{"id":1273,"date":"2022-03-10T07:00:44","date_gmt":"2022-03-10T12:00:44","guid":{"rendered":"https:\/\/communicator.pef.org\/?p=1273"},"modified":"2022-03-10T10:14:50","modified_gmt":"2022-03-10T15:14:50","slug":"nurses-share-stories-of-short-staffing-mandatory-overtime-and-toxic-workplace-culture-with-legislators-during-lobby-day","status":"publish","type":"post","link":"https:\/\/communicator.pef.org\/issue\/volume-40-no-2\/nurses-share-stories-of-short-staffing-mandatory-overtime-and-toxic-workplace-culture-with-legislators-during-lobby-day\/","title":{"rendered":"Nurses share stories of short staffing, mandatory overtime and toxic workplace culture with legislators during Lobby Day"},"content":{"rendered":"

March 9, 2022 — <\/em>Never has the spotlight shone so brightly on the health care profession than during the COVID-19 pandemic. That\u2019s why now is the perfect time for PEF to ride the wave and influence legislation to introduce hazard pay bonuses, improve nursing recruitment and retention, revamp the Tier 6 pension plan, subsidize SUNY hospitals and address toxic workplaces.<\/span>\u00a0<\/span><\/p>\n

\"\"PEF nurses took to Zoom on March 2 to lobby for these initiatives and more.<\/span>\u00a0<\/span><\/p>\n

Participating legislators or their staff included Assemblyman Andrew Hevesi (AD28), Assemblywoman Aileen Gunther (AD100), Assemblyman Tom Abinanti (AD92), Assemblyman Jeff Dinowitz (AD81), Assemblyman Richard Gottfried (AD75), Assemblywoman Mathylde Frontus (AD46), Assemblyman John McDonald (AD108), Sen. John Mannion (AD50), Sen. Karines Reyes (AD87), Sen. Samra Brouk (SD55), Sen. Rachel May (SD53), Sen. Sean Ryan (SD60), Sen. Jim Tedisco (SD49), Sen. Jamaal Bailey (SD36), Sen. Phil Boyle (SD4), Sen. John Brooks (SD8) and Sen. Todd Kaminsky (SD9).<\/span>\u00a0<\/span><\/p>\n

Hazard pay, reduce contract nurses<\/span><\/b>\u00a0<\/span><\/p>\n

At the top of the list of budget priorities is the Healthcare Workforce Bonus proposed by Gov. Kathy Hochul, providing up to $3,000 for employees earning less than $125,000. While the proposal includes all state agencies, private and public sector hospitals, EMS, home care and hospices professionals, PEF maintains it needs further amending.<\/span>\u00a0<\/span><\/p>\n

\u201cWe feel we need to smooth out some of the loose ends in the language,\u201d said PEF Legislative Director Patrick Lyons. \u201cIt\u2019s important that we recognize all the heroes \u2013 all essential state employees including those charged with testing, contact tracing, sample work \u2013 people who exposed themselves to COVID in service to the state. We\u2019d like to see this expanded and we really want to stress the importance of parity with private providers.\u201d<\/span>\u00a0<\/span><\/p>\n

Vincent Cicatello, a PEF nurse at Buffalo Psychiatric Center, shared with legislators that PEF members face overwhelming workloads and schedules, and a bonus would be a morale boost.<\/span>\u00a0<\/span><\/p>\n

\u201cMany of our members have worked while sick throughout the whole pandemic,\u201d he said. \u201cWorked long, extended hours. Are worn down and feel defeated. A lot of them are saying, \u2018What about us?\u2019 I think this would do a lot of good for our members to get this extra bonus.\u201d<\/span>\u00a0<\/span><\/p>\n

A similar story plays out at Roswell Park. \u201cWe have members who worked 21, even 28, days in a row because of the pandemic,\u201d said Michele Silsby, a senior case manager and PEF\u2019s Region 1 Coordinator. \u201cOur patients are all critically ill, so you can only imagine how exhausted our nurses are, not only physically but mentally as well.\u201d<\/span>\u00a0<\/span><\/p>\n

Legislators were supportive of hazard pay.<\/span>\u00a0<\/span><\/p>\n

\u201cWe always want to hear what you have to say,\u201d said Sen. Mannion. \u201cWe don\u2019t make decisions without PEF\u2019s voice in it. We handled things so well during the pandemic because we have competent, well-trained, supported employees out there. New York state is the gold standard when it comes to these professions.\u201d<\/span>\u00a0<\/span><\/p>\n

\u201cI\u2019m in favor of expanding the (hazardous pay) bonus to effect more titles,\u201d said Assemblyman Abinanti.\u00a0<\/span>\u00a0<\/span><\/p>\n

The state\u2019s solution to staffing woes has traditionally been to bring in contract nurses to fill gaps and assist overtaxed full-time staff. It\u2019s a quick fix, not a solution, PEF members argue. Contract nurses may not have the necessary skills, can\u2019t be mandated to work overtime and are paid exponentially higher, among other issues.<\/span>\u00a0<\/span><\/p>\n

