100 nurses delivered more than 2,000 Concern for Safe Staffing Forms to Commissioner of Health Ed Ehlinger. They lined up to tell their stories of unsafe staffing situations and the effects it has on patients.
Nurses braved the cold to inform the public they are fighting for a fair contract that protects patients and nurses alike.
Join MNA nurses by speaking up for your profession and a minimum standard of care at the 2014 Minnesota State Fair. Go to www.mnnurses.org to sign up. Volunteer shifts are filling up fast!
Fairview Lakes nurses are standing up for a fair contract that ends inequities in pay between nurses in clinics and the hospital.
The 2014 session of the Minnesota Legislature was a success for nurses and working families. Minnesota’s growing economy produced a $1.2 billion budget surplus in 2014, allowing Governor Dayton and the legislature to deliver middle class tax relief and new investments in our schools and our economy.
Minnesotans have seen remarkable progress over the past two years following some of the most productive, efficient legislative sessions in recent memory. Much of that progress will affect patients, working families and nurses.
Health and Human Services Policy Omnibus Bill: Signed into Law
The Governor signed the package of health policy bills (HF2402) into law. Several MNA priorities were included in the bill.
o Requires health licensing boards to temporarily suspend a health professional license for 30 days and complete a disciplinary investigation during that time, if they receive a report from HPSP that the regulated person has engaged in conduct that might cause risk to the public and the board has probable cause to believe their continued practice presents an imminent risk of harm to the public.
o Allows the 30 day temporary suspension to be lifted if the board does not complete their investigation by then, unless the regulated person requests a delay.
o Requires all health licensing boards to stay in HPSPS until July 1, 2015.
o Requires employers to report any knowledge of drug diversion by a regulated health professional to that persons licensing board unless the knowledge was obtained in the course of a professional-patient relationship or because of the person’s participation in HPSP.
o MNA supported this legislation to protect patient safety and to protect the privacy and health of nurses with substance use disorder who are working to preserve their licenses and careers.
o Bans the sale of e-cigarettes from kiosks and vending machines.
o Requires child-resistant packaging to prevent the dangerous ingestion of nicotine by children.
o Bans the use of e-cigarettes in publicly-owned buildings.
o Local communities can implement more restrictive regulations on e-cigarettes if they wish.
o MNA supports restrictions on e-cigarettes since the long term health effects are unknown.
Public Employment Relations Board: Signed into Law
On May 9th, the Governor signed into law a bill to establish a Public Employment Relations Board (HF3014). This legislation will create a board to decide Unfair Labor Practice (ULP) claims involving public employees, which includes many MNA nurses at public municipal or county hospitals (known in statute as Charitable Hospitals). Under current law, public employers and employees must litigate ULP claims in district court-a cumbersome and expensive process. MNA supported this bill because the PERB will create a process that saves employers and employees money and would mirror the ULP process in the private sector.
APRN Bill: Signed into Law
Governor Dayton signed into law a bill to allow Advance Practice Registered Nurses to practice to the full extent of their scope (SF511). The law gives full practice authority to Certified Nurse Midwives, Certified Registered Nurse Anesthetists, Nurse Practitioners and Clinical Nurse Specialists. Beginning January 1, 2015, APRNs will be able to practice independently. The new law limits, however, CRNA’s who will continue to require a collaborative management agreement with a physician to practice pain management.
This law represents years of work by advocates for APRNs, and MNA was proud to support this effort.
Steve’s Law: Signed into Law
Governor Dayton signed into law a bill to broaden the availability of Naloxone (Narcan) for first responders to use in cases of opiate overdose (SF1900). The bill received near unanimous support along every stage of the legislative process. Members of both parties spoke eloquently about the disease of addiction and the great promise this bill has to save lives and give individuals suffering with substance use disorders a second chance. MNA proudly supports this bill, and we applaud the chief authors, Rep. Dan Schoen and MNA member Sen. Chris Eaton, for their work on this common-sense, live-saving legislation.
Medical Cannabis: Awaiting Governor’s Signature
Sen. Scott Dibble and Rep. Carly Melin, the authors of different bills to legalize medical marijuana, announced they had come to an agreement based on the House version of the bill, but with some changes that broaden access, while tightening restrictions to prevent misuse.
