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The Newsletter of the Massachusetts Nurses Association      n     Vol. 79 No. 2


                                                            February 2008

                                                                    Medicare prescription
                                                                    plan – unfair to elders   2
                                                                    Your role in the union    3
                                                                      Safe staffing studies
                                                                 presented on Beacon Hill     4
                                                                     Save the date: special
                                                                        Nurses Day event      5
                                                                   Medford school nurses
                                                                       file for mediation     7

                                  Emergency                             Martha’s Vineyard
                                                                        Hospital ED wins      9
                                    Department                          prestigious award


                                  overcrowding,                    Lawrence public health
                                                                            nurses layoff:    10
                                  diversions &                      a dangerous situation


                                       boarding                     Union busting … how
                                                                               disgusting     12
                                           See Page 11                Courts scuttle BU’s
                                                                   Biosafety Level 4 plans    13
                                                                  Get involved with MNA       16
                                                                               CE courses     18




                                          For the latest news:
                                          www.massnurses.org
Nurses’ Guide to Single Payer Health Care
Insurers whack elderly to celebrate new year
   What better way to start the new year than to
sock it to grandma and grandpa with big price
increases? That may not have been the exact
                                                      could have rectified this mistake by simply
                                                      adding the money appropriated for Part D to
                                                      the existing program and have it now include
                                                                                                         nurse
                                                                                                         ISSN 0163-0784                                  USPS 326-050
nature of the conversation at the insurance           prescription drugs. The private plans that oper-
companies that participate in the Medicare            ate within Medicare could have also received       President: Beth Piknick, ‘07–‘09
prescription drug plan, but it sure was the out-      this additional payment.                           Vice President: Donna Kelly-Williams, ‘06–‘08
come, as premiums are scheduled to rise by an            However, instead of creating a simple, effi-    Secretary: Rosemary O'Brien, ‘07–‘09
average of almost 25 percent in 2008. The sharp       cient program, Congress wanted to stack the        Treasurer: Nora Watts, ‘06–‘08
price hikes for 2008 could mark the beginning         deck in favor of the insurance industry. There-    Directors, Labor:
of the end of the relatively good news in the         fore, they required tens of millions of seniors    Region 1: Vacant, ‘07–‘09; Diane Michael, ‘06–‘08
drug plan’s first two years of existence.             to buy stand-alone drug plans, which would         Region 2: Pat Mayo, ‘07–‘09; Mary Marengo, ‘06–‘08
   The first two years could be viewed as rea-        only be offered by the insurance industry,         Region 3: Judy Rose, ‘07–‘09; Stephanie Stevens, ‘06–‘08
                                                                                                         Region 4: Fran O'Connell, ‘07–‘09; Vacant, ‘06-‘08
sonably successful, since most seniors were           if they wanted assistance in paying for their
                                                                                                         Region 5: Barbara Norton, ‘07–‘09; Ginny Ryan, ‘06–‘08
covered by the plan. According to the Centers         drugs. This fragmentation process also pleased
for Medicare and Medicaid Services (CMS),             the drug industry, since it prevented Medi-        Directors (At-Large/Labor):
nearly 80 percent of the eligible population          care from using its bargaining power, like the     Karen Coughlin, ‘07–‘09; Patty Healey, ‘07–‘09; Karen Higgins,
either signed up for the plan directly or are         Veteran’s Administration, to push down the         ‘07–‘09; Richard Lambos, ‘07–‘09; Kathie Logan, ‘07–‘09;
                                                                                                         Nancy Gilman, '06–‘08; Judith Smith-Goguen, ‘06–‘08
covered indirectly through an employer-spon-          cost of drugs. The unnecessary administrative
sored plan. While enrollment is 10 percent less       costs, combined with high drug prices, are the     Directors (At-Large/General):
than had been projected, and many of those            reasons so many seniors still have difficulty      Sandy Eaton, ‘07–‘09; Tina Russell, ‘07–‘09; Ellen Farley,
enrolled had already been covered by employ-          paying for their drugs.                            ‘06–‘08; Helen Gillam, ‘06–‘08; Sharon McCollum, ‘06–‘08;
                                                                                                         Vacant, ‘07–‘09
ers or Medicaid, Part D still provided benefits          And the situation is about to get worse.
to more than 10 million seniors who previously        It seems the insurers repeated the bait-and-       Labor Program Member:
had to pay for their drugs out of pocket.             switch approach from the mid-90s. When the         Beth Gray-Nix, 07–‘09
   The cost of the plan in the first years has also   Republican Congress created the “Medicare          Executive Director: Julie Pinkham
been somewhat lower than had been projected           Plus Choice” program, many insurers entered        Managing Editor: David Schildmeier
by either the CMS or the Congressional Budget         the Medicare market with low prices in order       Editor: Jen Johnson
Office. Based on lower than expected costs,           to capture market share. They soon raised their    Production Manager: Erin M. Servaes
both agencies have revised downward their             prices to levels that allowed them to hit profit   Photographer: Amy Francis
projections for the program’s cost by more than       targets, or left the market.                       Mission Statement: The Massachusetts Nurse Advocate
$100 billion over its first ten years.                   The same process seems to be taking place       will inform, educate and meet member needs by providing
   Of course, even this good news is relative.        with the insurers in the Medicare Part D pro-      timely information on nursing and health care issues facing
The program still leaves many seniors with            gram. It is not easy for seniors to change drug    the nurse in the commonwealth of Massachusetts. Through
hefty drug bills. A recent study by the Kaiser        plans. In fact, they are locked into a plan for    the editorial voice of the newsletter, MNA seeks to recognize
Family Foundation found 8 percent of Part             most of the year. They can change plans for the    the diversity of its membership and celebrate the contribu-
                                                                                                         tions that members make to the nursing profession on the
D beneficiaries had drug bills of more than           following year, during the last six weeks of the
                                                                                                         state, local and national levels.
$300 a month and nearly one-fifth reported            prior year. Most people had difficulty selecting
either delaying or not a filling a prescription       their plan initially, with the typical enrollee    Published 10 times annually, in January, February, March,
due to the cost. Among beneficiaries with three       taking more than eight hours to choose a plan.     April, May, June, July/August, September, October and
                                                                                                         November/December by the Massachusetts Nurses Asso-
or more chronic conditions, nearly a quarter          It is understandable most do not want to go
                                                                                                         ciation, 340 Turnpike Street, Canton, MA 02021.
either delayed filling a prescription or did not      through this process again, especially since
fill it due to the cost. In other words, for a very   they cannot be guaranteed they will end up         Subscription price: $20 per year
substantial portion of the elderly, Medicare          with a better plan.                                Foreign: $28 per year
Part D is proving insufficient to allow them             This explains the 25 percent premium            Single copy: $3.00
to get the drugs they need.                           increases we’re seeing for 2008 and which we       Periodical postage paid at Canton, MA and additional mail-
   This is especially unfortunate, because the        might see again in future years. Betting that      ing offices.
program could have been far more efficient            beneficiaries are pretty much stuck with their     Deadline: Copy submitted for publication consideration
and effective if Congress had designed it to          existing plans, the insurance companies have       must be received at MNA headquarters by the first day of the
serve seniors instead of the insurance and            adopted the whack-granny strategy. It might        month prior to the month of publication. All submissions are
pharmaceutical industries. The whole idea of          not be pretty, but it’s healthy for the bottom     subject to editing and none will be returned.
stand-alone prescription drug insurance is an         line. At least someone can look forward to a       Postmaster: Send address corrections to Massachusetts
invention of Congress.                                good year.                                         Nurse Advocate, Massachusetts Nurses Association, 340
   Stand-alone prescription drug insurance is            With attribution to Dean Baker, co-director     Turnpike Street, Canton, MA 02021.
like rear-end accident collision auto insurance.      of the Center for Economic and Policy Research;                   www.massnurses.org
Such policies don’t exist in the private sector for   article first appearing in the Jan. 7 issue of
an obvious reason: They create needless com-          Truthout.
plications and waste. It was a historic oversight        To find out more about HR.676, the proposal
not to have Medicare include prescription drug        for improved and strengthened Medicare for
coverage when it was created in 1965. Congress        All, visit www.healthcare-now.org.

  February 2008  Massachusetts Nurse Advocate
President’s Column
Your role and responsibility as a union member
                   By Beth Piknick                      When contracts                                   what is going on. If something is happen-


H
           aving been a union activist for              come up for                                      ing that you don’t understand or agree
           decades, and now as president of the         renegotiation,                                   with, let a member of your committee
           MNA, I have attended hundreds of             members have                                     know about it.
union meetings. I am always taken aback when            the opportu-                                 • Be politically informed and involved.
a member asks me, “What is the MNA doing                nity to submit                                   Because nursing is highly regulated and
for me?” My first reaction is “you have it all          proposals to                                     sensitive to changes in public policy, you
wrong, YOU are the MNA; the right question              be considered                                    need to stay tuned to state and national
is what are you doing as a member of the MNA            for inclusion                                    issues affecting health care. Also, you
for yourself and your colleagues?”                      in the nego-                                     need to develop and maintain a relation-
   My answer arises from the fact that MNA is a         tiation. This is                                 ship with your state legislators through
member-driven democratic organization where             your opportu- Beth Piknick                       e-mails and phone calls. This is easily
local bargaining units have complete control            nity to propose                                  accomplished by visiting the MNA web
over every decision of their union and its prior-       changes or new ideas to improve your             site and reading this newsletter.
ities. While the Board of Directors works hard          workplace. If you don’t know how to          • Participate in and vote in the election
to provide the resources and support our local          draft a proposal, take note of the item          of your unit leaders. Every bargaining
bargaining unit needs—including providing               below that addresses how to communi-             unit has bylaws that dictate a process
our bargaining units with the best staff-to-            cate with your local leaders.                    for holding elections of its leadership
bargaining unit ratio of any nurses union in        •   Go to your union leadership if you have          and negotiating team. If you have the
the country—the power of the MNA lies with              a question. If you are unclear about what        time, run for election. If you don’t have
the membership. You can best exercise that              your contract says, or what your union           time, find out who is running and learn
power by being informed, involved and active            is doing to address an issue, go to one of       about them. If you know of a member
in your union.                                          your elected leaders and ask. The names          who shares your views and is a strong
   While not everyone can invest the time to be         of your leaders are usually posted on bul-       leader, encourage them to run for elec-
a member of the negotiating team, or even to            letin boards, listed in newsletters and          tion. And, of course, make sure you vote
serve as a floor or unit rep, every member can          other communications. Do not hesitate            in all union elections.
take a number of simple steps to make their             to speak with them; they are there to        • Participate in the activities of the bar-
union a more powerful and effective vehicle—a           represent your interests.                        gaining unit. As your union does its work
vehicle that will drive and advance their inter-    •   Attend meetings. If you can’t make a             on your behalf, it will engage in a number
ests and the interests of their colleagues. Those       meeting, send a surrogate from your              of activities, including leafleting, member
steps include:                                          floor that you trust – someone who can           surveys, petition drives, picketing and, if
• Read your contract and keep it handy.                 express your views and help you stay             necessary, strike votes and even strikes.
    The contract delineates your rights and             informed.                                        The success of any and all of these activi-
    benefits at work and represents the focus       •   Read newsletters, e-mails, etc. The MNA          ties depends on broad participation by the
    of your union’s activity. You need to read          and all the bargaining units have stepped        membership. If your union is engaged in
    it, refer to it and understand it so you can        up efforts through the production of             an activity, participate.
    use it to your benefit, as well as to under-        local newsletters, contract updates (and       Remember, you are the union. By engag-
    stand what it doesn’t address so you can            for some web pages and email blasts)         ing in some or all of these activities you can
    advocate for changes to improve it.                 to keep members informed of ongoing          guarantee that the union is successful in rep-
• Submit ideas for contract proposals.                  issues. Review this material so you know     resenting your interests. n




