9th Floor, Park Plaza 10611 - 98 Avenue Edmonton, Alberta ® 1 TSK 2P7 ~1 VOLUME 15 NUMBER 3 UNITED NURSES OF ALBERTA Third Troisiinle Class clasae Penn11No. 31100 Edmonton SEPTEMBERJOCTOBER 1991 November 19, 20, 21 in Calgary Layoffs a Fine Art; Adnrlnistrator No Picasso By: Lesley Haag, LRO FACTS: A small twenty-five bed acute care hospital decided to address its budget deficit by closing the Operating Room and reducing overall nursing hours by a .59 FTE (full-time equivalent) . To accomplish these changes, the hospital decided it was "necessary" to eliminate two emergency room positions, to layoff four employees (reducing the number of employees from two full-time and fourteen part-time to four full-time and eight part-time) and to no longer permit anyone to work a permanent night shift rotation. Two .75 positions become one .5 and one full-time position. Two .25 positions became one .5 position. The four nurses to be laid off received notice of layoff, the two emergency/OR nurses received notices of position elimination and everyone else received a notice of "displacement". The Employer claimed that approximately $30,000 in savings was achieved by closing the OR, reducing RN hours by .59 FTE and reducing the number of staff (thereby saving on benefits although this was " a small part of it"). The nurses were then asked to select a new position on the new rotation in order of seniority. The Employer, acting on advice from AHA, believed it could avoid bumping and expedite the process by proceeding this way. The Union grieved the layoff of the four nurses, the elimination of the two emergency/OR positions, the " displacement" of everyone else, and the elimination of permanent night shift rotations. ARGUMENTS: The Union argued that it was not necessary for the Employer to layoff four Employees to achieve a reduction of .59 FfE hours. An Employer cannot redistribute the total number of remaining hours among fewer staff through the process of " displacement." It must cut the .59 FfE from the hours of the most junior Employee. The other three laid off Employees were laid off unnecessarily. Any Employee's letter of hire is a guarantee of hours which cannot be changed by a "displacement" initiated by the Employer. An Employee can only be " displaced" by another Employee through the bumping process. The Union also argued that the elimination of the emergency room positions was unnecessary . The hours and duties in the emergency remained the same. The Employer had simply reallocated those hours and duties among all the nurses. Finally, it was the Union 's position that the Employer's insistence that permanent night shift rotation would no longer be permitted was a clear violation of the Collective Agree ment. The concern expressed by the Employer that it would be difficult to fill a permanent night shift position if one was vacated was not reasonable since there had never been a proble m in the past and the Employer could always change the schedule on twelve weeks' notice. Counsel for the hospital argued that the Employer had the right to unilaterally alter the complement of full and part-time positions. The Employer faced a budget problem and the action it took was reasonable and in good faith. It attempted to accommodate its Employees by allowing them to select from the n ew positions in order of seniority and by permitting Employees to mutually exchange shifts. The changes made by the Employer were ''necessary'' in order to reduce costs, which were in fact reduced by approximately $30,000. The Hospital argued that the permanent night shift grievance must fail because no one made an official request for permanent night shift on the new rotation. DECISION: The Board generally agreed with the Union's submission and upheld all four grievances. In its decision, the Board emphasized that an Employer which is down-sizing its work force must first consider letters of hire of Employees . Employees are entitled to rely on their letters of hire. The Employer was wrong to ignore the letters of hire in this case. Furthermore, it is not a right of the Employer to " displace" Employees. The right to displace belongs to an Employee whose position has been eliminated. The Employer cannot institute a " mass bumping" process to speed things up. It was also not necessary for the Employer to eliminate the emergency room positions. The two nurses working in the emergency room could have continued doing so. Finally, the Employer acted unreasonably by eliminating permanent night shift rotations. The Employer had advised Employees that it would not consider any permanent night shifts so there was no point in Employees mnaking an official request. The Board directed the Employer to comply, to the extent possible, with Employees' letters of hire, to pay two nurses compensation for their hours being reduced , and to reasonably consider requests for permanent night shifts. ~ DidYo K • While some politicians demand that the number of strikes in Canada must be curbed because the lost production injures Canada's international competitiveness, more time is lost due to occupational injuries and illness. In 19881 5 million work days were lost due to strikes while in each year, on average, over 13 million work days are lost due to job injury or illness. • 36.2% of non-agricultural workers in Canada are unionized. This is above the U .S. (16%1rate but below those of other industrial nations such as West Germany 142%1. Great Britian 148%1. and Sweden (97%). Hospitals-Ratification Vote-Nov. 5 in each local Negotiating Committee and LocaJ Authority to &rgain- (Local signs form which authorizes UNA to negotiate on its behalf) Notice to &rgain- (U.N.A. notifies employers of decision to commence bargaining on behalf of hospital locals) Health Units Demand Setting Meeting October 29 & 30 in Edmonton Annual General Meeting November 19, 20 and 21 at the Westin Hotel in Calgary Local- Ratification of Proposal Package !Ratification vote to be held as per Article 9 of the UNA Constitution) Province - Demand-Setting Meeting (Vote on support/non-support of issues; 2/3 majority required for support) • elections for vice·president, secretary-treasurer and district representatives • policy resolutions and constitu· tional amendments Local Ratification Vote November 26, 1991 Locals should be: • debating issues • electing delegates Local - Priority-Setting (Each local submits a list of priorities for negotiating demands) 2 U.N.A. NEWSIIULLETIN Secretary-Treasurer Resigns Healther Molloy Heather Molloy, SecretaryTreasurer of UNA since 1987, resigned her position on October 8 