MNA Legislative Update, February 28, 2014

P1030876Budget Surplus

Today’s economic forecast showed the state has a budget surplus of $1.23 billion, due to better-than-projected revenue collections and lower spending. This news is a welcome change from past years of structural deficits, budget gimmicks and program cuts. This shows that Minnesota is on strong economic footing and the budget reforms made last session worked. Because the budget has been improving, the state has already paid off the entire “school shift” ($2.8 billion borrowed from public schools to shrink the 2011 budget deficit) so the $1.23 billion surplus is not obligated to be spent on any specific program. There will be a lot of talk coming up about what the state should do with this money, and we will continue to advocate for investing in our shared priorities: health care, education, caring for seniors and strengthening working families. Other proposals we anticipate include putting more money in reserves “for a rainy day” and tax breaks and rebates.

First Bill of 2014 Session Signed into Law

The legislature and Governor Dayton moved quickly to pass and sign a bill that would provide $20 million in additional funding to help low income Minnesotans pay their heating bills during this tough winter, exacerbated by a propane shortage.

Minimum Wage

The session kicked off with a big rally on Tuesday in support of raising the Minimum Wage. Last year, the House of Representatives passed a bill raising the minimum wage to $9.50 and indexing it to inflation (meaning it will rise automatically when workers’ cost of living goes up), but the Senate passed a bill raising the wage to only $7.50 and not indexed to inflation. The Conference Committee of senators and representatives working out the difference between the two bills took their work up again on Thursday and Friday of this week. If you haven’t already, please contact your Senator and urge them to raise the minimum wage to $9.50 and index it to inflation. Hard-working Minnesotans should not live in poverty. It’s time to raise the wage.

Nursing Hearing on Wednesday: Can you be there?

Next Wednesday, the Senate Health, Human Services and Housing Committee is hearing two bills related to nurse licensure and discipline and the monitoring program for nurses with health problems, including chemical dependency. MNA supports one of the bills, which features approaches chemical dependency as a chronic disease that can be managed with treatment and monitoring so a nurse can return to work and practice nursing safely. The other proposal includes several punitive measures and proposes giving the Board of Nursing private health and legal information about nurses.

Can you be there?

WHAT: Senate Health Human Services and Housing Committee

DATE: Wednesday, March 5, 2014

TIME: Noon

WHERE: Room 15, State Capitol (Click here for directions and parking information)

Nurses Day on the Hill is March 10 & 11

Have you signed up for Nurses Day on the Hill yet? This event is for you, even if you’ve wondered how you can be an effective citizen advocate.  Come to the Capitol.  Talk to your legislators. We will give you all the tools and information you need at an education session on Monday, March 10, featuring interesting speakers, educational breakout sessions, and a fun dinner. On Tuesday, March 11, you will attend meetings with your legislators to advocate about issues that are important to nursing, patients, and working families. We will make appointments for you, but you have to register before March 3! Sign up today!

Travel Nurse Bonuses

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Many companies offer Travel Nurse bonuses for referrals, loyalty, and more.

Many companies offer Travel Nurse bonuses for referrals, loyalty, and more. Find out how you can get yours.

A little sugar on top is never a bad thing. When it comes to Travel Nursing, there are many companies that offer bonuses to their Travelers for referrals, loyalty, completion, and more.

Many nurses consider bonuses a benefit and finding the right agency for many nurses can be a lot about shopping what benefits they offer. Each Traveler has different needs in terms of benefits, but when it comes to bonuses, who isn’t interested in that!

Here’s a quick rundown of a few Travel Nurse Companies and what they offer in the way of bonuses:

Medical Solutions

This pet friendly Travel Nurse company offers a $500 bonus for each nurse you refer that signs on and works with Medical Solutions for at least 30 days. There is no limit on how many Travelers you can refer, and for each successful referral you get $500.

They also offer a loyalty bonus that pays Travelers an extra $600 for every 600 hours worked. After that, the clock starts over and you can earn another $600 after the next 600 hours — no limit to the amount of these you can collect either. Completion bonuses are also offered on select assignments.

Click here for full details on the referral bonus and here for details on the loyalty bonus.

American Traveler

This staffing professional company offers referral and completion bonuses. They do not list the amount, but if you want more info I’d suggest asking your AT recruiter.

Click here for listed details.

