Message from bulletin editor Sandy Eaton, RN:

Over five hundred nurses have been on strike for twenty-five days now in
Worcester, Massachusetts, USA, against the Tenet Corporation based in Santa
Barbara, California, USA, the second-largest for-profit acute-care hospital
chain in the United States (and, hence, in the world). After two years of
negotiations, these heroic nurses, members of the Massachusetts Nurses
Association, are striving to secure a first contract, one that does not
include Tenet's demand for the right to impose mandatory eight-hour overtime
shifts on nurses completing their regularly-scheduled eight-hour shifts.
Patient safety comes first, and will not be compromised by these nurses, the
most professional nurses in Massachusetts right now. Support for their
principled stand has been overwhelming, but so far inadequate to bring a
resolution to this impasse. Organized labor in general, and organized nursing
in particular, together with the widest possible range of people opposed to
what health care is becoming in the United States, will force Tenet to
negotiate in good faith and bring this strike to a just conclusion. By
supporting these nurses in Worcester, we are moving as well against threats
to universal access to quality, affordable, portable, comprehensive and
democratically controlled health care in countries around the world where
health care has been declared a fundamental human right but is now under
attack by such corporations as Tenet and their political allies seeking to
'Americanize' their systems through privatization, deregulation and
corporatization. Strong messages opposed to unsafe clinical situations and
supporting these striking nurses should be sent to:

Tenet/St. Vincent CEO Bob Maher
Phone: 508-363-6211
Fax: 508-798-1117
Email:
robert.maher@tenethealth.com

Tenet/Santa Barbara CEO Jeffrey Barbakow
Phone: 805-563-6800
Fax: 805-563-6808
Email:
jeffrey.barbakow@tenethealth.com

MNA St. Vincent Strike Headquarters
29 Endicott Street
Worcester, MA 01610
Phone: 508-792-2181
Fax: 508-757-2926
Email:
massnurses@mnarn.org

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A Financial Support Fund for the Nurses Has Been Established:

.Make checks payable to: MNA St. Vincent Hospital Bargaining Unit Strike Fund
.Mail payments to:
MNA Strike Headquarters
29 Endicott Street
Worcester, MA 01610

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For official strike news and indepth background material on the issues:
http://www.massnurses.org
For Internet posting of these unofficial daily strike bulletins:
http://users.rcn.com/wbumpus/worcester.html

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Nurses in Nyack, New York, USA, have now been on strike for 126 days, also
over the issue of patient safety. These brave nurses need and deserve our
heartfelt support as well. To get the background information on their strike,
and to learn how to bring your support to bear, go to the web site of the New
York State Nurses Association:
http://www.nysna.org/news/press00/nyack.htm

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Message from Worcester striking nurses' spokesperson Sandy Ellis:

Street Heat ... the AFL-CIO/Worcester Framingham Labor Council group that
rallies the troops from the various unions for demonstrations, pickets, etc.
... has committed to holding a picketing event at the Worcester Med. Center
every Wednesday from 4:30 - 6:30 PM until the strike is over to show union
solidarity.

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Message from Ken Smith, MD, Cape Cod Ob-Gyn, Ad Hoc Committee to Defend
Health Care leader:

Dear Sandy,
Again, thank you for your excellent updates. I hope we have given Sandy
Ellis a bushelfull of gratitude for her testimony. I just returned from
vacation so have been busy tonight updating myself. Good job, everyone!
Sincerely,
Ken

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Message from Quincy City Hospital grad, past president of South Shore
Registered Nurses Association, current leader in the parish nursing movement,
and champion signature-gatherer for the statewide ballot initiative for
fundamental health care reform:

I am a registered nurse from Hanover, Mass, who supports the nurses on
strike in Worcester. I don't know any of them personally but am with them
100% as they uphold their values. Please do not let corporate greed rule over
patient safety and nurses' ability to care for their patients. Mandatory
overtime is NOT an option. I wrote to Bob Maher a few wks. ago regarding this
and want you to know also, that nurses all over the country are watching and
supporting these nurses in Worcester.
Yours truly,
Kathy Budreski
(sent via email today to Tenet CEO in California)

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Message from MNA Associate Director for Occupational Health & Safety:

Hi all,
MassCOSH Tolle Graham and Health Care Without Harm, Bill Ravenesi and Gary
Cohen, all have expressed concern and offered to do whatever we may need to
help the strike and move strike issues forward. HCWH has a national list
serve and would move any messages that we need.
Evie (Bain, RN)

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Strike continues
Maher asks nurses to return