due to health reasons. Heather began her involvem ent with UNA during the 1982 hospital nurses' strike and joined the Executive Board in November 1983 as a North Central District Representative. After being active on the provincial finance commit· tee for four years, she became Secretary-Treasurer-a position she was re-elected to at 2 consecutive annual meetings. Heather's commitment to the democratic nature of the United Nurses of Alberta and he r pride in her profession were great assets to UNA members during her many yea rs of activity with this organization. Florence Ross, a Labour & Delivery nurse at the Misericordia Hospital in Edmonton, North Central District Rep and computer whiz, has been elected by the Executive Board as interim secretary-treasurer. Gail Tymens will replace Florence Ross as North Central District Representative. An election for the remaining year of Heather's term will be held at the November 1991 Annual General Meeting in Calgary. Nominations will be accepted from the floor . NIG!fT/NGflt..E President's Message The rush is on to complete another NewsBulletin. This one will promote the annual meeting as well as inform the members of what is going on generally. This is indeed our busiest time of year. We are getting more settled into our new Edmon· ton office. The move on August 1 was carried out superbly by the staff. The nurses at Local # 173 Bethany Care Cochrane remain on strike. The seventeen mem· bers commenced their strike on July 12, 1991. One of our newest locals has endured one of the longest strikes in U .N .A. history. They are fighting for basic compensation and recognition. Their struggle is our struggle, the fight that nurses have been forced to endure for the smallest of gains. The members of Local #173 have valiantly brought their dispute to the A.A .R.N., the C.N.A. , the provincial government, the citizens of Cochrane and Calgary and to the Lutheran Welfare Society , which is the decision-maker in this dispute . The outcome cannot be predicted, but the fact that the Lutheran Welfare Society is slated to take over yet another facility (Rosehaven Centre in Camrose) raises serous questions. Can more workers under control of private (for profit) operators expect in· ferior wages and working conditions? Is the provincial government indirectly supporting the action of the Lutheran Welfare Society by apparently rewarding them with more business? Negotiations for the hospitals and health units are gaining momentum. The Hospital Demand Set· ting Meeting was held September 24-26 in Edtnonton. On November 5, 1991, a Ratification vofe will be held across the province to determine if the membership supports the package adopted at the Demand Setting Meeting. The Alberta Health Care Association (A.H.A.) and United Nurses of Alberta are attempting to set a date to exchange proposals in early December. The health units will hold a Demand Setting Meeting October 29 and 30, 1991. A Ratification Vote will be held on November 26, w ith a target exchange oposals in early JauuaJ)"'lY92. The Annual General Meeting (November 19-21) promises to be an exciting meeting. In addition to the business to be dealt with , two very important speakers will add an educational component. Madeline Parent will be the keynote speaker on Wednesday November 20. Shift work expert, Jon Shearer will speak to the members during an evening social on November 20th. Elections will be held for a variety of District Representative positions. This is also the year to elect the U .N.A. Vice President. Heather Molloy's resignation from the position of Secretary· Treasurer, will necessitate an election for a one year term until the 1992 Annual General Meeting. The nurses at Local # 1 73 Bethany Care Cochrane remain on strike. The seventeen members commenced their strike on July 11,1991. On a more personal note, David Harrigan became the proud father of his third son, Galvin, on Tuesday October 16, 1991. I am working on another video for the Annual General Meeting. I hope to re-cap the activities of the past year. I have the great job of reviewing all the footage from delegate and district meetings, picketlines and our provincial office move. With all the excellent material accumulated in the past year I should be able to produce a better quality video than my initial attempt last year !! 111111111 T 1...&.1 Health aod Welfare Canada Sante et Bien-etre social Canada Allergic Reactions to Latex in Medical Devices There has recently been an increase in the number of reported allergic reactions to medical devices containing latex (natural rubber). Reactions to latex range from mild itching of the s){iu to systemati an;whyla.xi.s. One brand of barium enema tip with an inflatable latex cuff was recalled in North America in October 1990 after several patients experienced severe allergic reac tions, resulting in the death of some patients during barium enema procedures. Latex is a component of many medical devices including surgical and examination gloves, catheters, condoms, dental dams, intubation tubes, anaesthesia masks, enema tips, drug administration devices and haemodialysis equipment. The primary source of allergic reaction appears to be proteins in the latex itself. Health care professionals and patients as well as persons involved in the manufacture of these devices are all at risk. Published reports indicate that 6% to 7% of surgical personnel and 18% to 40% of spinal bifida patients are sensitive to latex. Patients at higher risk include those who are frequently exposed to latex products. They include haemodialysis patients or children with spina bifida who may undergo numerous treatments or surgical procedures and may require frequent urinary catheterization and intravenous infusion, as well as those who are sensitized to common airborne allergens or those with an impairment of the skin barrier such as eczma. Surgical , examination or dental procedures may permit the allergen(s) to cross rectal, vaginal or buccal mucosa. The Health Protection Branch advises that health care professionals identify latex sensitiye patients and be prepared to treat allergic reactions by following the recommendations listed below to reduce the potential for, or consequences of, an adverse reaction to latex: • Acquire information about latex sensitivity when taking a patient history (potential symptoms include itching, rash , breathing difficulties, etc. when wearing rubber gloves to perform household chores or when inflating a balloon). • Use alternative materials such as plastic where possible whenever latex sensitivity is suspected or has been confirmed. • Alert hospital personnel to the potential for latex reactions and establish procedures to follow for the various types of potential reactions. • Encourage latex sensitive patients to advise all health care professionals of their latex sensitivity. 