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St. Vincent's Strike

Mediator Schedules Talks Between St. Vincent's Hospital Nurses and Tenet Health Care
Friday, April 21th at 10 a.m.
(Location To Be Determined)

The Federal Mediator for the contract dispute between Tenet Health Care and the registered nurses represented by the Massachusetts Nurses Association (MNA) at St. Vincent's Hospital/Worcester Medical Center has scheduled a meeting of the two parties for Friday, April 21, 2000 at 10 a.m. The location of the talks has yet to be determined. This will be the first time the two parties have met since talks broke down on April 7, 2000. At the time of the April 21st session, the nurses will have been on strike for 22 days.

"We look forward to the opportunity to get back to the table," said Sandy Ellis, a nurse at the facility and a spokesperson for the nurses' bargaining unit. "Any time the two sides get together is an opportunity to reach a settlement and end this strike."

The issue of mandatory overtime is the single most important issue of concern to the nurses. Currently, the hospital does not use mandatory overtime. Under the new contract, the hospital is demanding the right to mandate double shifts for nurses, forcing nurses against their will to work up to 16 hours straight, something nurses believe is dangerous to patient care.

After a 6-hour negotiating session on April 7, talks between the St. Vincent's Hospital nurses and Tenet Health Care broke down after the hospital refused to withdraw its demand for mandatory 16-hour shifts as a means of staffing the hospital in non-emergency situations.

At the last session the nurses made a significant concession to resolve the dispute by agreeing to work up to four hours of mandatory overtime. The nurses' proposal would allow management to mandate a nurse to work two hours of overtime plus two additional hours at the nurses' discretion. Additionally, a nurse would have the right to refuse mandatory overtime if and when he or she feels too fatigued or impaired to provide safe patient care.

The proposal to place limits on mandatory overtime mirrors a number of contract agreements MNA-represented nurses have negotiated at facilities where poor staffing conditions exist and mandatory overtime is used to compensate for lack of adequate staffing. The proposal also responds to CEO Bob Maher's public statements that, in most cases, nurses would not be expected to work more than two to three hours of mandatory overtime.

For its part, Tenet again demanded the right to mandate 16-hour shifts. Under their proposal, a nurse working an eight-hour shift would be provided only one hour's notice that he or she would have to stay an additional eight hours. Those who are mandated would be paid double time.

In other developments, The Worcester/Framingham Central Labor Council, AFL-CIO and Community Caring for Nurses (a newly formed community support/activist group) will co-sponsor a Candlelight Vigil to Support the Nurses of St. Vincent's Hospital and Their Families, on Tuesday, April 18, 2000 from 7:30 – 9:00 p.m. at the Summer St. entrance of Worcester Medical Center.

The vigil will feature speeches of support from local community, political and labor leaders; clergy (from Greater Worcester as well as from the Massachusetts Interfaith Committee for Worker Justice), and nurses from St. Vincent's Hospital.

The nurses have been attempting to negotiate their first contract with Tenet, the nation's second largest for-profit hospital chain, for more than two years. The 615 nurses have organized a union and been using the collective bargaining process to address their primary concerns about inadequate staffing levels and deplorable working conditions under Tenet management. Tenet's staffing levels are the worst of the 85 facilities where the Massachusetts Nurses Association represents nurses in the state. St. Vincent's nurses on the day shift are regularly assigned between eight – ten patients on days, and between 12 – 14 patients on nights. A safe assignment is no more than six patients on days, and eight patients on nights. The nurses have filed more than 450 official reports of unsafe staffing assignments that "jeopardize patient care."

The nurses voted by a nearly three-to-one margin to authorize a strike on March 16, and issued their official notice to strike on March 17. After a 13-hour negotiating session on March 29, the nurses called their strike two days later. The nurses have been conducting picketing at both St. Vincent's Hospital and the new Worcester Medical Center.

Tenet purchased St. Vincent's Hospital in 1997, and has also built the new $215 million Worcester Medical Center in downtown Worcester. Tenet was scheduled to open the new facility and move the patients into it on April 1, 2000. The move was postponed for two days because of problems with care being delivered by more than 120 replacement "scab" nurses provided by U.S. Nursing Corps, a Denver-based firm that specializes in providing strike breaking nurses to hospitals involved in labor disputes. The nurses are paid more than $4,000 per week as well as food and lodging. The move to Worcester Medical Center took place on April 3, 2000. The MNA has received numerous reports from employees and physicians inside the facility, as well as from patients leaving the facility that the nursing care being provided is very poor, and that the hospital is in a state of chaos.

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