May 2003

Inside… Single-payer health care: Health Care Action Day...... 2

Executive director’s column: A budget to protect ‘real people’..3 THE NEWSLETTER OF THE MASSACHUSETTS NURSES ASSOCIATION ■ www.massnurses.org ■ VOL. 74 NO. 4 A tragedy reminds us of the First step towards safe staffi ng is June 18 hearing importance of nurse volunteers...3 The effort to pass safe staffi ng legislation nize opportunities for nurses to visit their MNA on Beacon Hill ...... 4 has never had more momentum. H.1282, legislators so that they can share personal MNA legislatin that requires minimum RN- accounts of how safe staffi ng will improve Capitol Hill Watch ...... 4 to-patient ratios in Massachusetts hospitals, patient care. has 100 legislative sponsors and more than 55 The MNA’s campaign to pass safe-staff- Political Pulse: consumer and advocacy group endorsers. ing legislation is aggressive, but it cannot Sen. Robert Travaglini ...... 5 The fi rst step towards the bills’ passage succeed without your active participation. begins on Wednesday, June 18—the day when It will not happen without you! The MNA Safe staffi ng update ...... 6 the Legislature’s health care committee will needs every RN to write, call and visit with his hold a public hearing on the MNA’s proposed Stand Up For Safe Staffi ng or her elected offi cials about this legislation. bill. It is essential that nurses have a strong If a legislator doesn’t hear from us and they MNA joins coalition to support presence at the hearing. June 18 don’t pass H.1282 as a result, it is not the fault The Fernald Center ...... 7 “We’ve come so far in this fi ght for the Saves Lives Rally” in the Statehouse at 9:30 of the elected offi cial—it is our fault. best safe-staffi ng legislation,” said MNA a.m. to draw media attention to our cause. Legislators are responsive to the needs and MNA urges DPH to suspend President Karen Higgins. “This is an impor- Details about the hearing that members need concerns of their constituents. If you don’t smallpox vaccine ...... 8 tant opportunity to demonstrate to legislators to know include: take the time and effort to educate them on an how important safe staffi ng is to nurses and Scheduled to take place in Room A-2 issue, they will not be able to serve you well. So you think it’s safe at work? .....8 to patients. We need a sea of nurses in scrubs (hearings are from 10 a.m. – 1 p.m.) Please use the “5 steps to pass safe staffi ng fi lling the Statehouse. If you’ve ever asked, Nurses should dress in scrubs legislation” guide that is included on Page 6 Latex glove safety...... 9 ‘what can I do to improve my practice condi- Buses will be provided. For details con- to help you in contacting your state senator tions,’ this is one tangible thing you can do tact Dolores Neves at 781-830-5722 or by and representative. Nursing news briefs...... 10 that will really make a difference.” e-mail at [email protected]. And please attend the hearing on June 18. The MNA has scheduled a “Safe Staffi ng Throughout the day, the MNA will orga- The success of safe staffi ng and the health of Benefi ts Corner ...... 10 patients depend on it. Professional survey shows Coalition to Protect Staff nurses cite better RN-to-patient unionized nurses earn more...... 11 Massachusetts ratios as solution to nursing shortage MNA contract update...... 11 A study reported in last month’s issue of of those surveyed responded that increased Patients formed to Deadline extended for the American Journal of Nursing shows that pay was a top solution to the nurse staffi ng fi ght for safe staffi ng more than 85 percent of nurses surveyed shortage. Other highly rated solutions include annual MNA awards ...... 12 Nurses are not alone in their desire to believe limiting the number of patients each greater autonomy and control for staff nurses see the legislature pass legislation to regu- nurse cares for is the most important solu- (66 percent) and safer working conditions (65 MNA election news...... 13-14 late RN-to-patient ratios in Massachusetts tion to a growing staffi ng crisis in America’s percent). hospitals. The general public and more hospitals. The study’s conclusions mirror the results Continuing Education ...... 16-18 than 55 consumer advocacy groups have More than 80 percent of the nurses sur- of similar surveys conducted in recent years rallied behind the MNA’s Quality Patient veyed report being understaffed, and nearly that also identifi ed low RN-to-patient ratios MNA member benefi ts ...... 19 Care/Safe RN Staffi ng legislation. 70 percent report having less time to spend as key to protecting patients, preventing com- To date, more than 55 prestigious and with patients and they identifi ed increased plications and stemming the fl ood of nurses powerful organizations have endorsed the workload and burnout from these conditions away from the hospital bedside due to unsafe MNA Convention 2003 as the key reasons for nurses leaving the bill and joined a newly formed Coalition workloads mandated by the hospital industry Save the date for the annual MNA hospital bedside. In fact, similar to previous to Protect Massachusetts Patients, a group over the last decade. convention: October 15, 16 & 17 studies, this study again found that nearly one The study also found that only half the that will push for passage of this desper- in Worcester. Featured speakers ately needed legislation. in three nurses is considering leaving their nurses surveyed felt the hospital industry include Anita Hill and for Boston “As the scientifi c evidence grows, and position in the next fi ve years. was doing a good job addressing the short- as nurses talk to the public about the rela- The study provides further strong evidence age and nurses thought many of the strategies Globe reporter Larry Tye. For con- tionship between proper RN staffi ng and to support efforts by a growing coalition of being employed—including offering sign-on vention details, call the MNA Nursing quality patient care, the support for this nurses and patient advocates who are seeking bonuses, hiring temporary nurses and foreign Dept. at 800-882-2056, x727. long overdue measure continues to build,” to pass legislation to regulate RN-to-patient nurses, and mandating overtime—were inef- said Karen Higgins, president of MNA. ratios in Massachusetts hospitals, according fective. “The MNA is committed to working with to the Massachusetts Nurses Association. In addition, while hospital industry reports these groups and the public to convince the “The scientifi c evidence is clear and over- often cite the need to provide nurses with For the latest legislature that they need to act and act now whelming: when nurses have too many fl exible scheduling as a key solution to the developments patients, patients’ lives are in jeopardy. The to ensure patients the care they deserve. shortage, nurses in this survey did not iden- impacting nurses, Our motto is clear and direct: safe RN staff- evidence also makes clear that poor staffi ng tify this as a problem. Again, nurses reported ing saves lives,” Higgins said. conditions in Massachusetts hospitals have that they were most concerned about their visit the Among the groups signing onto the caused and are exacerbating a growing short- lack of control over RN-to-patient ratios. MNA Web site, age of nurses willing to work in hospitals,” bill are: Ad Hoc Committee to Defend Currently, the American Hospital Asso- www.massnurses.org Health Care, AIDs Action Committee, said MNA President Karen Higgins, RN. “Pas- ciation reports that 126,000 RN positions American Diabetes Association of Greater sage of this legislation is key to improving are going unfi lled. According to the Health Boston, the Massachusetts Chapters of the care to our patients and to creating conditions Resources and Services Administration, there American Heart Association, American that will retain and recruit the nurses we need could be a defi cit of 808,000 nurses by 2020. to provide safe patient care.” In addition to safe ratios, fully 82 percent See Coalition, Page 5 See Soluton, Page 4 Page 2 Massachusetts Nurse May 2003

Nurses’ Guide to Single Payer Reform MNA will join thousands of workers for Health Care Action Day on June 5 A coalition of health care, labor and con- also an opportunity for unions to show lead- choice of doctors, hospitals, or treatment sumer advocates, including the MNA, is ership to the non-union majority of working options. Now managed care is no longer organizing a “Health Care Action Day” on people. able to restrain health care costs and pre- June 6 to advocate for universal health care Showing strong resistance to cuts in benefi ts mium increases are expected to average 15 reform. and services motivates politically powerful percent this year. Once again, management One of the biggest problems facing employ- employers to support reforms that would wants labor to foot the bill or get by with ers and workers is double-digit increases in lead to a publicly-fi nanced health care plan fewer benefi ts. the cost of health insurance premiums. In that covered everyone and had the clout to Thousands of retirees who thought they the vast majority of workplaces that are non- control costs by reducing bureaucratic waste had health care coverage for the rest of their union, the burden of medical cost infl ation and ineffi ciency. However, if workers don’t lives have since lost that coverage, par- gets shifted from management to workers link their resistance with the fi ght for broad ticularly among companies who blame such unilaterally, causing fi nancial pain for wage health care reforms that benefi t everyone, "legacy costs" for landing them in or near earners but little pain for their employers. we risk being seen as part of the problem. By Chapter 11. Twenty-fi ve years ago, more Payroll deductions for premium contributions resisting health care contract concessions with than 80 percent of all medium- and large- and out-of-pocket payments for treatment a broad demand for "health care for all," union sized fi rms offered medical benefi ts to their are increased whether workers like it or not members can help create pressure for a politi- pensioners. Now only 40 percent do – and because, without a union, workers lack any cal solution to the problem now confronting one-fi fth of those fi rms have eliminated such workers, when a record number of Americans say in the matter. millions: how to secure and maintain access benefi ts for new hires. More than 2 million – as many as 75 million at some point during For the few workers lucky enough to be to affordable care. seniors have also recently been tossed out of the last two years – have no coverage at all. united in a union, bargaining with employ- In the 1990s, most fi rms (and many union- their HMO plans. ers over this issue has become as diffi cult as sponsored health and welfare funds) resorted The political challenge facing union mem- How you can help it was during the late 1980s and early 1990s, to a quick fi x called “managed care” which bers today is how to broaden the defense of Health Care Action Day is a way for when insurance premiums rose by similar included cost saving limits on employees' negotiated benefi ts, for both active and retired union members, retirees, and health care amounts. reform supporters to help frame the struggle In the last 18 months, state workers, school against cost shifting broadly, so that it won’t teachers, janitors, manufacturing workers, be viewed as just another special interest fi ght food processors, and truck builders have all against give-backs by workers who already been involved in health care-related strikes or enjoy better-than-average coverage. By link- lock-outs. The most high-profi le dispute was ing our resistance to larger political demands when 18,000 employees of General Electric (i.e. "Health Care for All... Not cuts in benefi ts walked out for two days last January over or services"), the fi ght against concessions has that company’s decision to unilaterally raise the potential for attracting broad community premiums. Later this summer, major regional support and building a powerful movement or national contracts in the telephone and for real health care reform. auto industries will be up for re-negotiation. Advocating for universal health care reform If management tries to reduce employer-paid will energize our movement and help give a coverage for the hundreds of thousands of voice to working people who show their workers and retirees at GE, GM, Chrysler, support for a plan that covers everyone, Ford, Verizon, and Quest, even bigger con- saves money by eliminating bureaucratic frontations lie ahead. ineffi ciency, and is publicly fi nanced. The link to health care reform Getting as many people as possible to take action on the same day will give working How workers respond to this bargaining people an opportunity to show their sup- challenge has important implications for the port for universal coverage and to increase future of health care reform. The actions of pressure on employers and the state for organized labor – on the job, at the negotiat- immediate action. ing table, and, where necessary, on the picket To become part of Health Care Action Day line – can become a popular rallying point contact Tiffany Skogstrom at Jobs for Justice for people ill-served by our current system by calling 617-524-8778 or send an e-mail mes- of private, job-based medical benefi ts. The sage to [email protected]. struggle over “who pays” for health care is Reprinted with permission of Dan Wasserman and The Boston Globe The Mass. Campaign for Single Payer Health Care: What is single payer?

“Single payer” is the term used for the Why is single payer less expensive? It is estimated by many national and local tions has been passed by the Joint Health Care most simple and inexpensive way of paying The single payer system is less expensive studies that up to 60 percent of administra- Committee. for health care. because, with a multi-payer system, each tive costs would be saved if a single-payer Much work needs to be done to determine All the money now being spent on health insurance company and payment source system were implemented. Two stud- the best and fairest way to collect the billions care would be collected by a public agency needs to be billed. Each insurance plan ies commissioned by the Massachusetts of dollars now being spent on health care in and paid to all health care providers. needs to be analyzed to check if a procedure Medical Society in 1998 found that under a Massachusetts and to eliminate legal barriers Currently, there are hundreds of insurance is covered. Each company also pays its CEOs single-payer system, enough money would to the bill. companies with thousands of health plans, and top administrators large salaries. They be saved in Massachusetts to enable the state Instead of paying for health care through co-pays, deductibles, out-of-pocket costs, pay for advertising, marketing, lobbying and to provide comprehensive health coverage to employers or from out of pocket, we may fi nd employer paid health benefi ts, Medicare, other wasteful administrative costs. all residents. it better to substitute a health premium for- Medicaid, worker’s compensation, automo- At the same time, each doctor, hospital, mula or tax that refl ects current spending. How would the public agency collect bile medical coverage, etc. America has a very nursing home or pharmacy needs to hire Perhaps a public insurance fund could be expensive and ineffi cient multi-payer system, legions of billers, plan analysts and review- the money? created to collect current premiums on a fair and it is much more costly than health care in ers to accommodate the multiple payers. This depends on the legislation and basis. Or perhaps a plan similar to the Social any other country in the world. In addition, each employer offering health negotiations that will take place in the State- Security tax could be instituted. Whatever While these other countries provide health benefi ts needs to expand its human resource house. MASS-CARE supports a bill called the is eventually decided, the method would care to all its’ residents, the U.S. has 43 million department to spend time negotiating with “Massachusetts Health Care Trust Fund,” replace, not add to, the health care dollars people with no health coverage. Essentially, a multitude of insurance plans for rates and S.599/H.2165. Currently a bill to create an currently being spent. It would also lower the we pay more and get less. coverage. advisory committee to consider these ques- total amount currently being spent. May 2003 Massachusetts Nurse Page 3

Executive director’s column RNs needed for June 18 hearings and to support a budget to protect real people Nurses Week, May 6 -12 will soon be upon nurses back to the Associations’ request for additional money. without access to necessary prescriptions and us, which is the time when nurses are recog- bedside who have The hospitals utilized previous radio ads for treatments. nized for their contributions to health care. left, help us keep improved reimbursement citing the need to The simple fact is that the current admin- Traditionally, the MNA has its annual the new nurses recruit more nurses. The theme of a nurs- istration made a campaign promise not to lobby day on May 6. However, this year on just starting out, ing shortage as a tool to achieve additional raise taxes while assuring no loss of core May 6 we will shift the focus of lobby day to and hold on to monies seemed to have little effect on the services—and that campaign promise cannot students. We will bring student nurses into the experienced actual recruitment and retention of nurses. be achieved. No amount of rhetoric is going the Statehouse to teach them about the impor- nurses who have Today the hospitals are using the cuts in to change the simple fact that there is not tance of political action for nurses and to have been hanging in MassHealth and the uncompensated care enough income or reserves for this state to them make visits to their local legislators. there waiting for pool’s funding inadequacies as leverage for balance the budget without gouging core While this is an important event during this resolution. improving funding to hospitals. There is no services. The rainy day reserves have now Nurses’ Week, the MNA is also focusing its And most impor- doubt that as an organization the MNA has been depleted and no new income stream can efforts on another date—June 18—as the most tantly, passage Julie Pinkham grave concerns regarding the general health offset the drastic defi cit we face. While the important date for nurses in Massachusetts, of H.1282 will policy positions of the hospital association public may be skeptical of the legislature’s and it is the date the entire nursing commu- bring back safe quality care to our patients and certainly we have questioned their spending practices, this does not change the nity needs to rally around. wherever they may be hospitalized in the priorities in the utilization of current and reality that core services currently slated to be On June 18, the Joint Committee on Health commonwealth. Prior to June 18, I encour- past funding sources. But having said that, cut by the governor will have to be supported Care will hear testimony on H.1282, An Act age you to contact our Governmental Affairs there is also no doubt the current health and funded by the Legislature. Leadership Ensuring Quality Patient Care and Safe RN Department at 781-830-5725 to set up a meet- policy is an abject failure. Clearly, while the requires truth-telling especially when it is Staffi ng, which is our bill to regulate RN- ing with your local legislator or write a letter long-term solution is no doubt a single-payer unpopular. to-patient ratios in acute care hospitals in or make a phone call asking them to support health system which provides all with cov- And the simple truth is you can’t maintain Massachusetts. This is a major step in the the passage of H.1282. erage without regard to employment status core services to those most in need without process to winning passage of this legisla- While efforts to pass the RN-to-patient or employer benefi t packages. Because it’s new sources of revenue. As nurses we have a tion. This bill has been fi led in the past, but legislation move forward you will be listen- a singular system with a single set of rules high degree of credibility and it is incumbent for this legislative session, it has been modi- ing to radio ads, reading newspaper ads and and minimized administration, you save $16 upon us to inform our families and neighbors fi ed to include specifi c ratios for every fl oor in general seeing press coverage about the million in bureaucratic waste that would be of what the impact of these budget cuts will and every unit in the hospital setting, with an ongoing budget debate in which hospitals are better spent making sure 400,000 employed be in terms of real harm to everyday people. acuity system to improve ratios based on the clamoring for more money in order to provide uninsured Massachusetts residents do have Its time to reverse the tax cuts and stop the patients’ needs. It is our fi rm belief, substanti- care to those tossed off of MassHealth, as well access to health care. But while we wait for bleeding and as we move to ameliorate the ated by highly credible research, surveys and as those who never had MassHealth and are the health care trust policy to be adopted, situation we should also raise our voices polling of a number of groups, that this leg- without health care coverage. we will need to provide funding to assure in expectation that long-term strategies be islation will improve the untenable working This argument has been ongoing. A the most vulnerable do not continue to be developed to deal with the crumbling health conditions of nurses and, as a result, will bring variety of reasons have fueled the Hospital thrown out of health coverage leaving them care system.