111111111 l '.N.A. NEWSI:Jl!LLETlN 3 Bethany Nurses on Strike! By: Melanie Chapman, C.O. Be ne fits Nurses at the Bethany Care Centre in Cochrane walked off the job on July 12, 1991 after 10 months of bargaining with their employer, the Lutheran Welfare Society, proved fruitless. All seventeen of those nurses remain united on a legal strike today. The Lutheran Welfare Society owns and operates the 78-bed nursing home which opened in 1988. UNA organized the Local in September of 1990 when it became apparent to the nurses that they needed assistance to win satisfactory wages and working conditions. Bargaining for a first contract on behalf of the Local began in October with the Local looking for a contract similar to the Provincial Hospitals Agreement which covers nurses at two other Bethany ' Care Centres in Alberta. Negotiations between the two parties continued until May of 1991 when an Alberta Department of Labour mediator attempted unsuccessfully to resolve the matter. The Society and the Union held several bargaining sessions after the mediation attempt with the last meeting taking place on July 4, 1991. After much soul-searching the nurses decided to hold a strike vote. On July 9 the Local members voted overwhelmingly in favour of strike action. In November 1989 nurses working at the Bethany Care Centre in Cochrane received a letter from Margaret Lepp, then-Chairperson of the Lutheran Welfare Society's Boara of Trustees, which responded to concerns the nurses had raised about the employer-employee relationship. The letter stated that the Centre hoped to have a balanced budget by 1991 and went on to say that if this was achieved , the Board would be "in a position to consider added expenditures for staff benefits most notably the reinstatement of a pension plan. In the meantime, we ask for your patience and your support for our efforts to get Bethany Care Centre Cochrane on solid financial ground.'' Despite achieving a balanced budget for 1991, the LWS refuses to provide the "benefits" that the nurses have requested. The nursing home has offered the nurses hospital wages but refuses to recognize any previous nursing experience which will result in the nurses receiving substantially less pay than their hospital and nursing home counterparts. Outstanding issues are as follows: U.N.A. (Based on Provincial Hospitals Agreement) Issue Pensions Local Authorities Pension Plan or equivalent contributions (over 5%) Shift Differential Wee kend Premium Replaceme nt (out-ofscope) pay Charge Pay Overtime $1.50/hour $1.10/hour $1.50/hour $1.25/hour 1112 Times the applicable basic hourly rate for first four hours 2 Times the applicable basic hourly rate for additional hours Employer Employer to contribute amount equivalent to 2% of earnings into a group RRSP. 55(/hour 35( /hour None None 1112 Tim e s for all hours United Nurses Message joyce Kelly Named Holidays Nursing Instructors Pre vious Experience Educational Allowances Sala ries Employer/Employee share pre mium cost 75/25 Provision of Extended Dental Plan and Orthodontics Employees granted a " floater " holiday Included in Collective Agreement Recognize experience for purposes of adjusting salary increments Clinical Course - 35(/hour Active Reg. in AARN and Eligible for PNAA Reg. 35(/ hour Nursing Unit Admin. Course - 35(/hour One Year Diploma - 35(/hour BScN - 75(/hour Master's - $1.00/hour Salary as per Hospitals Agreement with adjustments for previous experience Starting Nurse April 1, 1991 - $1 7.99 Nov. 1, 1991 - $18.53 Employer/Employee share cost 50/50 Basic de ntal plan only No floater Excluded from Collective Agreement No recognition of any previous nursing experience Clinical Course - 15(/hour Active AARN Reg. and eligible for PNAA Reg. 15(/hour 1 Year continuous geriatric experience · 15(/hour BScN - 65e/hour Equivalent of Hospital Wages April 1, 1991 to March 31 , 1992. No adjustment for nursing experience 8th Year Nurse April 1, 1991 - $22.06 Nov. 1, 1991 - $22.73 Members of the Local have picketed outside of the nursing home, as well as at the LWS bead office in Calgary. Construction of new office space and a paved parking lot is taking place at the LWS's headquarters while the nurses are out on strike. Judith McCool, the Cochrane Local President, said "We question the priorities of an employer which can find the funds to build additions to offices and pave parking lots while claiming it has no money to pay nurses to provide care for patients.'' UNA calls on the Lutheran Welfare Society to recognize the value of the work of nurses in caring for the elderly- and to compensate the nurse accordingly . The nurses' contract demands are reasonable- they want what 10,000 other Alberta nurses already have in their contracts. While no new negotiation dates have been set, UNA hopes that the new CEO of the Society will recognize the concerns of the nurses and attempt to negotiate a fair deal. What the Bethany nurses ask of their colleagues: • First and foremost: DO NOT C ROSS O U R PICKET LINE!!!!! Don't knock ·our legs out from under us. • Join us on the picket line • Invite us to your local meeting to talk about our struggle to get the contract that many of you already enjoy. • Contact us with messages of support: Judith McCool- Local #173 President 932-6818 Carol Gardner - Local #173 Sec/Treas 337-2161 Dale Fiar- SCD Rep. 425-1025 • Notify the AARN or the Health Facilities Review Board if you hear of any improper nurs ing care being given our residents. • Contact The Lutheran Welfare Society and encourage them to return to the bargaining table . (1001 - 17 St. N.W., Calgary) ~ Sing - Strikers - Sing (loud & clear) j oanne S hirley The strike has taken us away from you And for this reason, we are lonely and blue. We're striking for "Equality of Pay" For equal professional care Similar to what the other 11,000 Alberta nurses shareSo we walk daily on the street Encouraging the Lutheran Society to meet Surely soon, they will realize the folly of their ways And rectify this problem in the next few days. In the meantime- Dear Friends: We wish you fond greetings and memories combined . Memories-past and present- of the nicest kind. Our lives have been enriched by you We wonder , " Do you miss us too?" If this is so- please let us know Your devoted friends - Bethany Striking Nurses Onward Bethany nurses Striking