Sgro: Wake up and smell smoke of bad decisions

Rhonda Sgro, RN receiving the Daisy Award for extraordinary nurses.
Rhonda Sgro, RN (right) receiving the “Daisy Award” for extraordinary nurses.

By Rhonda Sgro, RN

Published: August 28, 2013 in the Fresno Bee

The Rim Fire above Yosemite is hitting very close to home for me and my family, even though we live in Clovis. I am an emergency room registered nurse and my husband is a firefighter.

As a trauma nurse, I see the deadly impacts that fire and smoke can have on our community’s health: children with asthma that turns life threatening, the elderly with emphysema gasping for a breath, homeowners trying to protect their property left with second- and third-degree burns.

My husband, a Fresno firefighter, has now spent almost two weeks alongside his fellow heroes fighting on the front line of this catastrophe, risking his life daily. Over the past six weeks of solid firefighting, the last two on the Rim fire, he has been home twice for 12 hours each.

We both enjoy our jobs immensely and find the work very rewarding, but I have to say it was quite disturbing to read in The Bee that congressional “austerity” measures have left the Forest Service under budgeted.

Forest fires are getting worse. Global warming, development and changing forest management practices all have led to an increase in the size of wildfires since 2000, according to The Washington Post. At the same time, the Forest Service has less equipment and 500 fewer firefighters this year, reducing its force to 10,000, with 40 wildfires burning throughout the West. July’s Yarnell Hill fire in Arizona, which killed 19 firefighters, was the greatest loss of firefighters since the 1930s.

Austerity is a flawed economic philosophy, according to more and more respected economists. It is making things worse, not better, in every part of the globe, and now we are seeing its impact in our backyard as we watch a national treasure go up in smoke.

This shortfall is a direct result of the “sequestration” law passed by Congress and signed by President Obama. Every time our government makes an economic or political decision, it also poses this question: Who will live, who will get sick, and who will die?

Austerity and sequestration affect the health and safety of each and every one of us in some way — if not now, then in the very near future. A few examples:

In addition to the cuts in funding for firefighter positions, state and local emergency responders would lose funding, hampering our ability to respond to natural disasters like Hurricane Sandy.

Care for up to 373,000 seriously mentally ill adults and children may be eliminated.

The National Institutes of Health would be forced to delay or end vital scientific development of more effective treatments for chronic diseases affecting millions of Americans.

Food safety inspections will be cut, increasing the number and severity of safety incidents, and the public could suffer more food-borne illness, such as the salmonella in peanut butter outbreak and the E. coli illnesses linked to organic spinach.

Senior meals would be cut by 4 million. These meals are critical to the survival of participating seniors, including those with chronic illnesses that are affected by diet, such as diabetes and heart disease, and frail seniors who are homebound.

The meals can account for 50% or more of daily food for the majority of home-delivery participants.

Slashing 1,200 workplace safety inspectors who oversee some of the nation’s most dangerous jobs would leave workers unprotected and could lead to an increase in on-the-job fatality and injury rates.

Some in the House of Representatives now are threatening to shut down the government to defund the Affordable Care Act or “Obamacare.” As someone who spends her days trying to save lives and the wife of a man doing the same, I would like to send a clear message to these officials: Wake up and smell the smoke!

Rhonda Sgro is a registered nurse who works in the emergency room at Kaiser Permanente Fresno.

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Dignity Shows Respect for Nurses in New Contract

Nurses with Dignity Health, one of the nation’s largest hospital systems, just settled a four-year master contract covering about 12,000 RNs in California and Nevada that not only keeps everything they had, but actually makes improvements in salaries, expands retiree health and pension benefits, and even establishes a new insurance program to protect nurses in case of needle sticks on the job or other work injuries.

This is no small feat, considering that employers around the country are using the Affordable Care Act, the bad job market, or just about any other excuse to go after the salaries, benefits, and workplace standards of registered nurses. Currently, nurses with Sutter Health, another hospital chain that operates in many of the same markets as Dignity, have been locked in a long battle over pretty outrageous concessions that Sutter is demanding, such as getting rid of sick leave and cutting health benefits for part-time nurses. And Kaiser Permanente is showing that it is getting ready to do the same over next year’s contract negotiations with 17,000 RNs by recently breaking its longstanding agreement with nurses to not cancel scheduled shifts.  

The Dignity nurses’ recent settlement clearly shows the public, nurses, and other hospital systems that, “No, you don’t have to be a jerk about it.” Instead of declaring war on nurses, Dignity chose to be responsible and square away outstanding business, like settling the nurses’ contract, in preparation for all the changes and influx of patients that everyone is anticipating with implementation of the Affordable Care Act. They chose to do the right thing.

