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  • NYC nurses call ‘311,’ report Mayor Bloomberg | New York Nurse: April 2010 | NYS Nurses Association
    York City Collective Bargaining Law said labor representative Leon Bell So NYSNA nurses are calling the complaint line that the mayor himself put into place The contract for HHC and the mayoral agency RNs expired on Jan 20 even though NYSNA has been working to negotiate a new contract for almost a year Bell said It is our belief that the failure of the city to negotiate in good faith and reach a fair agreement is entirely attributable to Mayor Bloomberg He is the highest local executive authority and directs the negotiating stance of the Office of Labor Relations The 311 hotline was established for New Yorkers to report everything from potholes and delays in garbage collection to problems with the bus and subway system Bell said Mayor Bloomberg himself has stated that the purpose of the 311 service is not only improving customer service but giving New Yorkers the information we need to hold city agencies to their responsibilities An informal poll found that the procedure went smoothly for some nurses with the operator filing the complaint and giving them a number to track its progress Others were told to file the complaint online Other HHC contract campaign actions (2012-11-09)

  • NYSNA nurses march across the Brooklyn Bridge for health care | New York Nurse: April 2010 | NYS Nurses Association
    of NYSNA s Board of Directors Margarita Bradford from Woodhull Medical and Mental Health Center and NYSNA Community Affairs Representative Carol Pittman At one point the march spanned the entire bridge said Pat Kane It was cold but it was a beautiful day It was the first time I ve ever walked across the bridge and it was a great reason to do it Once they crossed the bridge the marchers stopped and rallied in front of the health insurance provider Wellpoint the parent company of Blue Cross Blue Shield which the marchers claim was trying to stall President Barack Obama s healthcare bill The protestors also demanded the restoration of the public option and commended U S Senators Charles Schumer and Kirsten Gillibrand for their commitment to keeping it in the legislation NYSNA President elect Winifred Kennedy from Maimonides was one of the speakers She spoke about extending child and family health coverage and the need for everyone to have access to comprehensive quality healthcare In her speech Kennedy said Nurses have been fighting for health care since 1917 when Lillian Wald fought to start the public health system in New York City bringing health care access to new (2012-11-09)

  • Pay for performance proposed at Brooklyn Hospital Center | New York Nurse: April 2010 | NYS Nurses Association
    grievance chair We re at the negotiating table They haven t given us anything concrete But they don t seem to have the foggiest idea of how this would be accomplished Cave Anderson said she has never seen any kind of actual patient survey Pay for performance would apply to everyone but they re mostly focusing on nurses NYSNA is being very proactive in opposing this They say we ll give the nurses X amount of dollars if the patient satisfaction scores go above X value explained Roberta Murphy associate director of NYSNA s Economic and General Welfare Program The problem is that if the scores go down they could try to take money away It s really about staffing Murphy added The only way to improve outcomes is to have sufficient nursing staff But that costs money that the employers don t want to pay It s an inner city Brooklyn hospital that s understaffed short of supplies and full of old and broken equipment added NYSNA Labor Representative Elaine Charpentier They pay the lowest nurses salaries in Brooklyn She said the concern is that if patients are given the survey they won t understand that the hospital is (2012-11-09)

  • RNs at work: Mandated Flu Vaccine | New York Nurse: April 2010 | NYS Nurses Association
    years when the flu vaccine is not well matched to the circulating virus effectiveness falls to less than 50 ACOEM 2008 Another problem with relying on a mandate to curb the spread of influenza illnesses is that even a well matched vaccine to the circulating virus is only effective against an estimated 13 of all influenza like illnesses ACOEM 2008 Therefore mandating the flu vaccine for infection prevention on the basis of a professional and ethical obligation is not a valid argument because the method is neither consistent nor effective The belief that mandating all nurses to become vaccinated as the most effective way to curb the spread of the virus ignores other factors that contribute to its spread such as Vaccination is not 100 effective Annual trivalent vaccine is variably effective against influenza ACOEM 2008 Even with vaccination a nurse can still contract the flu and spread the virus A false sense of infection prevention from getting vaccinated can lead to lapses in other protective measures ACOEM 2006 Visitors sales people contractors and vendors who are not vaccinated or enter the facility when they are sick can spread the virus When patients already infected with the flu are placed in rooms with non infected patients Ineffective or non existent engineering controls and infection prevention policies Inadequate infection prevention hygiene and housekeeping practices Mandating the vaccine also has many negative and dangerous unintended consequences including The mandatory issue focuses energy on fighting the mandate rather than collaboratively establishing a strong infection prevention program American Journal of Public Health 2009 Qualified and experienced nurses nearing retirement will opt to retire rather than submit to taking the vaccine Qualified and experienced nurses who refuse to be vaccinated may be terminated NYC HHC 2009 Early retirement and forced termination will further exacerbate the (2012-11-09)

