.I Return To : UNITED NURSES OF ALBERTA , . ,... it 10571 - 109 STREET 425-1 025 EDMONTON, ALBERTA T5H 3B1 Ho. .xJ £4"'o"to" thWd nombre class En troisi8rne -•--- ~ NEWS BULLETIN SEPTEMBER 1979 VOLUME 3, NO . 3 Negotiations to Commence in Fall - --E.vc n?Cn?bcrs o f U. N . A . 's hospital negotiating team discuss proposed contract amendments. Left to right are Gurty Chine//, President; A1leen McKerness; Dallas Szarko; Donna C/ark, Vice-President and team chairman; and Marilyn Balantyne. Negotiations towards a hospital collective agreement for 1980 could begin as early as mid October under a plan drawn up by U.N .A .'s negotiating committee. The comprehensive plan, approved in principle at the June executive committee meeting, provides that each hospital local hold a meeting in early September, to discuss negotiations proposals. Proposals adopted at the local level are to be forwarded to provincial office no later than September 14. Provincial office staff and the negotiating committee will then sift through all pro posals and make recommendations concerning contract demands to a meeting of delegates on Friday, September 28. The September 28 meeting will be attended by one voting delegate from each local. lt will take place the day following U.N.A.'s annual meeting, at the same location , the Convention Inn South Hotel in Edmonton. The negotiating committee's plan provides that provincial office staff will immediately mail out the minutes of the September 28 meeting to each local. Hospital locals will be asked to hold meetings to endorse the package of demands in the first two weeks of October. " The negotiating committee's original plan called for negotiations to commence in November," commented negotiating committee chairman , Donna Clark . " However, in discussions with the Alberta Hospital Association, the bargaining agent for most hospitals, we found that they were eager to begin negotiations in October. Our committee felt that this was too good an opportunity to pass up. Accordingly, we moved our plans forward ." Simon Renouf, Chief Executive Officer, wrote to all presidents and secreta ries of hospital locals in J uly, informing them of the negotiating committee's plan. He has urged all locals to hold meetings to discuss contract proposals before September 14, and to be prepared to meet again in the first two weeks of October to consider the package to be worked out by the delegates to the September 28 meeting . The negotiating committee has recognized that there may be some items of concern to the members of certain locals which may not have province-wide implications . If there are such issues at a particular local , they should be made known to provincial office in writing prior to September 14, so that U.N.A. can attempt to resolve them before the province-wide negotiations begin . The negotiating committee is comprised of Chief Executive Officer, Simon Renouf, U.N.A. Vice-President , Donna Clark as Chairman , U.N .A . President, Gurty Chinell, and executive committee members, Margaret Ethier of Edmonton, Marilyn Ballantyne of Red Deer, Dallas Szarko of Lethbridge, and Aileen McKerness of Calgary. IS THERE A NURSING SHORTAGE? Press reports earlier this summer indicated that there may be a severe nu rsing shortage in Alberta , with hospitals throughout the province being forced to close beds. Perversely, the nursing shortage has been blamed on nurses themselves. The Edmonton Journal quoted Collin Carter, the assistant executive director of the Edmonton General Hospital as saying " a lot of women just quit for the summer, knowing they can get back on in the fall." U.N .A . responded to these charges in a press release carried by most newspapers and radio stations in the province, blaming the reported nursing shortage on provincial government polic ies . " There is a climate of spending restraint in the hospital industry which is making nursing a less attractive job" the union release stated. "In many hospitals, nurses are told they must cope with under-staffed units because the funds do not exist to hire sufficient nurses. This is a resu lt of provincial spending restraint policies. The under-staffing puts a great pressure on nurses, particularly in areas such as intensive care. Nurses are responsibile for the well-being of patients, yet they are given no control over staffing levels, " the union release said . The release added, " another facto r contributing to the reported shortage is the low salary level for nurses in Alberta as compared with British Columbia. The cost of living is high in Alberta yet the salaries are too low to attract sufficient numbers of trained nurses from other parts of Canada ." (Nursing salaries in British Columbia are about $1 ,000 .00 per year higher than those in Alberta.) In addition , the union responded to the charge that nurses themselves are the cause of the shortage. Union spokesmen interviewed by the press stressed that to blame the problem on nurses taking the summer off is to perpetuate the myth that women are a secondary work force who somehow do not really need the income derived from their work. The union's response stressed that most women work for precisely the same reason that men do, in order to support themselves and their families. Ontario Nurses Break $20,000 Barrier Maximum salaries for staff nurses will pass the $20,000 mark this year in Ontario . The first arbitration award affecting nurses i n Ontario was released in June. The award applies to nurses at Kingston General Hospital but is expected to have a trend-setting effect on the other 132 hospitals where the Ontario Nurses' Association represents nursing staff. Under the terms of the award, issued under Ontario's compulsory arbitration law for hospital workers, a staff nurse with se v en years ' experience will earn $1,676.00 per month on October 1st, 1979. While the new maximum can be considered a break-through, t he overall award will not be applauded by Ontario nurses. The Arbitration Board, which is charged with merely applying the " going rate" in contract settlements, awarded the nurses an increase of approximately 7% in each of the two years of the new contract. A disturbing aspect of the compulsory arbitration award is that the Arbitration Board apparently recognized that the increase in salaries would result in a decrease in real income for the nurses. According to reports, the Board " concluded with considerable regret that the present economic circumstances, and the reaction of the private sector to those circumstances, do not permit us to insulate the nurses to be covered by this awa rd entirely from the effects of inflation over the period of the ir contract. Unless there are considerable changes in the economic factors influencing the cost of living in this country, our award will result in a decrease in real income for the employees covered by it. ... In short, real wages are declining everywhere, and the standard of living in our society is thereby being reduced, at least for persons whose main income is from employment." The Ontario nurses can not be happy with such an award being a precedent for their contract settlements for 1979 and 1980. U.N .A. Chief Executive Off icer, Simon Renouf, commenting on the award said " we can see from this award the enormous drawback of compulsory arbitration legislation such as that which applies to nurses in Ontario