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REGION ONE
THE VOICE OF NURSES IN WESTERN MASSACHUSETTS VOLUME 39, NUMBER 1
REGION ONE NURSE
INSIDE THIS
ISSUE:
BARGAINING
UNIT UPDATES
2
CONVENTION
PHOTOS
3
SAFE PATIENT
HANDLING : IT ’S
4
TAKING CARE OF
US!
5
SAVE THE DATES 6
PUBLIC SECTOR
RALLY PHOTOS
7
MARCH 2011
REGION ONE FILM NIGHT PRESENTS
NORMA RAE
A young single mother and textile worker agrees to help unionize her mill despite the difficulties and dangers involved.
A free event for MNA members, labor activists, students, family &
friends. Children welcome.
Date: April 13, 2011 Time: 5:30 to 8:00
Place: Region One office, 241 King Street Suit 226 Northampton
As usual, dinner will be served. Please RSVP the Region One office:
413-584-4607 [email protected]
A message from Gail Bean, RN, Vice Chair, Regional Council One; BU Chair, Western Mass Hospital
Do you ever want to know how the work of our union gets done? Do you read about great events after the fact? Do you want to become involved in your bargaining unit but don’t want to take on too much? Do you want to personally contribute to the workings of your union knowing that you will receive far more in return? Please consider this your personal invitation to attend the next Region One meeting.
So what’s in it for you in addition to the above?
Well, you will:
Learn about the background of many of the issues often too in-volved to put into print
Learn first hand about cutting edge issues happening within our region
Develop friendships with nurses from other Bargaining Units (B.U.)
Learn about constructive ways other bargaining units handle issues, issues which may sound very familiar.
(Continued on page 3)
BE THE ONE
Region One members and MNA staff at MNA Convention 2010.
PAGE 2 VOLUME 39, NUMBER 1
BARGAINING UNIT UPDATES
BAYSTATE FRANKLIN MEDICAL CENTER
On January 5th, many BFMC nurses turned out to be updated on contract negotiations and to brainstorm ideas for an action campaign to move the process toward a fair contract. Many ideas were shared and the bargaining commit-tee set out a calendar of events. One of the first actions we decided on was to wear our MNA buttons at work to show unity and support for a fair contract. We chose a theme for the action campaign and stickers were printed: “Our Focus is Your Care” says it all for us nurses at the bedside!!! We also undertook a petition for nurses to sign expressing our support for agreement on a new, fair contract. This petition was signed by 80% of our nurses and given to management at the last negotiation session held on January 25th.
Because of the many RNs who wore buttons, signed the petition, and attended negotiation sessions, we reached a tentative agreement with BFMC on January 25th. The bargaining committee unanimously endorsed this tentative agreement for the new contract between MNA and BFMC. The contract was ratified on February 16th.
The agreement is a one-year contract, which allows the hospital time to find out where finances will be after all the changes to reimbursements have occurred. There were no takeaways!!!! Positive additions to our contract include:
A cap on mandatory overtime to sixteen hours per calendar year.
New language to prevent daily mid-shift floating.
New technology will be a permanent agenda item at Labor/Management meetings, just like unsafe staffing reports are presently.
Task forces to look into an acuity system to ensure safe staffing, patient satisfaction and physical plant changes will be created with equal representation from MNA and the hospital.
As we move further into this new year, the BFMC MNA committee is encouraging all of us to put our patients first and be ready to assist our fellow nurses when they are in the weeds with their assignment. When we stick together, our patients benefit from safe, quality care, and we prevent burnout in each other.
BAYTATE VNA SPRINGFIELD
The RNs of Baystate VNA Springfield are currently in contract negotiations.
BERKSHIRE MEDICAL CENTER
Berkshire Medical Center RNs, who have been in contract negotiations since July, have scheduled a strike authoriza-tion vote for March 9, 2011. On February 8th, the first day of negotiations that included a federal mediator, management refused to sit at the bargaining table. The issues are over two concessions; the creation of an in-house health insurance plan that would force nurses to receive their health care at BMC or pay exorbitant co-pays, and ending the practice of paying RNs who are scheduled for three twelve hour shifts for forty hours (resulting in a 10 percent pay cut).
COOLEY DICKINSON HOSPITAL
The Nurses Unit and CDH began negotiations last fall. Different from past negotiations, we have not agreed to
(Continued on page 6)
RNs at Berkshire Medical Center, where management refused to sit at the bargaining table with the nurses for their scheduled negotiations.
Region One RNs at the UMass Memorial rally during MNA
Convention 2010.
So what’s in it for Region One?