for equal pay. With our banners flying We're walking every day. We ask you to negotiate End this nasty strike. Be fair with all your nurses. And treat us all alike. joyce Cave Nurse Abuse-It's Not Just Part of the Job By: M elanie Chapman, C.O. "The submission ofdefence counsel is that there was implied consent because of the nature of the employment. My response to that is that it is ludicrous to suggest that because one works as a psychiatric nurse, as was the situation here, and/or knows of the risk of danger of attack from patients, that there is implied consent to the application of force. [Nurses), like all people who work in hospitals, and in particular psychiatric wards, are en tit led to the sanctity and security of their person. There is no known authority, nor should there be, to suggest that because they do this type of work they impliedly give consent to be assaulted. " Judge of Court of Queen's Bench, Alberta, 1990 INTRODUCTION Workplace violence is the nursing profession's equivalent of domestic violence. The victims of the abuse usually remain in close contact with the abuser. The abuse is seen as part of the relationship between the abuser and the victim. The incidents are rarely reported to 'the authorities'. When the abuse is report~d the legal system has not supported those who wish to lay criminal charges against their abuser. But as society's attitudes have begun to change towards domestic violence, so must our attitudes change towards workplace violence. DEFINITIONS Workplace violence: ''An act of aggression-verbal or physical, assaults or threats-in the workplace .. . The act may involve but is not limited to name-calling, swearing, hitting, biting, scratching, pinching, use of a weapon, sexual harassment and assault and or battery" (BCNU) The result of the violence can range from feeling uncomfortable to 'physical injury and mental anguish '. striking, biting, pinching etc or threatening to do so with the intent of harming or controlling another person verbal assault: "any communication a nurse perceives to be a harsh, condemnatory attack on herself, professionally or personally" (Campbell) emotional abuse: shunning or emotional isolation sexual harassment: words or actions of a sexual nature in a work situation which make a person uncomfortable on the job physical assault: RESEARCH Research s hows that the problem of w orkplace violence is not limited to any one pa rticular area of nursing care. A 1989 study (Rya n and Poster) indicated that 51% of staff nurses thought that being hit was a regular part of nursing practice. A BCNU study in 1986 found that 60 out of 147 respondents who worked for the City of Vancouver said that they had been in situations whe re they felt in danger- 80% more than once . A study by Cox in 1987 showed that nurses are accepting of verbal abuse- we see one of our roles as providing an outlet for temper tantrums. The Manitoba Nurses' Union in conjunction with other Manitoba nursing organizations surveyed 10,000 Manitoba nurses in 1989. Results indicated that all settings reported abuse and that the patient was identified most often as the attacker in the hospital and community care areas. Verbal abuse by ·a patient is reportedly higher in extended Care and Rehab. Attempts to physical harm, physical attack, verbal threats by a patient and verbal abuse by family were higher in Acute Care. Sexual harassment by patients occurred in all settings except Northern nursing stations. Verbal abuse by physicians and nursing team members was reported in all work settings other than ambulatory care/clinics. A 1981 study estimated that the re are five times more assaults on nurses than reported. According to WCB there were only 3 1lost time claims in 1990 from nurses who had been physically assaulted while at work. Various reasons have been suggested for the lack of reporting of workplace violence including: fear of reprisal from employer who will say that the nurse provoked the violence; assumption that the victim will be okay, non-recognition of latent effects of violence (family and social problems); amount of time to complete gains; wanting to forget the abuse took place; fear of lack of support from colleagues; lack of awareness of rights; and finally because those who do not wish to face the abuse leave the profession. UNA POSITION STATEMENT ON NURSE ABUSE Whereas nurse abuse in the Health Care Workplace has a significantly higher profile in recent years and; Whereas nurses are the front-line contact in potentially abusive situations. U .N .A. is taking the following position on nurse abuse to maximize the potential of a safe and healthy working environment. Violence is defined as "exertion of physical or verbal force so as to injure or abuse". Abuse may be manifested in various forms of aggression, including verbal, physical, psychological and sexual harassment. Therefore U.N.A. fully supports: Nurses Right to Know Nurses have the right to know when potentially abusive situations and or persons exist in the workplace. Knowledge and Awareness U .N .A. will take a proactive stance in encouraging members to become more knowledgeable and educated about up-to-date measures to protect the nurse from abuse in the workplace. It is essentialthat nw:ses.document and report all incidents of abuse. U .N.A. shall promote the development of Nurse Abuse policies in each Health Care Facility. Security Measures It is the responsibility of the Employer to provide a safe working environment to protect nurses from abuse. U .N.A. recognizes the risk of nurses working alone . Therefore U .N .A. will continue to take the stance that nor nurse shall work alone. U .N .A. expects the employer to provide appropriate security personnel and equipment to maximize the potential for a safe , secure a nd healthy work environment . Nurses Rights Nurses have the right not to be abused. Nurses have the right to compensation thru Workers Compensation for injuries sustained from abuse. Nurses have the right to expect the employer to provide a safe, secure and healthy work enviro nment. Nurses have the right to contact and require police assistance in abusive or potentially abusive situations. Nurses have the right to access and file W.C.B. forms , incident reports and Occupational Health & Safety Forms. Nurses have the right to access of adequate support and counselling services. U .N .A. believes that the Employer should be responsible and willing to pay for counselling services and U .N .A. will strive to achieve this in all locals. Nurses have the right to sick leave as per current Collective Agreements