and provincial employees here in Alberta. " He added " while we applaud the Ontario nurses for breaking through the $20,000 barrier, we must make it clear to Alberta hospitals that increases of less than the rate of inflation are simply unacceptable to our members. " $10 USER FEE -THE HIGH COST OF STAVING ALIVE IN ALBERTA CEO REPORT By Nancy Steward, Member, U.N .A . Loca/179 Canadians have much to be proud of. As a young country, Canada has the ability to adopt the good features of several philosophies ranging from socialism to free enterprise. Among the benefits of this ability to choose is our nation-wide hospitalization and medicare program. lt is the envy of the U.S.A. At a time when health care costs are so high, why are we underm ining our own system? If the basic problem is spiralling health care costs, it has been created and expanded by all of us, by con~umers, doctors, nurs~s, and governments. . The consumer has contnbuted through poor lifestyle patterns, over-eatmg, over-drinking, smoking, speeding, and also through longevity and the loss of the family's acceptance of responsibility to its aged members. Doctors have contributed through overuse of laboratory tests and elaborate equipment. Doctors, nurses, and other health care personnel have contributed through their demands for adequate incomes to attract high quality practitioners. The government has contributed through its inability to forsee the numbers of beds needed for each category of care (nursing home, auxiliary, and acute). At present Alberta has a premium that many other provinces do not have. Alberta has a $5 admission fee. Now, hospitals minister Dave Russell is asking for public response on a $10 per day user's fee. lt is incredible that the richest province in Canada is introducing such a plan . If Nova Scotia or Newfoundland, already overburdened with high employment and welfare costs, were doing it, it would be understandable. The $10 fee is defended by saying that only those who can afford it would pay; the aged and welfare recipients would be exempt. Once again that ever decreasing working segment of the popu lace that alrea~y is paying through tax for our many social services would be asked to pay aga1n or be subjected to a means t est . Whenever nationalized health care plans are debated the constant fear seems to be over-utilization. At a time when prevention and early diagnosis are encouraged this fear seems unjustified. Sure, there are those who abuse the system, but our system has many safeguards. Only doctors can admit patients to hospitals. Any abuse of our acut e care beds is due more to their inability to discharge many patients, because of " no place to go" or inadequate home care facilities . State medicine has been accused of being a causal factor in rising costs, due to typical government inefficiency and waste. Facts, however, do not support this statement: ( i) Average cost per patient per day in acute care hospitals. In A lberta $114. In U.S.A. $203. ( ii) Physician' s salaries after taxes in 1976. In Ontario $32,887 . In U.S.A. $43, 152. (iii) Percentage of Gross National Product spent on Health Care. In Canada 7%. In U.S.A. 8.8%. If we see illness as something that can befall anyone, that is frequently n_gt antlclpmcr'Or revent1itm!, tmTittre-uniVersltV"'f 1'18artn care Oeeom~s a Valued principle. Why tax the sick? Why deplete people's savings and hopes because of health misfortunes? When you look at the added administrative costs, the numbers of excluded people, and the past history which indicates that such fees rarely deter abuses, how great is the benefit? A user fee, no matter how small, erodes the principle of universal health care by adopting the premise that the consumer is accountable fo~ _his health care costs. This premise can then be used as an argument by phys1c1ans to endorse extra billing , for once the government accepts patient participation in one part of the medical delivery system then it has to accept patient participation for any area of the health care system. To the consumer suffering chronic or catastrophic illness this would be an unfortunate precedent . Nurses, as the major group involved in the delivery of health care service, must use their collective voice to promote the concept of universal uninhibited access to health care. The United Nurses of Alberta are asking for your opinions to formulate a stand on the user fee issue. Don' t complain about the inaccessibility of government unless you have made an honest attempt to be heard through appropriate channels such as U.N.A. By Simon Renouf, Chief Executive Officer In the three mont hs since I became t he Chief Executive Officer of U.N.A., I have given a great deal of thought to the future of our union. What are our goals for both the long and the short-term? What should those goals be? How can we achieve them 7 Inevitably, short-term goals claim our attention because of their very urgency: preparation for this fall's negotiations( completion of the successor rights process, and responding to the Alberta Hospital Association's attempt to force an inferior benefits package on our members. Yet responses have been developed to these urgent matters, and to the many day to day challenges that face our union such as grievance arbitrations, board hearings and on-going negotiations with health unit and nursing home boards. From these daily " emergencies" we should periodically pause and try to consider our long-term goals. How do we want our union to develop in the months and years ahead? Our annual meeting on September 26th and 27th, will provide one opportunity for nurses from all parts of Alberta to meet and consider such questions. Some long-term goals are, I believe, fundamental to the role of our union : we should strive to organize all working nurses in Alberta , we should seek greater co-operation with our sisters and brothers in the labour movement, and we should increase the level of awareness and activity of our membel"$hip e-last goal is paramount. How can we, over t he next year, involve more nurses in their local? To get members involved in their local, the local must be active. lt is a truism of human society to say that organization follows the necessity for organization . Organization is only needed when we are trying to accomplish something. What is your local trying to accomplish 7 Are there issues at your hospital or health unit which could benefit from the involvement of the union? Certainly, the most obvious areas of concern are violations of the collective agreement. An example of this, is the failure to pay part-time nurses for short notice changes to their schedule, a situation which is being pursued through the grievance procedure at Bonnyville, Cold Lake and several other hospitals. But there are other concerns which are not so obvious, but which also can be addressed through the grievance procedure by your local. For example, is the requirement that .all nurses must wear white uniforms a legitimate one? The nurses at Holy Cross Hospital in Calgary feel that it is not . They are grieving that such a ru le is an unreasonable and arbitrary use of management's rights . When you and your local decide that everything that affects the nurses at your work place is of concern to the union, then you will find growing involvement by your members. Your local's certificate issued by the Board of Industrial