We will:
Have the opportunity to connect with each and every B.U. on a regular monthly basis
Receive input from each B.U. as to what the pressing issues are in your work setting
Have an opportunity to share our expertise as nurses and col-leagues with each other
Be fulfilling our Bylaws requirement to have each B.U. repre-sented at each Region One meeting
You might think that your B.U. Chair is already attending; some may be. But as the saying goes, “many hands make light work” and having another set or sets of ears and a person or persons willing to participate is so uplifting. Bringing informa-tion from the Region back to your B.U. can help you feel a greater connectedness with you colleagues.
So what does it require, you ask. Two hours of your time on the second Monday of each month (except for July). Meetings start at 6pm at the Region One office. Food is provided. Consider traveling with a co-worker; it is a great opportunity to process information while traveling to the Region One office. We hope to hear a new voice from each and every B.U. You are all welcome. Please let your B.U. Chair and Heather LaPenn, the Region One office manager (413-584-4607) know you
will be attending. We may not have a red carpet but the environment and the company is most welcoming.
(Continued from page 1)
PAGE 3 VOLUME 39, NUMBER 1
Region One MNA members rally in support of Wisconsin public sector workers, in Springfield on Monday, February 21, 2011.
PAGE 4 VOLUME 39, NUMBER 1
By Chris Pontus, MS, RN, COHN-S MNA Associate Director, Health & Safety
Many nurses wonder what can be said about back injury reduc-tion programs that has not been said already. We understand why nurses think and feel this way, but nurses also recognize that it is not what we know or what has not been said already, it is what needs to happen. This requires a change in the way we think about nursing, as well as the culture of the organizations we work in before a paradigm shift can occur to make it happen. Do you remember the term “body me-chanics?” Body mechanics was part of the nurses’ training and education very early on in most nursing programs. In fact it was one of the first behavioral objectives taught to nursing students before going on into the clinical setting. This approach ensured that the newly acquired skill was practiced throughout all the nursing clini-cal rotations the nursing student would be exposed to.
Body mechanics was also one of the first concepts and actions a nursing student thought they were prac-ticing in order to take better care of themselves in addition to delivering excellent patient care. Now the new found truth is that body mechanics does not work.
What? How can that be? That is the general reaction most nurses have when hearing this news. But the rationale is simple: injuries involv-ing work-related musculoskeletal disorders show us that body mechanics does not work. This has become so evident that it has led to some coun-tries in Europe to restrict nurses, doctors and other emergency and medical personnel from manually lifting patients.
Years ago I attended a safe patient handling con-vention with (now former) MNA president Beth Piknick . Aside from the fact that we learned much and met many people, we also came back with very specific information to share with MNA members and the MNA Safe Patient Handling Task Force.
The task force is made up of MNA members who attend monthly meetings to discuss and develop legislation, educational, training and nursing initiatives to get the word out about safe patient han-dling methods, ergonomics and lifting devices.
One of the specific points we were able to clarify after coming back from the conference was that “lift teams” were not some-thing we wanted to convey as a panacea. In fact, we found the protocol and concept of the back injury resource nurse (BIRN) much more conducive for a long-term effective approach.
We now understand the value of a safe patient handling and movement program. This pro-gram works best as a team. Members of the team are nursing staff (CCNAs,LPNs, RNs), nursing services-safety representatives, peer leaders (BIRN), nursing administrator, risk managers, nurse educators, therapy staff mem-bers (OTs, PTs), engineering, employee health representatives, union members, and others who are committed to making this work. A real benefit to attending the conference was that Beth and I actually meet and spoke to certi-fied BIRN nurses. These frontline staff nurses from the Florida Veterans Administration were trained and certified in the basic education model. Their current practice with the peer
review model of instruction is a testimony to the success of the program when practiced in a supportive environment.
We also met other interested professionals from various back-grounds who are all contributing to what has historically been a nursing issue when it comes to patient care. Clearly the challenge in the nursing profession has been the fact that patients them-
(Continued on page 5)
SAFE PATIENT HANDLING : IT ’S ALL BEEN SAID , NOW HERE ’S
WHAT NEEDS TO HAPPEN
IF YOU ARE INTERESTED IN
SUPPORTING THIS LEGISLATION OR
JOINING THE SAFE PATIENT HANDLING TASK FORCE CALL CHRIS PONTUS AT
781.830.5754.
TAKING CARE OF US!
