Los Robles Hospital
Los Robles Hospital & Medical Center
Website

215 West Janss Road

Thousand Oaks, CA 91360
805-497-2727
Remember to Purple Up Every Wednesday! Support our Bargaining Team.

HCA & Owners are Making Billions

We Just Ask to Be Fairly Compensated

Crystal Diaz Los Robles 
Crystal Diaz, RN, Med-Surg
Los Robles

         We work hard. We are the backbone of HCAs profits. Without the RNs, there would be no hospital. We deserve to be paid fairly and what we’re worth for the care we provide and the experience we have to offer. 

In 2006, HCA went private in one of the largest leveraged buyouts ever. Fast forward to 2009 when HCA had a very good year, reporting $1.05 billion in profits.1 And, for the first 3 months of 2010, HCA reported $388 million in net income.1 Now, HCA plans to go public again and expects to raise $4.6 billion from the public stock offering it announced in May.3 The private equity firms that contributed about $4.5 billion to purchase HCA in 2006 could see their original investment triple once the stock goes on sale. Their stake could then be worth as much as $14 to $15 billion.3 That’s a pretty good return.

While those investors surely deserve to be compensated for taking a risk and putting their money into HCA hospitals, so too do those employees who put their heart and soul into their work each and every day and help make the hospitals profitable.

Our Union is preparing to submit our contract proposals regarding pay and benefits, and we’re simply asking to be treated fairly. We want pay that is consistent with what other nurses are being paid in Southern California and benefits consistent with what RNs and hospital workers at HCA’s San Jose hospital make. It’s the patients at HCA hospitals who pay for services, and it’s nurses who are at the bedside caring for the patients. HCA is making plenty of money. We deserve fair raises for our contributions to the hospitals that have earned significant profits for HCA and its owners.


Click here to read and print flyer


Can Bad Things Happen to Good Nurses?

Suspended for Investigation

All of us, as Registered Nurses, are just one step away from an investigatory suspension. Have you ever been investigated for an error you made or were suspected of making at the workplace? How about investigated for an error you didn’t make? Below are examples of incidents at HCA hospitals in which RNs were placed on investigatory suspension status. This can happen to you even if you’re a “good” nurse.

  • Hospital administration received a phone call about an alleged HIPAA violation that happened more than a year ago — the nurse, with 22 years of exemplary service, was suspended for investigation.

 

  • Hospital management suspected a nurse was sleeping on the job even though co-workers knew she was caring for an NICU baby and could not instantly respond. The hospital suspended the nurse for investigation until they could talk to the co-workers some days later.

 

  • A nurse made a clerical mistake ordering blood, and the mistake was caught through the system designed to catch those errors. The nurse was suspended for investigation even though the mistake was caught and there was no harm to the patient.

 

In each of the above examples, employees were placed on investigatory suspension and the employees did not necessarily receive a discipline. So that nurses aren’t indiscriminately placed on investigatory suspension, our Union has proposed language that provides guidelines for the hospital to follow before placing RNs on investigatory suspension. This will address the needs of the hospital to perform investigations while protecting nurses from  undue anxiety, humiliation and stress.


Our Union's Proposal on Investigatory Suspension

Investigatory Suspension. No employee will be held in unpaid investigatory suspension for more than ten (10) calendar days. The Hospital must meet both of the following conditions to place an employee in an unpaid investigatory suspension: 

· The Hospital must have a reasonable belief that an employee’s continued presence in the workplace creates an imminent threat to the health, safety, or welfare of patients, other employees, patient families or data/property;

· The Hospital is initiating an investigation to determine whether disciplinary action is warranted.

Click here for additional information on:
Tentative agreement on Paycheck Errors
Our Union's Variable Shift proposal
Our Union's Vacation Requests & Holidays proposal


HCA Nurses & Healthcare Workers United!

June 18, 2010 - Hundreds of Registered Nurses and other healthcare workers waved signs and walked the sidewalk in front of Riverside Community Hospital, West Hills Hospital & Medical Center, and Los Robles Hospital & Medical Center June 16 through 18 in a show of solidarity for worker safety issues our members want added to our collective bargaining agreements.

The hospitals’ owner, HCA, has not agreed to proposals by our Local 121RN Bargaining Team that would provide lift and transport teams to help move patients and heavy equipment, guarantee a nurse has 8 hours off between calls if needed due to fatigue, and provide additional staff to keep nurses and other workers within state mandated ratios, even during their breaks and meal periods.



Members at HCA Hospitals Schedule Info Picket

Members at three Southern California HCA-owned hospitals will picket outside the hospitals to bring awareness to the public of staffing problems, the need for lift and transport teams and issues with HCA proposals on variable shifts and giving bedside work to managers.