Relations gives the union the right to be involved in determining all terms and conditions of employment pertaining to nurses. Another area of concern may be health and safety . With the growing interest in industrial safety, more and more unions are asserting their right to help protect their members; surely we, as a union of health care workers, should not be left behind. As a local, you should be involved in all aspects of health and safety planning ranging from the control of infection and emergency procedures to such mundane matters as snow removal and parking lot lighting. You have the right to protect the interests of your members. As we utilize our rights as a union more, both in the areas discussed above and at the negotiating table, we are sure to come into conflict with the management of the hospital or health unit. Is this conflict a bad thing? I believe that it is good. Although many of us have been taught, through both our families and our schools, that we should avoid conflict, we must recognize that conflict can be constructive and legitimate. Certainly we would all prefer a world of harmony in which hospital administrators' and nurses' goals were identical. But such is not the case. Our members have many legitimate goals which find opposition among administrators. Sometimes such opposition is understa ndable, but is simply contrary to what we know to be our own interests. Other times, the opposition we face seems to lack even a shred of logic. An example would be rules about white uniforms, or, more seriously, deliberate understaffing. To avoid conflict in either circumstance would be the same as to give up. Nurse shouldn't have to work for nothing, or even for the present salaries for much longer. Nurses shouldn't be treated as school children in their manner of dress. Nurses should have some say in staffing decisions. Yet, all of these stands will bring us into conflict with hospital administrators and boards. The nurses should not be the ones to shy away from such conflict. Through their union, both local and provincial, they should be able to find the support that their convictions demand . Executive Committee Establishes Strike Pay Guidelines U.N . A. members on authorized strike would receive up to $50 .00 per day in strike pay under guidelines adopted at the executive committee meeting of June 27 and 28, 1979. The strike pay policy presented by the membership services committee would allow every U.N.A. member on authorized legal strike to receive $50.00 per day for the first five working days of the strike and $25.00 fo r each working day following, subject to the availability of funds. In order to receive strike pay a U.N .A . member would have to actively participate in the strike. Such participation could include picketing, assisting with strike organization, helping to distribute materials and other duties approved by the strike organizers. Commenting on the new strike pay 2 policy U.N.A. President Gurty Chinell said: "it's not our intention to encourage strikes which are not necessary; however, we have to be prepared to defend our rights and to attempt to obtain a just settlement of our contract demands. lt would be naive to assume that we could do those things without ever having to go on strike. Nevertheless we are prepared, as always, to bargain seriously with all of the employers of our members . We hope that through colle$:tive bargaining we can avoid the necessity of having to go on strike." Funds to support strike pay will be drawn from U .N. A .'s Emergen cy Fund which was established at a special general meeting last February. Annual Meeting Guide Over the years, the key to union success has been "solidarity." " Solidarity Forever," " All for one and one for all," " United we stand, divided we fall," are not hollow mottos; they are the basis on which the labour movement has grown and flourished. When unions and union members have displayed solidarity we have advanced our aims and made considerable gains. At times when we have lacked solidarity, because of internal disputes or external pressures, we have lost ground. Solidarity should be evident in many aspects of the labour movementwhen we sit across the bargaining table from the employer, when we lobby governments, when we stand together against social and economic injustice. One area where it is particularly important is in our large policy-making sessions-our general meetings, annual meetings and conventions. This f eature page has been prepared for you as a voting delegate to help you represent your members and "arrive at policies that will be in the best interests of everyone in the United Nurses of Alberta. As a voting delegate you can help build solidarity by making sure the people you represent understand the important issues that face U. N .A., and the reasoning behind the stands we take on these issues as a result of Annual Meeting decisions. DELEGATE PREPARATION A great dela of time can be wasted at Conventions if those who attend have not prepared adequately. Ideally, voting delegates will come to Convention well informed on all the major issues to be dealt with. They will have discussed these issues fully with the members they represent, and with other delegates from their local, and will thus have formed opinions on the issues. There are some exceptions to this ru le : 1. In the event of "startling new evidence" turning up on a particular issue, a delegate may change her mind; 2. If emergency resolutions are introduced, delegates will have to make a decision at the Convention, without reference back to their constituents. POLICY POSITIONS One of the main differences between parliament and a union convention is that in parliament there are at least two sides-the government and the opposition - whereas in a union we are all on the same side. In parliament the opposition is not usually expected to support ~aovernment policy, but in the labour movement we try to adopt policy positions that we can all support. When we are trying to arrive at policy decisions we are not interested in simply adopting a position that the majority want, rather, we want to adopt policy positions that we can all live with. We have to very careful about adopting a position which is supported by the majority but which some minority cannot live with. If they truly cannot live with it, they will attempt to leave the union. If this happens, we will all be the weaker for it and therefore worse off in the long run. For this reason in the labour movement we attempt to compromise and accommodate so that we can all continue to support one another and our common policies. This is one aspect of union solidarity and basic commonsense. WHY WE HOLD CONVENTIONS Union Conventions are held to deal with business. The business may include any or all of the following : 1. Election of Officers; 2. Adoption of policy decisions; 3. Adoption of resolutions on external matters; 4. Changing the organization - this includes everything from minor housekeeping adjustments to major constitutional overhauls. Conventions also enable union members to meet with one another informally, to discuss common problems, to exchange views, to share experiences and to socialize. CHAIRMAN The chairman at union convention is a combined speaker and prime minister. In U.N.A. , the President is the chairman. The chairman is responsible for the orderly