This bill will be the strictest and most regulated medical cannabis law in the country. Only patients with qualifying conditions such as cancer, HIV/AIDS, and seizures will be eligible. It does not allow smoking of marijuana. Instead, patients can access approved forms of medical cannabis such as liquid, pill, or vapor. The bill creates a patient registry to monitor the use of prescription cannabis as well as to evaluate the health effects. Governor Dayton has said he will sign the bill next week.
MNA supports legislation that would provide compassionate relief to seriously ill patients.
Budget Issues: Signed into Law
The Governor signed the Omnibus Supplemental Budget bill into law. There are several portions of the bill that will directly affect MNA members. Highlights of Health and Human Services portion:
Construction Projects: Signed into Law
The Capital Investment Bonding bill to fund construction projects included several MNA priorities. Highlights include:
Minimum Wage: Signed into Law
For the first time in a decade, Minnesota’s minimum wage is set to increase. An estimated 325,000 hard-working Minnesotans will get a raise to $9.50 by 2016 (HF2091). The minimum wage will be indexed to inflation in 2018 to keep up with the cost of living. MNA supported this effort because poverty is a public health as well as an economic issue.
Synthetic Drugs: Signed into Law
The Governor signed a bill prohibiting the sale of synthetic drugsinto law. MNA members actively advocated for tougher prohibitions on synthetic drugs and were vocal supporters of the bill. We thank Representative Eric Simonson for considering MNA’s input as he worked to protect both the public and medical personnel affected by those under the influence of synthetic drugs.
Women’s Economic Security Act: Signed into Law
The Governor signed into law the Women’s Economic Security Act(WESA) on Mother’s Day. The WESA is the most significant women’s rights legislation in years.
The Women’s Economic Security Act:
MNA supported this legislation.
Sweeping changes underway in the nation’s health care delivery system that expose hundreds of thousands of patients to severe risk of harm are the focus of a major new national campaign by the nation’s largest organization of nurses announced today.
An unchecked proliferation of unproven medical technology and sharp erosion of care standards are rapidly spreading through the health care system, far outside the media spotlight but frighteningly apparent to nurses and patients, says National Nurses United.
In response, NNU has launched a major campaign featuring radio ads from coast to coast, video, social media, legislation, rallies, and a call to the public to act, with a simple theme – “when it matters most, insist on a registered nurse.” The ads were created by North Woods Advertising and produced by Fortaleza Films/Los Angeles.
To watch the new videos and hear the radio ads visit www.insistonanRN.org
Or click below:
Key features of the new threat to patient safety include:
Digitalized care – experimental, unproven medical technology put patients at risk
Hospitals and other healthcare industry giants are spending billions of dollars on medical technology sold to the public as the cure for everything from medical errors to cutting costs. But the reality is proving to be far different, warns NNU.
Bedside computers that diagnose and dictate treatment for patients, based on generic population trends not the health status or care needs of that individual patient, increasingly supplant the professional assessment and judgment of experienced nurses and doctors exposing patients to misdiagnosis, mistreatment, and life-threatening mistakes.
Computerized electronic health records systems too often fail, leaving doctors and nurses in the dark without access to medical histories or medical orders. The Office of the Inspector General for the Health and Human Services Department has reported widespread flaws in the heavily promoted systems. Telemedicine and robotics marketed as improved care deprive patients of individualized care so essential to the therapeutic process central to healing.
The face of future health care – a world without hospital care
Cutting costs is now seen as the prime directive in health care. Unwilling to reduce their profits or limit excessive pricing practices, the means to limiting expenses in the healthcare industry is by restricting or rationing care.
Insurance companies do that by denying claims or setting out-of-pocket costs so high Americans lead the developed world in skipping care when they need it because of the price. Hospitals, especially those that are also insurance companies, like Kaiser Permanente, or linking up with insurers through the new Accountable Care Organizations, restrict care by cutting patient services, limiting hospital admissions, or discharging still very ill patients to clinics, nursing facilities, or home, all settings that have fewer staff and regulations. Hospitals overall, have profit margins of 35 percent for elective outpatient services, compared to just 2 percent for inpatient care.
Nurses every day see patients denied admission who need hospital care, held on hallway gurneys in emergency departments, or parked in “observation” units. Observation is the latest fad in large part because Medicare reimbursement penalties for patients re-admitted within 30 days for the same illness do not apply if the patient was discharged from an observation unit.