Onward Healthcare

This company’s refer-a friend bonus program offers bonuses in tiers based upon what your referral’s specialty/qualifications are. They offer a $500 referral bonus for Registered Nurses and even more (up to $1000) for Physical Therapy and Occupational Therapist Assistants, Physical Therapists, Occupational Therapists, and Speech Language Pathologists.

Click here for full details on their referral bonus program. They also list select bonuses for completion and renewal, although exact amounts are not listed online.

Here are a few more:

Cross Country — Referral and completion

American Mobile — Referral

Medical Staffing Network — Referral

Core Medical Group — Referral

Aureus — Referral

The bottom line with bonuses: With every company you should always ask your recruiter what bonuses are available to you. Be sure that you check on all conditions that may apply, too, so you know exactly what to expect. Some bonus programs may have hidden strings, while others are very straightforward. It’s pretty standard that a referral bonus hinges on your referral actually signing with the company and working a certain amount of time. You will also want to ask if the bonus can be repeated. For example, is there a limit on how many people you can refer/how many bonuses you can collect?

200 Kaiser RNs Rally to Protest Downgrading of Care for New Oakland Hospital

200 Kaiser RNs Rally to Protest Downgrading of Care for New Oakland Hospital

More than 200 Kaiser Permanente RNs rallied outside the Kaiser Permanente Oakland Medical Center Thursday afternoon to sound a public alarm about patient care reductions the HMO giant is proposing for its new Oakland facility which is expected to open this summer.
 
Waving signs reading, “Kaiser executives: Our patients should thrive not be deprived,” the RNs said their daily experience shows a stark contrast with the HMO giant’s multi-million dollar “thrive” ad campaign. They described substantial problems with short staffing and cuts that come at a time when Kaiser is making record profits and adding 95,000 new enrollees through the Affordable Care Act exchanges.
 
In unified voices echoing across the busy hospital entrance, the RNs, members of the California Nurses Association/National Nurses United, sang out, “Kaiser: safe staffing now,” and “Chop from the top.”
 
“What we are doing today will have a ripple affect that will travel all the way to the White House because Kaiser is the leader in the healthcare industry and golden benchmark for the Affordable Care Act,” said Kaiser Oakland RN Clarita Griffin. “This is bigger than Oakland, bigger than California. That is why we are here to send a loud and clear message to Kaiser to thrive, not deprive.”
 
Over the past year, Kaiser Oakland RNs have filed more than 1,400 reports to hospital managers of what they believe to be unsafe care, double the number of such reports the previous year. The filings, they say, reflect examples of how patient care has suffered as a result of fewer RNs and point to the growing patient care crisis at the Oakland facility.
 
CNA Co-President Zenei Cortez, a Kaiser South San Francisco RN, noted that Kaiser made $2,7 billion in profits last year, yet is continuing to make cuts in staffing and patient services. “They make profits off the backs of the sick, and that’s not right.”
 
In Oakland alone, Kaiser is attempting to cut 75 nursing positions in the move to the new hospital. But RNs across all units said that they are responsible for more patients per shift than ever before. The reduction in direct-care RNs comes at a time when six out of 10 insured Californians have Kaiser, a number that is expected to increase significantly under the ACA.    
 
“We’re out here today because we’re getting ready to move to the new Kaiser Oakland facility and the current conditions are already difficult,” said Katy Roemer, a Kaiser Oakland RN and CNA Board member. “We have insufficient resources, patients are facing long waits in the emergency department, they are put in ‘observation’ instead of being admitted and they are put in lower levels of care than what they require.”  
 
 “Kaiser has proposed cuts in the nursing staff for the new hospital and we’re already understaffed in the current facility,” said Oakland RN Yolanda Owens.
 
“Every single day we’re talking about how are we going to manage the new hospital if this is what’s already happening,” Owens said. “There is a lot of turnaround, patients returning three days in a row, discharged and back the next day. And some of the people who are at home really need to be in the hospital. All we’re asking is take care of the patients. This is not a fast food business. We’re trying to be holistic in our care but we don’t have the tools and the time. It’s a factory.”  
 
“They have this logo that says ‘Thrive,’ but if we’re understaffed we can’t thrive.  Members pay their premiums and they deserve the care,” said Owens. “We have to fight to deliver the product that Kaiser promises the members.”
 