                                                                    May 23, 2008
                                                          DCU Center, Worcester

                    rd
                    annual                                              Free & exclusive to MNA members
       Clinical Nursing                                                         Enrollment limited to 900!
            Conference
                                                                                            Massachusetts Nurse Advocate  February 2008  
                              May 23, 2008
Nursing on Beacon Hill: Legislative Update

RNs make their presence felt on Beacon Hill
                                Fighting for safe RN staffing and quality patient care
   Throughout the fall, RNs from across the
commonwealth headed to the State House
to distribute literature and speak to legis-
lators about why Massachusetts needs safe
RN staffing. These informational visits from
MNA members were an important part of our
successful mobilization for the public hearing
on H.2059, An Act Relative to Patient Safety,
which was held on Oct. 24.
    RNs first visited the State House on Sept.
12 to give legislators information about the
studies that have come out in just the last year
making the case for safe RN staffing. It was a
very successful day. RNs were able to speak
to legislators about what they see on the front-
lines of patient care in their facilities and also
to reinforce those firsthand experiences with
the litany of peer-reviewed studies included
in the packet.
   RNs followed up by distributing informa-
tion about the ratios that exist for children
in daycare centers, information about the
affordability of safe RN staffing and informa-
tion about Massachusetts’ adequate supply
                                                     Newly elected state Sen. Anthony Galluccio (D-Cambridge), left, with MNA Vice President Donna
of nurses to meet the requirements of the
                                                     Kelly-Williams, Susan Wright Thomas, secretary of the MNA bargaining unit at Cambridge Hospital
legislation. RNs also dropped a piece dis-
                                                     and John McCormack, co-chair of the Patient Safety Coalition.
cussing the success of legislation similar to
H.2059 in California.                                and equitable compromise that protected our        the hearing showing the breadth and depth
   They were excited to distribute yet another       patients,” commented Tina Russell, a recently      of support for H.2059. On Nov. 20 they let
piece of literature showing the many sub-            retired RN from Brockton Hospital and MNA          legislators know about the significant profits
stantive changes to the safe RN staffing bill        board member who participated in a number          the hospital industry saw in the third quarter
agreed to by the MNA. This highlighted how           of the State House visits. “These visits put the   of FY 2007.
reasonable, yet dedicated to quality patient         face of RNs who work at the bedside on this           More visits to the State House are planned
care, our members have been throughout this          issue and I feel that is invaluable.”              for the winter and spring as the fight for qual-
campaign.                                               After the public hearing, RNs again visited     ity patient care continues. If you would like to
    “I think it really struck a chord with many      the State House to drive home messages from        participate, please contact the MNA’s political
of the legislators and their staff to see how        the testimony given on Oct. 24. And then on        organizer Riley Ohlson at 781-830-5740 or via
willing we were to work with House leader-           Nov. 14, RNs, seniors and community mem-           e-mail at rohlson@mnarn.org. n
ship and the concerned parties to reach a fair       bers distributed a piece with photos from


                                   The Patient Safety Act: Next steps 
                                           Representatives need to hear from you!
                                                                                                             We need your help! Please call
                                                                                                             your representative and urge
                                                         Call your state representative
                                                                                                             him/her to make this a priority
   H.2059, the Patient Safety Act                        and ask that H.2059, the
                                                                                                             and go to the Speaker of the
   hearing was held on Oct. 24                           Patient Safety Act be moved in
                                                                                                             House and ask him to get this
   before the Joint Committee                            the House of Representatives
                                                                                                             bill on the floor of the House
   on Public Health and has not                          now! To find out who your
                                                                                                             this month. The most important
   moved                                                 elected official is go to www.
                                                                                                             thing is to make the call today!
                                                         capwiz.com/massnurses
                                                                                                             Patients are suffering and dying!
                                                                                                             It’s time to act.


  February 2008  Massachusetts Nurse Advocate
Lobbying for patient safety                                                                 Supporting a colleague
                                                                                               Co-workers, friends
                                                                                            and family members
                                                                                            recently held a well-
                                                                                            attended rally for
                                                                                            Cindy Bernard, an RN
                                                                                            at Northeast Health/
                                                                                            Beverly Hospital who
                                                                                            is going through some
                                                                                            difficult times at the hospital.
                                                                                               Nurses from multiple hospitals, police
                                                                                            officers, firefighters, physicians, EMTs, and
                                                                                            paramedics were in attendance at the Nov.
                                                                                            16 event, all showing their support for Cindy
                                                                                            as she faces wrongful discipline/termination
                                                                                            charges from Northeast Health/Beverly Hos-
                                                                                            pital. The MNA is fighting the charge as poor
                                                                                            staffing has created a sub-par bad system of
                                                                                            care—there are not enough nurses to care
                                                                                            for the hospital’s patients. In addition, a sys-
A group of community leaders and MNA members from Central Massachusetts met
                                                                                            temic problem with documentation exists as
recently with state Sen. Stephen Brewer, D-Barre, far left, to discuss H.2059—the Patient
                                                                                            nurses are working in a grossly unsafe and
Safety Act—and the importance of passing this legislation on behalf of the common-
                                                                                            understaffed environment. n
wealth’s citizens.




          Special Nurses Day Event             May 6, 2008 
                                              10 a.m. – 2 p.m.
                                      Hynes Convention Center, Boston

                                                                                                 The MNA is planning a 
                                                                                                  special event on May 
                                                                                                 6 to honor nurses and 
                                                                                                  their contributions to 
                                                                                                      quality patient care.  
                                                                                                      Save the date, watch 
                                                                                                        for future mailings 
                                                                                                         and issues of the 
                                                                                                      Massachusetts Nurse 
                                                                                                       Advocate and check 
                                                                                                           online at www.
                                                                                                          massnurses.org.

                                                                                  Massachusetts Nurse Advocate  February 2008  
Labor News

Unit 7 state-employed RNs and Health Professionals ratify contract extension
   The State chapter of Health Care Profes-        •   Extends all other terms of the contract        include registered nurses, physicians, pharma-
sionals, Unit 7 of the Massachusetts Nurses            through December 31, 2008.                     cists, psychologists, occupational therapists,
Association ratified a one-year contract exten-       This extension provides a wage increase to      physical therapists, dentists, speech and hear-
sion with the commonwealth of Massachusetts        all members and provides the opportunity to        ing therapists and podiatrists. They work in
on December 21, 2007. The contract exten-          negotiate for a new contact prior to expiration    state-run soldiers’ homes for disabled veterans;
sion:                                              of the current contract.                           state hospitals for the mentally ill; and resi-
• Provides a 3.3 per cent general wage                The Unit 7 contract was set to expire as of     dential facilities for developmentally disabled
    increase for all bargaining unit mem-          Dec 31, 2007. MNA approached the state in          adults. They also work at centers for HIV and
    bers;                                          September of 2007 to negotiate an extension        drug-affected mothers and children; group
• Provides a $1 per week per full time             after learning that other unions had received      homes for those who cannot live indepen-
    equivalent increase to the Health & Wel-       extensions. The new agreement was reached          dently; and high-security wards for violent
    fare Trust Fund;                               after just three sessions.                         adolescents or suicidal/homicidal residents,
• Adds the title of Psychological Assistant           Unit 7 of MNA consists of more than 1,800       mentally ill prisoners, and clients sent for pre-
    to the recognition clause; and                 state-employed health professionals. They          trial evaluations. n

 Bargaining unit updates
 Franklin Medical Center
                                                                             hopeful that some of the positive discussions at recent sessions will
    The bargaining unit at Baystate/Franklin Medical Center in Green-
                                                                             lead to a new contract.
 field has been in negotiations since Halloween. The process has not
 been easy. Baystate chose to bring in an attorney from Jackson Lewis,       Baystate VNA & Hospice
 the infamous anti-union law firm. Management has put a series of take-        The Baystate VNA & Hospice in Springfield opened negotiations
 aways on the table. These go from backward steps in health insurance        for a new contract earlier this month. The primary issues on the table
 and on-call language to instituting a clinical ladder and censoring what    are wages and how the work is carried out. Management is proposing
 material we can post about the MNA on hospital bulletin boards. While       that all patient charting is completed by the end of the shift, while
 the bargaining unit has withdrawn a number of proposals to move the         the nurses have a proposal to continue the longstanding practice of
 process along, so far management has made proposal withdrawals only         completing the charting within a day of the visit.
 with the acceptance of an unacceptable total package.                       Whidden Hospital
 Mercy Medical Center                                                           Whidden Hospital in Everett has been in negotiations since Octo-
    The Mercy Hospital nurses are involved in a tough round of nego-         ber. The hospital is part of the Cambridge Health Alliance which
 tiations. The hospital has put a series of language changes that would      recently announced it is on a pace to lose $27 million this year. This
 have a very serious effect on RNs ability to deliver quality health care.   announcement has slowed the process and the focus is now shift-
 Management is proposing almost unlimited floating, cross training           ing to working together with the other Cambridge Health Alliance
 in various areas and the ability to “flex” (i.e. send nurses home) once     bargaining units at Cambridge Hospital and Somerville Hospital.
 a week. On top of this Mercy has placed a very poor wage proposal           The Whidden committee plans to meet with the other units and the
 on the table.                                                               other unions in the hospital sometime in the near future to work out
 Cooley Dickinson Hospital                                                   a coordinated effort.
    The bargaining unit at Cooley Dickinson in Northampton made a            Worcester School Nurses
 decision this year that the negotiating committee should be paid for           The Worcester School Nurses carry on their fight to secure a new
 their time at the table. While in the past this has not been the case the   contract and have continued with mediation as a result. The issues of
 nurses feel it’s a matter of respect. After two sessions, management has    salary for nurses with degrees and national certification and finding
 refused to pay the nurses. The RNs look forward to settling these issues    a fair way to address health insurance are currently the bargaining
 so they can get on to the business of gaining an equitable contract.        unit’s biggest concerns.
 Cooley Dickinson VNA & Hospice                                              West Springfield School Nurses
   The negotiations with the Cooley Dickinson VNA & Hospice have                The city finally adjusted the salary for one nurse who had been “left
 been moving along slowly since August. There is a completely new            behind” so to speak. She is now in line with her other colleagues in
 management team at the agency and at the table. The committee is            terms of salary scale. n


                                                    The Congress on Nursing Practice is              of each month, from 5:30–7:30 p.m., at MNA
   Congress on                                    responsible for identifying issues and practices   headquarters in Canton.
                                                  impacting the nursing community, and it is            If you are interested in joining the Con-
   Nursing Practice                               currently working to develop a mentorship          gress on Nursing Practice, please contact

   seeks additional
                                                  program for members and a position state-          Dorothy McCabe, director of the MNA’s
                                                  ment specific to the compact legislation filed     divisions of nursing and health and safety,

   members                                        by the Board of Registration in Nursing.
                                                    The Congress meets on the fourth Monday
                                                                                                     at 781-830-5714 or via e-mail at dmccabe@
                                                                                                     mnarn.org. n