Tell HCA to Put Patients and Nurses First!
Riverside Info Picket: 10 a.m. to 2 p.m. June 16
West Hills Info Picket: 11 a.m. to 1:30 p.m. June 17
Los Robles Info Picket: 11 a.m. to 2 p.m. June 18

If We Don’t Stand Up for Our Patients, Who Will?• Nurse-to-patient ratios being followed at all times
• Being able to rely on a guaranteed work-week
• Call-offs, extra shifts, etc.
• Changes to our disciplinary language
• The need for lift and transport teams
 
We demand that HCA stop the attack on our rights:• Leave our rest and meal periods as they are
• NO to variable shifts
• NO to managers taking away our bedside work
• NO changes to current language on paycheck errors

Click here for Riverside Info Picket flyer
Click here for West Hills Info Picket flyer
Click here for Los Robles Info Picket flyer
 

Nurses Need Sleep, Too

 June 11, 2010- Our Union has proposed that our contract guarantee Registered Nurses that they have at least eight hours off between shifts for sleep at the nurse’s request. This means if a nurse has worked overtime or taken an extra call, and their next scheduled shift is less than eight hours away, the hospital will not require that nurse to report for their next shift if the nurse feels too fatigued.

However, HCA management’s proposal makes no such distinction, and only says “Any employee who is incapable of safely performing his/her duties because of a lack of sleep or any other  reason is required to notify the appropriate supervisor or designee (as determined by departmental protocol) to discuss potential alternative scheduling arrangements.”

The language proposed by HCA does not protect patients from fatigued nurses nor does it put into place any guidelines defining the length of time a nurse needs to rest. All it says is “talk to your supervisor.” If talking to our supervisor solved problems in a mutually beneficial manner at all times, we would have no need for a contract at all! 

Looking at the bigger picture, even if you’re not in a mandatory call unit, this could affect all HCA nurses if variable shifts become more widespread. We must stand together now against all of management’s anti-nurse proposals.

Click here for complete bargaining update



HCA Announced First Quarter Earnings of $388 million...

What Are They Offering Local 121RN Nurses?
• Take Aways like decreased time for Labor Management and Safe Staffing Committees
• Ignoring our proposals on nursing issues: patient classification system, lift and transport teams, nursing practice standards, and more
• To make separate programs out of common issues like Clinical Ladder

 With HCA’s 7.8 percent rise in profits…
• HCA declared another shareholder distribution of $500 million
• HCA already paid its private owners a special dividend totaling $1.75 billion in January
• These dividends paid back about half the private equity firms’ investment
 
It’s not okay to pay shareholders millions and not give anything to the workers who help make those profits possible!

Just like the 3 Musketeers ...RNs at Los Robles, Riverside and West Hills are

All for One! One for all!
• One Contract with fair wages, step raises, pensions and retiree health benefits for ALL
• One Bargaining Unit
• One Clinical Ladder
• One program for in-service education, tuition reimbursement / loan forgiveness and CEUs
 
This Week in BargainingIn response to our suggestions for committees to improve patient care, HCA said in bargaining this week that they are not interested in committees that take nurses away from the bedside and cost the hospital money.
 
When we discussed staffing problems and need for lift teams, HCA told RNs to call the House Supervisor if there is a problem. So, when you need a CNA, need help turning a patient, if the ARJO equipment is inadequate or your med cart is too heavy, CALL THE HOUSE SUPERVISOR.
 
If they can not or do not resolve the problem, call your Union Steward so we can report during negotiations whether the problems have been solved.

Click here for Los Robles flyer

Take 5!

     May 10, 2010 - For most registered nurses at HCA hospitals in Southern California, it’s business as usual when we come to work these days. We suit up, we show up on time and we care for our patients using the skills and knowledge we spent years gaining through schooling and practical experience.

     For all that we do, did you know that management wanted to take 5 minutes off of our break times? Yep. During contract bargaining recently, management proposed shortening our breaks to 10 minutes. Would that save patients? Nope. Would that help nurses do their job better? Nope. Would it save HCA money? Doubtful.

     We stood together and fought against the 10-minute break idea and this week management agreed to withdraw their proposal.

     We need to fight back against management’s other take-aways and force them to take those off the table, too!

Click here for Take 5 flyer



HCA Nurses Say YES to Info Picket

During the week of April 26, Registered Nurses at all three HCA hospitals overwhelming voted to authorize our Bargaining Team to schedule an informational picket as needed to urge HCA to negotiate a fair contract.

Paula Stiles LRHMC
Paula Stiles, RN
Los Robles Hospital & Medical Center

I support an info picket because the last time we did a picket it helped management see and understand that we are united and want to move forward in an organized and respectful way.