conduct of the business sessions (speaker), but also, as the chief elected officer, has a responsibility to show leadership (prime minister) . A chairman may at times show leadership by speaking to a motion, if it seems a decision may be taken that is not in the best interests of the organization. If the chairman is to make a speech, it is customary for the chair to be handed over to another union officer but this need not be done if the chairman is Annual Meeting Will Be Largest Ever g oing t o mal-.c only a few brief e<:>mmsnts. RULES OF ORDER Large meetings such as union conventions must be run according to agreed-upon rules . These ru les of order are designed to ensure that the business of the meeting is dealt with in as just and efficient a manner as possible. Delegates should not abuse the rules. They should not use them to force minorities into untenable positions, force issues through too quickly, slow down the business unnecessarily, or to sabotage the union or the solidarity of the delegates. The constitution and by-laws of U.N.A. outline the main rules of order, and in the Canadian labour movement these are usually based on Bourinot's rules of order. Some organizations use Robert's rules of order, but the differences are minimal. Usually the rules of order used at convention differ slightly from the rules of order used at other meetings -to make allowances for the extra numbers present. Delegates to the 1978 U.N.A. Annual Meeting vote on a policy resolution. The 1979 annual meeting will take place on September 26 and 27. U.N .A.'s annual meeting in September will be attended by more delegates than any previous U.N.A. meeting. Under the terms of U.N.A.'s constitution, a local is entitled to one delegate for its first 50 members or part thereof, one delegate for the second 50 members or part thereof, and one delegate for each additional 100 members or part thereof. lt is expected that approximately 200 delegates will attend. The meeting, which will be held at the Convention Inn South in Edmonton, on September 26 and 27, will have a full agenda for its two days of sessions. The meeting will consider the reports of the President, Secretary-Treasurer, Membership Services Committee, U.N.A./A .A . R.N. Liaison Committee, and Steering Committee. In addition, the meeting will examine the financial statements and auditor's reports to the members for the years 1977 and 1978, consider constitutional amendments, and consider resolutions concerning policies to be adopted by U.N.A. Finally, there will be elections for District Representatives and for the office of Vice-President. (Elections for the offices of President and Secretary-Treasurer do not occur until 1980). In addition to a number of housekeeping changes, the legislative committee is proposing several substantive changes to the constitution for the consideration of the delegates. Among the committee's proposals are a provision which would prevent discrimination in the membership of the union on the grounds of nationality, race, colour, origin, sex or sexual preference, or religious or political belief; a revised method of electing district respresentatives which would allow a district one representative (a position on the executive committee) for every 600 members or part thereof in the district; a provision which would empower the executive committee or its designate to negotiate and enter into collective agreements on behalf of locals without the necessity for written authorizations; and a provision setting out the rights of members with respect to contract ratification votes. U.N.A.'s provincial office will be assuming the majority of convention expenses including meeting rooms, two lunches, and a dinner on the evening of September 26. There will be no registration fee; however, locals or districts will be responsible for delegates' travel and accommodation costs. CONVENTION RULES OF ORDER The person in the chair is responsible for the orderly conduct of the convention. This is not an easy job and it is necessary for delegates to show the chair every consideration. Meetings follow rules of order but sometimes the chairman sees fit to ignore the rules of order or to short-cut them. The chairman may feel this is necessary under a variety of circumstances, e.g., if the session is getting out of hand, or if delegates are confused about a particular amendment. The fact that the chair has not strictly adhered to the rules of order should not automatically be a reason for delegates all over the hall to jump up with points of order, points of privilege or questions on the rules of the chair. Normally, the chair should be questioned only if the chairman breaks the rules of order and creates a situation that will be against the best interests of the organization. AGENDA The agenda is adopted at the beginning of convention. lt establishes the order of business and the time to be spent on each item. You should check the agenda carefully to ensure that time has been allowed for the discussion of all items which you consider important. A carefully prepared agenda can help expedite the business of convention, e.g., when major constitutional changes are proposed there is a danger delegates will argue back and forth for hours, and possibly days. If time limits on debate are set in the agenda: 1. delegates will be encouraged to discuss the matter thoroughly before they ever arrive at the convention and thus resolve as many problems as possible in advance; 2. delegates who speak will be less likely to stray from the point or waste time on matters of little or no consequence. 3 (Continued on Page 4 ) (Continued from Page 3) RESOLUTIONS - PREAMBLE AND MOTION Resolutions usually consist of two parts-a preamble and a motion. The preamble is the "why" part of the resolution. lt consists of a paragraph or a series of paragraphs beginning with the word "whereas." These paragraphs give the justification for, or explanation of, the resolution. The motion is the "action" part of the resolution. lt consists of a paragraph or paragraphs beginning with the words "Be it resolved." lt is the proposal part of the resolution. The preamble is optional, but all resolutions must include a motion, a commitment to action of some kind. EXAMPLE: Preamble: Whereas smoking is a habit which many find offensive, and Whereas a positive connection has been established between smoking and lung cancer, and Whereas many people who smoke would like to stop, but find it difficult to break the habit. Motion: Be it resolved that U. N .A. allot from general funds $150.00 to the Smokers Anonymous Club to help U.N .A. members to stop smoking. CONVENTION COMM ITTEES (e .g. Legislative Committee, Finance Committee, etc.) The purpose of the various committees is to speed up the business of the convention. They do this in some or all the following ways : 1. They correct spelling mistakes and grammatical errors in the resolutions submitted. 2. They combine similar resolutions to eliminate repetitive debate. 3. They determine the order in which the resolutions are to be considered, giving priority to the most important resolutions. 4. They recommend concurrence or non-concurrence as a pilot group which has discussed the implications of t he proposed resolution. 