When you say the word “neighbor,” who loss and fear and, as a result, they anger to fear-and often at the do you think of? Someone across the street, need access to support services.” In same time. According to Car- around the corner or down the hall? And some cases, Carpenter’s team may penter, trying to help people when you say the words “neighboring com- work with direct victims, such as cope with these feelings and munity” what do you think of? More than those immediately hurt in or by a giving them information on likely, you are reminded of the towns and tragedy. Other times though, it may where to get continued sup- cities that share borders with yours. But be the friends and relatives of those port is essential. “Offering this during a time of crisis, something changes in same victims who need support. “In type of support to someone in terms of who we consider a neighbor. Often, either situation, these are people need is invaluable, and I feel a crisis means that our borders shrink, our who’ve experienced something lucky that I was able to do communities collaborate and our need for horribly shocking and need aid.” this for those hurt by the West volunteer support grows. In the case of the West Warwick Karen Carpenter Warwick fi re.” Rhode Island According to Karen Carpenter, RNC, FNP, fi re, Carpenter found herself work- Carpenter became involved JD, MNA member and volunteer with the ing closely with the friends and families with the Red Cross following the terror- fi re reminds Red Cross Disaster Mental Health Team in of victims. “There were so many people ist attacks on the World Trade Center. She Worcester, that is precisely what happened injured—and their injuries were so varied— had been working as a nurse and she had us of the in the hours and days following February’s that victims were sent to several hospitals in spent considerable time working in the deadly nightclub fi re. “If you looked at a Rhode Island and Massachusetts. As a result, mental health sector, but it was 9/11 that importance map of our area, you wouldn’t exactly say our biggest challenge in the beginning was reminded her that her skills were as needed that West Warwick, R.I., and Worcester were getting friends and families the information in the volunteer community as they were immediate neighbors,” Carpenter explained. they needed.” Carpenter went on to explain in the professional world. Her credentials of nurse “But honestly, you’d be hard pressed to fi nd that the team had to work hard at connect- for becoming a volunteer with the Disaster somebody here who wasn’t touched by this ing out-of-state families to their injured Mental Health Team were impeccable and volunteers devastating event.” loved ones in Massachusetts. “We had to included experience in grief counseling, The fi re Carpenter refers to is that which get families to the bedsides of those hurt. It working as an educator in psychiatric nursing razed a West Warwick nightclub—The was important for the victims and essential and practicing as a family nurse practitioner. Station—on Feb. 20. The nightclub was for those who cared about them.” “I knew that after 9/11 the Red Cross wanted destroyed when a band’s pyrotechnics dis- Also high on Carpenter’s list of things to to enable communities to become more self- play ignited highly fl ammable foam used do early on might be to make sure that fami- suffi cient in terms of emergency response,” by the club for soundproofi ng. Ninety-nine lies have all of their basic needs met. “When she explained. “This is my way of helping people were killed, 190 others were injured somebody is in the midst of coping with a my community achieve this goal.” and hundreds of friends and relatives of vic- disaster, they can’t, and shouldn’t, worry According to Carpenter, she has come to tims were in urgent need of support. The Red about travel arrangements, lodging and realize volunteerism by nurses is invaluable: Cross immediately contacted Carpenter’s meals. The Red Cross may be able to make “We are experts at caring for those most in Disaster Mental Health Team. those arrangements,” she said. The most chal- need. And in times like these, our expertise “The idea behind the Disaster Mental lenging part of a Red Cross volunteer’s work, is desperately needed.” Health Team,” explained Carpenter, “is however, comes when the shock wears off For information on volunteer oppor- that victims of catastrophic events experi- and the grieving process begins. Victims can tunities, visit the Red Cross online at ence unique and profound types of grief, experience any number of emotions—from www.redcross.org. Page 4 Massachusetts Nurse May 2003