Picket Line Authorization Vote
Gets HCA Moving … Slowly

    May 3, 2010   Our Bargaining Team has been negotiating with HCA representatives for three months now ... two days a week, every other week.  With the threat of an informational picket looming, they’ve agreed to several “no change” proposals.      
     Our Union has been clear about our goals: We want an improved contract that reflects the needs of patients through improved staffing and lift/transport teams. Nursing issues also need to be resolved so that nurses can plan their lives away from work and earn a regular paycheck. This means better hiring and scheduling practices, including call-offs and overtime, and recognition of skills and experience through a Clinical Ladder program.
     Although HCA has agreed that West Hills, Riverside and Los Robles members bargain together, their contract proposals continue current contract language that does not apply to nurses at all three hospitals. HCA’s Clinical Ladder proposal is only for Los Robles and its In-Service Education language is only intended for Riverside and Los Robles, as reflected in our current contract. Our Bargaining Team is united in support of our proposals for improved standards for all three of our hospitals.     
     Just as HCA is trying to play the three hospitals off each other by providing different benefits to each, HCA is now deliberately attempting to blend the job duties of registered nurses and managers. HCA’s latest proposal says that the new managers the hospitals have been hiring should be able to perform bargaining unit work:  “Nothing in this agreement shall prevent the hospitals from establishing additional supervisory nursing positions whose incumbents perform bargaining unit work on a relief basis.”
     When we asked what “relief basis” meant, our Bargaining Team was told, for instance, the new positions would relieve nurses for breaks and lunch. Our hospitals previously hired additional RNs or allowed RNs to pick up extra shifts in order to provide break and lunch relief.  We don’t need more managers. We need nurses who can talk the talk and walk the walk at the bedside.
     When we first received HCA’s proposal on Job Descriptions, we were puzzled by the proposed new language which states that RNs must perform the “substance” of the duties of another position before they are reclassified. We are no longer confused.  HCA wants bedside nurses to perform the work of managers and managers to perform the bedside work of nurses.  Huh?

Click here for Los Robles flyer 

HCA Nurses Win 3-Year Fight for Denied Anniversary Step Raises

Some Could Receive Thousands in Back Pay


Debbie Espinoza Los Robles
Debbie Espinoza, RN, ICU
Los Robles Hospital

It's hard to believe! It's been such a struggle just to be paid properly. I’m glad our union didn't give up and kept fighting. It should not be an everyday battle to be paid correctly.

April 15, 2010 - As a result of HCA hospitals’ failure to pay anniversary step raises in accordance with our SEIU Local 121RN contract, class-action grievances were filed first by Registered Nurse and Local 121RN Steward Jennifer Potts for nurses at Riverside Community Hospital, and then by our Union on behalf of registered nurses at Los Robles Hospital & Medical Center and West Hills Hospital & Medical Center.

The grievances were filed in 2007 and the arbitrator first started to hear the case in 2008. Since then, arbitration procedures have been ongoing.

Frustrated over the lack of progress, our Union filed a “dispute resolution” in March – a procedure recently negotiated by our Union and representatives from HCA, providing the hospitals with a final chance to resolve the case before our Union started a concerted campaign to highlight continuing payroll problems.

Through this process, we were able to reach an agreement to bring all employees to within 2 percent of scale and issue checks for back pay owed to those who were not moved to the appropriate wage scale. The resulting settlement affects hundreds of registered nurses at the three hospitals.

Was Your Anniversary Raise Right?

Jennifer Potts Riverside
Jennifer Potts, RN, NICU
Riverside Community

It's unfortunate that employers don't always do what is fair and right by paying their more experienced nurses and those who have been loyal to the hospital for years more than a novice nurse. I'm grateful that our union supported those of us affected and fought for us to get closer to the contract scale.

April 15, 2010 - In addition to the above annual increases for nurses at Riverside and Los Robles, West Hills nurses will receive step increases at the completion of years 1, 2, 3, 4, 6, 15 and 18 (and 20 for West Hills nurses).  

Full- and part-time employees who are at scale or below the scale will advance through the wage scale on each anniversary date of their most recent date of hire at the hospital. Those employees who are already above the scale for a particular year will not receive a step increase, except in cases where they are above scale by less than the full amount of the next step. Those employees will advance to the next step on their anniversary date.

Click here for detailed flyer

Grievances Filed

As of April 4, 2010
  Scheduling, seniority, hospital not following contract (manager is constantly changing schedule without employee approval)
  On Call / Call off (No just cause, employee placed on “do not send” list to certain unit)

Grievances Settled

As of April 4, 2010
  Suspension (Employee paid after missing five shifts, employee will be paid for all five shifts)
  Payroll errors corrected
  Disciplinary action (Employee was disciplined under suspension and final written. This was changed to a suspension. Just cause.