Among the cuts cited at Kaiser Oakland:
 

  • Elimination of transitional care units (TCU) where patients require close monitoring.  Instead, these patients will go to general medical surgical floors where they can’t be adequately cared for because nurses have responsibility for more patients, a trend that has been occurring with intensive care unit patients as well.
  • RNs in the neonatal intensive care units are being assigned an unsafe number of critically ill infants from one or two at most to three.
  • Women in labor now spend hours in the waiting room and in triage before they are admitted to their own rooms due to lack of available nurses.
  • Longer wait times for admission to the hospital from the emergency room due to lack of available nurses to care for them.
  • A plan to eliminate all heart monitor technicians whose primary responsibility is to watch for abnormalities in heart rhythms. RNs will be expected to carry phones that will display their patients’ heart rhythms, which will alarm when rhythms change. Serious safety issues have been reported in Kaiser facilities using these devices, including dropped or missing pages, resulting in missed changes in heart rhythms.

 

View photos from the rally!

 

 

California RN Updates and Actions for Healing!

INSIDE THIS UPDATE:

1. Kaiser RNs Condemn the Downgrading of Care for New Oakland Hospital

2. Sutter Tracy Community Hospital Proposes Nurses Accept Short-Staffing…

3. California Nurses Join National March for Climate Action

4. Alta Bates Summit RNs Warn Staffing Shortages Pose Increasing Risk for Patients

5. California Pacific, San Francisco, RNs Say ‘Yes’ to CNA

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kaiser 

Kaiser RNs Condemn the Downgrading of Care for New Oakland Hospital

Kaiser Permanente registered nurses will be holding a vigil Thursday to denounce major patient care reductions proposed for the new Oakland facility which is currently under construction and expected to open this summer, the California Nurses Association announced today. Kaiser is attempting to cut 75 nursing positions in the move to the new hospital. But nurses across all units said that they are responsible for more patients per shift than ever before. The reduction in direct-care RNs comes at a time when six out of 10 insured Californians have Kaiser, a number that is expected to increase significantly under the Affordable Care Act. —California Nurses Association, 02/26/14 More »

sutter tracy 

Sutter Tracy Community Hospital Proposes Nurses Accept Short-Staffing and Deteriorating Conditions

Registered Nurses at Sutter Tracy Community Hospital (STCH) will hold an informational picket on Thursday to protest management’s continued refusal to take serious action on substantive contract issues after over twenty months at the bargaining table. Safe patient care has been a key focus in contract negotiations between Sutter management and the nurses who voted in March 2012 to affiliate with the California Nurses Association, the state’s largest organization of RNs. Management continues to thwart the bargaining progress and stifle RNs efforts to improve conditions at the hospital, nurses say. —California Nurses Association, 02/25/14 More »

climate march 

California Nurses Join National March for Climate Action

As a national march convenes Saturday morning in Los Angeles for action to address the growing crisis of climate change, registered nurses will be on hand to highlight the human toll of the climate crisis. A 9 a.m. rally at Wilmington Waterfront Park in Wilmington, Ca, adjacent to C Street near the port will be followed by a march, which is the first leg of a national series of actions intended to build public demand for real solutions to address the worsening climate crisis. —CNA/ NNU, 02/25/14 More »

alta bates summit 

Alta Bates Summit RNs Warn Staffing Shortages Pose Increasing Risk for Oakland, Berkeley Patients

Over the past year alone, Alta Bates Summit RNs have submitted to hospital managers some 500 reports of what they say are unsafe assignments required of the RNs. Yet hospital officials routinely ignore the problems and fail to fix the problems that are now widespread affecting units throughout the Oakland and Berkeley hospitals, RNs note. —California Nurses Association / NNU, 02/12/14 More »

cpmc 

California Pacific, San Francisco, RNs Say ‘Yes’ to CNA

Resisting a heavy-handed pressure campaign by their employer and frontline managers, registered nurses at California Pacific Medical Center’s Pacific campus, Sutter Health’s largest hospital in San Francisco, have voted to join the California Nurses Association/National Nurses United. —California Nurses Association, 12/16/13 More »

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California Nurses Association

National Nurses United

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Travel Nursing Expectations

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Don't stress if a travel nursing assignment doesn't meet all of your expectations.

Don’t stress if a travel nursing assignment doesn’t meet all of your expectations.