and follow-up medical examination at Employees request. Legal assistance, if necessary, will be provided by U .N.A. . (Executive Board M eeting - Feb./March 1991, M ay/91 RECOMMENDATIONS Organization The Employer should: • develop institutional policies and guidelines on dealing with violent patients (role of nurses and security , who to contact, how to report the abuse, and follow-up care of the victim) • provide education/inservices on conflict resolution and dealing with violent patients • lobby for education of undergraduate nurses in this area • support staff who have been abused-not question their competence • address safety issues such as short-staffing, physical layout of wards/units, call systems and vehicle maintenance for health unit nurses • provide access to trained psychiatric support for the victim and her co-workers(many banks already provide this service for their employees who have been threatened) • educate patients, administrators, physicians and the public that nurse abuse is unacceptable in the institution • consider flagging charts/kardexes of patients who have had aggressive outbursts in the past so that staff(who would otherwise be unaware of the violence potential) can exercise caution with their approach to the patient • research abuse- what is the connection between abuse/harassment and staff turn-over, how much physician/colleague abuse occurs • staff wards/units/offices adequately. Mix inexperienced and experienced staff Individual Employees should: • report the incident immediately to your employer • notify the union if you have been involved in a violent incident- UNA will advise your of your rights under the collective agreement as well as your legal rights • seek support from a crisis intervention-trained professional • DOCUME T. DOCUMENT, DOCUMENT even if you don't think you have been injured seriously! Post-traumatic stress /injuries may appear several days later • refuse to work alone • file professional responsibility and occupational health & safety forms regarding unsafe patient care/working conditions • support colleagues who have been assaulted or abused Watch for "It's Not Part of the job- Recognizing and Defusing the Violent Situation" in your next UNA Newsbulletin! ~ Dear Ms. Smith: Assaults on Nurses by MeiQl Patients occurrlug la boepi181s The meeting cl September S. 1991, at your office. was very informative from the~ Police Service's point of view. As a result of the meetin& the Senior Agent cl the AHomey General in Bdmonton, fdr. Gary McCuaig. was contacted 8Dd this matter was discussed. He agrees totally that the IDISital COildition cl a suspect will be determined through the Courts. A directive has been circuJated to all Members of the Bdmontoo Police Service, outfining that evidence of an auault will determine if charges will be laid. The mental condition of the suspect will not be a factor in laying of charges. We app-eciate your memberships COOCJemS and also bringing this matter to the attention of the Edmonton Police Service. Should you have any future concerns, -please COQtact myself, or any Supervisor of the Bdmonlon Police Service. Sincerely, Inspector R.B. Bevan Bdmooton Police Service l l.N.A. NEWSIH ' I.I.Li'IN ~------------------------------------------------------------------------------ a Pensions Dear Heather: It is with heartfelt thanks that the Public Service Alliance of Canada Calgary Regional Office accepts your generous financial support in aid of o ur current strike. I have, this date, faxed a copy of our present picketing locations and any support which your members could provide would also be appreciated. Our members who have undertaken to challenge their employer, the Federal Government, have done so at great personal and financial expense. The kind donation and support from the United Nurses of Alberta towards their cause is greatly appreciated. As you are aware, our struggle with this government is the struggle of all Canadians and hopefu lly our chant of "enough is enough'' will finally be heard. and dying during times for prosperity and war, were men. As traditional male and female occupations and roles are changing in our society, more men perceive nursing as both a challenging and rewarding career. In Canada , over 7,000 men are registered nurses and the numbers are increasing. Although not everyone is suited for a career in nursing, someone who might be considering entry into the profession should write a School of Nursing for information and plan their career. Remember, nursing is an alternative career choice for men in our society. Thank you so much, Yours Sincerely, Gary D. Okrainec, RN In Solidarity, Maggie Armstrong, Regional Representative, PSAC Dear Editor: Enclosed is a remark submitted to your paper for possible publication . Information on Males in Nursing is very scant and I feel that any support for their entrance into the profession is greatly appreciated. Males in Nursing Today, unlike in the past decades, more men are choosing to become professional nurses. The reasons maybe quite obvious - better salaries, job opportunities, job security and mobility within the profession . Research on job satisfaction of men in nursing indicates that male nurses are happy with their careers. The social stigma that nursing is only a "female occupation" is wrong. Centuries ago, the first people to serve, care for and assist the injured, sick Dear Editor: I found the article, " Issues Affecting Males in Nursing" (by Gary Okrainec) to be very interesting and informative. Since my encounters with " male RN's" are absolutely nil in this area, it's great to hear the perspective from another RN of my gender. I have never found any discrimination among my fellow RN's, or the attitude, "you can ' t do that." I have found them to be very accepting of the fact of my different gender in the realm of nursing duties, activities and procedures . I work in a geriatric institution (100 beds); I find geriatric nursing challenging and rewarding. For myself, I wouldn' t be caught dead in an ER or OR setting, unless, I was the client. I find it unfortunate that some RN 's find it degrading to be employed in geratrics or regard those RN's that do so, as " inferior" or ' 1at the bottom of the nursing totem pole." Sincerely, R. Laewen, RN UNA Changes Nora Spencer has been hired as a Labour Relations Officer in the Edmonton Office . Nora has worked as a temporary LRO for UNA on three occasions in addition to representing Central District members as a District Rep . Trudy Richardson w ill be returning to UNA as the new Education Officer. Trudy had been on UNA's