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.

###

 

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!

Nurse Talk Radio

Coming Up on Nurse Talk Radio

__________________________________

Listen and share the NNU segment:

Podcast: Play in new window | Download (Duration: 11:13 — 15.4MB) | Embed

Hear more segments like this on different topics

___________________________________

By Pattie Lockard
Executive Producer
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.”

Use the links below to share this blog and radio segment.

###

Listen to Your Local Nurses! Monopoly Medicine is Bad for Your Health

There’s a new billboard that went up around town in several states, but unlike most billboards, it’s not trying to sell you something. It’s a message from your local nurses about the real corporation behind the face of the local hospital down the road.

bluefield
Bluefield, WV billbord.

That corporation is one of the largest for-profit hospital chains in the country, Community Health Systems (CHS), which specializes in buying up hospitals such as ours in small and rural communities where patients have few other options for care. CHS boasts on its website that in “over 55 percent of the markets served, CHS-affiliated hospitals are the sole provider of healthcare services.” By cornering the market, they are cornering you and me into whatever version of care they’re willing to provide.

Nurses from communities who work in these CHS hospitals throughout California, Ohio, and West Virginia have put up these billboards as part of our campaign to educate the public about this $11 billion corporate chain.

After purchase of a local hospital, CHS cuts nurse staffing and other services to the bone. The result? We’re seeing more patient falls, a high rate of bed sores, and increased infection risk. Our patients are not getting the tests they need and the care they require. All of this contributes to high nurse turnover.

greenbrier
Greenbrier, Ronceverte, WV Valley billboard.

CHS tries to hide behind the friendly, small-town face of the local hospital. But that’s not CHS’ only secret. 

Right now, CHS is under investigation by the U.S. Department of Justice for overbilling Medicare by hundreds of millions of dollars. We all have a responsibility to protect our seniors by ensuring that those privileged to do business as the primary provider of hospital services in our community do so with integrity and fairness.

affinity
Affinity billboard, Masillon, OH.

And, to top it off, CHS is looking to merge with another of the country’s biggest hospital chains, Health Management Associates, that is also being investigated for Medicare fraud.

Lack of competition means increased prices and decreased quality. It is an obvious disadvantage for consumers in any market, but it’s dangerous business in the healthcare market. Putting these two companies together into the country’s largest hospital corporation sounds like a really bad idea.

barstow
Barstow, CA billboard.

While the shareholders of these for-profit hospital chains might benefit from the combined earning power of a jumbo corporation controlling hundreds of hospitals in small communities, the people dependent on them as the only option in town may not. 

Nurses know we are usually the only ones standing between our patients and hospital management’s practices and policies. 

fallbrook
Fallbrook, CA billboard.

Last year, many of us voted to unionize with the National Nurses Organizing Committee because we want to improve the quality of care in our hospitals. Instead of working with us, CHS has bullied us, threatened us, fired us, retaliated against us, refused to negotiate with us, ignored court orders, and violated the law.

We decided it was time to tell the public the truth about this corporation.  Don’t be fooled. There is no sense of “community” in this corporation’s business practices. And nurses refuse to be silenced.

So when you see that billboard think of us. And join us in promoting quality care in our hospitals. We work for CHS, but we belong to our community.

We are YOUR nurses, first, last, and always, dedicated to your care.

###

RELATED NEWS:

RNs to Picket Ohio, West Virginia, and California Community Health Systems Hospitals March 19 To Protest Care Problems, Labor Law Violations – Mar 14, 2013

Federal Court Issues Sweeping Order for RNs Against Barstow Hospital – Aug 2, 2013

Labor Board Judge Convicts Fallbrook for Violating Law, Barstow Also Indicted – 5/20/13

NNU Joins National Action to Reclaim MLK’s Dream

MLK

Commemorative March for the 50th Anniversary of Dr. Martin Luther King, Jr’s March for Jobs and Freedom (Where he delivered his “I Have a Dream” speech.)

Saturday, August 24 in Washington, DC  (one week from today!)