  February 2008  Massachusetts Nurse Advocate
Medford school nurses file for mediation, reach out to public as contract talks 
   The Medford school nurses have been forced their children, it is their children who will be          “We administer and monitor a host of medi-
to file for mediation and fact finding with the placed in jeopardy,” Roberto said.                   cations to students every day. In addition, we
State Board of Conciliation and Arbitration                                                          also provide health education to students to
as the nurses and administration have been The case for professional pay equity                      try and teach them healthy lifestyles as well as
unable to come to terms on a new contract that       According to Roberto, today’s school            how to manage their illnesses. And of course,
would bring the nurses up to parity with the nurses are highly-trained professionals who             the school nurse is on-hand to provide acute
teachers and other professionals in the school care for a population of students with varied         and episodic emergency care should your child
system.                                           and complex health needs. School Nursing           suffer a serious injury or unexpected illness on
   Under the school system’s last proposal, the is a specialized field. In fact, the professional    school grounds,” Roberto said.
nurses would still be paid 20 percent less than requirements to be a school nurse are higher            For example, last year Medford school nurses
teachers and other professionals in the school than those required of nurses in any other set-       averaged more than 370 office visits per day
system (such as librarians and adjustment ting, including hospitals. These skills include            and administered an average of 125 medica-
counselors).                                      first aid and emergency care; psychiatric nurs-    tions per day.
   “We feel we have a strong case to make in ing; acute and chronic-disease management;                 A recent front-page story in USA Today on
mediation given the vital role of school nurses triage nursing; public health; management of         school nursing highlighted the ultimate value
in our school system, and in view of the fact numerous medications; medication counseling            of school nurses and the argument for profes-
that school nurses have the exact same level and medical device management. The school               sional parity with teachers. It reported that if
of education and certification requirements nurse is required to have knowledge of pre-              a teacher makes a mistake or an error in their
as other professionals in the system, yet are school to adult nursing care. In addition, the         lessons, it can “have a negative impact on the
not paid as professionals,” said Karen                                                                    child’s future.” However, if a nurse makes
Roberto, RN, chair of the nurses’ local                                                                   a mistake or error in judgment, “maybe a
bargaining unit and a nurse at the Colum-                                                                 child doesn’t have a future.”
bus Elementary School. “The 10 school
nurses are responsible for providing full                                                                 Treated as second class citizens
nursing coverage to 10 schools, housing                                                                       According to the nurses, as their job has
a total population of more than 5,000                                                                      become increasingly complex and more
students who depend on the professional                                                                    demanding the school system has failed
health services we deliver to be safe, stay                                                                to provide a salary scale commensurate
well and be prepared to learn.”                                                                            with their professional level and their
   The nurses, who are represented by the                                                                  contributions to the school system. Bach-
MNA, have been in negotiations for their                                                                   elor’s-prepared school nurses in Medford
new contract with the school system since                                                                  at the top of the salary scale make just
May 29, 2007. To date, six sessions have                                                                   over $51,000 per year; while teachers, with
been held. The nurses filed for media-                                                                     comparable education and experience,
tion in December after talks stalled over                                                                  make $61,000 plus per year.
the issue of salary, specifically after the                                                                   More than 82 school systems in the state
school committee rejected a compro-                                                                        offer some form of pay equity, including a
mise proposal by the nurses that would                                                                     number of school systems in the area. This
have delayed movement by the nurses to                                                                     includes Arlington, Cambridge, Boston,
the teacher’s salary scale until the third Medford school nurse Karen Roberto, with students.              Malden, Minuteman Vocational, Win-
year of the agreement. Instead, the city          Department of Education requires the exact               chester and Woburn.
made a final salary offer which would leave the same licensure requirements for both school             “The lack of a professional salary for regis-
nurses far below their goal of pay equity with nurses and teachers.                                  tered nurses is not only unfair, it has proven to
the teachers and other professionals.                According to the State Department of Public     be a barrier to the recruitment and retention
   “We found the school committee’s position Health, at least one in 12 Massachusetts students       of staff,” Roberto said. “ In recent years, we’ve
to be both surprising and discouraging given is actively limited or suffering from fair or poor      had a hard time convincing nurses to work here
that we just held a productive session where we health. In Medford the population of children        given the low salary scale, especially when they
were given the opportunity to present our case with special health needs is higher than the          can go to neighboring school systems where
for professional equity and that case had been staff average. In fact, one in five children (1,000   they can be paid like professionals, or to hos-
well received by our counterparts across the out of 5,000 students) has special health care          pitals where they can make significantly more
table,” Roberto explained. “They acknowledged needs that require the care and monitoring of          money.”
our professional status and they appeared to rec- the 10 professional school nurses. Children not       Roberto points out that the impact of the
ognize the vital role we play in keeping children only have asthma, attention deficit disorder,      salary increase the nurses are seeking is mini-
safe, healthy and ready to learn.”                migraine headaches, epilepsy, heart conditions,    mal given the number of nurses and the size
   In addition to taking their case to mediation, diabetes, life threatening allergies, arthritis,   of the Medford school budget. “The entire cost
the nurses also plan to begin reaching out to hemophilia, cystic fibrosis and other chronic          of our wage proposal represents an increase of
the public, particularly parents of the students illnesses, but students are also coming to school   $31,000 to a total budget of $44 million. That’s
in the Medford school system.                     needing colostomy care, catheterization, intra-    less than one-tenth of one percent, and under
   “Parents need to know that if we can’t recruit venous medications, naso-gastric feeding and       our proposal, that wouldn’t happen until the
and retain quality school nurses to take care of other complex procedures.                           third year of our contract.” n

                                                                                          Massachusetts Nurse Advocate  February 2008  
d
The Emergency Department staff at Martha’s Vineyard Hospital holds a celebration at the Oyster Bar in Oak Bluffs after receiving the prestigious Press
Ganey Summit Award. From left, Helen Green, Marsha Valentzas, Carol Goudey, Dagmar Dockery, Betsy Van Landingham, ER/ICU clinical coordinator,
Rick Lambos, interim ER/ICU clinical coordinator, Ann Chalifoux, Prudy Carter-Donovan, Beth Smith, Nina Thayer and Lorraine Eldridge.

Martha’s Vineyard Hospital Emergency Dept. wins prestigious award
    ER team throws own party after management declares honor a hospital-wide award
   Getting credit where credit is due was what       for those with minor injuries, a concierge pro-   for ER and ICU at MVH. “And while we also
the Emergency Department staff at Martha’s           gram whereby volunteers keep patients abreast     felt the award should be shared by everyone
Vineyard Hospital was looking for from man-          of time frames while they are waiting to be       in the hospital we felt a real celebration—a
agement after being chosen for Press Ganey’s         seen, the MVH ED was also honored for its         party—was in order to share this honor with
most prestigious honor—the Summit Award.             beeper program which provides patients and        everyone involved with the ED.”
   Selected from among 800 EDs nationwide            family members with more flexibility within          On Jan. 6, with input from both MNA
that treat 20,000 patients or less annually          the waiting areas. These improvements were        headquarters and MNA Region 3, that plan
and one of 12 to win the coveted award, the          instituted to manage the impact of having         came together when 75 people, representing
Martha’s Vineyard emergency room staff took          more than 30 percent of the hospital’s annual     the hospital ED, x-ray department, laboratory,
home the Press Ganey Summit Award for 2007           14,000 ED visits during the months of July and    respiratory therapists, housekeeping, mainte-
for having a 95 percent or greater patient sat-      August, when the island of Martha’s Vineyard      nance, EMS, pharmacy and personnel from the
isfaction rate for three consecutive years. The      is most heavily populated.                        Island counseling and substance abuse agency
award was announced in ceremonies at the                So far, so good, but what should have been a   gathered at the Oyster Bar in Oak Bluffs.
Press Ganey National Client Conference, held         time for celebration among the ED staff turned       “We were pleased that two members of senior
in November in Florida.                              into time for consternation after hospital man-   management joined us for the celebration,”
   Although Press Ganey, whose mission is to         agement decided to assimilate the award as a      said Lambos, who serves as chairman of the
measure and improve the quality of care in           hospital-wide honor, making note of the fete      local MNA bargaining unit, adding that MNA
our nation’s hospitals, bestows awards in the        only during an informal ceremony in the hos-      President Beth Piknick attended the dinner
five categories of ambulatory surgery, inpa-         pital lobby, a gathering the ER nursing staff     and honored the Emergency Department’s RNs
tient services, outpatient services, medical         wasn’t formally invited to.                       in a well-received speech.
practice and emergency department, MVH                  “We really felt that everybody that assists       “Beth Piknick’s presence was greatly appre-
was honored for its ED alone. The eight-bed          the ED, including peripheral departments,         ciated and the entire event was a good morale
emergency department was selected in part            should be recognized for this top award and       booster,” said Lambos. “Awards like this don’t
for several noteworthy physical changes and          we were disappointed that Dr. Timothy Tsai,       just happen; as individuals we’re all good,
programs.                                            our director of emergency medicine wasn’t         but together we’re excellent. I’m proud to be
   In addition to triage space to improve privacy    invited to Florida to receive the award,” said    a player on the MVH ED team … an award-
during patient evaluation, a fast track system       Rick Lambos, interim clinical coordinator         winning team.” n



                                             Scholarship funding available through the
                                                Massachusetts Nurses Foundation


                                                      Printable applications with instructions
                                                    and eligibility requirements will be available
                                                       next month at www.massnurses.org.
                                                          If you need an application mailed,
                                                    call the MNF voice mailbox at 781-830-5745.