Union Proposes Increased Educational Opportunities

April 2, 2010 - In bargaining this week, our Union presented articles focusing on education and training. Although the pace is painfully slow, HCA has tentatively agreed to leave some areas of the contract as they are, as well as agreeing to our Union’s proposals on Jury Duty and Court Leave. We also agreed to extend our current contract until April 30, 2010. To show real good-faith movement toward a fair contract, HCA must address the staffing proposals and remove all take-away proposals in such important areas as call-off and distribution of available work.

Our Union originally requested that bargaining begin in Fall 2009. However, HCA would not come to the table until late January, thereby necessitating the contract extension. Check out our website often to keep abreast of urgent plans as they become necessary.
 
“Our nursing practice is becoming more difficult,” says Carmen Sierra, a bargaining team member and RN in the Emergency Room at Riverside Community Hospital. “This is what we have been telling the hospitals.  Nurses can no longer be floated anywhere in the hospital because each area has become increasingly specialized. This is why we have focused on education and training.”
 
Nurses who have been out of school, whether it be just for a few months or for many years, need to focus on education. 

Tight Staffing Delays Care, Hurts Patients
Through our Union’s bargaining proposals, SEIU 121RN is working to address staffing concerns that many of us experience far too often. Our bargaining proposals raise the bar so that we can deliver a level of care that our patients deserve.
 
What Our Union Has Proposed
Patient Handling: The Hospital should provide a lift team and transport team to meet the needs of average daily census. When the hospitals invest in lift teams, it will improve patient and employee safety and decrease the number of work-related injuries. 
 
Catalyst Evalisys System: The hospital has a system to determine ratio and acuity.  West Hills nurses currently have language in place to address acuity and we have proposed that this language be extended to Riverside Community and Los Robles. If used properly, more staffing would be provided because of higher acuity.
 
No Call Offs: If the hospital agrees to this language, much more attention would be paid to scheduling, patient trends, hiring needs and training.
 
Distribution of Available Work: There is no reason that nurses should be out of ratio. To obtain core staffing, a nurse should be able to sign up to work extra shifts before the employer finalizes the schedule.
 
Scheduling: “Call” will be posted 13 days in advance.
 
Click here for full Bargaining Update

Hospital Wants to Decrease Rest Breaks to 10 min


Carlos Ramirez RCH
Carlos Ramirez, RN
Riverside Community Hospital

I think this is a big mistake. It’s essential for nurses to take breaks. Nurses need to step out of the work environment to rest. It's better for patients and makes happier and safer nurses.

March 24, 2010 - Our SEIU 121RN Bargaining Team met with hospital management March 17 and 18 and introduced a number of proposals including:  Scheduling, Floating, Vacations and Holidays, and On Call/Call Back, which are highlighted on the other side of this flyer. We also continued to address concerns on Reduction in Staffing and Seniority.

Other language passed across the table included Rest and Meal Periods.  The hospital presented still another proposal which erodes the rights of our current contract. This is a troubling trend.

Nurses have been told they can be “fired” for making a mistake but the hospital wants to write into our contract the ability for them to ignore their own mistakes.

We also reminded the hospital Bargaining Team that we wish to address Clinical Ladder over the coming weeks. The hospitals’ team said Clinical Ladder should be bargained separately at each hospital. Our Union tried to bargain Clinical Ladder language at each hospital during the last contract and the hospitals ignored our concerns.

Our Bargaining Team is standing strong on this issue.

New Union Proposals
To see full proposals, talk with a bargaining team member.


On-Call / Call Back
Our proposal says that call should be voluntary based on a rotating order of seniority and status. This proposal is in response to concerns regarding unfair distribution of call. To promote patient safety, we proposed language that allows RNs the option of eight hours “sleep time” if they have not been relieved from their call-back duties for more than eight hours. It is not safe for nurses to work all night and then report for their regular shift the next day.
 
Scheduling
Our bargaining team proposed language that the hospital grant weekends off depending upon years of experience. For instance, if a nurse has worked in his/her hospital for more than 15 years, s/he would not be expected to work weekends.
 
Holidays
Our current contract language outlines holidays for per diems but not for full and part time RNs.  We attempt to clarify holiday commitments for all, as well as introduce language on holiday pay for those who volunteer to work on a holiday or a holiday week.  (This affects West Hills and Riverside nurses.)
 
Floating
We introduced language limiting floating for new graduates and for RNs who have more than 15 years at the hospital.  We also added language that says floating would not be used to circumvent scheduling core staff as well as updated the float pods.

Click here for full Bargaining Update

HCA Management's Latest Proposal on Shift Changes

March 17, 2010 - HCA management made the following proposal on “Changes in Shifts.” Language in bold print and underlined is language that HCA has proposed and is different than the current contract language.