Fifty years ago, hundreds of thousands of activists gathered in Washington, DC to fight for an end to poverty and racism in America. Fifty years later, America still needs our help to heal the wounds of inequality and injustice. Join us for a rally and commemorative march along MLK’s historic 1963 route to bring the Main Street Contract and the call for living wage jobs, equal access to quality education, guaranteed healthcare, a secure retirement, clean and safe housing and a fair taxation system to Congress and the President.

If you can, please join us!

Meet at 9:30 a.m. at the Albert Einstein Memorial (corner of 22nd St. and Constitution Ave NW).

After gathering there we will join other activists at the Lincoln Memorial for a rally program and then march united to the MLK Memorial.

Wear red scrubs if you have them. If not, anything red will do.

We look forward to seeing you in DC,

Deborah Burger & Jean Ross
Proud Registered Nurses
NNU co-pressidents

 

Let’s Talk About Health Care and I Don’t Mean the ACA

By Deborah Burger, RN and NNU Co-president

Posted: 08/09/2013 7:02 pm

Let’s talk about health care. I don’t mean debating the Affordable Care Act. I mean health care, as in: If everyone needs health care, guarantee that everybody gets it.

I know, when it comes to health care, it’s easy to get into a debate for or against Obamacare. But we nurses see the world through a different lens: our patients.

Share this video of nurses summing up why everyone in the U.S. needs & deserves healthcare:

Good health care is a fundamental resource that keeps America’s big engine running. Every day, as we do our best to care for our patients, nurses see people with chronic disease like asthma or diabetes who can’t afford insurance costs or medication. Maybe they’re absent from work, tired, and distracted from trying to manage their health on a shoestring. They run the risk of hospitalization. They struggle for a distant unreachable shore hoping something will help. They can’t get ahead because their health keeps dragging them down. 

And yet the answer isn’t on the horizon, the answer is in our pockets, in our hands. It’s our taxes. We pay them and we ought to benefit from them.

There’s one thing that every American does. Every working American (OK, except the Wall Street crowd) pays taxes. But what do we pay taxes for? Increasingly, we wonder where our money is going, how our money is serving our communities, and how our tax money is helping us and our families.

There are dozens of arguments about what our tax dollars should be doing. But what if we spent a portion of our tax dollars on the one thing that would position every American, young and old, on the road to success? That one thing is good health. You need it to go to school, get to your job, excel at what you do, and dream big dreams that will make our country great again.

We must do better and nurses have a solution. The United States ranks first in costs but 37th in health outcomes in the world. We do even worse for infant morality and life expectancy.
So nurses are proposing another way. We’re saying that our taxes should help pay for our healthcare. It works for seniors, it works for Congress members, and it will work for all of us.

This week, we launched an online campaign, asking voters to demand this from Congress. You can learn more about the online campaign here.

sample-nnu-banner-ads
Ads appearing online this week.

We’re talking about something that already exists for some, right here in the United States of America, and what can easily exist for everyone. A tax-funded national healthcare system would negotiate prices for prescription drugs, medical devices and services, specialists and more, effectively lowering the cost of delivering care. Taxpayers don’t have to worry about paying for someone else’s care. You’ll be paying for your own care, your family’s care, without raising taxes at all.

Since the tax subsidies to buy insurance under the ACA mostly move money around to pay for private insurance for some that don’t have it, and which allows the insurers to take 20 cents off the dollar, it would be more efficient to uses taxes to pay for everybody’s healthcare directly, eliminating the middleman and the shell game.

international healthcare cost chart
International healthcare cost vs. quality chart.

We are reaching inside the box to think outside the box; we are charting a third way. It’s time to rediscover healthcare as care rather than insurance for the first time in a long time, and let the taxes we already pay deliver what every American needs.

NURSE TALK RADIO: Victory for Northern Calif. Sutter RNs

Nurse Talk Radio

Coming Up on Nurse Talk Radio

__________________________________

Listen and share the NNU segment:

Podcast: Play in new window | Download (Duration: 13:18 — 18.3MB) | Embed

Hear more segments like this on different topics

___________________________________

By Pattie Lockard
Executive Producer
Nurse Talk Radio

Joanne Jung on the Health Benefits Victory for Nurses

Victory for Nurses in Northern California!…AND a victory for nurses across the country!