                                                                                            Massachusetts Nurse Advocate  February 2008  
Layoff of public health nurses in Lawrence jeopardizes public health program
   The recent decision by the city of Lawrence       of the city. “There is no way that one nurse can        immunization of vulnerable segments
to lay off two of its public health nurses was a     manage the public health mandate of a city              of our population against the spread of
shortsighted and dangerous decision that will        this size,” said Brian Zahn, the lone remaining         disease. For example, more than 1,800
leave the already understaffed public health         nurse in the department and the chair of the            flu vaccines are administered to city
department with only one nurse to serve a            local bargaining unit of the MNA which rep-             residents each year.
city of more than 77,000 residents, with an          resents the nurses. “One nurse cannot provide       •   The nurses also provide all varieties
undocumented population that pushes the              the services of this department and, as a result,       of childhood immunizations to those
total population to more than 100,000 people.        residents of this community are being placed            who can not afford them, such as chil-
The public health nurses serve all the people of     at risk for harm.”                                      dren living in family homeless shelters,
Lawrence, providing vital preventive services to                                                             etc.
immunize against, track and manage a variety          Fact Sheet on Public Health Nurses                 •   The nurses track at least 120 residents
of infectious diseases, including tuberculosis,      •   A public health nurse is a special type of          each month that may have been exposed
the flu and West Nile virus.                             registered nurse who focuses on provid-             to TB and are now living in the com-
   Three years ago, there were three nurses to           ing health promotion and protection                 munity, and they make a number of
serve the city. Two nurses have been doing the           to an entire community or population.               visits each month to the homes of those
job, as one of those positions was left unfilled.        There are currently just two public                 residents with active TB to ensure they
Currenty, there is just one nurse overseeing the         health nurses serving a population of               are receiving proper care and are taking
public health of the entire city, as well as other       more than 77,000 residents in Law-                  their medication. In so doing, they pre-
surrounding communities who are impacted                 rence.                                              vent the spread of this highly infectious
by programs the department provides. This            •   Public health nurses are on the front               disease while at the same time assist
includes a chest clinic to monitor TB-exposed            lines of infectious disease surveillance,           those infected in getting well.
patients which serves a number of communi-               control and prevention. They are a vital        •   Lawrence public health nurses also
ties.                                                    link in the monitoring, control and pre-            provide a health care safety net for the
   The decision to lay off one nurse and to              vention of the spread of more than 20               city’s elderly and disabled residents.
eliminate the unfilled position represents a             communicable diseases such as: the flu,             For example, they offer blood pressure
savings of $35,000 in salary out of a budget             tuberculosis, salmonella, hepatitis, lyme           monitoring, blood sugar screenings
of more than $198 million. According to the              disease, and West Nile virus.                       for possible diabetics, weight monitor-
nurses, this savings comes at the expense of         •   In preventing the spread of disease,                ing and nutrition counseling as well as
the health and safety of the entire population           public health nurses are responsible for            medication counseling. n




       ARE YOU A NURSE STRUGGLING AFTER A BAD PATIENT OUTCOME?
                    WE UNDERSTAND — WE CAN HELP.
                            MITSS support team members are aware of the difficult emotional, social
                          and professional issues a nurse has to deal with following an adverse event.

     Nurses may experience:                                                      MITSS provides confidential:
      • Feelings of loss                                                         • Telephone “hotline” support
      • Shame and guilt                                                          • Short-term individual counseling
      • Depression                                                               • Support groups for nurses led by a licensed clinical
      • Anxiety                                                                     psychologist
      • Feelings of isolation and being alone                                    • Referral services for emotional support
      • Doubts about professional competence
      • Difficulties at work and at home




               You chose a caring field.
        Maybe it’s time to take care of yourself.


                     MITSS services are available to any nurse
                    and are not restricted to MNA members.
             Call us toll free at 888-36MITSS or visit www.mitss.org.


10  February 2008  Massachusetts Nurse Advocate
  Emergency 
  Department 
  overcrowding, 
  diversions and 
  boarding
  Q: Can they be controlled? 
  A: Yes … theoretically




                By Mary Crotty                    make care safer by matching resources (staff,        has developed, implemented, and evaluated
   Huge safety problems for nurses and patients   beds, test times, OR availability, etc.) with        methods to (1) reduce this type of artificial
arise from the related issues of emergency        the demand for those resources. As Professor         management variability, and (2) better manage
department (ED) overcrowding, ED diver-           Eugene Litvak, co-founder and director of the        “natural” variability at a number of hospitals
sion and patient boarding on inpatient units.     BU program points out, “Hospital census is           across the country.
There has been an assumption for all too long     not handed down from on high by God. It is a            Examples of strategies that researchers think
that these problems are inevitable. Hospitals     variable that can be controlled.”                    can be successful when implemented appropri-
have argued that they cannot predict demand          The Joint Commission on the Accredita-            ately and managed over time include smoothing
—for any given shift or day. As a result, the     tion of Healthcare Organizations (JCAHO),            of vascular and cardiac surgery schedules by
industry has long claimed they cannot be held     possibly recognizing the link between the            changing block time distribution, eliminating
accountable for staffing appropriately, since     emergency department crisis and strategies           block scheduling from one OR suite, desig-
‘patterns cannot be predicted’ and they ‘cannot   known to control demand, issued a new stan-          nating an other OR suite for emergent cases
afford to staff to “peak” volume around the       dard that went into effect on Jan 1, 2005 that       and others for orthopedic cases, and going
clock.’ Nurses in turn point out that avoidable   directs hospitals to manage patient flow in          to an “open” scheduling system for other OR
errors, morbidity and mortality are most likely   order to address ED overcrowding and con-            suites. Many of the strategies center around
to occur during the staffing ‘lows’ – which is    sequent problems. Unfortunately, it’s not yet        control of elective procedures. Unfortunately,
not acceptable. One obvious potential solution    apparent that the techniques and strategies that     elective procedures frequently generate sig-
is to determine how to control the peaks and      could be used by hospitals are being tested or       nificant profit for institutions and surgeons in
lows, and by doing so, smooth out the resulting   put into use. However, it does appear that they      particular, and as a result, hospital administra-
demand for beds and services so that available    have significant potential.                          tors are reluctant to require physicians to alter
resources more closely match the need.               Briefly: there are two different types of vari-   their admitting and OR scheduling practices.
   Experts in what is termed “managing            ation in demand. One is “natural”—largely            If we are to seriously control variable admis-
demand” (the concept comes from the world         outside the control of health care managers.         sions and address this crisis, it may well be that
of manufacturing) in Boston are showing that      For example, patients differ in the type and         regulators (i.e. Department of Public Health)
theoretically at least, demand for hospital       severity of disease; similar patients respond        will need to be forceful with hospitals, in view
services can be smoothed out and managed          differently to treatment; patients arrive for        of their responsibility for public safety.
significantly. Local leaders in this field of     treatment randomly over time; different pro-            For more information, go to www.bu.edu/mvp/
research, operating out of Boston Univer-         viders treat similar patients in different ways,     or contact Brad Prenney or Dr. Eugene Litvak via
sity’s Management of Variability in Health        etc. However, even these sources of “natural”        www.bu.edu/mvp/people/index.html.
Care Delivery program, funded by the Mas-         variability can be managed through various              Due to the interest in this subject, an outgrowth
sachusetts Department of Public Health and        “operations management” tools and tech-              of the research has been the development of a
other private sources, have labeled the strate-   niques adapted from other industries.                private company called PatientFlow Technology.
gies emerging from their research as “patient        There are also “artificial” sources of vari-      Case studies and more information is available
flow” technology. Their ultimate goal is to       ability that can be reduced and even completely      online at http://www.patientflowtech.com/.
help hospitals learn how to smooth or manage      eliminated. Much of this arises from poor               You may also contact Mary Crotty, RN,
demand, minimize the ‘demand peaks’ for ED        management processes. The Boston University          MBA, JD, MNA associate director of nursing,
beds, for tests, for ICU beds, and to thereby     Management of Variability Program (MVP)              at mcrotty@mnarn.org or 781-830-5743. n
                                                                                          Massachusetts Nurse Advocate  February 2008  11
Labor Education
Union busting is disgusting
                  By Joe Twarog                                           lowing elements:               anti-union campaigns he states, “You can get
  “Union busting is a field populated by bul-                             • Division, confusion          nasty all you want, you just don’t have to get
  lies and built on deceit. A campaign against                            and discord                    illegal.” Yet he argues that firing pro-union
  a union is an assault on individuals and a                              • Half-truths and mis-         employees is the most effective management
  war on the truth. As such, it is a war without                          leading statements             weapon.
  honor. The only way to bust a union is to lie,                          • Fear and frustration.           The symptoms/tactics that an employer is
  distort, manipulate, threaten, and always,                                 It is not uncommon          determined to get rid of the union by the use
  always attack.”                                                         for these union busters        of union busters include:
            —Confessions of a Union Buster                                to cross the line of legal-        • firing and disciplining key union
                                                     Joe Twarog
                          by Martin Jay Levitt                            ity. Yet they know that               activists
  Union busting is unfortunately alive and           the NLRB process is currently stacked against           • harassing and intimidating the rank-
well in Massachusetts. Of course, the employ-        labor.                                                     and-file around minor issues
ers that we deal with on a daily basis would            Jackson Lewis is a law firm with 25 offices          • cancellation and delays at the bargain-
never publicly use the term “union busting,”         nationally and a payroll of more than 325 attor-           ing table
but would rather use sanitized versions as           neys. It regularly conducts “union avoidance”           • constant roadblocks and massive
“management consultants” or “union avoid-            briefings and seminars for managers. The Sept.             demands for concessions in bargain-
ance specialists.”                                   24, 2007 edition of In These Times magazine                ing
  These union busters do not carry billy-clubs       features an article about one such seminar              • use of constant scare tactics and
or look like thugs (as did the Pinkertons) but       entitled “Unionbusting Confidential.” The                  threats
are usually extremely well dressed, carry            two-day seminar costs $1,595 at the Las Vegas           • luring employees into toothless power
briefcases and use modern technology and             Westin. The author writes that seminar leaders,            sharing schemes
videotaping instead of blackjacks. But it all        Michael J. Lotito and Michael Stief III, focused        • unilaterally instituting new employee
comes down to the same thing – instead of            on the threat of unions and ways in which to               policies
dealing with the real problems and concerns          beat them. They spoke about the importance             The irony of union busters is that manage-
that health care professionals and nurses have       of appearing respectful of labor’s concerns         ment is extremely fearful of “losing control”
in the workplace, their sole goal is to bust the     while at the same time feeling free to lie since,   of the workplace and sharing power with its
union and control the workforce. And these           to quote the article “The labor board (NLRB)        workforce in the form of a union. Yet they
union busters get paid obscenely well for their      doesn’t really care if people are lying.” The       happily hand over control of the workplace
dirty work. It is a highly lucrative yet dishonor-   seminar also focused on how to undermine the        to the union busters they hire who do exactly
able “profession.”                                   union by rejecting all of the union’s bargaining    that—directing the entire campaign and in
    Union busters of this ilk usually operate        demands while at the same time maintaining          effect taking control of the workplace by telling
behind the scenes, and so are not easily visible     the appearance of good faith bargaining and         management and supervisors what to say, what
to the nurse on the floor. Management will           operating on the edge of the law.                   to do and how to act. The money that manage-
carefully insulate the consultants from having          Another outfit grandiosely calling itself the    ment squanders on these union busters would
any direct contact with workers, and will even       Executive Enterprise Institute regularly offers     be much better spent on dealing with the real
deny that union busters are working for them.        costly seminars on how management can take          workplace issues.
Union busters will use supervisors and depart-       a hard-ball aggressive approach to bargaining          The union must remain vigilant and aggres-
ment managers as their tools. However, overtly,      in order to control and frustrate the union.        sively challenge these tactics while continuing
the MNA also regularly deals with national           Clifton Budd & DeMaria is a New York-based          to educate the members and fight for improved
law firms that specialize in “union avoidance”       law firm whose partner Alfred De Maria writes       working conditions.
hired by management to negotiate contracts.          such titles as: “Management Report, a Newslet-         Union busting schemes can be effectively
  Their calling cards are simple. They care-         ter for Union-Free Employers,” “The Process         controlled and defeated by union members
fully plan and prepare a focused campaign to         of De-Unionization,” and “Supervisor’s Hand-        who organize together and confront manage-
weaken and destroy the union built on the fol-       book on Maintaining Non-Union Status.” In           ment’s poor labor relations methods. n