CHANGES IN SHIFTS
5.1   The Hospitals will not involuntarily change a bargaining unit member from “day”, “evening”, “night” or “variable/rotating” “variable” shift, without notifying the Union and the employee and, upon the Union’s request, bargaining for a period not to exceed thirty (30) days with the Union regarding any such change.  Nothing herein shall prevent the Hospitals from temporarily filling vacant positions pursuant to Articles 47 and/or 115 (Posting and Filling of Vacancies).  Such changes shall not be made arbitrarily.

5.2  A “variable/rotating” shift is a shift that changes periodically as necessary to a “day”, “evening”, or “night” shift.

5.3  Any concerns regarding the Hospital’s designation of variable/rotating shifts may be submitted to the Labor-Management Committee.

The SEIU121RN Bargaining Team is bringing THIS PROPOSAL to your attention because this is the kind of proposal that affects all of our work lives and as a result, our home lives.  Management’s proposal states that the hospital with just 30 days notice can change our shifts from a “day” shift to a “variable” shift.  If we work a variable shift, our shifts will vary.  We could be assigned to work the day shift on Monday, the night shift on Tuesday and the day shift on Thursday OR we may be assigned to work the day shift on one week and the night shift on another OR any of a number of other possibilities.
 
In response to management’s proposal, our 121RN bargaining team has proposed that HCA call the shift by its proper name – a mixed shift.  A mixed shift is one that is commonly found in the ER or in the Surgical Unit and is a “fixed” shift that consists of hours which encompass the day, evening , and/or night shift… for instance, 11 am – 11 pm or 12- 8:30 pm.  The shift, however, does not vary from day to day and will allow RNs to plan our lives accordingly and be awake and alert to take care of our patients.

Click here to view and print flyer

Union Makes a Difference in Patient Care

March 12, 2010 - At the bargaining table March 3-4, our Bargaining Team reiterated their request that time spent on negotiations be considered time worked for purposes of fulfilling an RN’s work commitment. Although the hospitals have agreed to release RNs to attend bargaining if they have been scheduled to work, they are still requiring them to work their full commitment. This means some nurses are working as much as three days at the hospital and two full days bargaining. This has never been a major issue during previous negotiations.

Stella Chavez West Hills
Stella Chavez, RN
West Hills Hospital

I’m involved in bargaining for the third time. I’ve been lucky enough to see all the improvements we’ve made from contract to contract. We have fewer travelers and more permanent staff, better salaries and improved patient care. It’s probably the most important contribution I’ve made to my co-workers and patients at West Hills Hospital.

Just as we tend to our patients at the bedside, we are now working to improve patient care through our work at the bargaining table. Our contract makes a difference and, “We are HCA’s greatest resource!"

We hope to resolve this issue March 17-18 when we next meet with the hospitals.

Union Pushes for Improved Balance
 Our Union has presented many articles with the goal of improving patient care, our work environment and safety at the three HCA hospitals: Los Robles, Riverside and West Hills. On March 3-4, we introduced proposals that address scheduling   an issue that affects both our personal and professional lives. If we volunteer to work extra shifts, we should know that we can work that shift as soon as possible so that we can arrange for child care, other appointments and so on. In response to the hospitals’ proposals, our Union has  suggested the following:

Local 121RN Proposal
•    An RN can sign up to work extra shifts before the employer finalizes the schedule
•    Shifts allocated during a pay period based on a rotating basis of seniority
•    In-house registry program at Los Robles would remain intact
•    Nurses who do not report to work for a shift for which they volunteered would be removed from the list for the rest of the pay period instead of the current 90 days.
 
HCA Management Proposal
•    The Hospitals and our Union both agree that work must be reassigned on a rotational basis, starting with the most senior employee. However, the Hospital’s proposal also states that if the hospital makes an error in the selection of an employee in regard to the extra shift, he/she will be selected for the next available shift, if qualified. (Proposed changes to current contract.)

Click here for full Bargaining Update 

Back Injuries vs. Lift Teams

Whick is More Expensive?

March 1, 2010 - Our Bargaining Team has proposed “Patient Handling” language that would require HCA to implement and maintain a safe patient handling policy for all patient care units.

Click here to read full Bargaining Update and Becky Long’s story

Nurses Could Avoid Future Errors by Self-Reporting

March 1, 2010 - Our Bargaining Team also asked the hospitals to include Patient Safety language in our next contract. HCA negotiators responded that nurses are not disciplined for the act of self reporting itself. However, they can be disciplined up to termination for the error itself.

As nurses, we are committed to taking the best care of our patients. Even if we make an error and even when there is not a bad patient outcome, we walk around with that feeling of guilt, replaying the mistake in our mind, and looking at it from every angle. Everyone makes a mistake at some point in his or her career, whether it be as a new nurse when we are still learning or for any number of reasons. We are human.