MNA on Beacon Hill

MNA president blasts governor’s budget cuts at hearing ISSN 0163-0784 USPS 326-050 In an effort to force the Romney admin- costly care.” programs more. It shows a lack of under- President: Karen Higgins istration to take a hard look at its proposed Programs slated to be cut under Romney’s standing for the needs of the mentally ill Vice President: Patrick Conroy budget for 2004 and the devastating blow it plan include: in this state.” Secretary: Sandy Eaton will send to Massachusetts’ most vulnerable Prescription Advantage: A prescription Worcester State Hospital: Home to more Treasurer: Janet Gale citizens, Karen Higgins, MNA president and drug coverage initiative for seniors. than 131 of the state’s most psychiatri- RN, recently testifi ed before the Joint Com- Higgins testifi ed that, “Nurses on the cally disabled patients. Higgins testifi ed District Directors, Labor: District 1: mittee on Human Services, Elderly Affairs front-line have seen the ill effects of seniors that, “There are three basic reasons why Patricia Healey, Irene Patch; District 2: and Health Care, saying that the governor who cannot afford prescriptions.” the administration’s plan to close the Edith Harrigan, Mary Marengo; District must fi nd “a humane way of dealing with MassHealth: A program that provides hospital is fl awed: the impact on patients 3: Stephanie Stevens, Tina Russell; the current budget crisis.” health coverage to approximately one currently at Worcester State who would District 4: Jeanine Hickey, vacant; Dis- Higgins, who was asked to provide the in six low-income adults and one in four be displaced; the impact on acute psychi- trict 5: Barbara Norton, vacant. committee with the perspective of front-line low-income children. Some areas covered atric units, emergency rooms, and those Directors (At-Large/Labor): Sandy nurses at the March 19 hearing in Holyoke, under MassHealth include prenatal care, patients who will require long-term hospi- Ellis, Denise Garlick, Kate Maker, offered sharp criticism of the Romney budget prescription drugs and some dental and talization; and the impact on public safety Sharon McCollum, Beth Piknick, and drove home the point that the MNA nursing home care. Higgins testifi ed that, posed by the rapid de-institutionalization Elizabeth Sparks, Jan Spicer. believes the proposed cuts to MassHealth, “MassHealth is needed in order to main- of the psychiatrically disabled.” School Health, Prescription Advantage tain a stable health care system. It brings The Fernald Center: The oldest facility Directors (At-Large/General): Rick and numerous disease prevention/control the state billions of federal dollars that for the mentally retarded in the west- Lambos, Jim Moura, Margaret O’Malley, programs, as well as the planned closure we can’t afford to lose and it ensures that ern hemisphere and currently the home Deb Rigiero, Jeannine Williams, Nora of The Fernald Center and Worcester State almost all children in Massachusetts have of more than 300 of the state’s most Watts, vacant. Hospital, will leave the health care “safety quality health care. MassHealth improves severely retarded citizens. Higgins testi- Labor Program Member: Beth Gray- net” for the state’s elderly, poor and mentally the health of families and communities fi ed that, “Despite years of requests from Nix ill in tatters. across the commonwealth.” advocacy groups, the Department of “From the perspective of front-line nurses,” School Nursing: A program that funds the Mental Retardation has never produced Executive Director: Julie Pinkham Higgins said, “the health and human service state’s highly successful Enhanced School any data or evidence that supports the Editor: David Schildmeier system in the commonwealth has been under- Health Initiative, which includes school theory that closing state facilities for Production Manager: Erin M. Servaes funded and in crisis for years. Further cuts nurses in cities and towns where children the retarded saves taxpayer dollars.” Photographer: Rosemary Smith will only lead to a dramatic deterioration in lack access to adequate health care. Hig- Higgins added that a “one-size-fi ts-all” Mission Statement: The Massachu- the quality of care for those patients most in gins testifi ed, “School nurses across the approach to caring for the retarded does setts Nurse will inform, educate and need.” Higgins added that the time for budget state are receiving layoff notices during a not work, and that Fernald residents are meet member needs by providing timely cutting in these areas is over and that revenue time when school-based clinics are often mentally retarded people with the most information on nursing and health care generation must become part of the debate. the only source of health care for some extreme medical and emotional needs. issues facing the nurse in the Common- Healthcare advocates from across the state children.” “The cost associated with the care of a wealth of Massachusetts. Through the have gone on the offensive since Romney’s Mental Health and Mental Retardation: Fernald patient is greater than the cost of editorial voice of the newsletter, MNA plan was announced in late January, saying Programs that provide the core services caring for a more mildly retarded patient. seeks to recognize the diversity of its that the cuts are shortsighted, misguided and necessary to meet the needs of the men- As a result, the cost will follow a Fernald membership and celebrate the con- devastating to children, seniors, the mentally tally ill and mentally retarded. Higgins patient forever—regardless of location tributions that members make to the ill and the disabled. Additionally, the cuts testifi ed that, “The state’s mental health and residence. Closing Fernald will not nursing profession on the state, local have repeatedly been called “economically system has been in shambles for years. help solve the budget crisis.” and national levels. wasteful” and many, including Higgins, We have mentally ill patients roaming the Higgins closed her testimony by refer- expect to see only one result: patients receiv- streets or being boarded for days in hos- ring to the Weld administration’s attempt to Published nine times annually, in ing more costly care in already overcrowded pital emergency rooms because we lack eliminate a number of human service centers January/February, March, April, May, emergency rooms. “The governor has broken beds and staff to care for them. We have and hospitals in the 1990s with no study or June/July, August, September, October his promise not to cut core services,” Higgins severely dangerous patients being housed evidence. During that crisis, the legislature and November/December by the Mas- said. “Health care is not just a core service—it with geriatric and pediatric patients in successfully included language in the budget sachusetts Nurses Association, 340 is a safety net, a matter of life and death for hospitals for lack of proper resources to that directed a study and legislative approval Turnpike Street, Canton, MA 02021. our most fragile citizens. He has taken an care for them. We have nurses being physi- prior to any closures. Higgins requested that Subscription price: $20 per year axe to the very programs that provide care cally assaulted on a regular basis because the Joint Committee on Human Services, Foreign: $28 per year to those most at risk. Governor Romney’s of a lack of security and resources to take Elderly Affairs and Health Care take the Single copy: $3.00 proposal will only result in people suffering care of violent patients. The system is in same course of action with Romney’s cur- more serious complications that require more crisis, yet the governor wants to gut these rent initiative. Periodical postage paid at Canton, MA and additional mailing offi ces. MNA legislative briefi ngs for safe RN staffi ng …Soluton Deadline: Copy submitted for publica- tion consideration must be received at The MNA Department of Legislation the Legislation & Government Affairs page From Page 1 MNA headquarters by the fi rst day of & Government Affairs, the Congress on at www.massnurses.org or call 800- 882-2056, the month prior to the month of publi- Health Policy and Legislation, and MNA x725. Bureau of Labor Statistics data suggest that this estimate could go as high as one million cation. All submissions are subject to members are working together to set up Greater Lawrence/Tewksbury editing and none will be returned. legislative briefi ngs across the state. These Thursday, May 15, 10:00 - 11:30 nurses by 2010. Direct links have been made briefi ngs, entitled “Safe Staffi ng Saves a.m. between adequate nursing care in hospitals Postmaster: Send address corrections Lives,” are designed as a forum for MNA Maria’s Breakfast & Lunch, 1164 and better patient outcomes. to Massachusetts Nurse, Massachu- members and our supporters to meet with Lawrence St., Lowell The national poll of 600 hospital staff nurses setts Nurses Association, 340 Turnpike local legislators and inform them of the Greater Waltham, Weston, Newton & providing direct nursing care was conducted Street, Canton, MA 02021. by Lake Snell Perry & Associates. To view the critical staffi ng issues that nurses face in Wellesley www.massnurses.org health care facilities everyday and to help Friday, May 30, 8:30 - 10 a.m. results, visit www.UANnurse.org. us win their support for Safe RN staffi ng The Chateau Restaurant, 195 School “Nurses are very clear about what needs to legislation. St., Waltham be done to protect patients and to solve the Safe RN staffi ng legislation will regulate Cambridge, Everett, Somerville & shortage. They need safe ratios,” Higgins said. RN-to-patient ratios in all acute care hospi- Revere “It’s time for the industry and for policy makers tals in Massachusetts. Friday, June 6, 9:00 – 10:30 a.m. to hear what the front-line nurses are saying If you would like to attend a legislative The Wynham Hotel, 201 Everett Ave, and to act on what the evidence makes clear— safe staffi ng saves lives, and in the context of briefi ng or schedule one in your area, see Chelsea this study, it will end the shortage.” May 2003 Massachusetts Nurse Page 5 An interview with state Senate President Robert Travaglini The Massachusetts Nurse recently sat down promote a “team concept” in the Senate. One Travaglini: I nurses who are reading this column about with state Senate President Robert Travaglini. way to do that is by drawing on the individual think it’s critical to the importance of building a relationship with Travaglini is serving his sixth term in the Mas- expertise, background and interests of each be reminded of the their local legislators? sachusetts Senate and was elected president senator. I look forward to turning that prom- local repercussions Travaglini: I cannot say enough about the by his colleagues in January. Travaglini repre- ise into a reality over the next few months. It is that may occur as a need for constituents to directly engage their sents the 1st Suffolk and Middlesex District, also a wonderful opportunity for me to serve result of our actions elected offi cials on matters that concern them. which includes wards in Boston, Cambridge, not just the people of my district but every on a statewide Throughout my tenure I have always kept an Revere and Winthrop. district across the commonwealth. level. After serving open-door policy, which allows me to keep an Travaglini has built a strong reputation MassNurse: What issues do you believe on the Boston City honest outlook and fresh perspective on legis- fi ghting for the needs and concerns of the poor will dominate this legislative session? Council, I have lative issues. Those who can make their case, and underserved. His priorities include access Travaglini: The budget, fi rst and foremost. developed more of regardless of who they are, get my attention to high quality health care, affordable child We’ve got our work cut out for us over the an appreciation for and in turn help shape my position. In this Robert Travaglini care and after school opportunities, children’s next 12 to 18 months and there will be a lot the diffi cult deci- context, nurses should actively participate health and development, improving public of diffi cult decisions to make. Nobody comes sions that municipalities face in light of our with those who will ultimately shape the education, transportation, homeless services, to Beacon Hill looking to cut programs and current fi scal picture. I try to be mindful of health and vitality of their profession. Without community development, public safety and search for new revenue sources, but these that dynamic when making decisions. their input we don’t get the whole story. constituent services. MassNurse: How do you see your role as MassNurse: What do you enjoy most about A former Boston city councilor, Travaglini a legislator changing as you have become your work as a state legislator? has served as Senate chairman of the Chil- Senate president? Travaglini: Having a chance to make a dif- dren’s Legislative Caucus and is the former Travaglini: As Senate president, in addition ference in people’s lives on a daily basis. majority whip of the Senate. to focusing on what’s best for your district MassNurse: What is your proudest success MassNurse: Congratulations on your elec- you have to consider what’s best for the as a state legislator? tion as state Senate president. Please tell us commonwealth as a whole. As a result you Travaglini: I’ve had the good fortune to how you foresee your new position as leader are forced to look at the “big picture” and to have many successes serving as a state legis- of the state Senate. deliberate more carefully on issues. As head lator. I am proud of a legislative record that Travaglini: I’m very excited and a bit over- tough issues will continue to dominate the of the Senate you must also be mindful that ranges from authorship of the braille literacy whelmed, to be honest. I am grateful for the agenda in order for us to keep our fi scal your actions are perceived as those of the bill, the diabetes reduction bill and hospital confi dence and the support that my fellow house in order. entire Senate, and that a higher degree of interpreter services bill – all of which have colleagues have given me, serving in this new MassNurse: How does your background as honor, respect and fairness is expected out been signed into law. I have also been proud capacity. As Senate president, I have vowed to a municipal offi cial help prepare you to be an of every decision that is made. of my work focusing upon children’s issues, empower every one of my colleagues and to effective state legislator? MassNurse: What would you tell the including passage of the child hunger bill and the expansion of childcare tax credits. But most importantly is the sense of accomplish- Rep. Pedone, Sen. Chandler spearhead effort ment you feel in addressing the “bread and butter” issues that affect residents the most, to save Worcester State Hospital such as affordable housing or health care. On the day the House of Representatives released its version of the state budget, a …Coalition coalition of citizens, community members, From Page 1 family members of patients, nurses, allied health professionals, mental health advocates Lung Association, Boston’s Health Care for and local and state political leaders held a the Homeless Program, Gay and Lesbian candlelight vigil to save Worcester State Hos- Advocates and Defenders, Health Care pital—the nation’s oldest psychiatric facility for All, Jobs With Justice, Latin American and one that provides services to patients Health Institute, Massachusetts Brain Injury from throughout central Massachusetts and Association, Massachusetts Breast Cancer from as far away as the New York border. Coalition, Mass Human Services Coalition, The vigil was held on Wednesday, April 23 Massachusetts League of Women Voters, immediately outside the entrance to Worces- Mass School Nurse Organization, Massachu- ter State and it drew a crowd of more than setts Senior Action Council, Massachusetts 150 supporters. NOW (National Organization for Women), Among those who contributed to the MASSPIRG, National Association of Social vigil was state Rep. Vincent A. Pedone (D- Workers, Neighbor to Neighbor, New Eng- Worcester)—who successfully introduced an land Patients Rights Group, the Consortium amendment to the House budget prevent- for Psychotherapy and the Episcopal Diocese ing the facility’s closure—and Sen. Harriet of Western Massachusetts. A complete listing Chandler (D-Worcester). Chandler, who also can be found on Page 6. attended the vigil, promised to continue to In a recent poll of Massachusetts voters, work on behalf of Worcester State while more than 75 percent supported legislation the Senate develops its version of the state Supporters of Worcester State Hospital join the vigil to protect the state’s mentally ill. to regulate RN-to-patient ratios. Those same budget. voters said they would back modest cost Governor Romney had proposed clos- increases if needed to implement safe staffi ng. ing Worcester State Hospital in his original In just one week in May 2002, 80,000 Bay State budget, but advocates have argued that Worcester State Hospital is residents signed petitions supporting RN-to- the facility provides valuable, comprehen- patient ratios. sive mental health services to patients and the nation’s oldest psychiatric families struggling to manage the most acute facility. It provides services and debilitating forms of mental illness. In response, the Coalition to Save Worcester to patients from throughout State Hospital was formed to wage a cam- central Massachusetts and paign to save the facility. The coalition is hoping to gain additional support in the from as far away as the New Have you moved? fi ght to keep Worcester State’s doors open. York border. Please notify the MNA Please show your support for the Coalition, of your new address: for Worcester State and for the mentally ill State Sen. Harriet Chandler offers words by calling your legislators and saying “no” of support and encouragement. 800-882-2056, x726 to the proposed closing. Page 6 Massachusetts Nurse May 2003 Five things you can do to pass Safe Staffi ng Saves Lives safe staffi ng legislation Pass H.1282 Attend the safe staffi ng hearing on June 18 at the Statehouse Please attend the Health Care Committee hearing on MNA’s safe staffi ng legislation. This is our chance to show the committee and other legislators the incredible support there is for Understaffi ng of registered nurses is dangerous to patients. RN-to-patient ratios. The MNA needs hundreds of nurses dressed in scrubs and its allies at Mistakes, errors and complications become more likely when the Statehouse to send the message that it is time for action on RN-to-patient ratios! For the nurses are asked to take care of too many patients at once. latest information please visit www.massnurses.org, or call 781- 830-5725. A study of six million patients reported in the New England Attend a safe staffi ng legislative briefi ng in your area Journal of Medicine show that patients without adequate Your legislators will determine the future of the MNA safe staffi ng legislation. They need to hear from their RN constituents about what is happening on the frontlines of health care—so nursing attention are more likely to die or suffer serious please go and share your story! A schedule of upcoming briefi ngs is included in this issue of complications: the more nurses per patient the better the the newsletter. For the most current schedule of briefi ngs, visit www.massnurses.org and click on the link for legislation and government affairs. medical outcomes. Contact your state senator and state representative The Journal of the American Medical Association reported Call, write to or send an e-mail message to your legislators. Provide them with insight into that in a study of 232,000 surgical patients the higher the your job as a front-line nurse. Tell them why you support safe staffi ng legislation. Share a per- patient-to-nurse ratio, the more likely there will be a death sonal story. A sample letter is included in this edition of the Mass Nurse. If you need to identify your legislators, visit the following Web site: www.wheredoivotema.com/bal/myelectioninfo.php. or serious complication. Each additional patient above four that a nurse cared for produced a 7 percent increase in Join the MNA activist e-mail network Often the MNA needs to communicate with legislators quickly about pending bills. Members mortality. If a nurse is caring for eight patients instead of of the Rapid Response Network will be called on to communicate with legislators on impor- four, there is a 31 percent increase in mortality. tant issues throughout the year. Contact Kate Anderson by e-mail at [email protected] to sign up. The fact that nurses are burned out from high patient Spread the word! loads is causing them to leave the profession. One in three Talk to members in your bargaining unit and other colleagues about becoming activists registered nurses under the age of 30 say they are planning with the MNA. Let other nurses know about opportunities to contact legislators, volunteer to leave nursing within the next year. on campaigns and make their voices heard. To Preserve Quality Care and Protect Patient Safety Sample letter/e-mail to legislators The Honorable XXX XXX join a growing list of organizations that support H.1282 Statehouse, Room XX Boston, MA 02133 Ad Hoc Committee to Defend Health Care Mass. Association of Older Americans Dear Representative/Senator XXXX, AIDS Action Committee of Massachusetts Mass. Association of Public Health Nurses I am a registered nurse at XXX Hospital. I strongly support House Bill 1282 – the bill about AIDS Care Project Mass. Brain Injury Association safe staffi ng legislation. Understaffi ng of registered nurses is dangerous to patients. Risks, Alzheimer’s Association, Mass. Chapter Mass. Breast Cancer Coalition complication and errors are more likely American Cancer Society Mass. Coalition of Nurse Practitioners to occur when nurses are asked to take American Diabetes Association of Greater Mass. Federation of Teachers care of too many patients at once. Each day I see fi rst hand the negative effect Boston Mass. Human Services Coalition that unsafe staffi ng is having on patient American Heart Association Mass. Immigrant and Refugee Advocacy care, as well as on the recruitment and American Lung Association of Greater Coalition retention of nurses. Current staffi ng Norfolk County Massachusetts Nurses Association problems force nurses to work in situ- American Lung Association of Mass. Mass. School Nurse Organization ations where they are inappropriately Amyotrophic Lateral Sclerosis Association Mass. Senior Action Council rushed through their patient-care activities, assigned unsafe patient Arise for Social Justice Mass. Society of Eye Physicians and levels, and confronted by mandatory Boston AIDS Consortium Surgeons overtime. Stand Up For Safe Staffi ng Boston Health Care for the Homeless Sister Rosellen Gallogly of Market Insert your personal account and/or June 18 Program Ministries, Inc. story of how safe staffi ng would assist Boston Women’s Commission Mass NOW (National Organization for you in your job and improve patient Cambridge Women’s Commission Women) care. Cape Organization for Rights of the Massachusetts Spina Bifi da Association Passage of H.1282 is a promise to the nursing profession that workplace conditions will Disabled MASSPIRG improve, that patient care will come fi rst, and that we will once again be able to do our jobs Family Economic Initiative Mental Health Association, Inc. properly. I hope you will join me in supporting H.1282. The return on investment in nursing will be refl ected both in cost savings and in improvements in the safety and quality of care Gay and Lesbian Advocates and MetroWest AIDS Program provided. Defenders MetroWest Latin American Center Sincerely, Greater Boston Diabetes Society National Association of Social Workers XXXXXXX Health Care for All - Massachusetts Chapter Street address Independent Living Center of North Shore National Kidney Foundation of Mass., RI, City, State Zip and Cape Ann, Inc. NH, Vermont, Inc. Jobs with Justice Neighbor-to-Neighbor Legislative resources Jonathan M. Cole Mental Health New England Patients Rights Group, Inc. Consumer Resource Center Search For A Cure Massachusetts Legislature homepage: www.state.ma.us/legis/legis.htm Latin American Health Institute The Abortion Access Project Massachusetts House switchboard: 617-722-2000 League of Women Voters of The Consortium for Psychotherapy Massachusetts Senate switchboard: 617-722-1455 Massachusetts The Episcopal Diocese of Western Mass. MNA Legislative Department: 781-830-5725 Lynn Health Task Force Victory Programs, Boston Mass. Asian AIDS Prevention Project Vineyard Health Care Access Program MNA Web site: www.massnurses.org May 2003 Massachusetts Nurse Page 7 MNA joins coalition to help the state’s most severely retarded citizens Families, friends, community leaders a dramatic deterioration in their health and and care givers gathered together twice quality of life. during the month of April to show their On April 17, more than 125 people gathered support for keeping The Fernald Center—a outside of Fernald’s main entrance to rally Waltham-based facility that is home to 309 of around the center and to challenge the gover- the state’s most severely mentally retarded nor’s decision to close the facility. Several who residents—up and running. At both a rally attended waved signs with messages pushing and petition drive, supporters voiced their for the governor to reconsider his decision, opposition to Governor Romney’s proposed while passing motorists sounded their horns closure of the center. in support of the protesters. Other advocates The events were organized and hosted for the mentally ill accused the governor of by the Massachusetts Coalition of Families putting the state’s most vulnerable residents and Advocates for the Retarded (COFAR) at risk while offering no evidence on how with support from numerous organizations, closing the historic center would save the including the MNA. state money. Under the governor’s budget proposal, The “We believe this is an illegal and immoral Fernald Center—and eventually all the state eviction of 300 people from their homes,” said facilities for the retarded—is slated for clo- Tom Frain, president of COFAR. “They cannot sure. Fernald is home to the most profoundly advocate for themselves. They can’t call the retarded, medically fragile and behaviorally police. They can’t testify at trials. They can’t challenged people in the commonwealth of vote, and they can’t complain.” Massachusetts. The center provides a menu of State Sen. Susan Fargo (D-Lincoln) and Beth Gray-Nix, MNA member and head of Fernald’s occupational therapy department, state-of-the-art services to its patients, includ- state Rep. Thomas Stanley (D-Waltham) both tells supporters a moving account of what has happened to other residents when ing: access to specialized doctors and nurses; attended the rally and showed their support they’ve been inappropriately moved from the center. psychiatric professionals; physical-therapy for keeping The Fernald Center open. In resources; respiratory-therapy resources; addition, Fargo and Stanley announced they tions containing more than 9,000 signatures mittee, which would develop a plan for the occupational-therapy resources; speech and would work to introduce an amendment to from citizens who oppose the administra- Fernald site upon the closure of the facility. communications services; dental services the state budget to prevent the closing of the tion’s plans to close Fernald directly to the The plan would include a goal of creating new and adaptive technologies. These services facility. governor’s offi ce. community residences at the Fernald site for cannot be found or provided for anywhere Less than a week after the rally, family The presentation of the petitions capped former residents of the facility. else, and closure of Fernald could result in members and advocates for the retarded a morning of personal lobbying by COFAR Currently, there are no community settings the death of many of its residents, or at best, joined forces again when they delivered peti- members of legislators. Starting just after anywhere in the state that can provide equal 9:30 a.m., some 40 individuals—most of who or better care to Fernald residents. Ques- have family members living at Fernald and tions and problems in the provision of care the other facilities—began walking the halls continue to plague the community-based of the Statehouse, buttonholing legislators system. In addition, studies have shown that and their staff members in their offi ces, comparable community-based care is not less and handing out information opposing the expensive than state-based care. closure plans. The events at the Statehouse came as the What you can do help save The Fer- House released its plan for closing a projected nald Center $3 billion state budget gap next year. The Please consider contacting your state House budget legislation contained language senator and/or representative about the accepting the administration’s plans to close proposed closure of Fernald. In addition, unspecifi ed facilities for the retarded. How- COFAR encourages you to: ever, the House language would require that 1. Call Alison Mernio in Rep. Stanley’s a determination be made that the community offi ce during the early part of the has adequate resources to provide equal or week - Monday, Tuesday or Wednes- better services to residents transferred from day—and thank him for the work he the state facilities and that the cost of provid- has done to keep Fernald open: 617- ing services in the community is lower than 722-2575 in the state facility. 2. Send a letter to the editor of your local The House bill also contained an outside newspaper praising the efforts by Rep. Sen. Susan Fargo, left, and Rep. Thomas Stanley, right, show their support at the rally section requiring the creation of a Fernald Stanley and Sen. Fargo to keep The to save The Fernald Center. Developmental Center Land Reuse Com- Fernald Center open. The potential impact of the Fernald closure on residents Under the governor’s budget proposal, The multiple disabilities. Weighing just 65 pounds, stands the Hillside building to be his home: co-guardian and she works closely with her Fernald Center is slated for closure. This facil- Patti is oxygen dependent and is fed through his place of comfort, safety and security. 71-year-old father in advocating and caring ity is home to the most profoundly retarded, a nasogastric tube; she has never walked or Twice in 27 years, though, Danny has tried for them. Over the years, Dianne has watched medically fragile and behaviorally challenged talked and has the mental capabilities of a moving to other homes—community-based her brothers try to “cope” with the changes people in Massachusetts. Fernald provides a 4-year-old. But according to Patti’s sister and facilities that DMR decision makers thought that a shrinking mental-health budget have menu of state-of-the-art services to its patients, long-time advocate for the mentally retarded, would be better for him. On both occasions, brought to Fernald—and the most recent including: access to specialized doctors and Cathy Gover, Patti is happy and thriving at the management at the community-based changes were nothing short of devastating nurses; psychiatric professionals; physi- The Fernald Center. Here, she has her own homes found that Danny’s needs were too for the Russo brothers. Following the layoff of cal-therapy resources; respiratory-therapy room and receives around the clock care from severe to allow him to stay and he was sent a Fernald nurse who had been caring for the resources; occupational-therapy resources; a team of professionals and staff who provide back to Fernald. In one instance, his transfer twins for the last 17 years, Ronnie began to speech and communications services; dental her with the highest quality of life possible for came following an accident that he suffered develop extremely agitated behaviors—con- services; and adaptive technologies. These ser- someone in her condition. during a fi eld trip. After a month in the hos- stantly kicking and fl ailing. Shortly after, vices cannot be found anywhere else. Closure Danny Onusseit has lived in The Fer- pital, he was sent back to Fernald. he was diagnosed with an upper-GI bleed of Fernald could result in the death of many of nald Center’s Hillside building for 27 years. Ronnie and Randy Russo are 50-year- which developed into a severe esophageal its residents, or at best, a dramatic deteriora- He is 40-years-old and is severely mentally old twin brothers who have lived at Fernald tear. At the same time, Randy began spend- tion in their health and quality of life. retarded. Danny’s well-being is seriously since the age of fi ve. Both are classifi ed as ing more time wrapped in the fetal position, Patti Hillis has been a resident of The compromised when he is put in situations that profoundly retarded, both are blind and while he continuously scratched and rubbed Fernald Center in Waltham for more than 30 he fi nds overwhelming and intimidating. But both are unable to express themselves ver- at his skin. Eventually, Dianne says, his skin years. She is 37-years-old, and suffers from at Fernald Danny is safe, because he under- bally. Dianne Booher, the twins’ sister, is their developed a leather-like quality. Page 8 Massachusetts Nurse May 2003