1  February 2008  Massachusetts Nurse Advocate
Biosafety Level 4 research laboratory hits stumbling block
   Federal and state courts have intervened           Legal counsel for community residents oppos-
to scuttle Boston University’s plans to open a        ing the laboratory is of the opinion it is highly
                                                                                                           BU image plummets 
BSL-4 laboratory in Roxbury this year, on a site      unlikely a repeat environmental analysis will           In an interesting development that
located next to Boston Medical Center.                pass muster with the courts.                         appears related to the problem-plagued
   The original intention for the Level 4 com-            The SJC ruling came two weeks after an           BU lab, Boston University’s image among
ponent of the lab was to allow scientists to work     independent panel of scientists found that the       Massachusetts leaders plummeted this
with the world’s deadliest incurable pathogens,       federal review of the lab was “not sound and         year, according to a recent corporate repu-
including Ebola, plague, West Nile virus and          credible” and failed to adequately address the       tation poll conducted by Opinion Dynamics
anthrax.                                              consequences of highly lethal germs escaping         in Cambridge, while Boston College saw its
   The MNA has actively opposed the labo-             from the project.                                    prestige rise to the top of the rankings.
ratory’s opening and for nearly three years               Unfortunately, the court ruling will not halt       BU dropped to 20th place from sixth
has testified at numerous hearings before the         construction of the facility, which is nearly        place and BC rose to number one from
Boston City Council, National Institutes of           complete. But it will require the university         fourth place the previous year.
Health (NIH) and in community settings                to complete another safety review in order to           “The glitches they had with the biolab
against plans to site it in such close proximity to   receive the needed work permits. At this point       may have put a small nick in the university’s
Boston Medical Center. The fundamental con-           it seems unlikely that the Level 4 laboratory        reputation,” said Peter Morrissey, presi-
cern of MNA is allowing a Biolevel 4 laboratory       component will ever pass a rational environ-         dent and CEO of Morrissey & Co., a public
to operate in an urban, densely populated area,       mental analysis or permit research, in effect        relations instructor at BU’s College of Com-
where the accidental or deliberate release of a       thwarting efforts for it to move forward. But        munications.
deadly biological agent could have a devastat-        it is still possible.                                   The view from here is the fall from sixth
ing impact on a large population of residents.            Given that the laboratory is nearly com-         to 20th was a huge drop—more than a
   On Dec. 13, 2007 the Massachusetts Supreme         pleted, MNA urges that an adequate regulatory        small nick—but BU staff apparently feels
Judicial Court unanimously ruled that the             framework is put in place for components of          the need to watch their words.
state’s environmental approval process for            the laboratory that are permitted to operate in                                    —Mary Crotty
the biolab project had been deeply flawed. The        the future. As it now stands, only “guidelines”
state’s top court agreed with a 2006 ruling from      for regulation of the BSL-4 laboratory exist        or monitor DNA research. Moreover, it has
Massachusetts Superior Court Judge Ralph              and these rest with the Boston Public Health        little or no knowledge of the vast complexity of
Gants that the state’s original environmental         Commission. This method of supervision              work done in a high security laboratory—one
analysis was “arbitrary and capricious.” In its       is clearly an inadequate regulatory scheme.         that requires highly expert monitoring and
decision, the SJC court ruled that the review         BPHC’s experience is in handling issues such        regulation.
conducted by the state environmental affairs          as lead paint initiatives, domestic violence, and      The security and safety of all, particularly
secretary during the administration of former         mosquito control. The BPHC lacks both the           the disparate community of Roxbury, is clearly
Gov. Mitt Romney “lacked a rational basis.”           experience and resources to either understand       at stake. n


            MNA hosts free continuing education programs
                                              Free CE in Connecticut through NENA!
     Wound Care                                           Details: A comprehensive overview of wound care and strategies for managing
       Trumbull Marriott Merritt Parkway                    complex wounds. A discussion of products will showcase the optimal dressing
       180 Hawley Lane                                      based on clinical findings. Newer modalities of wound management, such as growth
       Trumbull, CT                                         factors, hyperbaric oxygen, electrical stimulation, cultured skin replacements
       March 4, 2008 • 6:30 – 9:00 p.m.                     and vacuum-assisted closure devices will also be discussed. Beverages and snacks
       Register by Feb. 21, 2008                            provided.
                                                          Speaker: Carol Mallia, MSN, RN
                                                          Contact Hours:  2.0

     Post Traumatic Stress Disorder                       Details: This program will address the characteristic signs, symptoms, therapeutic
       Hilton Garden Inn Glastonbury                        approaches and nursing management of patients experiencing post traumatic stress
       85 Glastonbury Boulevard                             disorder. Considerations relative to traumatic events throughout the life span and
       Glastonbury, CT                                      cultural barriers will be included. Beverages and snacks provided.
       April 1, 2008 • 6 – 8:30 p.m.                      Speaker: Ronald Nardi, MSN, APRN
       Register by March 20, 2008                         Contact Hours: 1.9

       Contact hours will be provided. Continuing nursing education contact hours are provided for all programs by the Massachusetts
     Nurses Association. To successfully complete a program and receive contact hours you must 1) sign in 2) be present for the entire time
     period of the session and 3) complete and submit the evaluation.
       The Massachusetts Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credential-
     ing Center’s Commission on Accreditation.
       These CE courses are offered free of charge, but registration is required. To register, call 800-882-2056, x777.


                                                                                             Massachusetts Nurse Advocate  February 2008  1
                                                                            Track : Collective Bargaining
                                                                                                  Regions       3        5
                                                               Week 1
                                                                Welcome and Introduction
                                                                Negotiations and the Legal Basis              12/6     11/26
                                                                Process Overview                            Thursday   Monday
                                                                Bargaining Team and Internal Ground
                                                                  Rules
                                                               Week 2
                                                                Contract Surveys
                                                                                                             12/20     12/10
                                                                Formulating Proposals
The MNA has now scheduled dates in all five MNA                 Priorities, Goals and Themes
                                                                                                            Thursday   Monday
Regions for the first two tracks of its new Labor School.       Researching the Employer and the Union
                                                               Week 3
The school aims to educate members—soup to nuts—
                                                                Committee Decision Making
on a wide variety of union issues. The courses are              At the Bargaining Table                     1/17/08     1/7
organized into “tracks” with a specific overall focus.          Getting Dates, Sites, etc.                  Thursday   Monday
Five or six classes make up each track, and each class          Roles and Conduct at the table
                                                                Proposal and Counter-Proposal Exchange
is two to three hours long. A certificate of completion
                                                               Week 4
is awarded to members at the end of each track. In              Table Tactics and Reading Signals
                                                                                                            1/31/08     1/21
addition, members who complete any two tracks will              Contract Campaigns
                                                                                                            Thursday   Monday
be given an MNA Labor School jacket. Members may                Developing a Contract Action Team
                                                                Writing Proposals
choose which tracks and at what location they would
                                                               Week 5
like to participate. There is no commitment to attend all       Contract Costing
                                                                                                            2/12/08     2/4
tracks. Classes run from 5–7:30 p.m.                            Picketing, Workplace Actions and Strikes
                                                                                                            Tuesday    Monday
                                                                Impasse and Contract Extensions
For more information, contact your local Regional office        MNA Collective Bargaining Video
or the MNA division of labor education at 781-830-5757.        Week 6
                                                                Media and Public Relations
                                                                Reaching Agreement
Labor School Locations                                          Committee Recommendation &                  2/26/08     2/25
Region 1, Western Mass.          Region 4, North Shore            Ratification                              Tuesday    Monday
241 King Street                  10 First Avenue, Suite 20      The Contract Document
Northampton                      Peabody                        Mid Term Bargaining
413.584.4607                     978.977.9200
Region 2, Central Mass.          Region 5, Greater Boston       Program completed in Regions 1, 2 & 4.
365 Shrewsbury St.               MNA Headquarters
Worcester                        340 Turnpike Street, Canton
508.756.5800                     781.821.8255
Region 3, South Shore/Cape &
Islands
60 Route 6A
Sandwich
508.888.5774
                                                                   All scheduled Track 1 sessions
                                                                        have been completed.
                                                                    New Track 1 sessions, for all
                                                                    Regions, will be announced
                                                                               soon.
                            Track : Building the Union & Computer Skills Training*
                                                                        1         2         3        4       5
        Week 1
         Member Participation                                                                       C
                                                                      1/29     12/12/07   3/19              3/10
         Structure of the MNA and typical bargaining unit
                                                                      Tues.      Wed.     Wed.              Mon.
         Organizing and mapping the workplace
         Contract Action Teams – Mobilization/Activists Structure
                                                                                                    O
        Week 2
         The Community and the Media
                                                                      2/12      1/9        4/1     M        3/24
                                                                      Tues.     Wed.      Tues.             Mon.
         Media Training and Working with the Press
        Week 3                                                                                      P
         Computer Training to Build the Union
         Hands-on Training in Use of Computer Spreadsheets
          (Excel)
                                                                      2/27
                                                                      Wed.
                                                                                1/23
                                                                                Wed.
                                                                                          4/15
                                                                                          Tues.
                                                                                                     L      4/7
                                                                                                            Mon.
         Useful for Mapping Facilities, Costing Contracts, Tracking
          Member Participation                                                                      E
        Week 4
         Strategies of Action and Work Place Actions
                                                                      3/11      2/13      4/29      T       4/21
         Running Effective Union Meetings
                                                                      Thurs.    Wed.      Tues.             Mon.
         Escalating Pressure Tactics
         Strikes and Work Stoppages                                                                 E
        Week 5                                                                  3/5       5/13              5/5
         Excel Spreadsheet Training Continued                         TBA
                                                                                Wed.      Tues.     D       Mon.

                                          Track : Labor Laws & Special Topics
                                                                        1         2         3        4       5
        Week 1
                                                                      3/25      3/18       9/9     1/10     5/19
         Family Medical Leave Act
                                                                      Tues.     Tues.     Tues.    Thurs.   Mon.
         Massachusetts Small Necessities Leave Act
        Week 2
         Fair Labor Standards Act
         Overtime Rules                                                4/1      4/2       9/23     1/24     6/2
         Labor-Management Reporting and Disclosure Act                Tues.     Wed.      Tues.    Thurs.   Mon.
         (LMRDA)
         Union Officer Elections
        Week 3
         Workers Compensation                                         4/16      4/23      10/7     2/14     6/16
         OSHA                                                         Wed.      Wed.      Tues.    Thurs.   Mon.
         American with Disabilities Act
        Week 4
         Employment Discrimination and Title VII/Federal Civil
                                                                       5/6      5/7       10/21    2/28     6/30
         Rights Act
                                                                      Tues.     Wed.       Tues.   Thurs.   Mon.
         Age Discrimination in Employment Act (ADEA)
         The Worker Adjustment and Retraining Notification Act
        Week 5
                                                                      5/27      5/28      11/5     3/13     7/14
         The NLRB and Kentucky River/Oakwood Cases
                                                                      Tues.     Wed.      Tues.    Thurs.   Mon.
         Nurse Supervisor Issues


*	Due	to	the	availability	of	instructors	
  for	the	Track	3	segments,	each	week’s	
  material	 may	 vary	 by	 Region	 (i.e.	                        For further details:
  the	subject	matter	for	Week	2	in	one	
  region	may	differ	from	that	of	Week	                          www.massnurses.org
  2	in	another	region).	Participants	are	
  urged	to	check	with	their	respective	                             781-830-5757
  regions	for	training	content	in	each	
  week	of	Track	3.	
                   Consent to Serve for the MNA 2008 Election
  I am interested in active participation in Massachusetts Nurses Association.