  • Roni Aizigov: From Wall Street to the ICU | New York Nurse: April 2010 | NYS Nurses Association
    works in the ICU at Kings County Hospital Center where he was hired in November of 2008 While at Kingborough Community College he also met his wife who is now an RN at Maimonides Medical Center working in the PICU NICU and pediatric departments They have an eight month old baby Aizigov was born in Israel and came to Brooklyn when he was very young His parents emigrated to Israel from Azerbaijan a country on the Caspian Sea north of Iran He started working at Kings County because of the level of experience he could gain and because he had friends already working there The nurses at Kings County were great at welcoming the handful of new graduates myself among them into the facility he said Kings County is known for its high acuity adult special care units I don t believe I would have had a better experience anywhere else Aizigov wrote an article for the Kings County Hospital Center newsletter about whether recently graduated nurses should be working in the ICU He spoke about how his previous work experience had taught him how to handle stress and that he was grateful for state of the art knowledge and (2012-11-09)

  • Using nursing sensitive data to improve care | New York Nurse: April 2010 | NYS Nurses Association
    the data and interpreting it but also in using the data to ultimately improve patient care and patient care outcomes One may question what is meant by nursing sensitive indicators These indicators reveal the structure process and outcomes of nursing care Structure is reflected in the staffing mix indicated by the educational level of the nurse specialty certifications held by the nurse and the skill level of the nursing staff including number and ratio of registered professional nurses RNs to licensed practical nurses LPNs to unlicensed assistive personnel UAP Process refers to how the nurses do their jobs using assessment planning intervention and evaluation of care Outcomes are determined through focused study of infection rates pressure ulcer rates or the number of injuries that are the result of falls Determining indicators The National Database of Nursing Quality Indicators NDNQI was created by the ANA as a part of the National Center for Nursing Quality NCNQ The University of Kansas School of Nursing administers the NDNQI program and provides nursing sensitive indicator consultation and research based expertise to NDNQI The NDNQI is the only national nursing quality measurement program that provides hospitals with unit level reports that include comparisons to national averages How then can nurses contribute to and use the NDNQI data An approach used by many staff nurses and nurse researchers is to review existing data for chosen indicators such as post surgical wound infections or fall rates Define how the facility determines or defines the indicators and how the indictors are measured Research the indicators with peer reviewed literature for causes and solutions used by other nurses or facilities And finally make a change in the way nursing performs the care related to the indicators and then measure the outcomes Reviewing the data Examining data outcomes from a (2012-11-09)

  • ‘We’re going to give them our best’ | New York Nurse: April 2010 | NYS Nurses Association
    them our best They each found a corner and opened their sleeping bags Volunteers woke up at different hours because they all had different shifts We didn t have any coffee or a way to boil water she said We never got hungry Some snacks were available but we gave them to the patients Some hadn t eaten in days You just wanted to be able to give them more Patients were seen in large tents constructed in the hospital compound The lines were long and so were the days Everything was quick quick quick Williams said We did wound care community nursing psychiatric care a little bit of everything There was also a maternity unit because you can t tell a baby you can t be born right now The support services that nurses take for granted weren t available We couldn t call the lab Williams said We had to do our own transfusions and assist in the operating room We started to recall all our training and all that we learned over the years We improvised cut available cloth to use for dressings Even as they walked between the tents patients would come up to them injured and bleeding asking for help with pain Sometimes we saw one of the volunteers in the corner crying Then they d pull themselves together and go back to work It was challenging but you looked inside yourself for strength By necessity Williams took on pharmacy duties Her patients needed medications but supplies hadn t yet been sorted after delivery So I started by getting all the aspirin together and went on from there A pharmacist from New Jersey stopped by one day and taught her the finer details on organizing and running a pharmacy With what little French that Williams (2012-11-09)

  • Ask the Experts: Becoming an active legislative advocate | New York Nurse: March 2010 | NYS Nurses Association
    how they voted on NYSNA priority issues and let them know how you feel Links are provided for ease of access to areas for immediate and long term action Join NYSNA at Lobby Day Lobby Day is an annual opportunity for members students and other individuals to meet and speak with representatives on issues specific to NYSNA as well as areas that require ongoing improvement efforts The day affords individuals the chance to increase our representatives awareness and understanding of how their constituents feel about current legislative agendas The 2010 Lobby Day is April 20 NYSNA is also involved with numerous coalitions around the state which work to ensure the public s receipt of quality and affordable health care at all stages of life You can find out more about these coalitions on our website Become a Legislative District Coordinator LDC LDCs are the eyes and ears of nursing in their legislative districts They establish contact and build relationships with their legislators through phone calls letter writing and office visits They serve as a resource for legislators and put a personal face on issues important to nurses and their patients Contact Governmental Affairs to learn more about becoming an LDC (2012-11-09)