staff as the Education/Publications Officer and as a Labour Relations Officer before moving to British Columbia last year. Melanie Chapman, UNA's current Education/Publications Officer, has been appointed to the newly-created position of Communications Officer. Melanie is a former UNA Local President. Rick Lampshire has been appointed to a temporary Labour Relations Officer position in the Calgary office. Rick had served as a Labour Relations Officer in the Edmonton office prior to moving to British Columbia last summer. Gabrielle H ucker has been appointed as the Secretary/ Receptionist in the Calgary office. Gabrielle worked in this capacity for UNA's sister union in Ontario for several years. Melony Stewart moves into the newly-created position of Labour Relations Secretary in the Edmonton office from her former job as the Edmonton Receptionist/Secretary . Shelley Hodgson has been hired as the Edmonton Receptionist/ Secretary. Shelley worked for UNA several years ago in the same position. (Photo not available) Pension Position Statement United Nurses of Alberta takes the position that pensions are deferred wages and they therefore belong to us by right. U .N.A. is opposed to changes which are regressions in our Pension Plan. U.N.A. Action Plan U .N .A. has undertaken several actions in response to the Government and asks you to: 1. Encourage members to send a letter to Hon. Dick Johnson (see attached sample). 2. Ask Local Executives with Special Pension Bulletins to distribute to members. 3. Copy the petition (attached) and circulate in your workplace for all participants in L.A.P.P. or P.S.P.P. to sign (not jusrt.J.N.A. members). Return signed petitions to U.N.A. Provinclal Office as soon as possible. 4. PLBASB PARTICIPATB! SAMPLE LETI'ER DATE: _ _ __ The Hon. Dick Johnston Provincial Treasurer GovenunentofAlbena 224 Legislature Building EDMONTON, Alberta T5K286 Dear Sir: RE: Proposed RevisiOil: Alberta PUbHc Service Pensions This is to advise you that the United Nurses of Alberta is concerned about the effect on our members of many of the revisions to Public Service Pension Plans which you proposed on July 9th. 1991. We are particularly concerned that these changes would significantly alter the nature and extent of pension benefits which have been guaranteed to this point by the Government of Alberta. cation for ra ising members ' contribution rates, as well as cutting back some of the benefits they can expect. If a shortfall exists in our Pension Fund , it is not the fault of out members who have always paid their fair share in contributions. They should not, therefore, be asked to bear even a portion of the burden for a problem not of their making. We are likewise concerned by other significant changes which you are proposing; in particular, proposals that would: 1. Set cost-of-living increases at 60% of Alberta CPI; 2. Reduce portability by cancelling reciprocal agreements, and eliminating purchase of prior service; 3. Increase early retirement reductions to 5% per year on all service; 4. Place limits on adding or withdrawing employees from the plan; 5. Reduce survivor benefit provisions; 6. Place further limits on the Pension Board's authority to hear appeals. We have always taken the position that pensions are deferred wages; they therefore belong to us by right. We, therefore, have a right to expect proper consultation and input, not only into the present debate, but on an ongoing basis through properlyconstituted Pension Boards. In light of our concerns, we are hereby requesting that you not proceed with any of your proposals until we have an adequate opportunity to fully discuss the issues and alternatives availa· ble to us. As well, we will require additional information, especially as it relates to past disposition of pension contributions and investments. Thanking you for your attention, I remain Yours truly, (Name) (Union Name & Local No.) (I l l.N.J\. NI<~WSI:H T I.LETIN UNA Executive Board Meeting Sunnnary (August 1991) DISTRICTS A motion was made. That the minutes reflect and commend Dale Fior's {Chairperson of S.C.D.) and Corinne Hingston's {President, Local #115) support for Local # 173 Bethany Care Cochrane during their strike." 1991 CONSTITUTIONAL AMENDMENTS AND POLICY RESOLUTIONS There was much discussion about the Constitutional Amendments and Policy Resolutions Report. As a result the following motion was made: " That the package of Constitutional Amendments and Policy Resolutions be read and used for discussion purposes only except that all recommendations of support by the Committee with financial implications shall be voted on by this Executive Board ." The Executive Board is supporting the following proposed Constitutional Amendments and Policy Resolutions to the Annual General Meeting: ''THEREFORE BE IT RESOLVED that a new Article 8.11 be added to read: "For the purpose of this article the two {2) units of UNA Local #1 shall be regarded as separate Chartered Locals and Local # 1 shall not be regarded as a Chartered Local." "THEREFORE BE IT RESOLVED that U.N.A. donate $10,000 to the Action Canada Network {formerly Pro-Canada) Alberta organization to support political action. " In addition the Executive Board has submitted a Constitutional Amendment to reduce the contributions to the Emergency Fund from 15% to 12%. DISCIPLINE ARTICLE IN THE CONSTITUTION Marta Burns, U.N .A. counsel, drafted a new Disciplinary Article for our constitution. A motion was made that the Executive Board support in principle the Disciplinary Process as outlined in this document. The motion was carried; however, Karen Craik wished her "No" vote be recorded. The draft Article will appear in the 1991 Annual General Meeting Package as a Constitutional Amendement. MOTIONS FROM EXECUTIVE SESSION Relating to U.N.A. Staff The Director of Labour Relations, the Director of Finance and Administrative Services and Executive Officers were directed to draft an outline of the process to be followed when a member has a concern regarding U.N.A. staff. Local Contact Forms The Executive Board directed that Local contact forms be added to the computer system. Local contact forms are used by Labour Relations Staff and Executive Board members to record concerns arising from the Locals. Local #173 - Bethany Care - Cochrane The following motion was passed: That Local #173 Bethany Care - Cochrane be given $2,500 from the Emergency Fund for strike-related costs. MEMBERSHIP SERVICES COMMITTEE Annual General Meetings The ·following motions were passed: That the 1993 Hospital Demand Setting Meeting be held at the Mayfield Inn, Edmonton, September 