                                                             MNA General Election
       	   Vice President, Labor*, 1 for 2 years                                	 Nominations Committee, (5 for 2 years) [1 per region]
       	   Treasurer, Labor*, 1 for 2 years                                     	 Bylaws Committee (5 for 2 years) [1 per region]
       	   Director, Labor* (5 for two years) [1 per Region]                    	 Congress on Nursing Practice (6 for 2 years)
       	   Director At-Large, General (4 for 2 years)                           	 Congress on Health Policy (6 for 2 years)
       	   Director At-Large, Labor (3 for 2 years)                             	 Congress on Health & Safety (6 for 2 years)
                                                                                 	 Center for Nursing Ethics & Human Rights (2 for 2 years)
       *General means an MNA member in good standing and does not have to be a member of the labor program. Labor means an MNA member in good
       standing who is also a labor program member. Labor Program Member means a non-RN health care professional who is a member in good standing of the
       labor program.

  Please type or print — Do not abbreviate

       Name & credentials  ____________________________________________________________________________
                                 (as you wish them to appear in candidate biography)

       Work Title   ____________________________________   Employer  _______________________________________________

                            _
       MNA Membership Number  ____________________________________________  MNA Region  ________________________

       Address  ________________________________________________________________________________________________  

       Cfty _____________________________________________________ State _____________________  Zip  ________________

       Home Phone  __________________________________   Work Phone _____________________________________________  

  Educational Preparation
       School                                                                                Degree                                           Year




  Present or Past MNA Offices/Association Activities (Cabinet, Council, Committee, Congress, Unit, etc.) Past 5 years only.
       MNA Offices                                                               Regional Council Offices




 Candidates may submit a typed statement not to exceed 250 words. Briefly state your personal views on nursing, health care and 
 current issues, including, if elected, what your major contribution(s) would be to the MNA and in particular to the position which you 
 seek. This statement will be used in the candidate biography and published in the Massachusetts Nurse Advocate. Statements, if 
 used, must be submitted with this consent-to-serve form.



                              Signature of Member                                            Signature of Nominator (leave blank if self-nomination)

 Postmarked Deadline:  Preliminary Ballot: March 31, 2008                         Return To:     Nominations and Elections Committee
                       Final Ballot: June 16, 2008                                               Massachusetts Nurses Association
                                                                                                 340 Turnpike Street, Canton, MA 02021

   •  Hand delivery of material must be to the MNA staff                          •  Retain a copy of this form for your records.
      person for Nominations and Elections Committee only.                        •  Form also available on MNA Web site:  
   •  Expect a letter of acknowledgment (call by June 1 if                           www.massnurses.org
      none is received)


1  February 2008  Massachusetts Nurse Advocate
     2008 Consent to Serve for the MNA Regional Council
I am interested in active participation in MNA Regional Council
                                                                                                                           4
 	 At-Large Position in Regional Council
        I am a member of Regional Council                                                    1              2
            Region 1  Region 2  Region 3         Region 4    	Region 5
                                                                                                                         5

     General members, labor members and labor program members are eligible to run. General means an MNA member                 3
     in good standing and does not have to be a member of the labor program. Labor means an MNA member in good
     standing who is also a labor program member. Labor Program Member means a non-RN Healthcare Professional
     who is a member in good standing of the labor program.

 Please type or print — Do not abbreviate

     Name & credentials  ____________________________________________________________________________
                            (as you wish them to appear in candidate biography)

     Work Title   ____________________________________   Employer  _______________________________________________

                          _
     MNA Membership Number  ____________________________________________  MNA Region  ________________________

     Address  ________________________________________________________________________________________________  

     Cfty _____________________________________________________ State _____________________  Zip  ________________

     Home Phone  __________________________________   Work Phone _____________________________________________  


 Educational Preparation
     School                                                                       Degree                                           Year




 Present or Past MNA Offices/Association Activities (Cabinet, Council, Committee, Congress, Unit, etc.) Past 5 years only.
     MNA Offices                                                         Regional Council Offices




Candidates may submit a typed statement not to exceed 250 words. Briefly state your personal views on nursing, health care and 
current issues, including, if elected, what your major contribution(s) would be to the MNA and in particular to the position which you 
seek. This statement will be used in the candidate biography and published in the Massachusetts Nurse Advocate. Statements, if 
used, must be submitted with this consent-to-serve form.




                         Signature of Member                                      Signature of Nominator (leave blank if self-nomination)


Postmarked Deadline:  Preliminary Ballot: March 31, 2008                  Return To:   Nominations and Elections Committee
                      Final Ballot: June 16, 2008                                      Massachusetts Nurses Association
                                                                                       340 Turnpike Street, Canton, MA 02021


                                                                                       Massachusetts Nurse Advocate  February 2008  1
           MNA Continuing Education Courses
                                                      Winter/Spring 2008
              Basic Dysrhythmia Interpretation                                                   Nurse Protect Thyself:
Description: This course is designed for registered nurses in acute, sub-                  Tools to Minimize Legal Exposure
  acute and long-term care settings to learn cardiac monitoring and
                                                                             Description: This program, which is co-provided by the MNA and the
  dysrhythmia interpretation. Implications and clinical management of
                                                                               Southern New England Chapter of the American Association of Legal
  cardiac dysrhythmias will also be discussed. Course will include a text
                                                                               Nurse Consultants, will provide nurses with information to minimize
  book and require study between sessions one and two.
                                                                               liability in nursing practice situations. The elements of negligence and
Speakers: Mary Sue Howlett, BSN, RN, CEN, Carol Mallia, MSN, RN
                                                                               how nurses are accountable through regulations, scope of practice
Dates: March 11 – Part One
                                                                               and standards of care will be addressed. Documentation and its uses
       March 18 – Part Two
                                                                               in litigation will be discussed and strategies provided to protect your
Time: 5–9 p.m. (light supper provided)
                                                                               nursing practice.
Place: MNA Headquarters, Canton
                                                                             Speakers: Legal Nurse Consultants, Southern New England Chapter of
Fee: MNA Members, Free*; Others, $195
                                                                               the American Association of Legal Nurse Consultants
*Requires $25 deposit which will be returned upon attendance.
                                                                             Date: May 9
Contact Hours: 6.7
                                                                             Time: 8 a.m. – 4 p.m. (light lunch provided)
MNA Contact: Theresa Yannetty, 781-830-5727 or 800-882-2056, x727
                                                                             Place: MNA Headquarters, Canton
        Critical and Emerging Infectious Diseases                            Fee: MNA and AALNC Members, $95; Others, $125
                                                                             Contact Hours: Will be provided.
Description: This program is designed to provide nurses with current
                                                                             MNA Contact: Liz Chmielinski, 781-830-5719 or 800-882-2056, x719
  information regarding critical infectious diseases, e.g. HIV/AIDS,
  Tuberculosis, Hepatitis, MRSA and emerging infectious diseases, e.g.
  Avian flu, Marburg virus, SARS, EBOLA, BSE and other diseases. The
  morning session will address specific diseases, their epidemiology,
  signs/symptoms, treatment and prevention. The afternoon session will
  address protecting nurses and others from disease exposure through
  the use of environmental and work-practice controls, as well as personal
  protective equipment.
Speakers: Alfred DeMaria, MD; Maureen Spencer, RN, MEd, CIC;                                 Interpreting Laboratory Values
  Thomas P. Fuller, ScD, CIH, MSPH, MBA                                      Description: This program will enhance the nurse’s ability to evaluate and
Date: March 21                                                                 determine the clinical significance of laboratory values. Clinical case
Time: 8 a.m. – 4 p.m. (light lunch provided)                                   studies will be used to illustrate the relationship of laboratory values
Place: MNA Headquarters, Canton                                                to patient conditions. Clinical management of abnormal laboratory
Fee: MNA Members, Free*; Others, $195                                          values will be discussed.
*Requires $50 deposit which will be returned upon attendance.                Speaker: Carol Mallia, MSN, RN
Contact Hours: 6.0                                                           Date: June 10
MNA Contact: Phyllis Kleingardner, 781-830-5794 or 800-882-2056, x794        Time: 5–9 p.m. (light supper provided)
 Prevention and Management of Disruptive Behavior                            Place: MNA Headquarters, Canton
                                                                             Fee: MNA Members, Free*; Others, $95
Description: This broad-based program of violence prevention for nurses
                                                                             *Requires $25 deposit which will be returned upon attendance.
  and other health care providers is based on the Department of Veterans
                                                                             Contact Hours: Will be provided.
  Affairs’ newly revised national training program. The four levels of
                                                                             MNA Contact: Phyllis Kleingardner, 781-830-5794 or 800-882-2056, x794
  stress and assessment, interpersonal and preventive intervention skills
  specific to each level will be addressed. Participants will learn how to                               Wound Care
  effectively respond to disruptive behavior and deescalate potentially      Description: This program will provide a comprehensive overview of
  violent behavior, with the goal of achieving a positive and safe outcome     the factors effecting wound care and strategies for managing complex
  for patients, staff, and others involved.                                    wounds. A thorough review of wound products will enable the attendee
Speaker: Carol Dacey, BSN, RN                                                  to select the optimal dressing based on clinical findings. Newer
Date: March 27                                                                 modalities wound management, such as growth factors, hyperbaric
Time: 8 a.m. – 4 p.m. (light lunch provided)                                   oxygen, electrical stimulation, cultured skin, replacements and vacuum-
Place: MNA Headquarters, Canton                                                assisted closure devices will also be discussed.
Fee: MNA Members, Free*; Others, $195                                        Speaker: Carol Mallia, MSN, RN
*Requires $50 deposit which will be returned upon attendance.                Date: June 24
Contact Hours: Will be provided.                                             Time: 5–9 p.m. (light supper provided)
MNA Contact: Theresa Yannetty, 781-830-5727 or 800-882-2056, x727            Place: MNA Headquarters, Canton
                                                                             Fee: MNA Members, Free*; Others, $95
                                                                             *Requires $25 deposit which will be returned upon attendance.
                                                                             Contact Hours: Will be provided.
                                                                             MNA Contact: Phyllis Kleingardner, 781-830-5794 or 800-882-2056, x794