Click here to read full Bargaining Update and Colleen Coley’s story

Contract Proposals Spring from Actual Experience


Mary Jo Romero
Mary Jo Romero, RN
Riverside Community Hospital

We are trying to create a better hospital and better work environment. Our proposals provide a structure so that issues that aren’t addressed don’t continue to interfere with a nurse’s ability to care for her patients.

     February 18, 2010 - Most of the proposals our Union put forth in the past two days arose out of actual working scenarios that put patient and nurse safety in jeopardy, and required nurses to address the same issues over and over again. We continue to work on non-economic issues before tackling pay, benefits and other monetary items.

SAFETY ISSUES
     We all know someone who has a back problem because our job involves lifting or transporting patients. We are proposing new language on patient handling that includes the hospital establishing a lift and transport team. There are far too many injuries due to lifting patients who are too heavy for us to handle. As we all know, patients are getting heavier. Blue collar workers have lift requirements, but we are often expected to lift hundreds of pounds without assistance.  
     Our proposal also would require the hospital to provide necessary safety equipment, improve training and increase inspections of equipment and improve inspection procedures and follow-through on needed repairs or corrections.
     Our Bargaining Team relayed real-life instances of carts not ergonomically adjusted almost a year after requested and roof leaks that seeped into patient rooms days after being reported to maintenance.

Click here for full list of proposals and complete flyer

General Membership Meeting

February 17, 2010 ‑ Come one, come all to the 121RN General Membership meeting being held to update you on how negotiations for our new contract are going and answer your questions on any workplace issue you may be having. We also encourage members to bring issues for the Staffing and Labor Management Committees and to get to know our stewards and 121RN representative.  
6 to 9 p.m. February 27, Classroom 3

Steward meetings are held twice a month now on the first Thursday of every month in classroom 2 from 7 to 10 a.m., and the last Thursday of the month in classroom 3 from 6 to 9 p.m.

Some of the issues our Union is looking into include the new Certification and License Renewal policy and the grace period mox sent out.

Grievances
Pay check error settled
Certification Pay error; in progress with update to follow
Termination Step 2


Union Asks for Clinical Ladder, Patient Safety Items

Rich McGowan
Rich McGowan
Los Robles Hospital & Madical Center

Our courtesy proposal shouldn’t be necessary, but too many instances have shown that it is. It is important enough that the hospital created its own policy, now we want to make sure it’s enforced equitably.

February 3, 2010 - Our Bargaining Team presented several proposals to management in the first two days of bargaining our new contract. Some of the items are:
  A comprehensive Clinical Ladder program designed to promote the professional enrichment and growth of bargaining unit nurses
  Creation of a labor-management committee that would meet to engage in assessment, analysis, implementation and evaluation of new technology, equipment and products prior to purchase by HCA.
  Not disciplining RNs for self-reported medical errors
  Setting Patient Classification Standards as determined by the Labor-Management Staffing Issues Committee
  Creating ground rules for courtesy and professionalism in the workplace
  Codify how the Catalyst Acuity Tool is supposed to work

Management’s response has made it clear that bargaining will move slowly. Our team is committed to sticking together and sharing updates with the membership as we go along. These are our team’s initial proposals. There are many more proposals to be made, including raises, health benefits and scheduling.

Bargaining Dates: Feb. 17-18 & march 3, 4, 17, 18, 30, 31

Click here for complete flyer


Nurse Power!

January 20, 2010 ‑ We stood united to bargain together, and it worked! Management has agreed that nurses at all three HCA hospitals will bargain our new contract TOGETHER. So, after months of preparation, our Bargaining Team will negotiate our new contract with management on the following dates: February 2, 3, 17, 18 and March 3, 4, 17, 18, 30, 31.

The 121RN Bargaining Team, with representatives from each of the three HCA hospitals, has been preparing for bargaining by reviewing surveys, drafting contract proposals and studying HCA financials. Our team has identified issues specific to nurses that we will address during bargaining.

Our team is fired up and ready to go!  Look for update flyers in your lounges.  (Those are the colorful papers on the break tables, posted on bulletin boards or kept in binders throughout the hospital.)  Ask your stewards and bargaining team members for updates and ways you too can support our Bargaining Team!

Click here for detailed flyer

New Meetings Scheduled

January 15, 2010 - Steward meetings will begin being held twice monthly at the hospital. We will alternate each month to open one meeting up to all members to ask questions and be filled in as to what is going on within the facility and with bargaining.
Every first Thursday of the month from 7 a.m. to -10 a.m. in Classroom 2
Every last Thursday of the month from 6 p.m. to 9 p.m. in Classroom 3

Labor Management Committee meetings are from 10:30 a.m. to 12:30 p.m. every second Wednesday of every other month in Classroom 3: February 10, April 7, June 9, August 11, October 13 and December 8
 
Staffing Committee Meetings are scheduled from 10:30 a.m. to 12:30 p.m. every second Friday of every other month in Classroom 3: March 12, May 14, July 9, September 10 and November 12

Contact Union Representative Phyllis Lugo in advance if you have a concern you would like discussed at either the Staffing or Labor Management meetings or would like to attend as a guest (818) 433-2217.