PAGE 5 VOLUME 39, NUMBER 1
BARGAINING UNIT SEATS
Christine Carbin-O’Brien Baystate VNA South Alexander Neary Berkshire Medical Center
Sally Surgen Cooley Dickinson Hospital Ann Lewin Baystate Franklin Medical Center
Stephen Mikelis Mercy Hospital Paul Dubin Noble Hospital
Sharon Cygan Noble Hospital Ruth O’Hearn North Adams Regional Hospital
Leslie Campbell VNA & Hospice at Cooley Dickinson Hospital Sheryl Moriarty VNA & Hospice at Cooley Dickinson Hospital
Diane Michael Providence Hospital Laurie Scripter West Springfield School Nurses
Elizabeth Bonafilia, West Springfield School Nurses
D IRECTORS AT LARGE
Chris Martin, Berkshire Medical Center Mary Kay Kasuba, Berkshire Medical Center
Gail Bean, Western Mass Hospital
UNIT 7
Chris Folsom, UNIT 7-DMR Com. Services West Carol Konrad, UNIT 7-Holyoke Soldiers Home
Helen Norris, UNIT 7-Medicaid/Long Term Care Nancy Haberstroh-Knaus, UNIT 7-Monson Developmental Center
Mary Turner, UNIT 7-Pittsfield Public Health Sherry Ferrier, UNIT 7-Western Mass. Hospital DPH
OFFICERS
Chair, Christine Folsom UNIT 7-DMR Community Services West
Vice Chair, Gail Bean, West. Mass. Hospital Secretary, Irene Patch, Holyoke Soldier’s Home Treasurer, Diane Michael, Providence Hospital
REGIONAL COUNCIL ONE By Sally Surgen, RN, Bargaining Unit Chair of Cooley Dickinson Hospital
While doing some online research last summer for a workers’ com-pensation issue, I came across information about weight limits for manual–lifting tasks. In one resource Capt. James Collins of NIOSH (National Institute for Occupational Safety and Health) gave testi-mony before Congress on May 11, 2010, regarding Safe Patient Handling. This full testimony can be found at http://www.hhs.gov/asl/testify/2010/05/t20100511a.html. Another resource that I found was an article in Aug 2007 AJN titled, “When is it Safe to Manually Lift a Patient,” by Thomas Waters PhD, avail-able at http://journals.lww.com/ajnonline/Fulltext/2007/08000/When_Is_It_Safe_To_Manually_Lift_A_Patient_.30.aspx.
To distill it down, NIOSH investigated musculoskeletal disorders (MSDs) in health care workers and found that they experience MSD types of injuries at a far greater rate than other workers. This may be attributed to the fact that nurses lift patients for whom there are many variables: uncooperativeness, slips, falls, muscle spasms, combative or resistive behaviors. NIOSH also develops and evaluates interven-tions to prevent MSD injuries. One area of focus is to prevent lifting injuries in the health care setting. Of major concern is the obesity epidemic and the age of the Nursing population. Capt. Collins ex-plained that MSDs that result from patient handling are due to the high internal forces created in the spine when a person lifts a heavy object. We as health care workers are at greater risk because of the
type of lifting that we do. We may have to reach our upper body far across a bed to move a patient from one surface to another. Repeated stretching and lifting of this type re-sults in scarring that causes more damage. Because of this “NIOSH recommends that no caregiver should manually lift more than 35 lbs of a person’s body weight for a vertical
lifting task and that when the weight to be lifted exceeds this limit, assistive devices should be used.”
I brought this information to our Labor Management meeting and after several months of discussion and investigation management has agreed to change the lift requirement in our job description from 50 lbs. to 35 lbs. We are hoping this along with the new lifts purchased by the hospital will prevent MSDs in our nurses as we so gracefully age! Think about using your knowledge to create a positive change in your working conditions and share your successes.
selves do not come in one size or predictable loads. The re-quirements for safe patient handling are often more varied and unpredictable than many manufacturing facilities where the problem can often be engineered out in a more direct and planned approach. This reality puts the nurse and her profession at a disadvantage in that equipment, time, and nursing personnel are often re-sources not readily available at most given times while deliver-ing patient care. Therefore, unless there is a program in place in each facility to ensure compliance for objectives of safe pa-tient handling, equipment and personnel can not be properly utilized.
The Massachusetts Nurses Association has submitted to the Legislature a related bill for consideration, entitled An Act Relating to Safe Patient Handling.
(Continued from page 4)
Think about using your knowledge
to create a positive change in your working condi-tions and share your successes!
PAGE 6 VOLUME 39, NUMBER 1
ground rules. Either side can introduce new proposals at any time. Encouraged by MNA Executive Director Julie Pinkham, we felt that maintaining an offensive strategy was the way to go. We have frequent issues cropping up every day that could be addressed by contract language. Having open ended proposal filing gives us the opportunity to ad-dress these issues during the current negotiation and not having to wait 3 years until we sit down again.