Health & Safety News Briefs MNA urges DPH to suspend smallpox vaccine; proceed with educating and training workforce

In the wake of serious cardiac-related com- employees to protect patients from unwar- that experienced in Maryland, there would plications related to the vaccination of health ranted exposure, has yet to be addressed on be irreparable harm done to the state’s pre- care workers for the smallpox pre-event vacci- either the state or federal level. paredness effort. nation plan, as well as continued resistance by “In light of the outstanding unresolved “As was the case when this plan was fi rst offi cials to support furloughing of vaccinated issues and the new concerns related to car- instituted, there is no imminent threat of a employees to protect the public, the MNA has diac-related complications, the MNA is taking bioterrorism attack related to smallpox. This made a formal request to the state Department this opportunity to formally request that the means we have the time to resolve outstand- of Public Health to suspend the vaccination DPH suspend the vaccination of civilian ing issues and to develop and implement a plan until these issues are resolved. Instead, health care workers until these issues are successful plan that will engender the trust the MNA calls upon the state to proceed with adequately resolved. It is important to note and broad based participation by the civilian the education and training of volunteers, that as of this writing, eleven other states have health care workforce.” without vaccinating at this time. suspended their immunization programs. The MNA believes it to be imperative for Eleven states have suspended their vaccina- “It is clear, given the extremely low level DPH to change the focus of the program to tion plan to date. In late April, the MNA sent of participation by health care workers in proceed with the education of the health care a letter to DPH asking Massachusetts to join the plan to date, that the program as con- workforce and training of response teams for this list. Excerpts from the letter follows: stituted is not achieving its objectives. We an emergency preparedness plan without vac- “While we appreciate the ongoing dialogue further believe DPH needs to take a leader- cinating employees at this time. At such time with the DPH over these issues, our key con- ship role in redirecting this effort to ensure that these issues are adequately resolved, or cerns have yet to be adequately resolved. For its ultimate success. Of greater concern is the in the event of an actual smallpox event, the example, it is clear there has been an effort fact that many health care facilities across workforce would be ready to respond and to deal with the issue of compensation and the state are pushing ahead with vaccination begin the vaccination process. liability for health care workers through fed- campaigns while providing inadequate and For ongoing coverage of the small- eral legislation. However, the MNA’s most confusing information. Were we to experi- pox issue, visit the MNA web site at pressing concern, that of the need to furlough ence an event here in Massachusetts like www.massnurses.org.

CDC releases detailed information on SARS containment Toxic exposure claims As the number of confi rmed SARS cases All members of a household with a SARS Household waste soiled with body fl uids in the courtroom: Does continues to climb globally, the MNA is patient should carefully follow recom- of SARS patients, including facial tissues Daubert do justice? vigilantly monitoring and communicating mendations for hand hygiene, particularly and surgical masks, may be discarded as with other key healthcare organizations— after contact with body fl uids. normal waste. The Massachusetts Coalition for Occupa- including the Centers for Disease Control Household members and other close con- tional Safety and Health (MassCOSH) and and Prevention—to learn more about what tacts of SARS patients should be actively MNA invite you to attend an environmental health care providers need to know in order So you think it’s safe at work? monitored by the local health department health forum. to identify, care for and treat people infected Notes from the for illness. The forum will be held on May 13, 4 - 7 with SARS. Household members or other close con- p.m. at Northeastern University School of Currently, the CDC recommends the fol- Congress on Health tacts of SARS patients should watch for Law (located near the Ruggles subway stop) and will: lowing infection-control measures for people the development of fever or respiratory • living and/or working with suspected SARS and Safety symptoms and, if these develop, should Explore challenges to winning toxic patients. These recommendations are based seek healthcare evaluation. In advance of workplace and environmental expo- Use of disposable gloves should be con- sure cases on the experience in the United States to evaluation, healthcare providers should • date and may be revised as more informa- sidered for any direct contact with body be informed that the individual is a close Examine strategies for overcoming tion becomes available. fl uids of a SARS patient. However, gloves contact of a SARS patient. Household obstacles created by the Supreme Patients with respiratory symptoms are not intended to replace proper hand members or other close contacts with Court decision: Daubert vs. Merrell hygiene. Dow Pharmaceuticals should be provided with surgical masks symptoms of SARS should follow the • Sharing of eating utensils, towels, and Present a mock hearing as a fi rst measure of defense against the same precautions. • spread of droplet infections to healthcare bedding between SARS patients and At this time, in the absence of fever Engage participants in small group personnel and others. others should be avoided, although such or respiratory symptoms, household discussions SARS patients should limit interactions items can be used by others after routine members or other close contacts of SARS Registration forms can be obtained at the outside the home and should not go to cleaning. Environmental surfaces soiled patients need not limit their activities Massachusetts Nurses Association or you can work, school, out-of-home child care, or by body fl uids should be cleaned with a outside the home. register at the conference beginning at 3:30 other public areas until ten days after the household disinfectant according to man- For more information on SARS, please visit p.m. For more information and to register, call resolution of fever, provided respiratory ufacturer’s instructions; gloves should be the CDC’s Web site at www.cdc.org, or the Isabel Lopez, MassCOSH labor/community symptoms are absent or improving. worn during this activity. MNA’s Web site at www.massnurses.org. coordinator, 617- 825-7233, extension 18. The cost for this event is $25.

Applying OSHA to Healthcare Settings program open to all nurses in Massachusetts Important date change: Three sessions of the Applying OSHA to Any nurse registered in Massachusetts District 1’s session Healthcare Settings program remain: may attend. Participants will learn about of Applying OSHA to May 14 at the Best Western Royal Plaza OSHA resources, requirements for a safe Hotel & Trade Center in Marlboro and healthy workplace, and how to address Healthcare Settings May 21 at MNA headquarters in concerns about unsafe working conditions Canton with employers. The date for the District 1 train- Have you moved? June 24 at District 1 offi ce in Northamp- The program qualifi es for 4.4 contact hours, ing has been changed from June Please notify the MNA ton which will be awarded by the Massachusetts 18 to June 24 in order to avoid The training includes a four-hour pro- Nurses Association, which is an accredited of your new address: gram followed by lunch and discussion. provider of Continuing Education by the confl ict with the hearing at the The program is supported by a grant from American Nurses Credentialing Center’s Statehouse on the safe staffi ng 800-882-2056, x726 the Massachusetts Department of Industrial Commission on Accreditation. legislation. Accidents. There is no charge to attend this To register, call Susan Clish in the MNA’s program. department of nursing at 781-830-5723. May 2003 Massachusetts Nurse Page 9 Massachusetts nurses and others who are latex allergic are encouraged to attend the hearing on the natural rubber latex glove bill scheduled for July 9

By Evelyn I. Bain, M.Ed., RN, COHN-S, and show legislators “low allergen” gloves protect from allergic many states across the country. Associate Director/Coordinator, Occupational the truth about this reactions. They are giving the impression that There is no better way to make legislators Safety and Health Program problem and that these terms actually have meaning and cred- and the public aware of the problems that Across the commonwealth, nurses, dental latex allergies exist. It ibility when there is no federal standard and latex allergies continue to create than by hygienists, doctors, dentists, physical thera- changes lives forever no defi nition recognized for these terms. participating in this public hearing. pists, children and adults who have been and it is unneces- But Massachusetts nurses and others Imagine what would happen if hundreds repeatedly exposed to natural rubber latex sary to continue to needlessly affected by this allergy can tell a of people showed up at the Statehouse to gloves have become latex allergic. They are expose patients and different story and give this issue the public focus attention on the fact that lives have now at risk for reactions whenever they enter workers. Gloves recognition it deserves. been severely and permanently affected by a medical or dental facility that continues to made of alternatives The voices of those who are affected by needless exposure to a product that can be use latex gloves and other devices that contain medical products are latex allergies have been repeatedly and sys- replaced by an appropriate alternative. This natural rubber latex such as catheters, tubing appropriate, they tematically silenced by the money that the would send the same message to Massachu- and syringes. Often, they must plead their Evelyn Bain provide protection glove companies spend to sway the opinions setts lawmakers that NIOSH sent to health case for accommodation for latex-safe care, from bloodborne of managers, purchasing agents, the public care workers across the country in 1997: especially in small medical and dental offi ces. pathogens. Alternatives are available, and and policy makers. They have money to “WARNING: Exposure to natural rubber latex Addressing the issue through legislation will alternatives are affordable. send teams of carefully programmed sales presents a hazard to the health of the citizens, help to protect their health and improve their The glove manufacturers are already tell- representatives and lawyers to every public workers and patients of Massachusetts.” lives. ing legislators that there really is no problem hearing in attempts to intimidate those who Let’s do something about it now. The true numbers of latex allergic persons with latex gloves because they now make speak against latex gloves and the hazards For more information on attending the in Massachusetts are not known. Here is an the gloves “safer.” They are telling legisla- they introduce. And their money has been hearing call Evie Bain at MNA at 781-830-5776 opportunity to come forward and be counted tors that “low powder,” “powderless” and effective in killing latex glove legislation in or by e-mail at [email protected]. Details of Latex glove legislation

A Massachusetts bill has been drafted: ter. In all such enforcements and prosecutions, the director may worsen a present latex allergy. An Act Relative To Latex Glove Safety shall not be required to enter into any recognizance or give Reactions to latex may include: skin rash, hives, asthma, Chapter 111 of the general laws is hereby amended by surety for costs. nasal eye and sinus irritation, and allergic shock (anaphylactic inserting after section 217 the following new section: (g) Any facility which violates any of the provisions of shock). If you or your family are having these symptoms, call Section 218. Latex Glove Safety. this chapter shall be subject to a fi ne of fi ve hundred dollars your health care provider (your physician, nurse or dentist) (a) Any health care facility regulated by the commonwealth ($500), and may be subject to any and all penalties provided immediately. of Massachusetts which uses latex gloves shall post a notice for in general laws which regulate said industry, including informing employees and the public: revocation of licenses. A second Massachusetts bill has been fi led and states: (1) that natural rubber latex gloves are used by said regu- SECTION 2. This act shall take effect upon passage. Be it enacted by the Senate and House of Representatives lated entity; The bill is crafted after the Rhode Island bill that success- in General Court assembled and by the authority of same, (2) that exposure to latex may result in the development fully passed in the Rhode Island Legislature in 2001 as follows: of an allergy; After two years of activity around the issue of latex allergy Section 1 Chapter 111 of the general Laws is hereby (3) that allergic reactions to natural rubber latex can mani- and a Latex Allergy Advisory Committee formed by former amended by inserting after section 119 B. fest by skin rash, hives, nasal and eye irritation, asthma, and Attorney General Sheldon Whitehouse, the latex glove safety Section 199C. No person employed in a health clinic, acute shock; and act in Rhode Island successfully passed in the Legislature. care hospital or physician’s offi ce shall use disposable, non- (4) that should you or your family experience allergic The bill was prepared as a public health protection bill. sterile or sterile natural latex gloves. The department shall reaction symptoms, then you should contact your health The Rhode Island Department of Public Health subse- promulgate rules and regulations to carry out the provisions care provider. quently developed regulations that relate to R23-73-LAT. In of this section. (b) Said notice shall include letters which are at least three- part, the regulations state: Section 2. That a special commission to consist of 2 members eighths (3/8) of an inch high and be posted in conspicuous • The use of disposable non-sterile and sterile natural of the Senate, 3 members of the House of Representatives, areas throughout the facility. rubber latex gloves is prohibited in food service. the commissioner of public health and his designee and 3 (c) Said notice shall be posted in English, Spanish, and • Any business or industry that utilizes natural rubber persons to be appointed by the governor is hereby established other languages served by the health care facility. gloves must provide their workers with education for the purpose of making an investigation and study of the (d) Health care workers shall be provided with initial and related to latex allergy and provide non-latex gloves problem of latex allergies and people exposed to disposable, periodic education pertaining to latex safety. that minimize exposure to latex and protect health care non-sterile and sterile latex gloves; Said commission shall (e) Health care facilities shall ensure that direct care work- workers from bloodborne pathogens. report to the general court the results of its investigation and ers are represented on latex allergy or safety committees. • Must post a warning that states: study, if any together with drafts of legislation necessary to (f) It shall be the duty of the commissioner of the Depart- WARNING carry such recommendations into effect by fi ling same with ment of Public Health to enforce the provisions of this Latex gloves are used in this facility. the clerk of the House of Representatives on or before the chapter and to prosecute all persons who violate this chap- Repeated contact with latex may cause a latex allergy or fi rst Wednesday of December 2003.