Grievances
Grievances we are working on include:
  • Not being paid proper certification pay
  • The hospital’s refusal to accept a resignation instead of terminating an employee
  • An improper and inappropriate employee reprimand that violates Article 34.1 and all other relevant rules, regulations and laws
  • Improper call-offs

Settled Grievances:
  • Four for improper call-offs. The employees were paid for the call-offs.
  • Three for incorrect hours worked/pay check errors. The errors have been corrected.    

Arbitration on HCA’s H1N1 flu shot policy is scheduled for February 3 in San Jose.
              
Bargaining dates for our new contract are set for: February 2, 3, 17, 18 and March 3, 4, 17, 18, 30, 31.


United We Stand!

January 11, 2010 - We’re ready to bargain a strong new contract with better pay, benefits and staffing. We’re ready to start contract negotiations now. To make sure management hears our voices, we need to continue to show our strength, be visible in the hospitals and make sure HCA sees the power of purple. We’re united for a strong new contract and we’re purpling up until we get the contract we need.

Click here for bargaining and arbitration updates.

Help Us Develop the Los Robles New Mother-Baby Couplet Program

Tired of New Programs Being Developed Without Beside Nurse Input?

     Los Robles will start a family-centered, mother-baby care program in January. Our Union is aware of the proposed change and this meeting is for members to give their input on staffing requirements based on Title 22 and state ratios, as well as cross-training and any other issues.

     Rather than separating mothers and babies after birth, families will be cared for as a unit. Although this model is new to Los Robles, it is the standard model for delivery of effective, efficient patient care for mothers and babies in most hospitals across the country.

Click here to view New Mother-Baby Couplet Program flyer

Judge Says HCA Must Bargain Over Flu Masks

Federal Judge Jeremy Fogel, affirmed his previous order that Hospital Corporation of America (HCA) must bargain with SEIU 121RN nurses and other hospital workers represented by United Healthcare Workers-West. HCA had refused to meet with the union saying that their lawyers could talk to our lawyers. SEIU 121RN represents nurses at HCA-run hospitals Riverside Community Hospital, West Hills Hospital & Medical Center and Los Robles Hospital & Medical Center.

The judge, however, said the stigmatizing effects of having to wear a colored surgical mask is better argued by front line nurses and hospital workers. The judge denied the Union 's request for a temporary restraining order and contempt of court charge against HCA.

Nora ParkinsIt's good that they have to bargain with us over the stigmatizing effects,   says Nora Parkins, a registered nurse in Maternal Child/Post-Partum at Riverside Community Hospital. But I feel HCA is just being punitive. If they make me wear a mask, I'll be one of only three or four people on my floor.


The judge's previous order that HCA and SEIU 121RN and UHW-W participate in expedited arbitration remains intact. Arbitration is scheduled for January 6 and February 3, 2010.


New Mother-Baby Program

Los Robles started an exciting family-centered, mother-baby care program in early December. Rather than separating mothers and babies after birth, families are cared for as a unit. Although this model is new to Los Robles, it is the standard model for delivery of effective, efficient patient care for mothers and babies in most hospitals across the country.

Post-partum and nursery will be combined to form a mother-baby unit under one cost center. In order to provide mother-baby care, nurses from the previous units will be cross-trained to become mother-baby nurses. In mother-baby nursing, one nurse cares for both the new mother and her newborn as a couplet. Each nurse will be assigned a maximum of four couplets per required state ratios. There will be one schedule for day shift and one for nights, and there will be a designated charge nurse and nursery nurse assigned each shift.

In the nursery, there will be one nurse until there are more than eight newborns in the nursery, maintaining current California nurse-patient ratio of 1:8. Transporting to and from the Nursery will be performed by couplet nurse, doctor or parent.

Each RN will receive 16 hours of family-centered care education classes. Each nursery nurse who has not been cross-trained to OB will have 72 hours of orientation with a preceptor. Each OB nurse will be cross-trained to the nursery, and will have 72 hours of orientation to the nursery with a preceptor.

Previously, the nursery core staffing was three RNs per shift. Core staffing for OB is four RNs per shift. This core will remain which includes the nursery nurse and charge nurse, who will not have actual patient assignments.

In order to assist with the implementation of this new model, a nursing council with RN representatives from post-partum, nursery and lactation has been formed. The purpose of this council is to develop the program, and policies/procedures for the program.


SEIU Files Contempt Charges Against HCA!