Two of our proposals are of great importance to us. They are; maintain our defined benefit pension plan and institute survivorship language in the contract for when we are ac-quired by another hospital. Luckily for us the MNA and Steward Health Care have agreed to establish a jointly ad-ministered Taft-Hartley Pension Plan, which we have pro-posed that CDH join.
Proposals from the hospital side include but are not limited to the introduction of flex positions, an Earned Time Off Program, removal of overtime for hours greater than 8 and loss of 2 holidays.
It is early in the process, which has been overshadowed by a Reduction in Force. We remain steadfast in our desire to maintain our contract and our pension plan.
MERCY MEDICAL CENTER
Last Summer the hospital laid off the majority of the Patient care assistants and then replaced them with Unit Assistants who performed less duties and worked fewer hours on the floors. This has resulted in significant increases to the nurses workload and stress levels. Nurses have been filling out unsafe staff forms, and MNA has been discussing these
issues with management. Safe Patient Handling lan-guage was negotiated, how-ever this doesn’t address the real problem that pa-tients need more hands at the bedside. In response to these conditions, the nurses have had several well at-tended Safe Staffing Forums
held between nurses and MNA staff. As a result, nurses have been wearing stickers, strategizing and planning ac-tions that they hope will ultimately improve safe patient staffing on the floors.
WEST SPRINGFIELD SCHOOL NURSES
West Springfield School nurses will be meeting to prepare for elections and negotiations that will be occurring in the spring.
(Continued from page 2)
SAVE THE DATE!
Saturday, March 26, 2011: Western Mass Jobs with Justice Conference, 10:00 am to 5:15 pm at the Kittredge Center, Holyoke Community College.
Wednesday, March 30, 2011, and Thursday, March 31, 2011: MNA Labor Leader Summit at the Doubletree Hotel in Westborough.
Thursday, April 7, 2011, at the Hotel Northampton from 5:00 to 8:00 pm: Continuing Education program, Solving the Puzzle: Differentiating Depression, Dementia and Delirium.
Wednesday, April 13, 2011, at the Region One Office, 5:30 to 8:00 pm, Region One Film Night Presents: Norma Rae. Eat pizza, enjoy film!
Wednesday, April 20, 2011, at the Log Cabin in Easthampton, Continuing Education program Contemporary Nursing Inter-ventions for the Older Adult, 5:00 pm to 8:30 pm.
Sunday, June 5, through Wednesday, June 8, 2011: National Nurses United Staff Nurse Assembly, Washington, D.C. To reserve a spot please contact: Eileen Norton: 781.830.5777 or email [email protected].
Contact Heather LaPenn or Leo Maley at the Region One office for more details about upcoming events 413-584-4607 [email protected] [email protected]
MNA members and staff at a rally to support
public sector workers, held outside the Student
Union building at the University of
Massachusetts, Amherst on Wednesday, March 2,
2011.
PAGE 7 VOLUME 39, NUMBER 1
Phone: 413-584-4607 Fax: 413-584-8171
E-mail: [email protected]
W E’ RE O N THE W EB
WWW. M A SSNUR SE S . ORG
WWW . M A SSNUR SE S . ORG/ R E GI ON1
Regional Council One of the MNA is a unit of the MNA. The Regional
Council supports the MNA bargaining units, the Massachusetts Nurses Foun-dation and the MNA PAC in promoting the primary functions of education, political organizing, democratic member involvement and support for collec-tive bargaining. The Regional Council also promotes education for professional activities, regional coalitions of MNA bargaining units and general members interested in advocacy. The Regional Council is accountable to the regional membership and the MNA Board of Directors and acts in accordance with gen-eral MNA policies and bylaws.
The Regional Council meets every second Monday of the month in the Region One office. Region One has several committees that we invite members to join: Education, Finance, Health and Safety, History, Legislative, Newsletter, and Scholarship Committees. Let your voice be heard, join us!
Call the Region One office for more information: 413-584-4607.
241 King Street, Suite 226 Northampton, MA 01060
Regional Council One, MNA
241 King Street, Suite 226
Northampton, MA 01060
REGION ONE NURSE is published 3 times a year by Regional Council One. It is a publication made available to MNA Region One members to inform, and meet member needs by providing information on nursing, health care, and labor issues. We invite our members to submit writings to the newsletter, especially through the editorial voice. A strong democratic union requires an informed membership. All submissions are subject to editing and none will be returned. For more information contact the Re-gion One office at 413-584-4607 or email: [email protected]