Of course, it’s always easier to do the right thing when there’s enormous pressure on you to do so. The Dignity nurses were organized, smart, prepared, and determined. Their employer obviously made a decision not to take on that kind of power right now. And that’s definitely a win-win for nurses, the hospitals, and, most importantly, for great patient care.

For more details about the contract, see the press release.

NURSE TALK RADIO: Massachusetts Nurses Take “Safe Staffing” to the People!

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By Pattie Lockard
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Nurse Talk Radio

Massachusetts Nurses Take “Safe Staffing” to the People!

Nurse Talk Aug. 22, 2013

Mass. Nurses Assoc. President, Donna Kelly Williams RN
Mass. Nurses Assoc. President
Donna Kelly Williams RN

Massachusetts Nurses Association President, Donna Kelly Williams RN talks about a newly sponsored ballot measure campaign to fight for patient safety and protection. As most of you who listen to our show already know, the national fight for proper nurse to patient ratios is something that is not going away any time soon. The California Safe Hospital Staffing Law  (AB 394) went into effect on January 1, 2008, establishing a minimum ratio of nurses to patients, but most of the country doesn’t have this sort of protection.  Check out Donna’s “President’s Column” on the Massachusetts Nurses Association’s Website.”

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Ask a Travel Nurse: Will I be reimbursed for transportation on assignment?

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Toy Car MapAsk a Travel Nurse Question:  

If you have your own car do you generally receive compensation for transportation while under contract? If you don’t bring your car with you is a transportation stipend given?

Ask a Travel Nurse Answer:  

Sorry to be the bearer of bad news, but transportation while you are on assignment is just not something that is paid for by your travel company. If you keep track of your mileage, you may be able to deduct this on your taxes at the end of the year. But, it is not something that is compensated while on assignment.

If you have a reliable automobile, I always encourage nurses to consider driving to their assignment. I take my truck with me on every assignment, even to Hawaii. It’s just nice to have your own car and not to mention, you can’t really pack golf clubs, a mountain bike, snow skis, and five large totes full of dishes and linens, and expect to be able to take them on the plane.

If you do fly to your assignment, there are companies that offer to arrange a rental car for you, but nothing in life is free. You will earn a lower hourly rate to compensate for the rental car. A travel company is allotted a certain amount for your travel contract. In most instances, companies are all allotted the same amount at that facility no matter with which company you might travel. The difference in companies is how they distribute those funds.

Some companies will have better healthcare benefits, some may have higher hourly rates, or some will advertise “rental car reimbursements.” But make no mistake, if you are receiving something “extra” somewhere, then it will affect the amount you are compensated somewhere else on your contract.

So, let me backtrack from my original statement and say that you might find a company that claims to compensate you for your transportation while on assignment. But rest assured, that compensation is being taken from another portion of your contract.

Thank you for writing, and good luck!

David Morrison

David@travelnursesbible.com

Summit on Environmental Health and Nursing

The Pennsylvania State Nurses Association (PSNA), representing more than 211,000 registered nurses in Pennsylvania, and the PSNA Environmental Health Committee will hold a Summit titled “Sustaining a Healthy Future: Ecocentric Nursing in a Local and Global Environment.” This premiere event will be held at The Desmond Hotel & Conference Center, Malvern on October 18, 2013. This conference focuses on utilizing research and evidence to support changes in our health care delivery system, including programs developed to promote sustainability and health in our local and global environments.

 

We welcome our keynote speaker, Vital Smarts Master Trainer in Crucial Conversations David Nelson. His session, “Creating Lasting Change in the World Around You: Be an Influencer,” assists professional nurses in recognizing factors contributing to human behavior. This session will arm attendees with tools to create lasting change within their organizations.

 

This year’s Summit features a series of continuing education sessions on issues ranging from contaminants in our waterways, how to create a sustainable environment, green teams, and lessons in communicating environmental risk. Attendees can earn up to 6.0 contact hours from the Summit with additional contact hours awarded for the practice showcase.

 

Online registration is now open with pricing available for PSNA members, non-members and nursing students.  Visit www.panurses.org/fallsummit2013 for a schedule of events, session details and to register.

 

The Pennsylvania State Nurses Association (PSNA) is the non-profit voice for nurses in the Commonwealth of Pennsylvania. Representing more than 211,000 nurses, the Association works to be essential in advancing, promoting and supporting the profession of nursing to improve health for all in the Commonwealth. PSNA is a constituent member of the American Nurses Association (www.psna.org).