The ascendance of profits while reducing access to professional nursing care
Hospital industry profits are at a record high – some $64.4 billion in 2012, according to American Hospital Association data. Kaiser Permanente, which is the model for many of the industry trends, just reported first-quarter profits of $1.1 billion, up nearly 44 percent from a year ago.
Yet, as one of the new NNU radio ads notes, many of those hospitals are spending their profits and patients’ health care dollars “on everything but quality patient care” – on technology, Wall Street investments, buying up other hospitals, while cutting the staff of bedside registered nurses, “the health professionals most critical to your care and safety.”
Inadequate, unsafe staffing is proliferating through the nation’s hospitals, even as hospitals shift care to other settings leaving the patients able to get in, and stay in hospitals, facing often perilous care standards. Just one example of many, in a report released May 12, Washington, DC nurses cited 215 incidents of severe understaffing, including life-threatening events, in District hospitals the past 15 months. RNs in DC and several states are pursuing safe staffing legislation.
‘Behind every statistic a patient exposed to unnecessary suffering’
“The American health care system already lags behind other industrialized nations in a wide array of essential health barometers from infant mortality to life expectancy. These changing trends in health care threaten to make it worse,” said NNU Co-President Jean Ross, RN. “Behind every statistic is a patient, and their family, who are exposed to unnecessary suffering and risk as a result of the focus on profits rather than what is best for individual patient need.”
“What we are advising every patient, every American to do is stand up and be heard,” said Ross. “When it matters most, insist on a registered nurse.”
MNA Legislative Update May 2, 2014
Public Employee Relations Board
A bill to establish a Public Employee Relations Board (HF3014) was passed by the full Senate on Monday. This legislation would create a board to decide Unfair Labor Practice (ULP) claims involving public employees, which includes many MNA nurses at public municipal or county hospitals (known in statute as Charitable Hospitals). Under current law public employees must litigate ULP claims in district court-a cumbersome and expensive process. The PERB bill would create a process that saves employers and employees money and would mirror the ULP process in the private sector.
Many nurses contacted their senators last week asking them to oppose attempts to remove Charitable Hospitals from the bill, and we are pleased to report that an amendment to exempt those facilities failed. Another amendment to delay implementation of the PERB for Charitable Hospitals for one year also failed.
The companion bill was already passed by the House, and, next week, we anticipate the House will vote to concur with the Senate version of the bill, which would then go on to the Governor for his signature.
Sen. Kathy Sheran’s bill (SF511) to allow Advance Practice Registered Nurses to practice to the full extent of their scope was heard on the Senate floor. Her bill would give full practice authority to Certified Nurse Midwives, Certified Registered Nurse Anesthetists, Nurse Practitioners and Clinical Nurse Specialists. The bill allows APRNs to practice independently, but does limit CRNA’s who will continue to require a collaborative management agreement with a physician to practice pain management.
The bill passed unanimously, and we anticipate the House will vote to concur with the Senate language, which MNA supports over the House language.
The bill to legalize medical marijuana prescribed by a physician for certain serious medical conditions (SF1641) passed the Senate State and Local Government Committee on Tuesday then passed Judiciary without recommendation on Wednesday. The Senate Health and Human Services Finance Division amended the bill today to prohibit smoking medical marijuana, but would still allow “vaping,” the inhaling of fumes through a charged liquid vaporizer.
On Thursday, Representative Carly Melin and House leadership announced a new medical marijuana proposal (SF2470) that would pave the way for clinical trials for patients with qualifying conditions such as seizures, cancer, HIV/AIDS, and glaucoma. Because the bill prohibits smoking marijuana for medicinal purposes, law enforcement is neutral; they have opposed other bills that allow smoking as well as other methods of using medicinal marijuana.
Today the House Rules Committee is hearing the compromise bill introduced by Rep. Melin. As of this writing they have not yet concluded their hearing.
MNA supports legislation that would provide compassionate relief to seriously ill patients.
Health and Human Services Policy Omnibus Bills
The Senate and House omnibus Health and Human Services Policy bills have been taken up by a conference committee to work out differences between the two. The bills both include language that MNA supports related to the Health Professionals Services Program and health professionals with substance use disorders.