                                                                                         Registration information, next page

18  February 2008  Massachusetts Nurse Advocate
MNA Elections

MNA incumbent office holders
Board of Directors                     Nancy Gilman (2006–08)             Elizabeth O’Connor           Regional Council election
 President                             Judith Smith-Goguen (2006–08)      Kate Opanasets                  Pursuant	to	the	MNA	Bylaws:	Article	
   Beth Piknick (2007–09)           Directors (At-Large/General)          Kathy Sperrazza              III,	Regional	Councils,	Section	5:	Gover-
 Vice President                        Sandy Eaton (2007–09)           Nominations & Elections         nance
   Donna Kelly-Williams (2006–08)      Tina Russell (2007–09)            Committee                        The	governing	body	within	each	region	
 Secretary                             Ellen Farley (2006–08)             Janet Spicer                 will	consist	of:
   Rosemary O’Brien (2007–09)          Helen Gillam (2006–08)          Center for Nursing Ethics &      a.	 (1)	A	Chairperson,	or	designee,	for	
 Treasurer                             Sharon McCollum (2006–08)         Human Rights                        each	MNA	bargaining	unit.
   Nora Watts (2006–08)                Vacant (2007–09)                   Ellen Farley                  	 (2)	One	Unit	7	representative	on	
Directors Labor                     Labor Program Member                  Sarah Moroney                      each	regional	council,	to	be	desig-
 Region 1                             (Non-RN, Health Care                Lolita Roland                      nated	by	the	Unit	7	President.
                                      Professional)                       Kelly Shanley                 	 (3)	Seven	at-large	elected	positions,.	
   Vacant (2007–09)
                                                                                                             General	members,	labor	members,	
   Diane Michael (2006–08)             Beth Gray-Nix (2007–09)         Congress on Nursing Practice
                                                                                                             and	labor	program	members	are	
 Region 2                           Congress on Health Policy and         Mary Amsler
                                                                                                             eligible	 to	 run	 for	 these	 at-large	
   Pat Mayo (2007–09)                 Legislation                         Marianne Chisholm
                                                                                                             positions.	At-large	members	serve	
   Mary Marengo (2006–08)              Melissa Croad                      Monique Coe
                                                                                                             a	two	year	term	or	until	their	suc-
 Region 3                              Ann Eldridge Malone                Ellen Deering                      cessors	are	elected.
   Judy Rose (2007–09)                 Nancy Pitrowiski                   Stephanie Holland             b.	 At-large	members	shall	be	elected	
   Stephanie Stevens (2006–08          Kathy Metzger                      Susan Howe                         by	the	Regional	Council’s	mem-
 Region 4                              Julia Rodriguez                    Susan Lipsett                      bership	in	MNA’s	general	election.	
   Fran O’Connell (2007–09)            Donna Dudik                        Marian Nudelman                    Four	 at-large	 members	 shall	 be	
   Vacant (2006–2008)                  Sandra Hottin                      Christine O’Brien                  elected	in	the	even	years	for	a	two	
 Region 5                              Chris Folsom                       Paula Trabucco                     year	term	and	three	at	large	mem-
   Barbara Norton (2007–09)            Kathleen Charette                  Linda Winslow                      bers	 shall	 be	 elected	 in	 the	 odd	
   Ginny Ryan (2006–08)             Congress on Health and Safety      Bylaws Committee                      years	for	a	two	year	term.	
Directors (At-Large/Labor)             Terri Arthur                       Jane Connelly                   Proviso: This election commences in
   Karen Coughlin (2007–09)            Mary Bellistri                     Elizabeth Kennedy            2006
   Patty Healey (2007–09)              Maryanne Dillon                    Sandra LeBlanc                  Please	note	the	consent	to	serve	form	for	
   Karen Higgins (2007–09)             Sandra LeBlanc                     Susan Mulcahy                the	Regional	Council	at-large	positions	is	
   Richard Lambos (2007–09)            Gail Lenehan                       Elizabeth Sparks             on	Page	17.	Three	members	will	be	elected	
   Kathie Logan (2007–09)              Lorraine MacDonald                 Kathryn Zalis                this	year	to	serve	a	two-year	term.		n



                                           Continuing Ed Course Information
 Registration:          Registration will be processed on a space available basis. Enrollment is limited for all courses.
 Payment:               Payment may be made with MasterCard, Visa or Amex by calling the MNA contact person for the program or by mailing
                        a check to MNA, 340 Turnpike St., Canton, MA 02021.
 Refunds:               Refunds are issued up to two weeks before the program date minus a 25% processing fee. No refunds are made less
                        than 14 days before the program's first session or for subsequent sessions of a multi-day program.
 Program                MNA reserves the right to change speakers or cancel programs due to extenuating circumstances. In case of inclement
 Cancellation:          weather, please call the MNA at 781-821-4625 or 800-882-2056 to determine whether a program will run as originally
                        scheduled. Registration fees will be reimbursed for all cancelled programs.
 Contact Hours:         Contact hours will be provided as specified in the program description. Continuing nursing education contact hours
                        for all programs are provided by the Massachusetts Nurses Association. To successfully complete a program and
                        receive contact hours or a certificate of attendance, you must: (1) sign in; (2) be present for the entire time period of
                        the session; and (3) complete and submit the evaluation.
                        The Massachusetts Nurses Association is accredited as a provider of continuing nursing education by the American
                        Nurses Credentialing Center’s Commission on Accreditation.
 Chemical               Scents may trigger responses in those with chemical sensitivities. Participants are requested to avoid wearing scented
 Sensitivity:           personal products and refrain from smoking when attending MNA continuing education programs.

 Note: All CE programs run entirely by the MNA are free of charge to all MNA members. Pre-registration is required for all programs.


                                                                                             Massachusetts Nurse Advocate  February 2008  1
    knowledge of current drug- resistant infectious diseases in the             In each case, if you do not attend the program or call to cancel, the fee will
    hospital and the community, e.g. MRSA, HIV.                                 NOT be refunded.
    Presenter: Maureen Spencer, RN, MEd, CIC                                       To register for these programs, mail the attached registration form
    Date: January 16, 2008 (Snow date January 23, 2008)                         including a check for each date to:

                                                     Continuing Education Programs
    Time: Registration 5:00 p.m. – 5:30 p.m.                                       MNARegional Council IV
    Dinner will be served 5:30 p.m. – 6:30 p.m.                                    10 FirstAvenue, Suite 20
                                                                                   Peabody, MA01960
    Presentation 6:30 p.m. – 9:00 p.m.
    Region IV
    Location: Danversport Yacht Club, 161 Elliot Street
    Danvers, MA01923; phone: 978-774-8620
                                                                                Please include your email address! For more information, contact the MNA
                                                                                Regional Council IV office at 978/977-9200 or region4mna@aol.com.
                                                                                Contact Hours: Contact hours will be provided for all programs by the
  Solving the Puzzle: Differentiating Depression,                               Massachusetts Nurses Association which is accredited as a provider of
  Dementia and Delirium                                                         continuing nursing education by the American Nurses Credentialing
                                                                                    Registration: Registration will be processed
                                                                                Center’s Commission on Accreditation. To successfully complete a
    Program Description: This program will enable the nurse to                  programspace available basis. There is must: 1) sign in, 2) be present for
                                                                                    on a and receive contact hours, you a placeholder              learn to       lead
    positively impact care through an understanding of depression,                  entire time period of the session and all MNA
                                                                                the fee of $25 for each evening class for 3) complete and submit the
    dementia and delirium, including common etiologies, treatments              evaluation.
    and intervention strategies for each.                                            members, which will be returned when you attend the class. There is a
                                                                                    fee of Sensitivity: Scents class for all non-MNA those with
                                                                                Chemical $95 for each eveningmay trigger responses in members. For all-
    Presenter: Susan S. Brill,APRN, BC                                          chemical sensitivities. Men and women are requested to avoid wearing
    Date: March 5, 2008 (snow date March 12, 2008)                                  day classes, the placeholder fee is $50 for MNA members; a full $195
                                                                                scented personal products when attending this meeting/program.
    Time: Registration 5:00 p.m. – 5:30 p.m.                                         fee for non-members. In each case, if you do not attend the program or
                                                                                Program Cancellation: MNA reserves the right to change speakers or
    Dinner will be served 5:30 p.m. – 6:30 p.m.                                     call to cancel, the fee will NOT be refunded.
                                                                                cancel programs for extenuating circumstances. In case of inclement
    Presentation 6:30 p.m. – 9:00 p.m.                                              To register for these programs, mail the office at 978-977-9200 to
                                                                                weather, please call the MNA Regional Council IV registration form below with
    Location: Holiday Inn Hotel and Suites                                          a check for each date to:
                                                                                determine whether a program will run as originally scheduled. Registration
    1 Newbury Street, Route 1 North, Peabody, MA01960                           and fees will be reimbursed for all cancelled programs.
                                                                                       MNA Regional Council 4
    phone: 978-535-4600
                                                                                       10 First Avenue, Suite 20
  A Focus on Pediatrics, is an all-day event held in two sessions.                     Peabody, MA 01960
  Please join us for both.                                                           Please include you email address. For more information, contact the
    Location: Angelica’s Restaurant, 49 South Main Street,                           MNA Regional Council 4 office at 978-977-9200 or region4mna@
    Route 114, Middleton, MA; phone: 978-750-4900                                    aol.com
    Date: April 5, 2008
  First Aid to 911                                                                   Contact Hours: Contact hours will be provided. Continuing
    Program Description: This program will address the nursing                       nursing education contact hours are provided for all programs by
    care and management of school-aged children who sustain a                        the Massachusetts Nurses Association, To successfully complete a
    variety of traumatic injuries. Assessment, treatment and transfer                program and receive contact hours, you must: 1) sign in; 2) be present
    considerations will be discussed.                                                for the entire time period of the session; and 3) complete and submit
    Presenter: Melissa Twomey, MS, RN                                                the evaluation.
    Time: Registration 9 a.m. – 9:30 a.m.
    Presentation 9:30 a.m. – 12:35 p.m.                                              The Massachusetts Nurses Association is accredited as a provider of
    Lunch will be served 12:35 p.m. - 1:30 p.m.                                      continuing nursing education by the American Nurses Credentialing
                                                                                     Center’s Commission on Accreditation.
  Getting High in and Around School – Toxicology in the
  School Aged Child                                                                  Chemical Sensitivity: Scents may trigger responses in those with
    Program Description: This program will expand the nurses’                        chemical sensitivities. Men and women are requested to avoid wearing
    knowledge of both over-the-counter and prescription medica-                      scented personal products when attending this program.
    tions commonly used and misused by school-aged children today.
    Nursing assessment of physical and behavioral responses to toxic                 Program Cancellation: MNA reserves the right to change speakers or
    substances will be considered as well as resultant legal conse-                  cancel programs due to extenuating circumstances. In case of inclement
    quences.                                                                         weather, please call the MNA Regional Council 4 office at 978-977-
    Presenter: David J. Weber, EMT-P, Esq.                                           9200 to determine whether a program will run as originally scheduled.
    Time: Presentation 1:30 p.m. – 2:45 p.m.                                         Registration fees will be reimbursed for all cancelled programs.
    Closing Remarks 2:45 p.m.