Recently, a federal administrative law judge with the National Labor Relations Board handed nurses a victory, finding Sutter Hospitals in the San Francisco Bay Area engaged in illegal “unfair labor practices” when it unilaterally cut paid sick leave and eliminated all paid healthcare coverage for RNs who work less than 30 hours per week, affecting hundreds of nurses and their families.

The judge ordered the hospital chain to “rescind its unilateral changes and…make whole employees for any losses they have suffered…plus interest.” Sutter had maintained it projected expenses related to the implementation of the Affordable Care Act, but would not “show their homework” to the judge. Why? Because there was no certainty or reason for their projected increases. Joanne Jung, a spokeswoman for the California Nurses Association/National Nurses United joins us to discuss the topic.

###

 

WE CAN STOP THE CLIMATE CHAOS

Join nurses, community members, and other union members in one of the largest climate justice events in recent history on Saturday, August 3 where thousands of people will come together in a momentous West Coast mass action — We Can Stop Climate Chaos — to stand with the people of Richmond who are on the frontlines of our common fight for the health  and safety of our communities, workplaces, and to declare our collective demand for a healthy energy policy.

On this year anniversary of Richmond’s Chevron Refinery explosion where nurses were on the front line treating 15,000 community members harmed by the effect — we will stand in solidarity to fight for community health, clean energy jobs, an end to Chevron pollution, and NO Keystone XL pipeline to further put our communities health at risk.

When: Saturday, August 3, 2013 at 10:00 am

Where: Richmond BART — follow signs to the Union Contingent.

Wear red and join CNA and fellow union members

RSVP to your Labor Representative

For more info about the action visit: www.JoinSummerHeat.org/bay #SummerHeat

 

This Week In America: A Nation of Part Time Work

The American jobs disaster is finally getting some media attention, finally, after the White House, Congress and Wall Street have combined to cast a dire crisis in employment as a moderate condition contributing to a well-anchored recovery.  The Washington Post reminded that the latest jobs report included 322,000 new part-time jobs- “a number that comprises only part-timers who want full-time work but can’t find it.”  Prominent among these very substantial numbers are Americans age 25 and under,  forced to cobble together something of a living with part-time stints.  Small wonder poverty and near-poverty continue a steady, ominous rise in the U.S.

 

Of the 195,000 jobs created in June, fully 75,000 came in “Leisure and Hospitality,” the Post explained, “Labor Department-speak for hotels, restaurants, fast-food joints and bars. Workers in this sector averaged just 26.1 hours a week.”  Six thousand manufacturing jobs were eliminated in June.

“Worse yet,” chimed the Post, “the jobs being created paid a lot less than the jobs that were lost. While the average hourly wage of non-supervisory employees in manufacturing was $19.26 in June, it was $13.96 for retail employees and $11.75 for hotel and restaurant workers”  According to the National Employment Law Project, the median hourly wages of all American workers declined 2.8 percent from 2009 to 2012.

Employers regularly use workers from temp agencies—10,000 were employed in this fashion in June, it was reported.  “The advantages are clear: Employers are under no pressure to provide raises or benefits to temporary workers, nor are they legally liable if the workers turn out to be undocumented or are hurt on the job.”

Michael Grabell in ProPublica and reprinted on Alternet profiled the temp sector: “In cities all across the country, workers stand on street corners, line up in alleys or wait in a neon-lit beauty salon for rickety vans to whisk them off to warehouses miles away. Some vans are so packed that to get to work, people must squat on milk crates, sit on the laps of passengers they do not know or sometimes lie on the floor, the other workers’ feet on top of them….

“The people here are not day laborers looking for an odd job from a passing contractor. They are regular employees of temp agencies working in the supply chain of many of America’s largest companies – Walmart, Macy’s, Nike, Frito-Lay. They make our frozen pizzas, sort the recycling from our trash, cut our vegetables and clean our imported fish. They unload clothing and toys made overseas and pack them to fill our store shelves. They are as important to the global economy as shipping containers and Asian garment workers.”

“In June,” summed up ProPublica, “the nation had more temp workers than ever before.  Overall, almost one-fifth of the total job growth since the recession ended in mid-2009 has been in the temp sector, federal data shows.

Low U.S. Wages Spell Demise.  This same June data from the Labor Department showed that 3.6 million workers earned the minimum wage by 2012, a surge since 2007, when that number totaled 1.7 million, according to the New York Times.  

