal to comply with SEIU’s order to split the 150,000-member local in two. UHW refused on the basis that its members had a right to vote on the matter.
Over the past few years, SEIU and the UHW have locked horns over healthcare reform, internal union democracy, how to organize non-union workers and the consolidation of smaller locals into mega-locals.
Sal Roselli, head of UHW, has been a vocal critic of Stern’s top-down, anti-democratic leadership style, while Stern has accused UHW of being in collusion with the California Nurses Association (CNA), one of SEIU’s most vocal critics.
While the SEIU leadership preaches unity with UHW, it is trying to divide and conquer CNA.
The same day UHW was placed under trusteeship, nurses represented by CNA were contacted by SEIU staff using a front group – RNs for Change. It seems that SEIU is trying to undermine upcoming CNA elections for Board of Directors and delegates to our fall convention.
CNA has long been at odds with Andy Stern and his appointees over his leadership style and his cozy relationship with management. His willingness to cut deals with employers to secure contracts has hurt health workers and patients.
In California, SEIU backed legislation that would bar the union from reporting healthcare code violations in nursing homes and make it more difficult for patients to sue nursing homes for abuse and neglect. In other states, SEIU joined the hospital industry to lobby against laws mandating minimum nurse-to-patient staffing ratios.
New Union – New Hope?
Refusing to roll over and die, UHW has formed a breakaway union, the National Union of Healthcare Workers (NUHW) and plans to disaffiliate from SEIU – a long and difficult process.
At the hospital where I work, contracts for UHW members as well as CNA nurses are currently open for renegotiation.
As the newly-formed NUHW begins organizing, SEIU staff sent in by Andy Stern, are already meeting with employers. They will likely push for quick contract settlements, but UHW members, at least at my facility, are organized and informed and will likely vote to decertify SEIU. However, with the current economic uncertainty the average worker may be unwilling to strike.
Reactions to the split inside SEIU are mixed. Some see only the destruction of unions and the glee of employers who will move to take full advantage of the situation. At one hospital a negotiator from management said, “Why would we negotiate with you [UHW] when we could negotiate with Andy Stern?” There is also the fear that a weakened labor movement will undermine passage of the Employee Free Choice Act.
Others are more hopeful. It is inspiring to see thousands of rank-and-file workers fighting to defend their union. Chanting “WE are the union! The mighty, mighty union!” they remind us that the power of unions lies in the collective strength of the workers. This message is sorely needed by a labor movement reeling from years of defeat.
Their Fight is Our Fight – Support NUHW!
SEIU is spending millions of dollars on its campaign to squelch the new union. Because UHW’s assets were seized, NUHW staff are working long hours without pay or benefits. They urgently need our financial support.
Please donate online or mail your check to:
The Fund For Union Democracy
465 California Street, Ste. 1600
San Francisco, California 94104
Video – Rank-and-file UHW members explain why they want to keep control of their union
Eileen Prendiville works as an RN and is on the CNA bargaining team at an acute care hospital in San Francisco.
roger hollander 
RN to RN: A Conversation of Gobal Concern March 29, 2009
Posted by rogerhollander in Health.Tags: aisha jahangir, california health, California Nurses Association, canada health, cna, eileen prendiville, health worker's union, health workers, healthcare, healthcare funding, national health service, nhs, northern ireland health, nursing, ontario health, ontario nurses association, patient care, patient ratios, patricia campbell, private health insurance, quality care, registered nurses, rns, roger hollander, single payer, unions
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People First! International Health Workers for People Over Profit (IHWPOP); March 29, 2009
Eileen Prendiville (RN – San Francisco, USA)
I’m struck by how similar our concerns are, even though we care for different kinds of patients in three different countries with different health-care systems. We are all facing budget cuts that are making it more difficult to care for our patients.
Aisha Jahangir (RN – Ontario, Canada)
Hospitals across the province of Ontario are chronically under-funded, and they are cutting nursing positions to balance their budgets. Every RN position lost is equivalent to 1,950 fewer hours of nursing care per year.
We are very concerned about this, because a higher proportion of RNs in a hospital has been shown to reduce patient deaths. For every ten percent rise in the proportion of RNs, patient deaths drop by five percent. Every patient added to the workload of an average RN causes the rate of complications and deaths to increase by seven percent.
Patricia Campbell (RN – Belfast, Northern Ireland)
I want to express my admiration for the work of the California Nurses Association (CNA) for winning legislation to ensure a minimum ratio of nurses per patient. That’s got to make it easier to practice safely and provide quality care for patients.
Our National Health Service (NHS) prefers to blame frontline workers than provide them with more resources. I’m eager to learn how the CNA achieved this benefit.
Eileen
Australian nurses won the first RN to Patient Ratios in 2001.
After a 12-year battle involving numerous rallies at the Capitol in Sacramento and meeting with legislators while facing fierce opposition from the hospital industry, the California Nurses Association (CNA) won the first RN to Patient ratios in the United States in 2004.