Sunday, April 23, 2000

By Clive McFarlane, Telegram & Gazette Staff

WORCESTER-- The day after negotiations were abruptly terminated in the
24-day-long Worcester Medical Center nurses' strike, each side appeared
resigned to using other tactics to break the will of the other.
On Friday, on the heel of the failed bargaining session, the union filed
a complaint with the National Labor Relations Board, charging that the
hospital is refusing to negotiate in good faith.
Medical Center Chief Executive Officer Robert E. Maher Jr., sent a
letter to the striking nurses, which said, among other things, "your patients
need you and many have expressed hope that more Saint Vincent nurses will
return to work to care for them."
The letter also said "many nurses have expressed a desire to return to
work and care for their patients" and that the hospital was ready to assist
nurses who break the strike with transportation and any other security
measures.
David J. Schildmeier, a spokesperson for the union, said the letter
appeared to have been written before Friday's session and was proof that the
hospital was not prepared to bargain with the nurses.
"It is clear that they came in without any intention of negotiating with
us," he said. "This is a corporation that is intent on breaking the union.
They are not interested in good faith bargaining."
Hospital spokeswoman Paula L. Green, said, however, that the letter was
mailed late Friday, after the negotiations fell through.
"We realize that the MNA (Massachusetts Nurses Association) was putting
up a bigger roadblock to an agreement, and that the strike would take an
extremely long time," she said.
Overtime policy is the main area of contention between the two sides.
The hospital wants the right to require nurses to work up to eight hours
of overtime, paid at double time, while the nurses have offered to work two
hours of overtime per shift, with the option of working two more hours in
case of an unforeseen emergency.
Most of the hospital's 535 full-time and 80 per diem registered nurses
went on strike March 31 after two years of talks with Tenet Healthcare Corp.,
which owns the hospital, failed to produce a contract.
The strike started one day before a scheduled move from St. Vincent
Hospital, which Tenet also owns, to the new medical center.
The medical center has continued services with 125 replacement nurses
supplied by U.S. Nursing Corp. of Denver and 125 nurses who have crossed the
picket line.
The hospital also has hired 20 replacement nurses not affiliated with
U.S. Nursing.
Friday's negotiating session ended when the union began asking about
staffing positions at the medical center.
Union negotiators felt that if the hospital was to promise nurses a low
patient ratio, it would be possible for them to accept some form of mandatory
overtime.
"We are looking more at guidelines," said Ann M. Spellane, co-chairwoman
of the nurses bargaining team.
"We were not asking for any set number of patients, but rather
guidelines that would take into account the acuity of the patient and ability
of the nurse in determining staffing."
Ms. Green, however, said that by bringing up staffing levels, the nurses
showed that they "really don't want to negotiate."
"You don't all of a sudden throw up a second roadblock, when we need to
move forward," she said.
According to Ms. Green, the hospital traditionally has used a flextime
scheduling policy, basing staffing on the history of patient volume.
Under this policy, nurses could be sent home on less busy days, while
the hospital would use per diem nurses or nurses secured through an
employment agency on busy days, Ms. Green said.
The hospital began looking at a mandatory overtime policy because of the
difficulty in estimating patient load and the necessity to respond quickly if
there is a sudden surge in patients, Ms. Green said.
A number of other hospitals, including the UMass Memorial Medical,
Brigham and Women's, and New England Medical Center are using the mandatory
overtime policy, Ms. Green said.
Ms. Green also disagreed with the nurses' contention that the hospital
wants to use the mandatory overtime policy in lieu of adequate staffing of
the medical center.
"We would never use it as a way to staff the hospital," she said. "The
cost would be much too high. We would use it in situations that we absolutely
have to. We want our staff to have a good working environment."
Ms. Green also said the mandatory overtime issue is one that is being
contested across the country, and that the nurses are trying to make the St.
Vincent strike a precedent in successfully knocking down the policy.
"It is much bigger than St. Vincent," she said of the fight over
mandatory overtime. "But the bottom line is that we need to have flextime, or
mandatory overtime."
Meanwhile, Mrs. Spellane said Mr. Maher's statement that many nurses
were asking about going back to work was "a big exaggeration as usual on his
part."
None of the approximately 350 nurses who turned out for yesterday's
update on the bargaining process expressed any sentiments of wanting to go
back to work before an equitable settlement of the strike, she said.
"We wanted to see if there was still a consensus on our stance regarding
mandatory overtime, and there was," she said.
Mrs. Spellane sounded more optimistic of an equitable solution to the
strike.
"A lot of people were discouraged by the breakdown in talks," she said.
"But I think our side is always hopeful. Ideally, we would prefer no
mandatory overtime. But realistically, if it means getting people back to
work, we are willing to make a deal."

© 2000 Worcester Telegram & Gazette

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