5. They help the convention at large to a proper focus on the resolution before convention . CONCURR ENCE, NON-CO NC URREN CE One of the helpful functions of the Legislative Committee is to recommend concurrence or non-concurrence on resolutions concerning the constitution . When people at our convention vote, they vote on the resolution itself, bearing the committee's recommendation and remarks in mind. REPORTS At convention, reports are tabled by the President, Secretary-Treasurer, other union officers, and by standing committees such as the Membership Services Committee. After each report has been presented the chairman of the committee will move its adoption, seconded by the secretary of the committee. If the delegates vote in favour of adoption, they are accepting all policy proposals and recommendations made in the report just as if they had been contained in individual resolutions. If the delegates are not prepared to accept the policy proposals outlined in the report, they will usually refer the report back to the committee for further consideration. Under normal circumstances, a report is not amended on the convention floor unless the change is simply a minor one with which the committee agrees, e.g ., correcting a grammatical error. V OT ING Voting on resolutions or reports is done by a show of hands unless otherwise provided. The show of hands is a speedy, efficient way of voting. Usually it is not even necessary to count the hands, since the will of the majority can be judged at a glance. Delegates have usually committed themselves one way or the other before the vote, and have been lobbying for their position on the particular issue in question, so it does not matter that the vote is not secret. U.N .A. CONVENTIONS You as a delegate come to convention as a concerned individual elected to cast your vote on issues and in elections as someone who has done everything possible to appreciate all that is concerned. You should obviously be aware of the needs and desires of the membership in your local. lt is your responsibility to make these known to the best of your ability. However, your part in convention is very serious in that your contribution to the collective wisdom of convention is to cast the most informed vote possible in view of all that you have managed to learn at convention. You are here as the most informed individual voice in the union to play your full part in convention working as the supreme governing body of this union . You must make up your mind and you must decide what you believe is best for this union to do. The collective votes of all delegates will make known the collective will of convention. Whether you voted for that or not, you are then bound to support that decision. HIGHLIGHTS OF JUNE EXECUTIVE COMMITTEE MEETING A regular meeting of U . N.A.'s Executive Committee was held on June 27 and 28, 1979. This meeting was characterized by a great deal of activity. A large number of resolutions were passed. In the provincial office report, Chief Executive Officer, Simon Renouf stressed that the Alberta Hospital Association's employment benefits plan is perhaps the most serious issue facing U.N.A. at this . time. The reason for this is not simply the inadequacy of the plan itself, but the fact that the hospital association, acting on behalf of individual hospitals, is failing to take seriously U.N.A.'s right to bargain the terms and conditions of employment on behalf of our members. He stressed that it is important to maintain our position that none of our members should voluntarily agree to participate in the A.H.A .'s plan and that any change in the area of employment benefits must be bargained with U.N.A. and not introduced unilaterally by a hospital or by the A.H.A. Mr. Renouf noted that the A.H.A .'s proposed plan has significant defects and falls well below what U.N.A. would requ ire for our members in bargaining. In the area of life insurance, the amount proposed of only one times annual salary is far too low to provide on-going protection for the survivor of one of our members. More importantly, there are serious inadequacies in the long-term disability income section of the A. H .A.'s proposal. The greatest concern here is the failure to provide a full bridge between the expiry of an individual 's accumulative sick leave credits and long- term disability protection. 11 would be possible for an employee under this proposal to go up to six months with no salary protection other than that which she might receive from Unemployment Insurance. Mr. Renouf reported to the Execut ive Committee that in order to develop a common strategy in response to th is attack by the A.H .A. on our bargaining rights he had met on several occasions with representatives of other unions involved in the hospital industry. The unions, U.N.A. , C.U. P.E., t he Alberta Association of Reg istered Nursing Assistants, the Health Sciences Association of Albe rta , and th e Alberta Union of Provincial Employees, unanimously came to a decision to demand that the A.H.A . bargain the contents of their proposed plan jointly with the unions involved . This has been a demand of U.N.A . for almost a year; however, it has still not been met by the A.H.A. In order to support action in this direction, the executive committee adopted the proposal that the negotiating committee be given the power to participate in joint bargaining committees or in co-ordinating committees with representatives of other unions in the hospital industry. In passing this resolution, the executive committee endorsed the principle of co-operation with other unions in attempting to arrive at a just settlement of the employment benefits issue . In other action , the executive committee adopted a proposal of the Membership Services Committee that an information booklet for all U.N.A . members be produced . This booklet would include information on grievance procedures, local executive and ward representative functions and guidelines, basic parliamentary procedures, a glossary of labour terms and background information on the structure and origins of U.N.A . lt is anticipated that a large portion of the cost of this project will be provided through our 1979 Labour Canada education grant. The executive committee meeting concluded with a comprehensive report by North Central District Chairman, Margaret Ethier on the issue of paramedic emergency care systems and the potential role of nurses in t his area . The executive committee adopted a motion establishing it as the policy of the U.N .A. that "while we recognize the need for the services provided by the paramedical workers in the emergency health care field , we strongly recommend that nurses be considered the logical and obvious choice for this role. The union sees the use of non-nurses in this role as a threat to the j o b security of it s members." The next regula r executive committee meeting will be held on October 16, 17 and 18, 1979. As in t he past, observers are welcome, provided they state their desire to attend t o a member of the executive committee in advance. Negotiate d Settlement At Edson In May, over a period of several days, UNA members employed by the Alberta West Central Health Unit met to negotiate with their employer a new contract to cover them from April 1, 1979 to March 31, 1980. The settlement provi des for an increase in the on-call duty premium from $4.00 to $7.00 and a bonus week of vacation in the twentieth year of employment. In addition to a salary increase of 7.5%, a special leave clause allows the nurse time off at her basic rate of pay for moving and illness within the immediate family. The Employer has agreed to share ELECTIONS While a show of hands is usually the best method of voting this is not the case when officers are to be elected. ' . _On a policy_ question a compromise can be rea ched , but in voting for officers th1s IS not poss1ble. If two people are running for the position of President, for example, the delegate must vote for one and not vote for the other. . Once the election is over and the successful candidate known, it is the best Interests of the organization for everyone to give him/ her their full support regard less of how they voted in the election. The secret ballot makes it much easier for this to happen . 