‘Impact of Asthma on Health Care System’ presented by Mass. Health Council The Impact of Asthma on the Health Care keynote will be presented by state Sen. Cheryl Asthma Educators, director, Multi-Center chusetts Health Council and the Asthma & System will be offered on Thursday, May 8, Jacques, chair, Senate Committee on Steering Asthma Research Collaborative; Cynthia Allergy Foundation of America, New Eng- 9 a.m. – 2:30 p.m., at Westin-Waltham Hotel. and Policy. Piltch, Ph.D., M.P.H., director, research and land chapter, AstraZeneca, Boston Public Issues to be addressed include: what is A panel discussion, Indoor/Outdoor Trig- evaluation, Center for Community Health Health Commission, Boston Urban Asthma asthma—what we know and what we don’t gers, will be led by Dr. Paul Epstein, M.P.H., Education and Research, Northeastern Coalition, GlaxoSmithKline and Mass. know; causes—indoor and outdoor trig- associate director, Center for Health and University; Dr. Lauren A. Smith, M.P.H., Department of Public Health gers, genetics, other; data/studies—costs, the Global Environment, Harvard Medical director, Pediatric Inpatient Unit, Boston The program qualifi es for 5 nursing CEUs preventable hospitalizations; access to care School. Medical Center; Dr. Stephen Redd, Center for approved, 5.5 Pharmacy CEUs approved, 5 and disparities; guidelines for treatment; Other panelists include: Suzanne Condon, Environmental Health, Centers for Disease SW CEUs pending. and prevention and models. B.S., M.S., assistant commissioner, environ- Control, Washington, D.C. Advance registration is requested. Tickets A keynote address, “The Economic Impact mental health, Massachusetts Department of The program moderator will be Bertram are $50 in advance; $75 at the door. For more of Asthma on the Health Care System” will Public Health; Jean Zotter, executive director, Yaffe, president, TheYaffe Foundation, chair- information call Susan Servais at 617-965- be presented by Robert W. Varney, regional Boston Urban Asthma Coalition; Dr. Carlos man, MA Health Council, Health Status 3711. Make checks payable and send to: administrator, U.S. Environmental Protection Camargo, Ph.D., Emergency Medicine, Mass Indicator Report. Massachusetts Health Council, 4 Garrison Agency, New England region. A luncheon General Hospital, National Association of The program is presented by the Masa- Street, Newton, MA 02467. Page 10 Massachusetts Nurse May 2003

Nursing News Briefs Over 350 senior nursing students Volunteer peer assistant nurse training course participate in transition programs The MNA Addictions Nursing Council is pleased to announce it will host a volunteer peer In April, the MNA sponsored three educa- nurse. The MNA’s transition programs assist assistant nurse training course on Monday, May 12, from 5 - 7:30 p.m. at MNA headquarters tional programs for senior nursing students new graduates in meeting those challenges. in Canton. There is no fee for the program. This program is designed as an orientation course entitled “The Real Nursing World: Transi- Each of the programs consisted of a panel for nurses who would like to become part of the MNA’s team of volunteer peer assistants. tion from Student to RN.” The programs presentation and discussion with recent grad- The program provides confi dential assistance to nurses with substance and chemical depen- were designed to provide senior nursing uates who have successfully transitioned into dence-related problems. students with strategies for transitioning the role of professional nurse. Experienced If you are a nurse who is knowledgeable in the area of addictions or a recovering nurse who from student to professional nurse, as well nurses were also on the panel to talk about is drug/alcohol free for a minimum of two years, we welcome you to attend the program. as offer an exclusive job fair for new gradu- interview strategies, what to look for in an For more information on the peer assistant training course and/or the MNA Volunteer Peer ate nurses. The programs were held April orientation program, and how to evaluate Assistant Program, please contact Carol Mallia RN, MSN, at 781-830-5755 or by e-mail at 3 in Worcester, April 8 in Randolph and workplace settings. Participants were given [email protected]. A light supper will be provided. April 9 in Springfi eld. The MNA has offered ample time to have their specifi c questions Job opportunity for MNA member at UMass Lowell answered. Handouts for the participants included PHASE In Healthcare, a fi ve-year federally funded study of occupational injury disparities a guide to interview strat- among health care workers, is seeking to hire a registered nurse (MNA member) to assist in egies, as well as a sample its research efforts. The job will involve working with University of Massachusetts Lowell cover letter and resume. researchers to conduct focus groups with MNA members on a range of issues related to health The programs were and safety in the healthcare workplace. This project is expected to run from March 2003 through free of charge to all senior February 2004, and possibly longer. Duties will include recruiting participants and making nursing students and arrangements for the focus groups, as well as assisting to draft questions, conducting focus instructors. Area hospi- groups and analyzing data. The project will most likely be conducted in the greater Boston tals and other healthcare metropolitan area and the Merrimack Valley region. facilities also participated The duties for this position would be in addition to the applicant’s normal workload and in the program by telling will entail 200 hours of work spread over the aforementioned time period (approximately attendees about orientation fi ve hours per week but may be more or less during some weeks, depending on the demands programs and employment of the project). Pay will be commensurate with experience. opportunities. This mini Qualifi cations include: active MNA member; strong communication and leadership skills job fair proved to be a suc- a plus; experience and/or interest in workplace health and safety issues; currently employed this program for a number of years and the cessful recruitment venue for many nurse in a clinical setting preferred. response from faculty and students increases recruiters in the area. Please respond by May 23. Send resume and cover letter to Jody Lally, project manager, annually. This year’s attendees were enthu- The MNA has hosted this program for a PHASE in Healthcare project, UMass Lowell, 218 Weed Hall, 3 Solomont Way; Lowell, MA siastic and eager to learn from the panel of number of years, but this year’s effort made 01854. 978-934-4270. Fax: 978-934-3025; e-mail [email protected]. recent graduates, education professionals it possible for more than 350 senior nursing Join the MNA in welcoming the Mercy Ships to Boston and employment specialists. The programs students to share in this exciting opportunity were seen as a huge success by the students and take full advantage of this timely learn- Mercy Ships is a global charity that pro- and their enthusiasm was refl ected in their ing experience. Plans are already in process vides medical care, relief aid, and long-term evaluations. for the MNA’s 2004 transition programs. If sustainable change to developing nations. The resounding theme of each of the events you would like more information about this Health professionals and skilled workers was that, although the nursing market is quite opportunity, contact Carol Mallia, RN, MSN, from dozens of nations (all of whom share a open with ample opportunities for new grad- associate director in the MNA’s department common vision of helping the world’s poor) uates, the present workplace conditions will of nursing at 781-830-5755 or by e-mail, donate their services onboard the ships or at present some new challenges for the graduate [email protected]. land-based offi ces. On July 2 and 9, the ship Caribbean Mercy will host receptions for healthcare providers while in port in Boston. For more information, contact the Mercy Ships advance offi ce at MNA district leaders hold summit on new structure 781-934-2704. In an effort to better serve its membership, the elected leaders of the fi ve MNA districts Sheetz honored by Assn. of State School Nurse Consultants met last month for a summit meeting to discuss the potential reorganizing the organization’s Anne Sheetz, MNA member and director of School Health Services with the Department regional structure. of Public Health, was recently named recipient of the annual Outstanding State School Nurse The MNA is currently divided into fi ve districts, each of which covers a different region of Consultant Achievement Award. the state. For example, District 1 of MNA encompasses nurses who live in Western Massa- Presented by the National Association of State School Nurse Consultants, Inc. (NASSNC, chusetts—from Hampden County to the New York boarder. A portion of MNA membership Inc.), the award is given in recognition of a professional’s demonstrated excellence in the role dues go to the district to which a nurse belongs. The districts serve as a localized structure of nurse consultant. Only one consultant is honored by NASSNC, Inc. annually, and the award within MNA to help nurses in those regions pursue initiatives specifi c to them. recipient is expected to have made outstanding contributions to NASSNC, Inc; served as an The district structure has existed since 1930, and little or no change has been made to it expert and catalyst for the development/implementation of stellar school health programs during that 70-year period. As part of the discussion about reorganization, district leaders will and policies; worked to eliminate barriers that impeded the delivery of quality, school-based review the regional structures and explore opportunities to reorganize the districts according health care; created unique and worthwhile staff development programs for school nurses; to size, make up, funding allocations, functions and purposes. helped to develop/pass important health policy legislation The group will complete its analysis by the beginning of June. From this, proposed bylaw NASSNC, Inc. will present its award to Sheetz in June at the annual conference of the changes may come forward for debate and a vote by the membership at the October conven- National Association of School Nurses. tion. RNs needed for research study on career transitioning Sara Grant, a doctoral student from New York University, is seeking registered nurses for Benefits Corner a study on career transitioning. She is seeking nurses who: brought to you by… • Have been in their current job for at least a year but no more than two years • Moved between like organizations (for example, currently work in a hospital and Save on Six Flags New England admission came directly from a hospital) The Massachusetts Nurses Association is for any operating day during the 2003 • One or both of the organizations is in the for-profi t sector offering discount admission tickets to the season and tickets are purchased ahead of The study consists of a phone interview and two short questionnaires, and is expected take Six Flags New England Amusement Park time—so there is no waiting in line at the no more than an hour. Participants will receive $25. in Agawam, Mass. Members can purchase front gate. The study will examine the tactics that nurses use to learn about the organizations; what is tickets directly from the MNA for $22 per Tickets can be purchased at the MNA’s different in their present organization compared to their former organization; and how their person as opposed to the regular price of Canton offi ce or by calling Chris Stet- identifi cation with their present organization changed during their fi rst year in the job. This $39.99—providing MNA members with kiewicz at 781-821-4625, extension 726. study aims to help organizations better train and support their newly recruited nurses. a $17.99 savings per person. This is the Quantities are limited, so passes are avail- If you meet the study criteria and want to participate, please send an e-mail to lowest individual admission price offered able on a fi rst-come basis. [email protected] or [email protected]. May 2003 Massachusetts Nurse Page 11

The skinny on nursing salaries: professional publication fi nds that unionized nurses earn more In its Feb. 10 edition, Advance For Nurses— earned $5.45 more per hour. Other employ- were non-union RNs. Meanwhile, only 35 York earned the fi rst-place slot by paying one of the industry’s leading professional ment settings that were surveyed included percent of union-affi liated RNs said they its nurses $32.65 per hour, while New Jersey publications—reported the results of its community health centers, long-term care regularly work overtime. Advance for Nurses ranked third with its nurses earning an hourly annual salary survey and found that union- facilities, private practices and specialty commented that, “those numbers could refl ect wage of $28.86. ized nurses in hospital settings earned, on hospitals. growing attention by nursing organizations Facility type was also identifi ed as having average, $2.64 more per hour than their non- In addition, unionization was identifi ed and unions to limit mandatory OT.” an infl uence on salary. Specifi cally, the survey unionized peers. In addition, Massachusetts found there was a signifi cant difference in pay was ranked second when it came to the high- for nurses working in non-profi t versus for- est hourly wages paid to nurses. Unionization was identifi ed as having a positive impact profi t facilities. Overall, non-profi t nurses Julie Pinkham, executive director of the earned about $4 more per hour than their MNA, commented that the results were on- on mandatory overtime. Of the respondents who said they for-profi t counterparts - $28.94 as opposed target and expected. “Our union represents regularly work overtime, 74 percent were non-union RNs. to $24.74 an hour - although nurses working nurses in two-thirds of Massachusetts’ hos- in VA or military settings earned the lowest pitals, and recent contract settlements have Meanwhile, only 35 percent of union-affi liated RNs said they hourly wage at $24.11. established attractive salaries at many of The discovery that for-profi t facilities gen- those facilities.” regularly work overtime. Advance for Nurses commented erally offer lower salaries did not surprise Advance for Nurses reported that the that, “those numbers could refl ect growing attention by the MNA. “Some of our toughest fi ghts are majority of those surveyed, 79 percent, did with for-profi ts,” said Pickham. “They are not belong to unions. The 21 percent who nursing organizations and unions to limit mandatory OT.” much more likely to look at the bottom line were union-affi liated reported earning more and then hold the line in terms of salary and than their peers in every employment set- benefi ts.” ting. Specifi cally, unionized hospital nurses as having a positive impact on mandatory Massachusetts nurses were the second To review the survey in its entirety, visit earned $2.64 more per hour, outpatient nurses overtime. Of the 1,887 respondents who said highest paid nurses of those surveyed, the Web site of Advance for Nurses at earned $5.21 more per hour and school nurses they regularly work overtime, 74 percent earning on average $29.25 per hour. New www.advancefornurses.com. MNA Contract Update Why I joined the union: one RN’s view By Michelle McGrath known). My needs are not always the needs Lawrence General Hospital RNs ratify 2-year contract Michelle McGrath, an MNA member at St that are met. What’s most important to me Vincent’s Hospital in Worcester, recently wrote is not always of the most importance to the MNA’s registered nurses at Lawrence Gen- mandatory on-call in non-traditional areas. to tell the Massachusetts Nurse about why majority. I support what the majority wants eral Hospital cast an overwhelming vote on On-call will only be allowed in the traditional she joined the union. Michelle’s activism as both because that is what is fair. April 7 to ratify a new two-year contract that areas where it has existed in the past. a staff nurse and as a union member has been Sometimes what I think is most important improves nurses’ working conditions, facili- Additionally, the contract also includes invaluable to St. Vincent’s bargaining unit. She is also most important to my peers. In this tates higher quality patient care and provides language that ensures new nurses cannot be was one of a four-member nurse delegation that case, I’m fortunate enough to have the voice Lawrence General Hospital with a salary scale assigned “charge nurse” duties and specifi es delivered a petition to the hospital’s chief nurs- of my peers heard in union with mine. This to recruit and retain nurses to the facility. that any nurse assigned these duties will have ing offi cer protesting unsafe staffi ng conditions, unity makes my voice much more able to be The new contract provides an across- been at the facility for at least one year and and she has attended several sessions in support heard and understood, and more likely for the-board increase of 6 percent (3 percent will have undergone a three-month orienta- of the negotiating committee. Michelle is both a my needs and desires to be met. retroactive to October 2002 and 3 percent tion. As a result, charge nurses will have at dedicated nurse and union member. A union works for its members who are will- in April 2003) and another 5 percent in the least 15 months experience. I joined the union because I felt that, in ing to make the effort to use the organization second year (3 percent in October 2004 and 2 MNA members at Lawrence General Hos- order for my voice to be heard as an employee by being involved. Don’t blame the union for percent in April 2005), while also providing pital also won language preventing nurses of a large corporation, I needed the unity and not meeting your needs if you aren’t making a new 3 percent anniversary step increase for age 62 or older from having to rotate shifts support of my peers. the effort to bring your concerns to them. You nurses with 20 years of service. and language granting nurses scheduled The union exists to meet the needs of its need to take responsibility for making your The contract includes important language to work 24 hours or more an extra day of members. The MNA’s organizations do not opinions heard. If you aren’t willing to make the nurses sought to prevent the use of bereavement leave. choose the issues that the union will help its any effort to make the organization work for members to negotiate. The issues are raised you, then I don’t think you have the right to Merrimack Valley Hospital reaches contract settlement by the members. All members are allowed complain if things don’t go your way. The In March, after 17 months of negotiations, the RNs at Merrimack Valley Hospital, formerly and encouraged to express their opinions more involvement the members have with the Hale Hospital, ratifi ed their fi rst contract with Essent HealthCare—a for-profi t company based and ideas. organization, the stronger the union becomes. in Tennessee. The RNs had a long fi ght to earn a fair contract, but won substantial contract Union offi cers are voted for by the mem- There truly is strength in numbers. provisions on mandatory overtime, protection of insurance coverage, fl oating, and grievance/ bers. The offi cers volunteer their time and If you want a strong union that works for arbitration rights. The RNs will receive a 4 percent increase in wages in each of the fi rst two talents to represent the members. They you, do your share and get involved. years of the contract and will have a step system in place during 2004. ask for the input of the members so that Our unions will always take the moral they will know what’s important to the high ground when it comes to patients MNA, Dana Farber settlement ratifi ed members. needs. That’s because we are an organiza- At times it requires a lack of selfi shness to tion of nurses, and nurses are ethical, caring The MNA bargaining unit at Dana Farber per year ($54.60 per hour, which, as of this be a union member, since the majority rules, people who always put the needs of the Cancer Institute ratifi ed an agreement on date, is the highest MNA contractual rate.) (the majority who come to let their wishes be patient fi rst. April 16 for a new two-year contract that will Additional economic improvements called expire in 2005. This settlement will provide for for the following: the highest contractual rates in the state. The Increasing off shift differential from salary increases for staff/nurses are: $1.40 to $2.80, $3.20 if permanent eve- 5 percent April 13, 2003 ning (i.e., three or more consecutive A new 5 percent step Oct. 12, 2003 months). 5 percent April 11, 2004 Increase paid professional or confer- 2 percent Oct. 10, 2004 ence days from three to fi ve paid days The base hourly rate for a staff nurse at the per year over the life of the contract, top of the salary scale will increase by almost (i.e., increase from three to four in fi rst 18 percent over the two years of the agree- year; four to fi ve in second year). ment. By October of 2004 a staff nurse at the Increase on-call pay from $4.50 to top of the scale will be making over $113,000 $5.00 in second year. ORGANIZE Page 12 Massachusetts Nurse May 2003

Celebrate nursing excellence Honor your peers with a nomination for 2003 MNA awards One of the greatest honors one can achieve is the recogni- Judith Shindul Rothschild Leadership Award: Recog- progressive ideas which serve to improve and enhance clini- tion of one’s peers. In this fast-changing health care system nizes a member and nurse leader who speaks with a strong cal nursing practice, including precepting students or new in which nurses daily strive to carry out their duties to their voice for the nursing community. staff nurses. patients, there is very little time for them to acknowledge MNA Advocate for Nursing Award: Recognizes the con- MNA Research Award: Recognizes a member or group their own professional accomplishments and those of their tributions of an individual, who is not a nurse, to nurses and of members who has conducted research in their practice or peers. the nursing profession. who have provided exemplary leadership to assist others in The MNA awards, established by the membership with the MNA Human Needs Service Award: Recognizes a nursing research. approval of the MNA Board of Directors, offer all members member who has performed services based on human Kathryn McGinn Cutler Advocate for Health & Safety an opportunity to recognize nurses who by their commit- needs with respect for dignity, unrestricted by consideration Award: This MNA award recognizes an individual or group ment and outstanding achievements have honored us all. of nationality, race, creed, color or status. that has performed outstanding service for the betterment These are often ordinary nurses accomplishing extraordinary MNA Image of the Professional Nurse Award: Recog- of health and safety for the protection of nurses and other things. They are the nurses who challenge us all to achieve nizes a member who demonstrates outstanding leadership health care workers. excellence. in enhancing the image of the professional nurse in the com- Frank M. Hynes Award: This award recognizes a deserv- For detailed information on selection criteria and to receive munity. ing freshman state legislator or municipal offi cial who has a nomination packet, call Susan Clish, MNA Department of MNA Nursing Education Award: Recognizes a nurse clearly demonstrated exceptional contributions to nursing Nursing, 781-830-5723 or toll free, 800-882-2056, x723. educator who has made signifi cant contributions to pro- and health care. Elaine Cooney Labor Relations Award: Recognizes a fessional nursing education, continuing education or staff MNA Legislator of the Year Award: This award recog- Labor Relations Program member who has made a signifi - development. nizes a senior state legislator who has clearly demonstrated cant contribution to the professional, economic and general MNA Excellence in Nursing Practice Award: Recognizes exceptional contributions to nursing and health care. welfare of nursing. a member who is a role model by contributing innovative, The nomination deadline is June 16, 2003. Important! Members! The deadline for MNA award nominations has been extended to June 16.