21, 22 and 23. The 1994 Annual General Meeting be held at the Mayfield Inn, October 18, 19 and 20. The Standing Rules of Order for Delegates Meetings be amended by adding: That seating at delegate meetings shall remain the same for each day of the meeting. Any dispute regarding the seating shall be settled by the Sergeant-AtArms. The decision of the Sergeant-At-Arms is final: OCCUPATIONAL HEALTH & SAFETY COMMITTEE REPORT That U.N.A. office write to subscribe to the "Health Devices Alerts'' FDA Data Bulletin. FINANCE COMMITTEE REPORT New Locals New Locals that are organized under existing Locals shall be funded internally as separate Locals. That all newly organized Locals shall receive a grant of $100.00 effective the date of certification. The following Locals receive a $100.00 grant from Program 80, Group 3. Local #69 - Daysland {Provost) Local #69 - Hardisty {Provost) Local #79- Radway {Edmonton General) Local #24 - Myrnum (St. Paul) Local #89 - Chinook Health Unit {City of Lethbridge Health Unit) Pension Fightback That $10,000 be donated to the Special Committee on Public Services Pensions to help fund projects of the Committee. This is an inter-union committee which has been formed to challenge proposed changes to the Provincial Pension legislation. Calgary Molson Brewery Workers U.N.A. donate a further $5,000 to the striking Molson Brewery workers, in accordance with UNA Funding 3 Donations. UNA Policy Funding- 11.4 was amended to now read: "UNA members who work part-time, may apply for full salary replacement on scheduled days of rest or blank days, when conducting provincially funded UNA business on those days. The number of hours paid {by WCB plus UNA) shall not exceed the number of hours for a regular full-time position, in any pay period. And fu rther, that WCB top up payments be based on 10% of the applicable UNA salary replacement rate. And further, that LTDI top up payments be based on 331!3 of the applicable UNA salary replacement rate. " And further, that LTDI top up payments be based on 331!3 of the applicable UNA salary replacement rate." EDUCATION COMMITTEE REPORT The following motions arose from the report: That the President of U .N .A. write a letter of reference for prospective clients of Crisis Management Resources contingent upon receipt of Post Seminar Questionnaires fro he-.particinoo,,...._ __ That a display from Oxfam Canada relating to global health care issues will be permitted at the 1991 Annual General Meeting. STEERING COMMITTEE REPORT U .N.A. Position/Responses That the Executive Officers meet with the DLR, and staff as delegated by the DLR, to formulate a response to the document "Towards Integrated Medical Resource Policies for Canada". That the Executive Officers meet with the DLR, and staff as delegated by the DLR, to formulate a response to the document " Health Care Goals". New Locals That the new Locals organized under existing U.N.A. Locals achieve separate certification status as soon as possible. Evaluation of U.N.A. Services· A draft evaluation tool shall be developed for the December Board meeting. Each District is to identify proposed criteria/ categories of assessment and submit to the Executive Officers by October 31, 1991. The Executive Officers, DLR and DFAS will develop a draft evaluation tool for presentation to the December Executive Board Meeting. District Reps. shall review the process for dealing with concerns regarding staff and also review this document with their Locals at the next District Meeting. P.N.A.P. (Provincial Nursing Action Planl Further Executive Board participation in this committee shall be determined at the December Executive Board. The DLR is to determine staff assignments to support Executive Board member participation in the Activity Teams. That the document "PNAP Meeting Minutes" be circulated with the Board summary. Negotiations Policy Changes Amend Negotiations 4.3 A by adding a new #3 to read: 3. Dissolution of the committee will occur upon the completion of the negotiating process. Amend Negotiations 4.3 A by adding a new #5 to read: 5. At the request of the Negotiating Committee, Negotiating Committee members shall be funded to attend Executive Board Meetings which occur during negotiations. Amend Negotiations 4. 3 A by adding a new #6 to read: 6. At the request of the Negotiating Committee, Negotiating Committee members shall be funded to attend District Meetings which occur during negotiations. Amend Negotiations 4.4 by adding a new category " Proposals " to read: All proposals not dealt with at the Demand Setting Meeting shall be referred to the Negotiating Committee and shall be considered approved as recommended by the Negotiating Committee. Amend Negotiations 4.6 C by adding a new #6 to read: From the date of exchanging proposals with the Employer until the Collective Agreement is ratified, UNA will maintain a Fact Line{s), which will be updated as directed by the Negotiating Committee. Amend Negotiations 4.3 by adding a new category " Late Proposals" to read: {a) Only late proposals which are deemed by the Negotiating Committee to be of an urgent nature shall be placed before the Demand Setting. (b) The Negotiating Committee shall have the authority to develop proposals to address urgent issues that arise following the Demand Setting Meeting and prior to the exchange of proposals wi th the Employer. Inclusion of such proposals {in the package of proposals to be exchanged with the Employer) is dependant on approval by the Executive Board. PENSION COMMITTEE REPORT The following motions resulted from the Pension Committee Report: Pension Reform The following Position Statement on Proposed Pension reform was adopted: United Nurses of Alberta takes the position that Pensions are deferred wages and they therefore belong to us by right. United tH'8eS of Alberta .;s opposed to changes which are regressions in our Pension Plan such as: COLA set at 60% of Alberta CPI Surcharges Early Retirement Reductions Deletion of buy back provisions Reduced Portability Limits on adding or withdrawing Employees in plan. POLITICAL ACTION COMMITTEE That the President of U.N.A. respond to Verna Korkie's letter addressing her concerns regarding medicare cutbacks and comments on a "two tiered" system. That the President of U.N.A. write a letter in support of Verna Korkie's concerns to Nancy Betkowski with a c.c. to Verna Korkie, R.N. Local # 173 Strike That the District Reps be encouraged to promote emotional and financial support for the striking members of Local #173 Bethany Care Cochrane. That if Local #173 is still on strike by the 1991 AGM , a rally of support be planned. PUBLICATIONS AND COMMUNICATIONS COMMITTEE The following motions resulted: Answering Machines If at all possible answering machines be available at the Demand Setting Meeting in order that they be placed in the hands of the Local Presidents at that time. T-Shirts The Executive Officers arrange forT-shirts to be purchased and to be sold at the Demand Setting and An· nual Meetings. These T-shirts will display the U.N.A. logo and say "United We Bargain, Divided We Beg" · Negotiations '92. We further recommend $4,000 be taken from surplus for the purchase of 500 T-shirts. Pocket Calendars That we purchase small pocket calendars to distribute at the Annual Meeting. The cover will display the U.N.A.logo and the slogan "United We Bargain, Divided We Beg". ~ U.N.A. NEWSBULLI!.'TIN 7 Daysland Maternity Leave By: Yessy Byl, LRO As you may be aware, there has recently been a Human Rights Inquiry decision saying that women are entitled to sick leave and/or short and long term disability benefits for the period of time before and after delivery for which the doctor says the woman is medically unable to work. (Until this decision, sick leave and disability benefits ended on the date of delivery.) The Alberta Health Care Association (on behalf of all Alberta hospitals) is appealing this decision. Until the appeal is finished, the A.H.A. has told us that Alberta hospitals will not pay out any sick leave or disability benefits after the delivery date but they will keep track of all women who go on maternity leave between now and the final court decision. If the final court decision says that the Human Rights Inquiry was correct, then all women who had children in this period of time will get retroactive sick pay and/or benefits pay. To make sure that you will be entitled to this payment, you must follow a number of steps. FIRST: instead of notifying your supervisor of when you want to start "maternity leave", just notify her of your expected delivery date and advise her that you will be booking off work when your doctor tells you that you are medically unable to continue working. SECOND: When your doctor says you are no longer able to continue working, get a doctor's note and give it to your supervisor (just like other sicknesses!). We are told that you will be paid your sick leave at least up to the date of delivery. THIRD: After the birth, have your doctor determine when you have medically recovered to the point of being fit to return to work. GET A DOCTOR'S NOTE and give it to your supervisor (keep a copy) . FOURTH: once you are medically fit to return to work then at that point UNA considers you to have started your voluntary maternity leave. You should apply for maternity leave. FIFTH: don't forget that the collective agreement requires you to give the employer four weeks' notice to return to work after maternity leave. There is one wrinkle. We've assumed that you would be working as long as you can. However, the collective agreement does give you the right to go on voluntary maternity leave before the delivery even if you are able to work. In fact, the Human Rights Inquiry Decision said that even if you are on voluntary leave, you can go on sick leave once the doctor says you aren't medically able to work. Since that part of the decision is being appealed UNA suggests that if you do decide to go on an early maternity leave you should still get the doctor's note with the date you become medically unable to work before the delivery and the date you are medically able to work after the delivery. UNA and AHA have had a number of meetings regarding the development and implementation of a new salary continuance plan for employees on maternity leave. Should a new plan be implemented, UNA members will be contacted .. In the meantime if you have any concerns or questions please contc;tct your Labour Relations Officer or Local Executive. -'~ by Murray Billett On Friday, October 4, 1991 , United Nurses of Alberta completed negotiations for a First agreement for the nurses employed with Daysland General Hospital. This after the majority of the nurses voted to join UNA earlier this summer. The Unions negotiating committee consisted of Janet Wolbeck , Caorol Faddum , Marg Oberg, and Karen Price who were assisted by their LRO Murray Billett. Billett said ''The committee was successful in negotiating the entire provincial agreement and also included some local conditions, a package which will be recommended to the local at a ratification meeting slated for October 18, 1991 in Daysland." -'~ Executive Board President Heather Smith Home: 437-2477 Work: 425-1025 Vice-President Sandie Rentz Home: 346-4412 Work: 343-4422 Secretary-Treasurer Florence Ross /Jarlelr! ~ Home: 765-2348 Work: 538-7400 Foc:t TII"T" L.O.A . Foil. iHE UNA MEE.TII\/6-! Gait 7.jm1ens Home: 458-0503 Work: 478-9221 (215) "Education among the people is the best security of a good government and constitutional liberty.'' {Egerton Ryersonj Date District Workshop Location November 18 Provincial Workshop 1. Grievance 2 . Health & Safety 3. PRC Calgary 4. Local Administration 8 UN.A. NEWSBULU.'TIN NORI'H CENTRAL Jsabelle Burgess• Home: 462-7961 Work: 425·1025 Gina Kelland Home: 477-5847 Work: 453-5441 Bell Dick. Home: 430-7093 Work: 484-88U 1671) Cannelita Solima.n Home: 487-3812 Work: 482-8397 Wllerie Holowach Home: 998-9530 Work: 895-2248 1991 Workshop Schedule SOUTH Dio.ne Poynter• Home: 327-3501 Work: 382-6482 Sharon Dersch Home: 381-6844 Work: 382-6476 Home: 433-2928 Work: 486-8811{764) Hazel Paish* Home: 539-7234 Work: 532-3525 ~~l( Kathy jarnes Home: 295-2442 Work: 270-1517 CENTRAL Andrew LeBlanc• Home: 346-8309 Work: 343-4448 Office: 342-2033 Marilyn Coady Home: 352-8552 Work: 352-3371 (230) SOUTH CENTRAL Dale .Ror* Home: 238-0810 Work: 228-8155 fbm Liegerot Home: 230-8101 Work: 284-1141 13151 Karen Craik Home: 236-5326 Work: 270-1315 Holly He{fernan Home: 255-0479 Work: 259-7511 (IV) Donnie Meeht:m Home: 295-1609 Work: 228·8153 Provincial Office 9th Floor Park Plaza 9811 - 106 Avenue Edmonton, Alberta T5K 2P7 425-1025 1-800-252-9394 Fax: 426-2093 David Harrigan Director of Labour Relations Barixua Surdykowski L.R.O. I.esleyHaag L.R.O. Melahie Chapmm c.o. Yessy Byl L.R.O. Murray Billell L.R.O. . Nora Spencer L.R.O. Trudy Richardson E.O. Darlene Rathgeber Director of Finance and .Administrative Services Calgary Office 505 Pacific Plaza 700 - 6th Avenue, S.W. Calgary, Alberta T2P OT8 237-2377 1·800-661-1802 Fax: 263-2908 Mldatl MeaT-m L.R.O. Marilyn \tM:isau L.R.O. LauriB Coates L.R.O. Rick. Lampshire L.R.O.jTempJ. •oenotes District Chairperson