4 equally the cost of Alberta Health Care Insurance and Blue Cross premiums, either family o r single. Time off for dental, medical or physiotherapy appointments without deductions from pay or sick leave has also been provided . Under the contract, the new maximum salary f o r an R . N. w ith a bachelor of science degree will be $1 ,959.00 per month ($23,508.00 per year). Starting salary for an R.N. without a degree or diploma in public health nursing will be $1,299.00 per month ($15,588.00 per year) . The contract was ratified by the members on June 4, 1979. DEFENDING YOUR RIGHTS The U.N .A. representative submits all particulars to the local at this stage and indicates whether or not the problem is resolved to the satisfaction of both parties. If the complaint is not resolved, it becomes a grievance pursuant to article 34.03 of the current hospital collective agreement. Grievance arbitration is a process for resolving disputes which arise out of the administration of the collective agreement. lt starts out as a discussion between you and your supervisor and if it is not resolved at that level , your complaint must be put in writing and given to the director of the department (usually the director of nursing) . If not satisfactorily resolved at that level. you advance your grievance, again in writing , to the administrator. If again there is no satisfactory resolution to the dispute, the whole matter may be sent to arbitration where either a three member board or a single chairman hear the case and make a decision on the matter which is final and binding. You should attempt to arrange a discussion about the matter in dispute , with either the director of the department or the hospital administrator at which the griever, a representative from her or his UNA local and , if possible, your employment relations officer, are present. Often, a meaningful discussion at this level will resolve the dispute. At the very least it should clarify what the points of difference are so that each side will be prepared at arbitration and not be taken by surprise as to the other's position on the matter. The grievance procedure is your tool for enforcing the collective agreement. Unless you are able to recognize when the terms of your collective agreement are not being lived up to and prepared to challenge an action by grieving, you will only have words on a piece of paper- not any real protection . Grievance Report Send a copy of all correspondence to the U . N.A. provincial office . Step 1 The grievance must be put in writing by the griever to the director of the department within seven (7) days of the incident. This means that both the informal discussions and the written grievance must be submitted within seven (7) days of the act causing the grievance. When in doubt, grieve. Failure to observe all time limits will disqualify the grievance. The local or the grievor contacts an employment relations officer at the U.N.A. provincial office (425-1025) for the correct wording of the grievance in order to meet legal requirements. If a reply to the written grievance is received, the griever and the U.N .A. representative meet to decide whether or not it offers a satisfactory settlement of the dispute. Has the redress or remedy requested been granted? If you are in doubt, check with the U.N.A. provincial office. If there is no reply within seven (7) days of the submission to the administrator, or if the reply is unsatisfactory, advance to step 2. Step 2 The local submits the grievance in writing to the administrator under the guidance of an employment relations officer. If no reply is received within seven (7) days of the submission to the administrator, or if the reply is unsatisfactory, the grievance is advanced to step HOW TO PROCESS THE GRIEVANCE Incident Report An incident occurs which gives rise to a complaint. The nurse makes careful notes in her own words of all circumstances pertaining to the incident. These notes should be made as soon as possible following the incident, and should be signed by the nurse but not passed on to management . The nurse contacts the U.N .A. representative (ward representative, local president or member of grievance committee) and together they record the following information: a) Who is involved? (The nurse's full name, ward or unit, classification, and the name, ward, unit and classification of each participant or yvitne~s involved.) b) What has happened? (What is the nature of the complaint?) c) Where did it happen? (Unit, floor, department.) d) When did it happen? (The exact time and date.) e) Why? (What gave rise to the problem? Was the collective agreement violated , misinterpreted or administered incorrectly and, if so, what section or sections?) f) What? (Remedy or redress required; what will correct the situation? What does the griever want done?) If the representative feels the nurse has a valid complaint and would be supported by the local, then she immediately assists tha.ourse to present it orally to the nurse's immediate supervisor. 3. Step 3 The employment relations officer is notified and, with the local executive, advances the grievance to arbitration . Arbitration arrangements will be handled by the U.N .A . provincial office. HOW TO WORD GRIEVANCES The purpose of a grievance form is to set in motion the grievance machinery that is outlined in the collective agreement. lt should contain: 1. A simple, clear, concise statement of the grievance. 2. The correct article that has been violated without ruling out other articles which might be involved . 3. The exact redress required which will place the griever in exactly the same position she would have been in had the incident never taken place. Keep it simple, the more you write the bigger the chance that you will prejudice your position or provide technical arguments for your opposition. 