Get Political —Give to NursePLAN! Exciting CE program planned for District 2 meeting th Title: Single Payer: Solution to the Healthcare Crisis Limited Edition, 100 An niver sa ry Date: May 20 Time: TBA MNA Jackets! Location: Periwinkles Restaurant, Auburn High-quality, Amer i can-made wind- This educational program—which is co-provided by the MNA and District 2—will provide break ers with MNA em bla zoned on the nurses with current information on the economics of paying for healthcare, which will encour- back and the MNA 100th An ni ver sa ry age their participation in activities to improve healthcare/access to care in the commonwealth. logo on the front. Program presenters will include: Suzanne Gordon, nationally recognized speaker, columnist and on nursing and Front zipper close, full hood, healthcare issues royal blue/black ac cents with Peggy O’Malley, RN, Chair of MASS-CARE, the Massachusetts Campaign for Single white print ing. Per fect for the Payer Health Care, MNA Board of Directors pick et line, union gath er ings, Contact Hours: This activity for 1.5 contact hours is provided by the Massachusetts Nurses and MNA events. Association which is accredited as a provider of continuing education in nursing by the Ameri- can Nurses Credentialing Center’s Commission on Accreditation. To successfully complete Brought to you a program and receive contact hours you must: 1) sign in, 2) be present for the entire time by NursePLAN, period of the session and 3) complete the evaluation. For more information contact the District 2-MNA offi ce at 508-835-5898. the political action committee of the MNA. Save the Date Your pur chase helps support the po lit i cal ac tiv i ties of nurs es across the state. Only $85 if you sign up for a Union Direct month ly con tri bu tion of $5 or more, or if you are a cur rent Union Direct donor to MNA Convention 2003 NursePLAN ($100 for all others). For more info or to order, call 781.821.4625 x725 or e-mail [email protected]. October 15, 16 & 17 NursePLAN Contri bution Form Mechanics Hall, Worcester Name: ______Mailing Address: ______Phone: ______E-mail: ______$75 convention package, includes all meals Employer*:______Occupation*: ______*state law requires that contributors of $200 or more per year provide this information Featured speakers include Anita Hill & Please circle jacket size (men’s sizes) S M L XL XXL XXXL XXXXL former Boston Globe reporter Larry Tye Please check one: ❑ Donation of $100 or more. Please make check pay able to NursePLAN. Amount enclosed ___ ❑ Donation of $85 and: For convention information, call the MNA Nursing Department ❑ I already donate at least $5/month to NursePLAN via Union Direct. at 800-882-2056, x 727 ❑ Sign me up to become a monthly NursePLAN donor via Union Direct. I would like to contribute the additional amount of (PLEASE CIRCLE ONE) $5/month $10/month $20/month OTHER $_____/month to be deducted from my account that I have designated for my monthly MNA dues. Signature ______Date______Some sizes are spe cial order and will take up to 8 weeks to be delivered. NursePLAN is the voluntary, non-profi t, political action committee for the MNA whose mission is to further the political education of all nurses, and to raise funds/make contributions to political candi dates who support related issues. May 2003 Massachusetts Nurse Page 13

MNA election Consent to Serve for the deadline Massachusetts Nurses Association 2003 Elections approaching I am interested in active participation in the Massachusetts Nurses Association Dates to remember for the MNA election: • Final ballot deadline (postmarked)— June 15 MNA General Election • Ballot mailing—Sept. 1 ❑ President, General* (1 for 2 years) ❑ Nominations Committee, (5 for 2 years) [1 per district] • Ballot return—Sept. 20 ❑ Secretary, General* (1 for 2 years) Bylaws Committee (5 for 2 years) [1 per district] Positions available to serve as members of ❑ District Director, Labor* (5 for two years) [1 per district] Congress on Nursing Practice (6 for 2 years) MNA Board of Directors; MNA Congresses, ❑ Director At-Large, General* (3 for 2 years) Congress on Health Policy & Legislation (6 for 2 years) the Center for Ethics & Human Rights, the ❑ Nominations and Elections Committee, and Director At-Large, Labor* (4 for 2 years) Congress on Health & Safety (6 for 2 years) ❑ Bylaws Committee for the 2003 MNA general Labor Program Member* (1 for 2 years) Center for Nursing Ethics & Human Rights (2 for 2 years) election are as follows: *General means an MNA member in good standing and does not have to be a member of the Labor Program Labor means an MNA member in good President, General*; Secretary, General; standing who is also a labor program member. Labor Program Member means a non-RN Healthcare Professional who is a member in good standing of the fi ve District Directors, Labor*; four At-Large labor program. Directors, Labor; three At-Large Directors, General; one Labor Program Member*; Please type or print—Do not abbre vi ate Five members of the Nominations & Elec- Name & credentials ______tions Committee representing each district; (as you wish them to ap pear in candidate biography) fi ve members of the Bylaws Committee; six members of each: Congress on Nursing Prac- Work Title ______Employer ______tice, Congress on Health Policy & Legislation, Congress on Health & Safety; two members MNA Membership Number______MNA District______of the Center for Ethics & Human Rights shall be elected. All MNA members in good standing are Address ______eligible to run for any offi ce in the upcoming election. Any member may nominate him/ Cfty______State ______Zip ______herself or another person by submitting a consent-to-serve form signed by the candi- date. A consent-to-serve appears on Page 15 of Home Phone ______Work Phone ______this issue of Massachusetts Nurse. The election policies and procedures will be sent to those Educational Preparation persons submitting nomination forms. *General means an MNA member in good School Degree Year standing and does not have to be a member of the labor program. Labor means an MNA member in good standing who is also a labor program member. Labor Program Member means a non-RN healthcare professional who is a member in Present Offi ces/Asso ci a tion Activities (Congress, Committee, Unit, etc.) good standing of the labor program. MNA District MNA 2003 elections preliminary ballot President, General (1 for 2 years) Karen Higgins, RN (District 5) Secretary, General (1 for 2 years) No Candidate District Director, Labor, District 1, 2, 3, 4, 5; Past Offi ces/As so ci a tion Activities (Congress, Committee, Unit, etc.) Past 5 years only. (5 for 2 years) MNA District No Candidate At-Large Director, General (3 for 2 years) No Candidate At-Large Director, Labor (4 for 2 years) Betty Sparks, RN (District 5) Labor Program Member (1 for 2 years) Candidates may submit a typed statement not to exceed 250 words for president and vice president and 150 words for all other No Candidate candidates. Briefl y state your personal views on health care, nursing and current issues including, if elected, what your major Nominations & Elections Committee contribution(s) would be to the MNA and in particular to the position which you seek. This statement will be used in the candidate {One from each district] biography which will be printed in the Mass Nurse. Statements, if used, must be submitted with this consent to serve form. No Candidates Bylaws Committee (5 for 2 years) (1 per district): No Candidates Congress on Nursing Practice (6 for 2 Signature of Member Signature of Nomi nator (leave blank if self-nom i nation) years): No Candidates Postmarked Deadline: Preliminary Ballot: March 15, 2003 Return To: Nom i na tions and Elections Commit tee Congress on Health Policy & Legislation Final Ballot: June 15, 2003 Massachusetts Nurses Association (6 for 2 years): 340 Turnpike Street, Canton, MA 02021 No Candidates Congress on Health & Safety (6 for 2 • years): Hand delivery of material must be to the MNA staff person for Nominations and Elections Committee only. • No Candidates Expect a letter of acknowledgment (call by July 30 if none is received) • Center for Nursing Ethics (2 for 2 years) Retain a copy of this form for your records. • No Candidate Form also available on MNA Web site: www.massnurses.org Page 14 Massachusetts Nurse May 2003 MNA nominations & election policies & procedures (From the MNA Bylaws) 3. Publication of policies/ for a function to promote the candi- (address) 1. Nomination process and procedures/campaign practice dacy of a particular candidate. MNA In the upper left-hand corner of this may sponsor a function at which all envelope you must: notifi cation of nominees All policies, procedures and campaign candidates for a particular offi ce are a. Block print your name practices related to the MNA elections shall A. All candidates for offi ce, submitting invited and no candidate is shown b. Sign your name (Signature be distributed to candidates upon receipt of papers to the Nominations & Elections preference over another. required) their nomination papers. Notice to all mem- Committee, shall be notifi ed in writing 5. Individual members may make vol- c. Write your address & zip bers of availability shall be published in the upon receipt of materials by the MNA untary contributions of money, goods If this information is not on the mail- Massachusetts Nurse annually. staff person assigned to the Nomina- or services to a candidate. ing envelope, the secret ballot inside tions & Elections committee. The letter 4. Campaign Practices 6. The amount that a candidate may is invalid. of acknowledgement will identify the expend in campaigning is not limited F. The ballot must be received no later A. All candidates shall have access to the offi ce sought. All notifi cations will be by MNA. than ______AM/PM on ______, following: membership lists/labels; sent by MNA no later than June 5 of 7. MNA elected and appointed offi cials ______in order to be counted. structural unit rosters; bargaining unit each year. If no acknowledgment has may endorse candidates. In the event G. The ballots must be mailed to : ____ rosters; and MNA on site mailboxes. been received by that date, it is the that the endorsement is to appear in ______MNA Secretary. Candidates may also have access to nominees’ responsibility to contact the Massachusetts Nurse, then and Contracted Election Administrator campaign space in the Massachusetts MNA regarding the status of their only then, the endorsements must be (Address) Nurse and may request time on struc- nomination. verifi ed on the offi cial MNA Cam- [See Page 13 for this year’s election deadlines} tural unit and bargaining unit agendas. B. All candidates must be an MNA paign Endorsement Form and must The following conditions must be member or Labor Program member in accompany ad copy. However, no 6. Observation met good standing at the time of nomination endorsements may carry identifi ca- A. Each candidate or their designee who is 1. Request for labels/lists/rosters* must and election. tion as to the MNA offi ce held by the a current MNA and/or Labor Relations be in writing and signed by the can- C. A statement from each candidate, if endorser (see attachment A). Program member is to be permitted to didates. All requests will be honored provided, will be printed in the Massa- 8. MNA staff shall not wear promotional be present on the day(s) of the mailing, provided they comply with the MNA chusetts Nurse. Such statements should materials of any candidate or in any receipt, opening and counting of the information/label request policies. be limited to no more than 250 words manner promote the candidacy of any ballots. Notifi cation of intent to have 2. Requests from the candidate for for the offi ce of president and vice individual. an observer present must be received time on structural unit or bargaining president and 150 words for all other 9. Candidates shall not use the MNA in writing or electronic message, from unit agendas must be in writing and positions. corporate logo on campaign materi- the candidate, fi ve working days prior directed to the appropriate chair. The als. to the ballot counting date. 2. Publication of ballot staff person for the group must also be 10. Campaigning or campaign materials B. Each observer must contact the MNA notifi ed of the request. All candidates A. Preliminary Ballot: All candidates are not allowed on MNA premises staff person assigned to the Nomina- for a specifi c offi ce must be provided who are members in good standing with the following exceptions: tions & Elections Committee 5 working with equal access and time. shall have their names printed on the • When invited to a MNA struc- days prior to the day in question for 3. Structural units and bargaining units ballot provided the nomination papers tural unit or bargaining unit space allocation purposes only. may invite candidates to speak at a have been received by the Nominations meeting. C. The observer must provide current meeting. All requests must be in writ- & Elections Committee or designee by • Meeting attendees may wear MNA membership identifi cation to ing with a cc to staff. All candidates the deadline date established by the promotional material. election offi cials and authorization for a specifi c offi ce must be provided committee and communicated in the • Access to MNA structural unit from the candidate. with equal access and time. Massachusetts Nurse. The order names and bargaining unit on site D. No observer shall be allowed to touch or 4. All costs for labels/space in the Mas- are listed on the ballot is determined mailboxes is unrestricted. handle any ballot or ballot envelope. sachusetts Nurse, and mailing shall be by random selection. E. During all phases of the election process, the responsibility of the candidates. B. Final Ballot: All candidates who are 5. Ballot/voting instructions the single copy of the voter eligibility Labels will be provided at cost. Ad members in good standing shall have A. Ballot will be mailed at least 15 days list will be present for inspection. space in the Massachusetts Nurse will their names printed on the ballot pro- prior to the date which it must be F. All observers and candidates will keep be at a specifi c advertising rate. vided the nomination papers have mailed back (postmarked). election results confi dential for 72 hours 5. Records of requests received, the date been received by the Nominations & B. Complete area (as per instructions on after the ballot procedure is completed of the request, as well as distribution Elections Committee by the deadline form) next to the name of the candidate and certifi ed. of materials shall be kept by the Mem- date established by the committee and of your choice. You may vote for any bership Department. communicated in the Massachusetts candidate from any district. 7. Candidate notifi cation 6. All campaign mailings utilizing Nurse. C. Do not mark the ballot outside of the A. Results of the MNA Election will be MNA membership labels shall be The order names are listed on the ballot identifi ed area. made available to candidates (or their sent through a mailing house desig- is determined by random selection by D. Write-in votes shall not be considered designee) within 72 hours after comple- nated by the MNA. Mailing utilizing the Nominations & Elections Commit- valid and will not be counted. tion of the ballot counting. Only the rosters may be done directly by the tee or their designee. E. Enclose the correct and completed names of those elected will be posted candidates. All candidates will receive a draft copy voting ballot in an envelope (marked on the MNA Web site when all candi- 7. The membership list shall be avail- of the Final Ballot prior to the Election Ballot Return Envelope), which does dates have been notifi ed after the ballot able for review/inspection, by Mailing for verifi cation purposes. not identify the voter in anyway, in procedure is completed and certifi ed. appointment with the Membership Confi rmation/request for corrections order to assure secret ballot voting. Hard copies of the election results shall Department. Lists or records must to the ballot should be made in writing ONLY ONE BALLOT MAY BE be sent to each candidate. remain on the premises. to the Nominations & Elections Com- PLACED IN THE ENVELOPE. B. Results of the MNA election will be B. All candidates must follow acceptable mittee or their designee postmarked All mailing envelopes will be separated kept confi dential until all candidates are practices in the acceptance of goods, within 7 days of receipt of the draft from the inner envelope containing the notifi ed. Notifi cation of all candidates services and contributions. This ballot. ballot before the ballots are removed, will occur within 72 hours of certifi ca- includes: For uncontested positions the Nomi- to assure that a ballot can in no way tion of the election. 1. Employers shall not provide money, nations & Elections Committee may be identifi ed with an individual voter. C. Results will include the following: supplies, refreshments or publication solicit candidates, accept late applica- (At the discretion of the Nominations • Number of total ballots cast for the of and “endorsement” on behalf of a tions, and add to the ballot after the & Elections Committee, mailing enve- offi ce in question candidate. fi nal ballot deadline with approval of lopes containing the voter’s name • Number of ballots cast for the candi- 2. Candidates may not use MNA, the majority of members of the Nomi- and address may be checked off on a date. District or employer stationary to nations & Elections Committee present master membership list. This process • The election status of the candidate promote their candidacy. and voting. may be of the total membership list, or (elected/not elected) 3. Candidates may not use postage paid C. Ballot information: All inquiries related randomly selected envelopes.) D. Any MNA member may access these for by MNA, District or an employer to deadlines, status, policies, eligibility If the mailing envelope has been numbers by written request. to mail literature to promote their to vote and receipt of ballots are to be misplaced, another envelope can be E. Election results will be posted at the candidacy. addressed to the staff person to the substituted. This envelope must be annual meeting. 4. Neither MNA, its structural units or Nominations & Elections Committee addressed to: MNA Secretary, c/o or a designee. bargaining units may use dues money Contracted Election Administrator See Election policies, Next Page May 2003 Massachusetts Nurse Page 15

v 2003 MNF Golf Tournament To Benefi t Nursing Scholarships & Research

Thursday, June 26 Yes, I want to join the fun at the MNF Golf Tournament! Please reserve: Brookmeadow Country Club ❏ Tickets at $99 each (greens fee, golf cart, breakfast & lunch) ❏ Canton Tickets at $35 each (lunch only) ❏ I cannot attend, but please accept by donation of $______8 a.m. Shotgun Start Reservations will be taken on fi rst-come basis with payment only Name______