When it comes to comparative median wealth among industrial countries, the U.S. has fallen to 27th—an indication of the gross inequality that’s come to define this nation.  The Huffington Post reports that while “the U.S. is the richest country on Earth” – with “hedge fund managers who make in one hour as much as the average family in 21 years!” – “there are 26 other countries with a median wealth higher than ours….”  Just ahead of us:  Kuwait and Cyprus. 

Not Much Equality in New MexicoWriting in CounterPunch, Carol Miller outlines child poverty in that state, where the overall poverty rate hovers at 20 percent.  “Since 2000 the number of poor children in the U.S. has increased by more than 5 million, wrote Miller.  “Nearly half of these children live in extreme poverty, including two and a half million children under the age of five. In sparsely populated New Mexico, at least 150,000 children live in poverty and nearly 80,000 in extreme poverty.”

A mom and a child in New Mexico receive a maximum of $304 per month as cash assistance, Temporary Assistance for Needy Families (TANF). In New Mexico, Miller pointed out, a family needs to have five members to get over $500 per month.

“When adjusted for inflation, New Mexico ‘benefits’ have declined 31 percent in real dollars since President Clinton signed welfare reform in 1996,” she wrote.

“It is time to create jobs that pay a living wage and provide health care,” said Miller.  “Jobs that build capacity and infrastructure throughout the state, like libraries, recycling centers, environmental clean-up, forest thinning and fuel use instead of controlled burns, sewer line construction and wastewater management, playgrounds – the list can go on and on.”

It is critical to note that nearly half of poor African-American children live in neighborhoods with concentrated poverty, defined as areas where 30 percent of the census tract population lives below the federal poverty threshold (on less than $18,000 for a family of three), according to The Nation

A Very Soft Landing.  For some, it is business as usual, as the plethora of low-wage and temp jobs translates to riches.   “Golden Parachutes Are Still Very Much in Style,” headlined a recent New York Times article.  “ Executives who choose to retire… often receive millions when they leave. And despite years of public outcry against such deals, multimillion-dollar severance packages are still common.”   Take, for example, James J. Mulya, Conoco Phillips CEO, who exited with a packaged valued at $156 million– the market value of stock gains he received plus payouts from a cash severance, a bonus and additional retirement distributions.

“In some cases,” the Times reported, “retiring chief executives will continue to receive millions years after their retirement.  Edward D. Breen of Tyco International received deferred shares worth more than $55 million, added to “$30 million more as a lump-sum pension payment in 2016 as part of his employment agreement.”

John R. Charman, the former chairman and chief executive of Axis Capital Holdings, an insurer and reinsurer based in Bermuda, was forced out his top job.  Still, “he received more than $26.5 million to walk away from the company.”

For Vikram S. Pandit, the former chief of Citigroup, who had to forego his agreed-upon parachute amidst revelations of that mega-bank’s misdeeds surrounding the financial collapse of 2008,  the parachute was less-than-gilded, by comparison.  But  Citigroup’s board awarded Pandit $6.7 million as a 2012 bonus.   Still makes for a very  soft landing.

“Pandit” rhymes with…?

NURSE TALK RADIO: Beware of Electronic Medical Records

Nurse Talk Radio

Coming Up on Nurse Talk Radio

__________________________________

Listen and share the NNU segment:

Podcast: Play in new window | Download (Duration: 12:55 — 17.7MB) | Embed

Hear more segments like this on different topics

___________________________________

By Pattie Lockard
Executive Producer
Nurse Talk Radio

RNs DeAnn McEwen and Michelle Mahon Speakout

Nurse Talk July 3, 2013

DeAnn McEwen, RN
DeAnn McEwen, RN

RNs DeAnn McEwen and Michelle Mahon tell it like it is. EMR, or Electronic Medical Records, systems are rolling out “live” in hospitals across the country. BUT WAIT! Were nurses at the table when these systems were designed and then implemented? Did these hospitals insure the safety of each patient by making sure nurses were trained and staffing was adequate? Unfortunately the answer to all of these questions is NO. This is a must listen to podcast and just the “tip of the iceberg.”

Use the links below to share this blog and radio segment.

###