4. You have to name the correct parties to the collective agreement so it is important to know inhe agreement IS signed m the name of the Staff Nurse Division or the U.N.A. Local. GRIEVANCE UPDATE The United Nurses of Alberta have filed two grievances alleging violation of article 15, temporary assignments (responsibility pay I relief pay). Both have proceeded to arbitration and the results are summarized below. The first grievance was filed by U . N .A. Local #1 against the Calgary General Hospital board. At issue was whether the general staff nurse classification is entitled to be paid under 15.01 (a) or 15.02(a) when they are providing scheduled relief during the scheduled days off of a head nurse. The relevant provisions of the collective agreement which are in issue are as follows: 15.01 (a) When an employee who holds the position of general staff nurse is designated in charge of a ward or unit on an afternoon (evening) or night shift in circumstances which place upon the employee responsibilities greater than those ordinarily assumed by a general staff nurse, such employee shall be paid a special allowance in respect of such added responsibilities at the rate of twenty-five (25) cents per hour. (b) When no Head Nurse has been appointed and when an employee who holds the position of general staff nurse is designated in charge of a ward or unit on the day shift in circumstances which place upon the employee responsibilities greater than those ordinarily assumed by a general staff nurse, such employee shall be paid a special allowance in respect of such added responsibilities at the rate of twenty-five (25) cent s per hour. 15.02(a) When an employee temporarily replaces another employee in a position of greater responsibility, for one (1) full shift or longer, she shall be paid the amount provided in 15.02(b) below in addition to her regular salary. The union stated that those general staff nurses scheduled and designated as in charge of the ward or unit on the head nurse's day off are filling the position of head nurse and therefore 15.02(a) applies. The hospital took the position: (a) that the nurse in charge during the head nurse's scheduled days off does not fulfill the functions of a head nurse, (b) there is no position of head nurse to fill at these times since there never has been a head nurse position appointed for these days. They argued that 15.01 (a) and (b) contemplate a "positional appointment" in that the designation is to a "position" of being in charge of the ward or unit as, for example, with 15.01 (a) which comes into effect on evening and night shifts when there is no scheduled head nurse appointment made. Section 15.02, they then said, comes into place when an incumbent fails to show up and the relief replacement is there to perform the specific duties of a head nurse when the schedule calls for the functioning of the classification and the incumbent is not present . The chairman of the board added that unless 15.01 (b) were meant to apply to day shifts where a head nurse was not regularly scheduled, it would have no meaning and therefore found the clause to be meant to apply specificially to the weekend situation in question . Since the hospital already was paying according to 15.01(b), the grievance was lost and there was no back pay. The second grievance was filed by U.N.A. Local #91 against the Bethany Care Centre, Calgary, as both policy and individual grievances which claimed responsibility allowance pay for work on the evening or night shift. Here the board took a different point of view. The nurses claimed that a member, by virture of working a regular evening or night shift as the sole nurse on duty, is acting as the nurse in charge on that level and that by this staffing policy and work practice, the hospital has in effect designated her as the nurse in charge. Further, because she is the only nurse on duty during these shifts, she automatically assumes responsibilities greater than those ordinarily assumed by a staff nurse working on day shift. Discussion centred on the relative duties of a head nurse vs a staff nurse and a comparison of the duties of a general staff nurse on day and evening or night shifts. The nurses testified as to added responsibilities on the evening and night shifts while the board seemed to use the terms responsibilities and duties interchangeably and to want evidence that the nurses were assuming a level of responsibility equivalent to that of the head nurses on day shift. The discussion appears to have been complicated by the fact that in the Bethany Care Centre, head nurses are not part of the bargaining unit and the board seemed to be looking for evidence that nurses in charge on the afternon and night shifts performed certain managerial functions (such as evaluations). At any rate, the nurses were not claiming that they were doing a head nurse's job, only that they were "in charge" and therefore had a responsibility to act as head nurse if it became necessary, and that this was in addition to their regular duties. This whole approach is a sharp contrast to the management position in the Calgary General arbitration where the evening and night shift situation was described as pertaining to a limited supervisary position characterized by the assumption of responsibility without necessarily involving a performance of all the head nurse duties. The rest of the decision turned on the meaning of designated which the board felt would have to mean "the conferring or clothing with authority of a general staff nurse in some appropriate way which would clearly establish her in charge of a ward or unit. " The board also held that the article would only apply in a temporary or isolated instance, not on an on-going basis and that to·be considered to be in "circumstances which impose responsibilities greater than those ordinarily assumed by a general staff nurse," comparison would have to be made only with other nurses in an afternoon or night shift. For the above reasons, the grievance failed . At this point we have two other responsibil ity pay grievances filed and a third about to be. Each has slightly differing circumstances from the other. These widely differing interpretations of the same clauses point out the limitations of this method of resolving differences and the need to renegotiate this whole issue . 5 COLLECTIVE BARGAINING SEMINAR SUCCESS Union members have a responsibility to use the grievance procedure to enforce their collective agreements. That was the message given to 75 U.N .A . members who attended the Calgary collective bargaining seminar in June. The two-day session featured three guest speakers. Bonnie and Robert Castrey, a husband and wife team with the U.S. Federal Mediation Service led the sessions on collective bargaining. Bonnie Castrey, a registered nurse, had been instrumental in. unionizing nurses in the Los Angeles area in the 1960s. She appeared at U.N.A .'s October, 1978 seminar and was back by popular demand. Robert Castrey, an engineer, also has experience in organizing unions for professionals . The Castreys drew on their considerable negotiating and mediating experience in their presentation. The Castreys wasted no time in involving all participants in the realities of negotiations, with a number of "management" teams negotiating with their union opponents. The negotiating role-playing sessions were video-taped and each participant was able to view herself as the opposition saw her. The second day of the seminar featured Larry Robbins, a grievance arbitration specialist with the Ontario Nurses Association. Before going into detail on the correct method of handling a grievance Larry Robbins posed, and then answered, the question " why should you file a Professional Responsibility For Students grievance when you feel the employer has violated the collective agreement?" He felt that the answer had five parts : 1. the grievance procedure is the recognized means of solving all disputes over the interpretation of your collective agreement; 2. if you allow management to violate the collective agreement, what you are doing it giving up your hardwon rights which