Low Gross Prizes! Daytime Phone ______

Putting Event! Address______

Raffl e & Prizes! City ______State ______Zip ______

E-mail ______Tournament Schedule: ❏ Continental Breakfast 7 a.m. I am not in a foursome, please select partners for me. ❏ Here are the names of the other members of my foursome: Shotgun Start 8 a.m. Putting Event 12:30 p.m. 2. ______Lunch & Raffl e 1:15 p.m. 3. ______

4. ______

Return this completed form with payment. Please make checks payable to MNF. Send to Massachusetts Nurses Foundation, 340 Turnpike St., Canton, MA 02021 800.882.2056, x745

Sponsorship opportunities available. For details call 800.882.2056, x745

Reserve early—Space is limited to 48 people! …Election policies

From Page14 8. Storage of election materials shall check the information on fi le/CV data Tour Italy with MNA A. Pre Election: All nomination forms and for accuracy/currency with the elected can- all correspondence related to nomina- didate prior to issuing a press release. *Member List—a computer listing of the October 21 - 29 – Montecatini Spa located in tions shall be stored in a locked cabinet at MNA headquarters. The Nomina- total MNA membership eligible to vote, Tuscany Province, Italy $1469* tions & Elections Committee and staff including name, address, billing informa- This all-inclusive trip to the Tuscany region of Italy to the committee shall have sole access tion etc. *Membership Labels—computer generated includes tours to Florence, Venice, Pisa, Sienna, San to the cabinet and its contents. B. Post Election: All election materials labels of the total MNA membership eli- Gimignano while staying in the world famous spa city including ballots (used, unused and gible to vote, provided in keeping with of Montecatini. Air, transfers, hotel, all meals as well as challenged), envelopes used to return MNA Label Sales Policies. full sightseeing tours are included. Offered as an all- marked ballots, and voter eligibility *Rosters—computer generated list of the Board of Directors of MNA and all MNA inclusive trip, this package is a great value. lists shall be stored in a locked cabinet at MNA headquarters for one year. The structural units. List includes names and *Price listed is per person, double occupancy based on check or cash purchase. Nominations & Elections Committee addresses. Applicable departure taxes are not included. Chairperson and staff to the commit- *On-Site Mailboxes—areas at the MNA pro- tee shall have sole access to the cabinet vided for communicating with structural To receive more information and a fl yer on these European vacations, and its contents. units and bargaining units. please contact Carol Mallia, RN, MSN, 781-830-5755 or Approved by Board of Directors: 5/16/02 e-mail at [email protected] 9. Post Election Press Release Revised by Board Policy Committee 11/21/02 The Department of Public Communications Approved by Board of Directors 12/19/02 Page 16 Massachusetts Nurse May 2003 MNA Continuing Education Courses Your source for career training and advancement Advanced Dysrhythmia Interpretation Speakers Anthony Fucaloro, EMT Capt. Lawrence P. Ferazani Evie Bain, RN, MEd, COHN-S Description This course is designed for nurses who have had a basic course in moni- Dates Tuesday, June 3 toring patients for cardiac rhythm disturbances and wish to enhance that Time 9:00 a.m. – 5:00 p.m. knowledge base with more complex monitoring of advance dysrhythmias. Place MNA Headquarters, Canton The course will describe the EKG changes related to ischemia, injury, Fee MNA members, $45; all others, $65 and infarct. The EKG abnormalities associated with toxic drug levels and Contact hours* 6.9 electrolyte imbalances will also be described. The course will conclude Special notes Lunch provided. Class limited to 25. with an overview of pacemakers and common pacemaker rhythm distur- bances. MNA contact Theresa Yannetty, 781-830-5727 or 800-882-2056, x727 Speaker Carol Mallia RN, MSN Dates Tuesday, May 13 Wound Care—Dressing for Success Time 5:00- 9:00 p.m. Place MNA Headquarters, Canton Description This program will provide a comprehensive overview of the factors Fee MNA members, $45; all others, $65 affecting wound care and strategies for managing complex wounds. A Special notes Enrollment limited to 40 participants. thorough review of wound products will enable the attendee to select the Contact hours* 3.2 optimal dressing based on clinical fi ndings. New dimensions of wound MNA contact Susan Clish, 781-830-5723 or 800-882-2056, x723 care, such as growth factors, hyperbaric oxygen, electrical stimulation, cultured skin replacements and vacuum-assisted closure devices will Applying OSHA to Healthcare Settings also be discussed. Speaker Carol Mallia RN, MSN, CWOCN Description Provided by a grant from the Massachusetts Department of Industrial Date Thursday, June 5 Accidents, this program teaches OSHA standards and the protections Time 5:00 – 9:00 p.m. that they provide for the health and safety of workers in “general industry,” Place MNA Headquarters, Canton which also apply to protect workers, including nurses, in healthcare set- Fee MNA members, $45; all others, $65 tings. The goal of the grant is to train one or more members from each Contact hours* 4.5 MNA local bargaining unit as a “Worksite Health and Safety Representa- MNA contact Susan Clish, 781-830-5723 or 800-882-2056, x723 tive.” Speakers MNA staff members Evie Bain and B. Elaine Mauger. Trainers Catherine Dicker, Joanne Whynot-Butler, Rosemary Connors, Patty Healey, Marcia Managing Cardiac & Respiratory Emergencies Robertson, Janice Homer, Kathleen Opanasets, Rosemary O’Brien, Nancy Mucciaccio, Elizabeth O’Connor, Nancy Adrian and Kathleen Description This course is designed for registered nurses in acute, sub-acute and Sperrazza. long-term care settings to learn the clinical management of cardiac and Time 9:00 a.m. – 1:00 p.m. respiratory emergencies. Clinical management of chest pain, brief EKG Dates & Places May 14, District 2, Best Western Royal Plaza Hotel & Trade Center, interpretation, ABG interpretation and clinical management of respiratory Marlboro distress will also be discussed. May 21, MNA Headquarters, Canton Speaker Carol Mallia RN, MSN June 24, District 1, District 1 Offi ce, Northampton Date Tuesday, June 10 Fee Free to MNA members Time 5:00 – 9:00 p.m. Contact hours* 4.4 Place MNA Headquarters, Canton MNA contact Susan Clish, 781-830-5723 or 800-882-2056, x723 Fee MNA members, $45; all others, $65 Contact hours* 4.0 Peripheral I.V. Therapy Program MNA contact Theresa Yannetty, 781-830-5727 or 800-882-2056, x727 Description This program introduces the RN to the theory of peripheral venipuncture. Interpreting Laboratory Values It includes anatomy and physiology of the peripheral circulatory system, fl uid and electrolyte imbalance, infection control and legal issues of the Description This program will enhance the nurse’s ability to evaluate and determine practice of venipuncture. Classroom instruction will include procedural the clinical signifi cance of laboratory values. Clinical case studies will be demonstration and return demonstration on I.V. arms. Clinical experi- used to illustrate the relationship of laboratory values to patient conditions. ence will not be provided. Clinical management of abnormal laboratory values will be discussed. Speakers Mary Walsh RN, BS, CRNI, Infusion Therapy Specialist Speaker Carol Mallia RN, MSN Marilyn Bernard RN, CRNI, Infusion Therapy Specialist Date Monday, June 16 Date Thursday, May 15 Time 5:00 – 9:00 p.m. Time 5:00 – 8:30 p.m. Place MNA Headquarters, Canton Place MNA Headquarters, Canton Fee MNA members, $45; all others, $65 Fee MNA members, $65; all others, $95 Contact hours* 4.1 Special notes Certifi cate of attendance will be awarded MNA contact Theresa Yannetty, 781-830-5727 or 800-882-2056, x727 MNA contact Susan Clish, 781-830-5723 or 800-882-2056, x723 Emergency Medical Response to Hazardous Materials and Acts of Terrorism Acute Care Nursing: 3-Program Series

Description The Massachusetts Emergency Management Agency (MEMA) is sponsor- ing this program on emergency medical services in response to hazardous materials and acts of terrorism. The program is specifi cally designed for physicians, nurses, EMTs, and hospital support staff to provide educa- tion in the treatment of individuals exposed to chemical and biological agents. The program will include identifi cation of hazardous materials, Acute Care Nursing: 3-Program Series: The three offerings of Wound Care—Dressing for toxicological and biological effects of chemicals and biological acts of Success (June 5), Managing Cardiac & Respiratory Emergencies (June 10) and Interpreting terrorism. The chemical profi le of common agents, the decontamination Laboratory Values (June 16) have been grouped for a reduced package price. Register for procedures and personal protective equipment will be discussed. CDC all three and save $20. guidelines for surveillance of exposed nurses and other health care work- ers and nursing interventions for patient care will be identifi ed. May 2003 Massachusetts Nurse Page 17

Mechanical Ventilation Emergency Medical Response

Description This course will provide an overview of mechanical ventilation types, to Hazardous Materials and Acts of Terrorism modes and therapies. Course will also discuss the nursing man age ment Description The Massachusetts Emergency Management Agency (MEMA) is sponsor- of a patient on mechanical ventilation. ing this program on emergency medical services in response to hazardous Speakers Carol Mallia, RN, MSN materials and acts of terrorism. The program is specifi cally designed for Date August 19 physicians, nurses, EMTs, and hospital support staff to provide educa- Time 5:00-9:00pm tion in the treatment of individuals exposed to chemical and biological Place MNA Headquarters, Canton agents. The program will include identifi cation of hazardous materials, Fee MNA members, $45; all others, $65 toxicological and biological effects of chemicals and biological acts of Contact hours 4.5 terrorism. The chemical profi le of common agents, the decontamination MNA contact Susan Clish, 781-830-5723 or 800-882-2056, x723. procedures and personal protective equipment will be discussed. CDC guidelines for surveillance of exposed nurses and other health care work- ers and nursing interventions for patient care will be identifi ed. Verbal Self Defense for Nurses Speakers Anthony Fucaloro, EMT Capt. Lawrence P. Ferazani Description This program is designed to provide the nurse with the basic skills for Evie Bain, RN, MEd, COHN-S managing confl ict in the workplace environment. Confl ict resolution Dates September 11 strategies are discussed. The program will conclude with an interactive Time 9:00 a.m. – 5:00 p.m. discussion of case scenarios related to confl ict management. Place MNA Headquarters, Canton Speaker Joe-Ann Fergus RN, BSN Fee MNA members, $45; all others, $65 Date Tuesday, Sept. 4 Contact hours* 6.9 Time 6:00 – 9:00 p.m. Special notes Lunch provided. Class limited to 25. Place MNA Headquarters, Canton MNA contact Theresa Yannetty, 781-830-5727 or 800-882-2056, x727 Fee MNA members, $45; all others, $65 Contact hours* 3.3 MNA contact Theresa Yannetty, 781-830-5727 or 800-882-2056, x727 Advanced Cardiac Life Support Description This American Heart Association course will provide information on the Interpreting Laboratory Values clinical management of cardiac and respiratory emergencies through case study approach. Course content includes assessment, arrhythmia Description This program will enhance the nurse’s ability to evaluate and determine recognition, intubation, defi brillation and pharmacological interventions. the clinical signifi cance of laboratory values. Clinical case studies will be This is a two day certifi cation and one day re-certifi cation course. Recer- used to illustrate the relationship of laboratory values to patient conditions. tifi cation candidates must present a copy of their current ACLS card at Clinical management of abnormal laboratory values will be discussed the time of registration Speaker Carol Mallia RN, MSN Speakers Carol Mallia,RN, MSN, and other instructors for the clinical sessions Date Sept. 9 Dates October 1 & 8 Time 5:00 – 9:00 p.m. Time 9:00 – 5:00 p.m. Place MNA Headquarters, Canton Place MNA Headquarters, Canton Fee MNA members, $45; all others, $65 Fee Certifi cation: MNA members, $155; all others, $195 Contact hours* 4.1 Recertifi cation: MNA members, $125; all others, $165 MNA contact Theresa Yannetty, 781-830-5727 or 800-882-2056, x727 Contact hours* 16 for certifi cation program MNA contact Susan Clish, 781-830-5723 or 800-882-2056, x723 Basic Dysrhythmia Interpretation Anatomy of a Legal Nurse Consultant

Description This course is designed for registered nurses in acute, sub acute and Description This program will introduce the nurse to the scope of practice of the legal long-term care settings to learn cardiac monitoring and dysrhythmia inter- nurse consultant. The history and evolution of this important role, its pretation. Implications and clinical management of cardiac dysrhythmias LEGALLEGAL NURSNURSE multifaceted components, including practice environments, litigation pro- CONSULCONSULTATANTNT will also be discussed. Course will include a text book, calipers and require cess, case evaluation for compliance with standards of nursing/healthcare study between sessions one and two. practice, nurse expert witness role, risk management and other important Speaker Carol Mallia RN, MSN considerations will be described. Professional certifi cation will also be Dates September 16 & 23 addressed. Time 5:00- 9:00 p.m. Speakers Barbara J. Levin, BSN, RN, ONC, LNCC; Tammy J. Murphy, RN, LNC; Place MNA Headquarters, Canton Kelly W. Shanley, RN, LNC; Jane Mihalich, BSN, RN, LNCC; Erin Weber, Fee MNA members, $90; all others, $125 BSN, RN, CCRN; Elaine Noren, BS, RN, LNCC Contact hours* 9.0 Dates October 9 MNA contact Theresa Yannetty, 781-830-5727 or 800-882-2056, x727 Time 5:30- 8:30 p.m. Place MNA Headquarters, Canton Fee MNA members, $65; all others, $95 Peripheral I.V. Therapy Program Contact hours* 3.2 MNA contact Susan Clish, 781-830-5723 or 800-882-2056, x723v Description This program introduces the RN to the theory of peripheral venipuncture. It includes anatomy and physiology of the peripheral circulatory system, Oncology Series for Nurses fl uid and electrolyte imbalance, infection control and legal issues of the practice of venipuncture. Classroom instruction will include procedural Description A three-part series designed for nurses to increase their knowledge in demonstration and return demonstration on I.V. arms. Clinical experi- oncology nursing. The content of session one of the series will include an ence will not be provided. overview of cancer management, tumor physiology and staging, relevant Speakers Mary Walsh RN, BS, CRNI, Infusion Therapy Specialist laboratory testing and treatment strategies and safe handling of neoplastic Marilyn Bernard RN, CRNI, Infusion Therapy Specialist agents. Session two will discuss chemotherapy administration, classifi ca- Date September 25 tion of chemotherapeutic agents, management of toxicities and adverse Time 5:00 – 8:30 p.m. effects of treatments and oncological emergencies. Session three will Place MNA Headquarters, Canton include pain and symptom management, palliative care and an overview Fee MNA members, $65; all others, $95 of hospice care. Special notes Certifi cate of attendance will be awarded Speaker Marylou Gregory-Lee MSN. RNCS, OCN, Adult Nurse Practitioner MNA contact Susan Clish, 781-830-5723 or 800-882-2056, x723 Dates October 21, 28 & November1 Time 5:30- 9:00 p.m. Place MNA Headquarters, Canton Fee Series: MNA members, $175; all others, $225 Each session: MNA members, $65; all others, $95 Page 18 Massachusetts Nurse May 2003