My first travel assignment was in Southern California about 30 minutes from the coast in Orange County. The apartment was beautiful. Orange County was beautiful. There was even a walking/biking trail behind our apartment complex that stretched for miles in either direction. It was nice to be able to take a walk or bike trip without having to hop in the car to the nearest park or trail. It was everything I had hoped travel nursing would be and it’s an experience that will always stay with me and my husband. I often wonder what would have happened if my first experience was the nightmare you often read about in forums.

While I can’t say I have ever had what could be considered a “nightmare experience,” I’ve had a few not-so-great ones. Looking back I’ve come to realize two important truths about travel nursing assignments:

Not every assignment is going to be a bed of roses

This isn’t exactly a profound statement but it’s something to remember. Most assignments will probably fall under the category of good, great, or amazing. If the majority of yours don’t fall in one of these three, you either have really bad luck or a really bad outlook on life. The fact remains, they won’t always be great.

My second assignment was in an apartment right on the beach just west of L.A. I don’t mean it was “close to the beach” — I’m talking about opening a sliding glass door and the only thing between me and the Pacific Ocean and dolphins was a sandy beach. Sounds amazing, right? Not so much.

It was during the “May Gray/June Gloom” season. Never heard of it? Me either before this. Basically the cold waters of the Pacific meet the warming SoCal land and create a thick fog bank. My sunny days laying on the beach were replaced with chilly, gloomy days wearing a jacket and jeans. When the sun did finally come out, it rarely got above 70. Combine that with water temps of about 65 compared to 85 in Florida, and you have yourself a difference in expectations and reality. And that brings us to truth #2.

Unrealistic expectations can turn a good assignment into a bad one

Looking back, I think my expectations slightly soured my beach experience. But who can say they’ve lived on the beach, foggy or not? My husband and I had lots of fun and made some great memories. We even got to see a whale right below our balcony less than 100 feet from the beach! It just goes to show the power of preconceived notions.

Two assignments later landed me in the middle of Pennsylvania just outside Harrisburg. The area looked flat, run down, and just plain boring. My husband and I were less than excited about it but it was a six-month assignment and the timing was going to work perfect with my pregnancy. We loved it! There were several state parks nearby that were just absolutely beautiful. Located in the Appalachian Mountains, we saw waterfalls, amazing lakes and creeks with crystal clear water, and colorful drives down tree-lined roads during the fall. It was a welcome surprise that is still one of our favorite assignments.

There have been other pleasant surprises and some disappointments on our journey. We continue to move forward, pushing those preconceived notions aside and deciding about an area based on personal experiences. I encourage you to keep an open mind and be flexible with your choices for destinations. You may come across a few disappointments, but the gems that you find along the way will stand out in your mind as lasting, wonderful memories that leave little room to dwell on the not-so-wonderful ones.

Nurse Voices at the Capitol Help Patients

Minnesota State Capitol St Paul MinnesotaThe Minnesota legislative session starts today, Tuesday, February 25, and we have a lot of work to do to protect the practice of nursing, promote patient safety and advance the health of our community.

Minimum Wage Rally: Tuesday, February 25, 4:00 pm at the Capitol in St. Paul We will kick the session off with hundreds of allies at a rally in support of raising the Minimum Wage. Raising the wage to at least $9.50 and indexing it to inflation will raise thousands of families out of poverty and stimulate our economy. No one who works full time should live in poverty and have to choose between food for their family or gas for their car.  More information is available here. If you are unable to be at the Capitol on Tuesday, please use MNA Grassroots Action Center to send an email to your legislators to ask them to raise the minimum wage. RaiseWage_profilepic1

 

Nurses Day on the Hill: Monday, March 10 and Tuesday, March 11 in St. Paul

MNA’s biggest political event of the year is coming up soon too. Nurses Day on the Hill is our chance to meet our legislators, advocate for policies that affect our profession and our patients, and learn more about the issues that affect nurses at the Capitol. Monday night includes a dinner and education session, and Tuesday we will visit our legislators (MNA will make appointments for you). More information is here. Please RSVP soon!

 

Session Preview

This session, we will be working on a number of important issues, and we will keep you in the loop each Friday with a brief email update about the week at the Capitol. Please watch your email on Fridays – there will be times when we will alert you to action opportunities, bill progress and chances for you to reach out to your legislators. Geri Katz Political Organizer Minnesota Nurses Association 651-414-2855

Click the link below to log in and send your message: https://www.votervoice.net/link/target/mna/4J26M76Qc.aspx