have been achieved in collective bargaining; 3 . if management is allowed repeatedly to deny you your rights in the collective agreement, those rights may be lost forever; management's incorrect interpretation of the agreement may gain acceptance; 4. the employer will realize that they more or less have the upper hand to do whatever they please; they will be aware of the fact that employees are unwilling to grieve; 5. a collective agreement is only a piece of paper; it must be carefully and intelligently enforced if it is to provide you with the protection you need in your employment relationship. Over the two days of the seminar, lunch and coffee breaks were characterized by a good deal of discussion concerning potential grievances at the various hospitals and health units represented . All seminar participants should feel confident in enforcing their members' rights after having attended this session. EXECUTIVE COMMITTEE OF THE UNITED NURSES OF A LBERTA President Gurty Chinell Vice-President Donna Clark Secretary-Treasurer Miriam Copeland District Representatives: North District Gayle Halliday North Central District Margaret Ethier Sharron Roberts Central District Linda Roberts Marilyn Ballantyne South Central District Aileen McKerness South District Dallas Szarko Anne Soucie Registered nurses are responsibile for the actions of students under their supervision, according to the Alberta Association of Registered Nurses (A.A .R.N.). Yvonne Chapman, Executive Director of the A .A . R.N., writing recently to the President of U.N .A. Local #96, stated that "the usual procedure followed by ou r employers, is to hire these students either in the capacity of an aide, or in the category of senior student." However, she added, " in the event that medications are administered, such medication administration would be under the supervision of a registered nurse . . . . (This) would certainly designate the registered nurse who is supervising the proceedings as responsible." This opinion supplied by the A.A.R.N. contradicts that supplied by the hospital concerned. The hospital had assured the nurses that students are accountable for their own actions and that provision for legal coverage had been provided by the insurance of the hospital. All nurses should be aware that they may be held responsible for nursing activ ities administered by students under their supervision. A Local Newsletter - Why Not? In order to facilitate the communication of local and provincial union news, larger U .N.A. locals may find it appropriate to publish a local news bulletin. This ca n be done at a modest expense by utilizing t he w ritin g abilities of interested local members and the ward representative system for distribution. The format need not be fancy; clear and concise, type-written sheets stapled together will suffice. If you can, in order to provide personalized service, why not mail the bulletin to your members using your up -to-da te membership lists? Suggested items for inclusion are: 1. A summary of local meetings. Date, time , place , attendance, topics discussed, motions or resolutions passed and guests present . 2. Dates of future local and provincial meetings (eg. Annual and Special) including registration information and funding available from either the local or district. 3. News of local or community interest; and , 4. A list of current grievances either local or provincial. eg. discipline - whether for ju st cause 12 hour shifts- changes to the approved rotation. Excerpts from the provincial agreement , with interpretations of the same, may prove very useful to the members. By furthering their awareness of the agreement and their rights under it, local executives may be surprised to find an increase in membership interest, as well, perhaps, as an influx of grievances. Don't despair, this is precisely the intent of a news bulletin, to provide valuable information, and, to facilitate the proper policing of the collective agreement so that it works for all. PROVINCIAL OFFICE 10571 - 109 Street Edmonton, AB T5H 3B1 Phone: 425- 1025 Simon Renouf Chief Executive Officer David F. Thomson Employment Relations Officer Chris L. Rawson Employment Relations Officer Joanne Monro Employment Relations Officer Calgary Office Michael J . Mearns Employment Relations Officer 98 Harcourt Road SW Calgary, AB T2V 3E1 Phone: 253-2272 C HANG E OF AD DRESS Breakthrough At Fort Macleod Members of United Nurses of Alberta, Local #82, employed at Macleod Municipal Hospital, Fort Macleod, have reason to feel satisfied. In April 1979, they were frustrated and angry and turned to U.N .A. for help. Their problem stemmed from the fact that the Director of Nursing at Fort Macleod was not registered by the Alberta Association of Reg istered Nurses. Since the Director was not registered, the nurses were unable to regulate her nursing activity by the route of the A.A.R.N.'s Professional Conduct Committee. The members had expressed several concerns with the hospital's organizational structure. U.N.A . took the matter up with the Health Facilities Review Committee, citing what appeared to be violations of the Regulations under the Alberta Hospitals Act. The Committee replied that the director of nursing was not only not registered, but also not eligible for registration. it also gave the opinion that there was no statutory requirement for a director of nursing in an active treatment hospital to be a registered nurse. This opinion will cause some uneasiness among nurses employed throughout the province. U.N .A. disputed the opinion of the Committee and again cited the A lberta Hospitals Act Regulations. Meanwhile the nurses continued working in an extremely stressfu l environment. The media became involved and followed the story. The Fort Macleod Gazette published a letter from the board of Macleod Municipal Hospital giving its side of the story, but declined to publish a letter from the nurses in reply. Seizing the initiat ive, the nurses came up with a creative solution to this lack of public inf ormation. They printed over 1,000 copies of their letter and delivered them throughout the town. Within a week, the director of nursing had left the employ of the hospital. Local #82 has grown from being a dispirited band of individuals to a cohesive group that acts with energy and initiative . During their threemonth fight, the members learned some valuable lessons: a group acting in concert exercises more influence than an individual; effecting change in the status quo takes longer than expected; and lobbying can be effective in promoting change. Above all Local #82 learned that the U. N . A. responds to the wishes of its members . DID YOU KNOW? Did you know that all U.N.A. members who are registered nurses are eligible to run for elected positions with the Alberta Association of Registered Nurses? U.N . A .'s Membership Services Committee, at the last Executive Committee meeting, requested that all U .N.A . members be made aware of their rights with respect to A.A .R.N . elections . The next A .A. R.N . district elections will take place in February, 1980. Name: U.N.A. members are asked to complete the form below to advise the Union of any change of address or employment. This will enable us to continue to send you information as quickly as possible. Address: Hospital and Local#: - - - - - -- -- - - - - -- - - - -- - - - - 6 0 t/. tJI0 /8