Contact hours* 3.6 per program. Total for series: 10.8 Emergency Medical Response Special note Completion of Session 1 is required for attendance at Session 2 MNA contact Theresa Yannetty, 781-830-5727 or 800-882-2056, x727 to Hazardous Materials and Acts of Terrorism Description The Massachusetts Emergency Management Agency (MEMA) is sponsor- Diabetes 2003: What Nurses Need to Know ing this program on emergency medical services in response to hazardous materials and acts of terrorism. The program is specifi cally designed for Description Session 1: This session will discuss the pathophysiology and classifi ca- physicians, nurses, EMTs, and hospital support staff to provide educa- tion of Diabetes Type 1 and 2. The nursing implications of Blood Glucose tion in the treatment of individuals exposed to chemical and biological Monitoring will be discussed. Non-pharmacological interventions such as agents. The program will include identifi cation of hazardous materials, exercise and meal planning will be explained. The program will conclude toxicological and biological effects of chemicals and biological acts of with a discussion of oral pharmacological agents. terrorism. The chemical profi le of common agents, the decontamination Session 2: This session is designed to provide the nurse with a compre- procedures and personal protective equipment will be discussed. CDC hensive update on insulin therapy. The nursing management of the newly guidelines for surveillance of exposed nurses and other health care work- diagnosed diabetic patient, both complicated and not, will be explored. ers and nursing interventions for patient care will be identifi ed. Nursing management of the diabetic patient in the pre/post operative, Speakers Anthony Fucaloro, EMT ambulatory care, home care and school setting will be discussed. Capt. Lawrence P. Ferazani Speaker Ann Miller, MS, RN, CS, CDE Evie Bain, RN, MEd, COHN-S Dates Session 1: October 23 Dates December 3 Session 2: October 30 Time 9:00 a.m. – 5:00 p.m. Time 5:30 – 9:00 p.m. Place MNA Headquarters, Canton Place MNA Headquarters, Canton Fee MNA members, $45; all others, $65 Fee MNA members, $65 all others, $95 (Each session) Contact hours* 6.9 Contact hours* 3.6 per session Special notes Lunch provided. Class limited to 25. MNA contact Theresa Yannetty, 781-830-5727 or 800-882-2056, x727 MNA contact Theresa Yannetty, 781-830-5727 or 800-882-2056, x727

Nursing Management of Central Lines Wound Care—Dressing for Success Description This program will provide a comprehensive overview of the factors Description This program describes the multiple venous access devices used in affecting wound care and strategies for managing complex wounds. A central line therapy. Indications for tunneled vs. non-tunneled lines and thorough review of wound products will enable the attendee to select the potential complications will be discussed. The nursing management and optimal dressing based on clinical fi ndings. New dimensions of wound legal aspects in managing the care of these devices will be described in care, such as growth factors, hyperbaric oxygen, electrical stimulation, detail. cultured skin replacements and vacuum-assisted closure devices will Speakers Mary Walsh RN, BS, CRNI, Infusion Therapy Specialist also be discussed. Marilyn Bernard RN, CRNI, Infusion Therapy Specialist Speaker Carol Mallia RN, MSN, CWOCN Date November 13 Date December 9 Time 5:30 – 8:30 p.m. Time 5:00 – 9:00 p.m. Place MNA Headquarters, Canton Place MNA Headquarters, Canton Fee MNA members, $65 all others, $95 Fee MNA members, $45; all others, $65 Contact hours* 3.0 Contact hours* 4.5 MNA contact Theresa Yannetty, 781-830-5727 or 800-882-2056, x727 MNA contact Susan Clish, 781-830-5723 or 800-882-2056, x723 Advanced Dysrhythmia Interpretation Important Information Description This course is designed for nurses who have had a basic course in moni- toring patients for cardiac rhythm disturbances and wish to enhance that for all courses knowledge base with more complex monitoring of advance dysrhythmias. The course will describe the EKG changes related to ischemia, injury, Registration Registration will be processed on a space available basis. Enroll- and infarct. The EKG abnormalities associated with toxic drug levels and ment is limited for all courses. electrolyte imbalances will also be described. The course will conclude with an overview of pacemakers and common pacemaker rhythm distur- Payment Payment may be made with MasterCard or Visa by calling MNA or bances. by mailing a check to MNA, 340 Turnpike St., Canton, MA 02021 Speaker Carol Mallia RN, MSN Dates November 18 Refunds Refunds are issued up to two weeks before the program date Time 5:00- 9:00 p.m. minus a 25% processing fee. No refunds are made less than 14 Place MNA Headquarters, Canton days before the program's fi rst session or for subsequent ses- Fee MNA members, $45; all others, $65 sions of a multi-day program. Contact hours* 3.2 MNA contact Susan Clish, 781-830-5723 or 800-882-2056, x723 Program MNA reserves the right to cancel programs when registration Cancellation is insuffi cient. Cardiac and Pulmonary Pharmacology *Contact Continuing Education Contact Hours are provided for all programs Hours except “Advanced Cardiac Life Support” and “Anatomy of a Legal Nurse Consultant” by the Massachusetts Nurses Association, Description This program will provide nurses, from all clinical practice settings, a which is accredited as a provider of continuing nursing education better understanding of how cardiac and pulmonary medications work. by the American Nurses Credentialing Center’s Commission on The actions, indications, and nursing considerations will be discussed Accreditation. Contact hours for “Advanced Cardiac Life Support” for the major categories of cardiac and pulmonary medications. Speaker Carol Mallia RN, MSN and “Anatomy of a Legal Nurse Consultant” are provided by the Dates December 2 Rhode Island State Nurses Association, which is accredited as an Time 5:00- 9:00 p.m. approver of continuing nursing education by the American Nurses Place MNA Headquarters, Canton Credentialing Center’s Commission on Accreditation. Fee MNA members, $45; all others, $65 To successfully complete a program and receive contact Contact hours* 4.2 hours, you must: 1. Sign in. 2. Be present for the entire time MNA contact Theresa Yannetty, 781-830-5727 or 800-882-2056, x727 period of the session. 3. Complete the evaluation. Chemical Scents may trigger responses in those with chemical sensitivity. Sensitivity Please avoid wearing scented personal products and refrain from smoking when you attend MNA continuing education programs. May 2003 Massachusetts Nurse Page 19

MNA Member Benefi ts Save You Money

MNA’s premier group benefi ts programs from affordable insurance to convenient credit DIGITAL PAGERS help you get more out of your membership & your hard-earned money! Take advantage of INTERNET PAGING...... (800) 977-1997 these special benefi ts specifi cally designed for MNA members. Savings are just a telephone Discount digital pager program. call away. LONG DISTANCE TELEPHONE SERVICE Personal & Financial Services ALLIANCE SERVICES ...... (888) 922-SAVE 4.9 cents/minute for long distance calls & 5% discount (vs. Verizon) on local service – 7 PORTABLE HEALTH INSURANCE days a week, 24 hours a day! Prepaid discount international calling cards also available. ELLEN KAPLAN, GROUP HEALTH SPECIALISTS...... (800) 604-3303 OR (508) 875-3288 CELLULAR TELEPHONE SERVICE Managed care & comprehensive indemnity plans through Blue Cross/Blue Shield as well as other carriers. CINGULAR WIRELESS...... (800) 894-5500 Lowest rate possible $8.95/month plus $.37/minute off peak with free nights (7:00 PM to PROFESSIONAL LIABILITY INSURANCE 6:59 AM – an MNA exclusive) & free weekends. NURSES SERVICE ORGANIZATION ...... (800) 247-1500 (8:00 AM TO 6:00 PM) JIFFY LUBE DISCOUNT Leading provider of professional liability insurance for nursing professionals with over 650,000 health care professionals insured. MNA MEMBERSHIP DEPARTMENT ...... (800) 882-2056, X726 Obtain an MNA Discount card to receive 15% discount on automobile products & CREDIT CARD PROGRAM services. MBNA AMERICA...... (800) 847-7378 CONSUMER REFERRAL SERVICE Exceptional credit card at a competitive rate includes $300,000 worth of HIV insurance protection. MASS BUYING POWER...... (781) 829-4900 A consumer referral service offering super savings on products & services. Visit TERM LIFE INSURANCE their Web site at www.massbuy.com (Password MBP) LEAD BROKERAGE GROUP ...... (800) 842-0804 Term life insurance offered at special cost discounts. DISCOUNT ELECTRONICS & APPLIANCES HOME ENTERTAINMENT DISTRIBUTORS...... (800) 232-0872 OR (781) 828-4555 LONG TERM CARE INSURANCE Home electronics & appliances available at discount prices for MNA members. WILLIAM CLIFFORD ...... 800-878-9921, EXT. 110 Flexible and comprehensive long-term care insurance at discount rates. OIL NETWORK DISCOUNT COMFORT CRAFTED OIL BUYING NETWORK ...... (800) 649-7473 SHORT TERM DISABILITY INSURANCE Lower your home heating oil costs by 10 – 15%. NEW ENGLAND INSURANCE SPECIALIST LLC ...... (888) 474-1959 OR (617) 242-0909 Six-month disability protection program for non-occupational illnesses & accidents. WRENTHAM VILLAGE PREMIUM OUTLETS Simply present your valid MNA membership card at the information desk at the LONG TERM DISABILITY INSURANCE Wrentham Village Premium Outlets to receive a VIP coupon book offering hundreds of LEAD BROKERAGE GROUP ...... (800) 842-0804 dollars in savings. Provides income when you are unable to work due to an illness or injury. RETIREMENT PROGRAM Travel & Leisure AMERICAN GENERAL FINANCIAL GROUP/VALIC...... (800) 448-2542 HERTZ CAR RENTAL DISCOUNT Specializing in providing retirement programs including 403(b), 401(k), IRA, NQDA, HERTZ ...... (800) 654-2200 Mutual Funds, etc. MNA members discounts range from 5 – 20% mention MNA discount CDP#1281147. DISCOUNT TAX PREPARATION SERVICE DISCOUNT MOVIE PASSES TAXMAN INC...... (800) 7TAXMAN MNA MEMBERSHIP DEPARTMENT ...... (800) 882-2056, X726 20% discount on tax preparation services. Purchase discount movie passes for Showcase/National Amusements & AMC Theaters. Call to order over the telephone with Mastercard or Visa. Products & Services SIX FLAGS NEW ENGLAND DISCOUNT PASSES AUTO/HOMEOWNERS INSURANCE MNA MEMBERSHIP DEPARTMENT ...... (800) 882-2056, X726 MANSFIELD Purchase discount admission tickets for Six Flags New England ($22 per person). COLONIAL INSURANCE SERVICES ...... (800) 571-7773 OR (508) 339-3047 DISCOUNT HOTEL & TRAVEL PRIVILEGES WEST SPRINGFIELD CHOICE HOTELS INTERNATIONAL (SOS PROGRAM)...... (800) 258-2847 BATES FULLAM INSURANCE AGENCY ...... (413) 737-3539 20% discount on participating Comfort, Quality, Clarion, Sleep, Econo Lodge, Rodeway BOSTON & MainStay Suites, Inns & Hotels. Advanced reservations required mention SOS ROBERT S. CLARK INSURANCE AGENCY...... (800) 660-0168 Program #00801502. Membership in Guest Privileges Frequent Traveler Program. LOWELL DISCOUNT TRAVEL PROGRAM TO FLORIDA, BAHAMAS & LAS VEGAS JAMES L. CONNEY INSURANCE AGENCY ...... (978) 459-0505 EXECUTIVE TOUR & TRAVEL SERVICE...... (800) 272-4707 (RESERVATIONS) WOBURN (877) 406-4836 (ATTRACTION TICKETS) LENNON INSURANCE AGENCY...... (781) 937-0050 4 day/3 night discount on “Getaway Vacations” to Florida, Bahamas & Las Vegas. Visit FALMOUTH & POCASSET Web site at www.exectourtravel.com. Mention MNA group number 15187. MURRAY & MACDONALD INSURANCE SERVICES...... (800) 800-8990 CENTRAL FLORIDA AREA ATTRACTIONS TURNERS FALLS THE OFFICIAL TICKET CENTER ...... (877) 406-4836 PARTRIDGE ZCHAU INSURANCE AGENCY...... (413) 863-4331 Discount admission to Orlando area attractions including Walt Disney World, Universal Save up to 18% for all household members. For a no obligation quote visit Studios, Sea World; Kennedy Space Center & others. www.nursesinsurance.com UNIVERSAL STUDIOS MEMBER EXTRAS DISCOUNT DENTAL & EYEWEAR PROGRAM Log onto the MNA website at www.massnurses.org and click on the Universal Studios KENNETH FRANSSON OR DAVE FRASER ...... (800) 697-4371 Link to obtain special discount prices or e-mail [email protected] for 45% to 50% on dental services when utilizing network dentists. 10% to 60% discount information. on eyewear through nationwide vision providers. Only $7.95/month individual or $8.95 family for MNA members. Your participation in these programs increases the Association’s purchasing power allowing the MNA to add and improve benefi t programs. For information For more information, call the MNA, 1-800-882-2056, x726. on any of our discount programs, contact the specifi c representative listed or call Chris Stetkiewicz in the MNA membership department, (800) 882-2056, x726. Attention All Nurses: Want Safe Staffi ng?

Join your colleagues for the rally and legis la tive hearings on H.1282 - Quality Patient Care/Safe RN Staffi ng Legislation Wednesday, June 18 9:30 a.m. – 2 p.m. Massachusetts Statehouse 9:30 am Rally & Press Con fer ence 10:00 am Health Care Commit tee Hearing on Safe Staffi ng All day Learn about Safe Staffi ng, meet with your legislators and show support for Safe Staffi ng!

This is the day the Joint Committee on Health Care will hold hearings on MNA leg is la tion to regulate RN-to-patient ra tios in acute care hospi tals. Your attendance at this rally and hearing is vital—please wear your scrubs and come show your sup port for safe pa tient care! The MNA is providing buses to this event for MNA bargain ing units and other groups who sign up 50 people to attend. To re serve a bus, please contact Dolores Neves at 781-821-4625, x722; [email protected]. To learn more about the MNA Quality Patient Care/Safe RN Staffing bill or if you want to provide tesimony in support of the bill, please contact the MNA Department of Leg is la tion and Gov ernment Affairs at 781-821-4625, x725; [email protected]. Come to the Statehouse and help deliver the message: Safe Staffi ng Saves Lives!

1903 2003

100 Years of Caring for the Common wealth 340 Turnpike Street ◆ Can ton, Ma 02021 ◆ Tel 781.821.4625 www.massnurses.org