December 2, 2009   SEIU 121RN and United Healthcare Workers-West filed a motion for contempt against Hospital Corporation of America (HCA) for failure to follow part of the Federal Court Order of November 17. The Court ordered HCA and the Unions to engage in expedited arbitration and to meet and confer (negotiate) to eliminate any stigmatizing procedures associated with the new vaccination policy.  The Unions and HCA selected an arbitrator and we have accepted the arbitrator’s dates.  We await HCA’s reply.

If we win the arbitration, we would negotiate for a comprehensive health care policy, including: a non punitive absenteeism policy, proper test fitting for N95 respirators, surgical masks PRN, increased cleaning to improve infection control and a voluntary vaccination policy.  

HCA has stated that they will not comply with the second part of the order and negotiate with our bargaining team.  Then, at Riverside Hospital, HCA implemented a vaccination/masking policy that increases the stigmatizing procedures which caused the Unions’ lawsuit in the first place.   

On behalf of RNs and healthcare workers at Riverside, Los Robles and West Hills Hospital, SEIU 121RN and UHW, are now seeking injunctive relief to prohibit HCA from implementing its vaccination/masking policy pending expedited arbitration and are asking the Court to determine whether HCA is in contempt for failure to comply with the Court’s Order.  

Why won’t HCA talk with us? 
The company’s lawyer left the Union’s lawyer a voice mail which stated in part:

“…The company does not want to sit down and bargain with the Union.  We believe that the Judge’s order means that the attorneys should get together and talk this through on behalf of their clients which we have done and are doing….”  

What is this all about?  HCA does not have the right to select the Union’s bargaining team.  This is basic labor law.

What’s going on at RCH?
At Riverside Community Hospital, management announced that effective November 30, it would require unvaccinated employees to wear yellow respiratory masks and vaccinated employees to wear stickers on their name badges.  Employees who have not been vaccinated will stand out like neon signs.  This is the policy we fought against earlier which required employees to wear masks at all times and threatened discipline up to and including discharge.  

HCA’s stance at Riverside does not make sense.  During the November hearing, the Court expressed concern about the stigma that would occur if the procedures broadcast employees’ unvaccinated status to persons other than management.  In response, HCA’s lawyers stated that HCA, in other hospitals, had focused enforcement on employees who came within a six foot zone of patients.  


Judge Orders HCA Arbitration

November 17, 2009 - In a follow-up to a temporary restraining order issued at Federal Court in San Jose on Friday,  Nov. 13 , the judge ordered that both Hospital Corporation of America (HCA) and Local 121RN take the matter to arbitration as quickly as possible. The new order is regarding HCA's failure to bargain over its new policy requiring employees to obtain a flu shot or wear a surgical mask. The parties were also ordered to bargain over any stigmatizing procedures associated with the new vaccination policy.  

Our Union has suggested dates to HCA attorneys for the first week of December 2009. Local 121RN represents nurses at HCA-owned Riverside Community Hospital, Los Robles Hospital and Medical Center and West Hills Hospital and Medical Center. 

During the hearing Nov. 13, HCA attorneys said that because of the SEIU lawsuits filed in Nevada, RNs will only be required to wear a mask when they are within six feet of a patient, and that they have changed disciplinary aspects regarding the mask requirements. 

SEIU 121RN believes that the Union has a right to bargain over inoculation or wearing a mask, just as we do over any new policy that affects “terms of employment."  In fact, the Union strongly supports negotiating an inoculation policy as part of an influenza control policy that complies with Center for Disease Control guidelines for a comprehensive infection control policy.  

SEIU 121RN would like to implement a stronger infection control policy that includes a non-punitive absentee policy, proper fit testing for N95 respirators, and follow-up for RNs exposed to H1N1. 

What is your experience? Have you been fit-tested for an N95 respirator mask? Are N95 respirator masks available at your hospital? Do you have a patient care story to share regarding flu, wearing a mask or wearing an inoculation "identifier?"
Share your thoughts on our blog by clicking here.

Click to view flyer in Judge Orders HCA Arbitration

Outstanding Grievances

Mandatory Flu Vaccination: Judge ordered expedited arbitration (See HCA blog page by clicking here.)
Call off grievance


Congratulations!

To Nanette Logan for becoming the newest member of the Nurse Alliance of California Steering Committee. Keep up the good work!

Transporters to be Laid Off

Los Robles plans to lay off transporters and lift team employees effective December 27. All lifting, turning and moving patients will be performed primarily by Certified Nursing Assistants (CNA). The hospital intends to eliminate seven transporter/lift team positions and create seven CNA positions.

Our Bargaining Team

A big thank you to our bargaining team members for all their hard work! Also be sure to thank your CAT team members for their help in keeping us informed!

Charlotte Kenney-Pickard, L&D
Kevin Edwardson, ER
Nannette Logan, Super Float Pool
Rich McGowan, ICU
Becky Long, PACU