May 23, 2002
As face-to-face negotiations between the union representing nurses at St. Joseph Hospital and hospital management got underway Tuesday, one of many unresolved issues was this: should the hospital's emergency room have a lead nurse who coordinates things, or should that responsibility be divided up between several nurses?
Last week, a group of nurses at the hospital took it upon themselves to eliminate the "team leader" position. The lack of such a position -- also known as a "charge nurse" -- is a temporary measure until a resolution can be reached on the matter, said California Nurse Association negotiator Pete Castelli. "There will be closure one way or the other," Castelli said. "We're looking at the charge nurse issue and we're still discussing matters. Hopefully within the next few weeks the issue will be settled."
In the meantime, however, the emergency room at the hospital will be without what is arguably its most important nursing position.
"I look at the charge nurse as the quarterback of the team," said Vicki Gibney, who has held the position. "When I was a charge nurse I was always thinking ahead, always looking at the next patient to come back. I always had to be ready for the next play should the ER overload. A charge nurse always has to have a back-up plan. They are the sole communicator of the department -- the communication goes in and out through the charge nurse."
"All the former charge nurse duties have been divided and delineated between all the nurses now," said Roxanne Spencer, another former charge nurse. "It's probably something that won't be at all noticeable to the public."
Other nurses differed.
"It's definitely more chaotic," said emergency room nurse Pamela Haynes. "There is no one assuming traffic control. Some things have been missed; the fine details are falling to the wayside. This position is very important to the functioning of the department."
Added another nurse: "The vital daily functions of the department are not getting done."
Hospital management, meantime, refused to discuss the issue -- although it is not clear what, if anything, they had to do with eliminating the position.
"This is an operational question, and like any business, we don't want the public to know how we staff," said spokeswoman Laurie Watson Stone. "Do you call every business to see how they staff? This is out of context -- the bigger story should be if other hospital ERs across the nation have or don't have charge nurses, and to see how they operate."
A quick survey of area hospitals revealed that Mad River Hospital in Arcata, Sutter Coast Hospital in Crescent City, Santa Rosa Memorial Hospital and Redding Medical Center all have charge nurses or team leaders in their emergency departments. The only area hospital with no charge nurses is Redwood Memorial in Fortuna, which is owned by the same company that owns St. Joseph Hospital.
The position of charge nurse has been in the news before. Last December, several charge nurses throughout the hospital took a pay cut and resigned from their positions after management changed the nurses' job descriptions. The change, which came two weeks after the announcement that nurses were going to try and organize, would have prevented the charge nurses from voting for the union by making them part of management.
Since then, the C.N.A. has acknowledged no difference between the job descriptions of charge nurse and team leader, except for the fact of the reduced pay.
Last week, former emergency room charge nurses received a letter of intent from the hospital promising to pay back the lost 10 percent of wages since December.
Other hospital departments, such as the telemetry, critical care and medical/surgical units still have charge nurses.
"Some people on other floors waived their right to vote in the union election," explained Gibney. "A 10 percent reduction in pay is just too big of a pay cut for some people." Also, some nurses simply did not agree with joining a union.
As for the lack, at least for the time being, of an emergency room charge nurse, Gibney was philosophical: "Of course, it makes sense to have someone as the decision maker there all the time, but we're just trying to go with the flow right now. Our main concern, as always, is primary patient care."
-- reported by Meghan Vogel-Fulmer
Echoing former President Carter, Congressman Mike Thompson called upon the United States to lift a decades-old trade embargo against the communist country.
"Many of us have traveled to Cuba and what we've seen and heard firsthand is that Cubans believe it is time for the U.S.-Cuba relationship to change," Thompson said at a Washington, D.C., press conference following Carter's historic speech in Havana last week.
Thompson is a member of the Cuba Working Group comprised of 20 Democratic and 20 Republican members of Congress. The group believes that the embargo, imposed to oust Fidel Castro, is outdated, ineffective and has only served to hurt the country's workers.
Carter, the most prominent American politician to visit Cuba since Castro took power in 1959, called for an easing of economic sanctions in a speech that was broadcast throughout the island nation. He also called upon Castro to allow greater political freedoms.
President Bush on Monday said he would not lift the embargo until Cuba took substantive steps toward democracy.