 Region 4 CE Registration Form                                                                                                                     These
   Name                                                              Email
                                                                                                                                                   classes
                                                                                                                                                     are
                                                                                                                                               FREE
          RN         LPN          APN         Other (specify)

   Address

   City                                                                      State             Zip                                                for all
   Telephone: Daytime                                                            Evening                                                          MNA
   Place of Employment                                                                                                                           members
   Class(es) attending:        � Solving the Puzzle        � A Focus on Pediatrics
                                                                                                                                                  After you attend
                             $25 member / $95 non-member   $50 member / $195 non-member
                                                                                                                                                   the class we’ll
Please include a check for the appropriate fee for each course, made payable to MNA Region 4, and mail to:                                          refund your
    MNA Regional Council IV; 10 First Avenue, Suite 20; Peabody, MA 01960
                                                                                                                                                  placeholder fee.
For more information, call the MNA Regional Council 4 Office at 978-977-9200, email: region4mna@aol.com


0  February 2008  Massachusetts Nurse Advocate
Chris Pontus honored by MassCOSH for 
public sector OSHA coalition work
   Chris Pontus RN, MS, COHN-S, CCM, asso-

                                                                                                    The MNA Seeks an
ciate director, health and safety division, was
honored at the annual meeting of MassCOSH

                                                                                                   Associate Director,
in November at the IBEW Local 103 Hall in
Dorchester. Along with other union representa-
tives who advocate for and represent workers in
the Massachusetts public sector, Chris is engaged                                                  Division of Nursing
in establishing an executive order that will                                                  Proven educator with extensive current clinical practice
extend OSHA protection to state and municipal                                              in acute care. Requirements for the position include knowl-
workers in the commonwealth.                                                               edge of clinical practice and the regulatory issues related
   This action, once accomplished, will benefit all MNA Unit 7 members                     to nursing practice. Documented experience in planning,
as well as nurses in school and public health agencies by providing safety                 presenting, implementing and evaluating nursing education
and health protections that currently are not available to them.
                                                                                           programs. Experience in researching and writing articles for
   Congratulations, Chris. n
                                                                                           publication related to nursing practice. Collaborative skills
                                                                                           in working with nursing and other health related groups.
 MNA membership                                                                            Documented collaborative skills. Experience in working
                                                                                           with direct care nurses. Accountable for carrying out activi-
 dues deductibility for 00                                                               ties related to the labor goals of the Association. Master’s
 The table below shows the amount and percentage of MNA                                    degree in nursing required.
 dues that may not be deducted from federal income taxes.                                     The Massachusetts Nurses Association (MNA) represents over
                                                                                           23,000 registered nurses & health care professionals. Salary com-
 Federal law disallows the portion of membership dues used 
                                                                                           mensurate with experience. Excellent benefits, position available
 for lobbying expenses.                                                                    immediately. To apply send resume to Shirley Thompson, Massa-
                                                                                           chusetts Nurses Association, 340 Turnpike St., Canton, MA 02021
  Region                     Amount                    Percent                             Tel: 781-821-4625 x711, Fax: 781-821-4445 or e-mail Sthompson@
  All Regions                $35.55                    5.0%                                mnarn.org. MNA is an AA/EEO.



                             Support Groups for Nurses and Other Health
                            Professionals with Substance Abuse Problems
 Below is a list of self-help groups facilitated by        	 Worcester. Contacts: Laurie, 508-853-0517;              	 Building,	Room	135,	50	Maple	St.,	Springfield.			
 volunteer nurses who understands addiction and the        	 Carole, 978-568-1995. Mondays, 6–7 p.m.                 	 Marge Babkiewicz, 413-794-4354. 	        	
 recovery process. Many nurses with substance abuse        • Health	Support	Group,	UMass	School	of	Medicine,	
                                                           •		 Health Care Support Group, 		           	             	 Meets Thursdays, 7:15–8:15 p.m.
 problems find it therapeutic to share their experiences   	 UMass School of Medicine, Room 123, Worcester.
                                                               Outside	 Room	 123,	 Worcester.	 Emory,	 508-429-     • 	 Professional Support Group, Franklin Hospital
 with peers who understand the challenges of addiction     	 Emory, 508-429-9433. Saturdays,11 a.m.–noon.
                                                               9433.	Saturdays,	1–2	p.m.                             	 Lecture	Room	A,	Greenfield.			           	
 in the health care profession.                            Northern Massachusetts                                    	 Contacts: Wayne Gavryck, 413-774-2351,
                                                           • 	 Baldpate Hospital, Bungalow 1, Baldpate Road,         	 Elliott Smolensky, 413-774-2871.	        	
 Boston Metropolitan Area
                                                           	 Georgetown. Teri Gouin, 978-352-2131, x15.              	 Wednesdays, 7–8 p.m.
 • 	 Bournewood Hospital, Health Care Professionals
 	 Support Group, 300 South St., Brookline.                	 Tuesdays, 5–6 p.m.                                      Other Areas
 	 Donna White, 617-469-0300, x305. 	 	                    • 	 Nurses Recovery Group, Beverly Hospital,              • 	 Maguire Road Group, for those employed at
 	 Wednesdays, 7:30–8:30 p.m.                              	 1st Floor. Jacqueline Lyons, 978-697-2733.              	 private health care systems.	 	          	
 • 	 McLean Hospital, DeMarmeffe Building,                 	 Mondays, 6–7 p.m.                                       	 John William, 508-834-7036 Mondays.
 	 Room 116. LeRoy Kelly, 508-881-3192.                    • 	 Partnership Recovery Services, 121 Myrtle Street,		   • 	 Nurses for Nurses Group, Hartford, Conn.
 	 Thursdays, 5:30–6:30 p.m.                               	 Melrose. Jay O’Neil, 781-979-0262. 	 	                  	 Contacts: Joan, 203-623-3261, 	          	
 • 	 Peer Group Therapy, 1354 Hancock St.,                 	 Sundays 6:30–7:30 p.m.                                  	 Debbie, 203-871-906, Rick, 203-237-1199.
 	 Suite 209, Quincy. Terri O’Brien,781-964-9546.          Southern Massachusetts                                    	 Thursdays, 7–8:30 p.m.
 	 Wednesdays, 5:15 p.m. & coed at 6:30 p.m.               • 	 Professionals Support Group, 76 W. Main St.,          • 	 Nurses Peer Support Group, 	           	
 • 	 Caritas Good Samaritan Medical Center,                	 Suite 306, Hyannis. Kathy Hoyt, 508-790-1944.           	 Ray Conference Center, 	 	               	
 	 Community Conference Room, 	            	               	 Mondays, 5–6 p.m.                                       	 345 Blackstone Blvd., Providence, R.I. 	 	
 	 235 N. Pearl St., Brockton. 	 	         	               • 	 PRN Group, Pembroke Hospital, 199 Oak St.,            	 Sharon Goldstein, 800-445-1195. 	        	
 	 Steve Nikolsky, 508-559-8897. 	         	               	 Staff Conference Room, Pembroke.	 	                     	 Wednesdays, 6:30–7:30 p.m.
 	 Fridays, 6:30-7:30 p.m.                                 	 Sharon Day, 508-667-2486. 	 	             	             • 	 Nurses Recovery Group, VA Hospital, 	 	
 • 	 Health Care Professional Support Group,               	 Tuesdays, 6:30–8 p.m.                                   	 6th Floor Lounge, 	           	          	
 	 Caritas Norwood Hospital, Norwood.                      • 	 Substance Abuse Support Group, 	        	             	 North 650, 	       	
 	 Jacqueline Sitte, 781-341-2100. 	       	               	 St. Luke’s Hospital, New Bedford, 	       	             	 Manchester, N.H.
 	 Thursdays, 7–8:30 p.m.                                  	 88 Faunce Corner Road. Michelle, 508-947-5351.          	 Contacts: Janet K.,
                                                           	 Thursdays, 7–8:30 p.m.                                  	 978-975-5711 	 	
 Central Massachusetts
                                                                                                                     	 Sandy,603-391-1776.
 • 	 Professional Nurses Group, 	 	        	               Western Massachusetts                                     	 Meets:Tuesdays, 		
 	 UMass Medical Center, 107 Lincoln Street,               • 	 Professionals in Recovery, Baystate VNAH/EAP          	 7:00–8:00 p.m.
                                                                          Just for being an MNA member, you and all household members
                                                                          are entitled to savings on your automobile policies, this includes
                                                                          newly licensed drivers!
                                                                                    Call Colonial Insurance Services TODAY
                                                                                          for a no-obligation cost comparison
                                                                               at 1-800-571-7773 or www.colonialinsuranceservices.com.

                                                                                                    Automobile Savings
                                                                                    Discounts of 6%. Convenient fee free EFT available.

                                                                                                    Homeowners Policy
                                                                               20% discount when we write your home and automobile policy.
        Auto • Home • Business • Life                                           3% renewal credit after one year the policy has been in effect.



 It’s Time…                                                                        Attend our Open House on Wednesday, March 19, 2008,
                                                                                   from 6:00 to 7:00 pm at Northeastern’s Boston Campus

 • To Utilize Your Experience                                                      Northeastern University School of Nursing was awarded a
                                                                                   HRSA grant to expand the Masters in Nursing specializing in
 • To Make Fulfilling Career Choices
                                                                                   child and adolescent mental health nursing, focusing on
 • To Help Children & Adolescents                                                  psychopharmacology and underserved populations.
 • To Become a Leader in:                                                          To learn more, visit www.childpsychiatricnursing.neu.edu
                                                                                   or contact us at 617.373.5587 or capnursing@neu.edu

 Child & Adolescent
 Mental Health Nursing                                                                                                             360 Huntington Avenue
                                                                                                                                   Boston, MA 02115-5000




Travel to



                   Paris and the French Countryside                                     with MNA in 2008
                   April 16 – 23 • $2,099
                                                                                                         British Panorama
                                   S by popular demand. A wonderful 7-
                    This trip is backOL
                                         D OUT                                                           October 17 – 25 • $1,859
                    night tour of France that takes in all the highlights of
                                                                                                          This 8-night tour of England, Scotland and
                    Paris, Normandy, Brittany, wine country and chateau
                                                                                                          Wales will feature: London, Bath, Cardiff,
                    country.
                                                                                                          Wrexham, Stratford-on-Avon, Chester, York
                   Sorrento Italy                                                                         Rotherham and Edinburgh.
                   April 23 – May 1 • $2,059
                    Join us on a tour of one of southern Italy’s premier                                 Grand Tour of Sicily
                    vacation resorts. This all-inclusive 9-day/7-night trip will                         October 30 – November 7 • $1,769
                    feature Sorrento, Naples, Pompeii, the Isle of Capri and                              Tour the highlights of Sicily on this 7-
                    the Amalfi Drive. During this tour we will visit Positano,                            night grand tour. The featured tours will
                    the Cathedral of St Andrew, Museum of Correale, orange,                               include Palermo, Segesta, Marsala, Sciaccca,
                    lemon and olive groves, vineyards and the Castel dell’Ovo                             Agrigento, Valley of the Temples, Piazza,
                    in Naples. This all-inclusive trip package is a great value.                          Armerina, Taormina, Catania, Mount Etna
                                                                                                          and Siracusa.


 Prices include air, transfers, hotel, all tours and most meals. A fabulous value! Space fills fast, reserve early.
 * Prices listed are per person, double occupancy based on check purchase. Applicable departure taxes, fuel tax and travel insurance are not included in
 the listed prices. Credit card purchase price is $30 higher than listed price. For more information on these great vacations and to be placed in a
 database to receive yearly flyers, contact Carol Mallia at cmallia@mnarn.org with your mailing address.


  February 2008  Massachusetts Nurse Advocate
Discount Mortgage
     Program




THE CALL
IS FREE.
           MA Lic. MC1775; NH Lic. # 8503-MBB; CT Lic. 10182; RI Lic. #20011277LB; ME Lic. #SLM5764. Not every applicant will qualify for these programs.



                                                                                                     Massachusetts Nurse Advocate  February 2008  

				
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