Supplemental Budget Bills
The House and Senate are also working out the differences between their supplemental budget bills in a conference committee. In his supplemental budget recommendation, Governor Dayton included $11 million this year and $22 million in the next biennium to cover the cost of negotiated salary increases for staff working in 24-hour care facilities within State Operated Services and the Minnesota Sex Offender Program, which includes many MNA members. While neither the House nor the Senate has included this funding in their respective omnibus bills, we have spoken to conference committee members and about the serious consequences of not funding the State Operated Services salary supplement. We will continue to monitor the negotiations.
Nurses Week May 6-12
MNA nurses will be going to the Capitol the morning of Tuesday, May 6 for the kickoff to Nurses’ Week. We’ll meet at the MNA office at 9:00 am to carpool over to the Capitol. We anticipate the House and Senate will go into session around 10:00 or 11:00 am. As legislators enter the chambers, we will give out stickers saying “Nurses Care” then listen to speeches honoring nurses from the Galleries. Please email firstname.lastname@example.org if you can come on Tuesday morning.
MNA Government Affairs Commissioners and staff with State Representative
Joe Atkins at the Capitol on Wednesday.
MNA members of the Sanford – Thief River Falls Medical Center bargaining unit are celebrating the success of their inaugural 5k RN Run on Saturday, April 19 to raise funds for the community’s D.A.R.E. program.
Nearly 60 runners participated in the event and nurses were able to deliver $836 to the organization dedicated to drug abuse resistance education.
MNA Co-Chair Tiffany Eidelbes credited nurse organizers Kayla Knutson and Karey Johnson with imagining and executing an idea that brought a sizable crowd out for the festivities. “They did an excellent job,” said Eidelbes. “We heard several runners say it was a perfect kick start for upcoming longer runs – and it was fun!” Runners grinned to see the Easter Bunny as race starter.
Community engagement in the event is especially meaningful for the nurses as they head into contract talks with hospital management. “People asked good questions about how the union contract helps us protect our patients,” said bargaining unit Vice Chair, Amber Hawkins. She believes it was an opportunity to provide good insight and background that will result in support down the road. “The event helped set a good tone,” added Hawkins.
The nurse group all agrees they definitely hope to repeat the event.
The 83 members of the MNA bargaining unit will begin talks with hospital management on May 14. The contract expires on July 31.
Eight months into negotiating a contract with management at Rainy Lake Medical Center (RLMC), the 27-member bargaining unit is literally seeing signs of support throughout this picturesque city that shares a border with Canada.
Over 100 signs, sporting the message “We Support Our Nurses” are being posted in shop windows; hoisted high by firefighters, paramedics and EMTs; cradled by senior apartment residents; and displayed on bulletin boards throughout the city’s commercial districts. It’s a message warmly given from the town often referred to as “America’s Icebox.” In addition, members of several other unions in the area have signed petitions of solidarity for the nurses.
RLMC management has yet to receive the message. Contract talks on Tuesday ended after the union and hospital could not come to agreement settling outstanding proposals in negotiations.
A key issue is hospital management’s attempt to force a “management rights” clause into the next three-year contract. Nurses fear the provision could lead to administrative personnel perceiving they have power to make arbitrary decisions that impact nursing practice and patient safety.
A petition, signed by 100 percent of the nurses and delivered to management in February characterized, the tactic as a “serious overreach of authority.”
“When it comes to the care we are able to give and how we can advocate for our patients, this proposal ties our hands,” said MNA negotiating team member Diane Olek. She is especially concerned about the fast-changing dynamics of health care.“ This is a contract we will have to live with and health care is changing so quickly,” said Olek. She worries that non-providers believing they can arbitrarily make unilateral decisions about nurse staffing without negotiating them will compromise the safety of patients in the hospital. “Why lock ourselves into this?”
Lisa Hay, an active union member, considers it an unacceptable concession of rights and professional nursing judgment. At a recent all-RN meeting, Hay warned her colleagues “When I looked at the management rights clause I said ‘what you take away from us, you take away from patients’.”
Those values run through the whole nurse group. “I feel 100 percent support at the table,” said MNA Co-Chair Wendy Sutch. “All of our nurses feel very strongly they want to have a voice in patient care.” She describes her colleagues as a tight-knit group and especially sees a deep river of resolve in the younger nurses. “They’re aware of what their future could be based on this contract. Everyone’s on board.”
That solidarity and community support will be on full display for RLMC management to view on Tues., May 6 when MNA nurses intend to conduct an informational picket in front of the hospital from noon – 2:00 p.m.