We won ratios of 1 nurse for every 4 patients in the ER – 1 to 2 for ICU patients and 1 to 1 for trauma patients. The ratios apply at all times, including meals and breaks. We also won restrictions on the use of unlicensed staff, restrictions on unsafe “floating” of nursing staff and no cuts to ancillary staff as a result of ratios. You can find out more by visiting the CNA website.
Aisha
We have a long way to go. In our ER, RNs have worked 24-hour shifts and been responsible for 15 patients at a time! Nurses are being forced to care for patients in hallways, and they are burning out.
Our local newspaper carried a front-page story about the deterioration in patient care at the hospital where I work. The hospital recently closed 16 beds and laid off 30 staff. The loss of beds and nurses means that patients are waiting much too long for care, and there aren’t enough nurses to provide the care that’s needed.
Too much work and too much stress are driving people out of nursing. More than one in four of the RNs currently working in Ontario are over age 55. Who will replace them?
Eileen
In California hospitals, safe RN ratios have improved the quality of care as well as nurse recruitment and retention.
Unfortunately, the California Department of Health Services, the government agency that regulates healthcare facilities and should be enforcing the law, is understaffed and beholden to the Schwarzenegger administration. As hospital administrators constantly seek ways to cut budgets in order to increase profits, we nurses must be diligent and insist on enforcing the law in our workplaces.
Also, California law states that the ratios must be reviewed after five years – in 2009. The hospital industry recently released two studies questioning whether the ratios really work, so we know that another is battle brewing to undermine the ratios again.
I work as a Community Psychiatric Nurse, and CPNs are very concerned about the number of patients under our care. Can you tell me about community nursing in California? Does the nurse-to-patient ratio legislation protect nurses and patients in the community?
Eileen
I’m sorry to say that the law mandating nurse-to-patient ratios in California applies only to RNs in acute-care hospitals.
When patients with complex medical issues are sent home or to post-acute or skilled nursing facilities, the number of RNs is much lower. However, in the non-acute-care setting, we have gained improvements in nurse-to-patient ratios using our union-mandated staff nurse committees. Home health or visiting nurses who are unionized can also negotiate decreased case loads.
Patricia
We don’t have a strong union leadership here in Northern Ireland, and this is reflected in the way our health service is being run down. I’ve been involved in forming a new union for health workers, because the existing unions are more interested in developing a relationship with management than in protecting the rights of patients and health workers.
Eileen
While you mentioned the cuts to the NHS, the idea that all patients can access health care is something that Americans want, but don’t have. As more people lose their jobs and their health insurance benefits, we’re going to see many more people with no access to healthcare.
How has the NHS changed since its original inception, and would the residents of the U.K and Canada ever give up the idea of national healthcare?
After winning national medicare in the 1970s, Canadians never imagined that we would see such a severe and escalating deterioration in our health-care system. We have been fighting back, but we have to fight much harder.
Patricia
NHS has changed significantly since its inception. Privatisation has taken a stronger hold since the Thatcher years, and New Labour continued Thatcher’s policies, dismantling a health service that was once the envy of the world.
The idea that all patients would not have access to health care would be beyond comprehension for us. However, while all NHS patients have health care in principle, the waiting lists for essential procedures and life-saving operations are increasing. As a result, many people are forced to go private.
Mental health services in Northern Ireland are grossly underfunded. For example, young people requiring specialist treatment for eating disorders and personality disorders must go to England for treatment. They are effectively exiled from their own country, far away from their families and friends. So health care is not really available for all.
I cautioned US health-care campaigners at a recent Labor Notes conference. I told them if you are going to fight for health care, fight for quality health care. A half-baked health-care system isn’t good enough.
Aisha
In Canada, the reintroduction of for-profit competitive bidding is putting a downward pressure on wages, making it even more difficult to keep people in nursing.
Eileen
I think we are headed for a public health disaster if we don’t get the profit factor out of healthcare.
The demand for a single-payer healthcare system is growing in The United States. For-profit insurance companies shouldn’t be involved in our healthcare decisions and any healthcare reform that keeps them in the mix will surely fail.
Patricia
We need to build stronger unions so we can improve our working conditions and make sure that our patients get the quality care they deserve.
Aisha
All these cuts on the backs of patients have to stop. Only in solidarity can we win this tough battle.
Aisha Jahangir is an RN in the Family Birthing Unit at the Guelph General Hospital in Ontario, Canada. She is also a local coordinator for the Ontario Nurses Association.
Eileen Prendiville is an RN at an acute-care hospital in San Francisco, USA. She is also on the bargaining team of the California Nurses Association.
Patricia Campbell is an RN and Community Psychiatric Nurse in Belfast, Northern Ireland. She is also a founder of the UNIVERSI health workers’ union.