Speaking before Bush's announcement, Thompson aide Mandy Kenney said lifting the embargo would encourage political change. "We are urging this as an opportunity to not only expand trade, but to extend the American ideals of free thought and liberty into Cuba. We hope that by opening up the relationship Cuba will be exposed to Western ideas."
Robert Manne, president of Pacific Lumber Co., said that he misspoke when he told the Humboldt County Board of Supervisors last month that Earth First! members were "eco-terrorists."
"Earth First! has indicated that at no point has it referred to itself as a `terrorist' organization. I accept this to be true," Manne said last week.
Manne also extended an apology to the Forest Peace Alliance, a group created as part of Pacific Lumber's settlement with the family of David "Gypsy" Chain, an activist killed by a felled tree in 1998. The apology has failed to score points with alliance members though, many of whom believe that their goals have been sidetracked by Manne's terrorist analogy.
Manne evidently still wants to persuade the county to apply for federal counter-terrorist funds to control expected protests on Pacific Lumber land this summer.
The Sequoia Humane Society plans to stick to its June deadline for a new contract with the county.
If the Humboldt County Board of Supervisors doesn't approve a contract, the county must provide its own animal control services beginning this fall. Such services include euthanizing about a dozen stray dogs every week.
The county is facing a $7 million budget deficit and is exploring alternatives -- like joining forces with the cities of Eureka, Arcata and Blue Lake.
According to Sequoia Humane Society Executive Director Kathleen Kistler, contract negotiations began last November, but since that time she has heard little from the county regarding the Humane Society's request for a long-term 10-year contract that would boost the county's monthly payments to the society by almost $15,000.
"The county needs the facility as well as we do," said Kistler. "The bottom line, though, is that we just can't continue with the facility we have now."
Kistler stated that the Humane Society's building was originally built for use as a Highway Patrol office and was "never designed to be used as an animal shelter. Our building is literally crumbling."
She also explained that on average the shelter houses up to 200 animals per day in a building of 8,000 square feet. "We're very cramped," said Kistler. "There have been times when we've sheltered up to 400 animals, and sometimes we've had to turn animals away."
"Also, we have lots of hard-luck stories in our county that we see on a daily basis," said Kistler, who recounted how earlier that day a man came to the shelter with his dog whose leg had been broken in three places. "It would cost him $15,000 to have his dog's leg fixed, and we're working with people now to come up with a solution. Seeing animals suffer is pretty hard."
Without a long-term contract from the county, Kistler fears that the shelter will have to stop serving as many animals as it has in the past, and will have to rely on fund-raisers, grants for spay and neuter programs and "an entrepreneurial aspect of offering other paid services like grooming, small boarding care, a doggy daycare -- things we're really good at."
So far, Kistler said, "the message from the county is that they're not interested in a contract with us, so therefore there's no reason to extend the deadline."
The shelter will, however, issue a five-month notice to continue providing services up to Oct. 31, 2002. "At that time," said Kistler, "if animals are abandoned it's not our fault. We will have given the county plenty of time."
County Agricultural Commissioner John Falkenstrom said, "The county has to comply with laws to provide for stray and abandoned animals. We will have a contingency plan to handle biting dogs and quarantines. Plans are being worked on internally at other levels, but I know they won't have anything together by June 30 -- it puts us all in a bind."
Explaining the governor's May financial revision, County Administrative Officer Loretta Nickolaus said all California counties will have to absorb a state budget deficit of over $1.2 billion, which will lead to many programs being cut.
"What the shelter is asking for," said Nickolaus of the society's proposed price tag of $35,412 a month, "is more than what the county spends on other programs like the homeless assistance unit."
Nickolaus also said the county has been approached by a couple in the community "who are entrepreneurs" and who would provide animal shelter for the next 10 years at the price the county currently pays now, roughly $20,000 a month.
"Since this is taxpayer money we are looking to see if anyone else is interested, and looking at what our options are now. We want to make sure that this party who has offered service is viable and to make sure they can really provide service," said Nickolaus who also commended the Sequoia Humane Society for its marketing of spay and neuter programs.
"This is an issue near and dear to my heart," said Nickolaus. "We're trying really hard to find the right answer to a complicated and emotional situation."
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