\u201cThe fewer contract nurses, the better,\u201d said Silsby. \u201cYou want the best nurse at your bedside. When you have contract nurses floating in and out, you really do put your patients and your own license at risk. The error rate is higher and there is a lack of patient satisfaction.\u201d<\/span>\u00a0<\/span><\/p>\n

Some contract nurses are woefully unprepared for the jobs. Cicatello said some of the contract nurses brought into Buffalo Psych Center won\u2019t leave the nurses\u2019 station.\u00a0<\/span>\u00a0<\/span><\/p>\n

\u201cThey are terrified of the psychiatric patients,\u201d he said. \u201cThey are just not experienced in dealing with them. It\u2019s not effective nursing. How are these patients going to recover?\u201d<\/span>\u00a0<\/span><\/p>\n

The pay difference is staggering and a waste of taxpayer dollars when the state could spend that money on recruiting and retaining permanent staff.<\/span>\u00a0<\/span><\/p>\n

\u201cIt\u2019s just not cost effective,\u201d said PEF Vice President Randi DiAntonio. \u201cYou are bringing in people who are making significantly more money than the people they are working next to. It\u2019s disrespectful.\u201d<\/span>\u00a0<\/span><\/p>\n

\u201cWhile state nurses need and want help, bringing in agency and travel nurses only creates deep resentment among existing staff,\u201d said SUNY Stony Brook nurse Nora Higgins, who is also PEF\u2019s Region 12 Coordinator. \u201cThe agency and travel nurses are paid up to four times as much as the state nurses who start at salary grade 14 and may advance to a grade 16.\u201d<\/span>\u00a0<\/span><\/p>\n

Contract nurses even outnumber full-time staff at some locations.<\/span>\u00a0<\/span><\/p>\n

\u201cWhere I work at Rochester Psychiatric Center, 60 percent of the nurses are agency nurses (not state employees),\u201d said PEF nurse Bradley Jonas. \u201cWe have just 17 state nurses left.\u00a0 The rest are all agency nurses. It\u2019s a Band-Aid on a much bigger problem. I\u2019ve only worked for the state for 2.5 years and I\u2019ve seen only 23 or 24 hires. I\u2019ve seen 25 to 30 walk out the door.\u201d<\/span>\u00a0<\/span><\/p>\n

Legislators and their representatives were supportive and attentive to PEF\u2019s priorities.<\/span>\u00a0<\/span><\/p>\n

\u201cOur fight should be that we should not be relying on contract nurses,\u201d said Assemblywoman Reyes. \u201cThese nurses are making more an hour than nurses who have been there for years.\u201d<\/span>\u00a0<\/span><\/p>\n

\u201cWe are going to do everything we possibly can for you,\u201d said Sen. Boyle.<\/span>\u00a0<\/span><\/p>\n

Tier 6 reform and loan repayment incentive<\/span><\/b>\u00a0<\/span><\/p>\n

State employment used to be an avenue to a secure and dignified retirement. The implementation of the Tier 6 pension plan changed all that.<\/span>\u00a0<\/span><\/p>\n

\u201cIt\u2019s important to recognize state agencies, in regard to nurses in particular, are very difficult to staff,\u201d DiAntonio said. \u201cThe pay is less. People tend to stay for the health benefits and the pension. Now we see a lot of people coming in to get experience and leaving for the private sector to increase their wages.\u201d<\/span>\u00a0<\/span><\/p>\n

PEF advocates for revising Tier 6 pension structure to mirror Tier 4 levels.<\/span>\u00a0<\/span><\/p>\n

\u201cNo employer can expect workers to wait 10 years before earning benefits and expect to keep people,\u201d Lyons said. \u201cThe state of New York is simply unable to compete with the private sector. Sensible Tier 6 reform will provide a significant attraction and retention incentive so the state can meet its workforce needs over the short and long-term.\u201d<\/span>\u00a0<\/span><\/p>\n

PEF proposes modifying Tier 6 to reduce the vesting from 10 years to 5 years, reduce the amount of employee contribution from 6 percent to 3 percent, and base Final Average Salary on the highest paid three years, not the highest paid five.\u00a0<\/span>\u00a0<\/span><\/p>\n

\u201cLast year, state workers logged 19 million hours of overtime,\u201d Lyons said. When the comptroller looks back at salaries and adjusts employee contributions, the union maintains that overtime should be recognized in pension wage calculations, but not count against employees when calculating contributions.<\/span>\u00a0<\/span><\/p>\n

\u201cWe are losing our senior nurses, and the new nurses are Tier 6 and don\u2019t want to stay,\u201d said Mary Margaret Krukonis, a PEF nurse at Mohawk Psychiatric Center. \u201cI came in at Tier 4.\u00a0 I would not come to work for the state today at Tier 6.\u201d<\/span>\u00a0<\/span><\/p>\n

In addition to hazard pay and pension reform, the union supports the Nurse Loan Repayment Program to address recruitment and retention.<\/span>\u00a0<\/span><\/p>\n

The program, as proposed, would only apply to registered nurses. PEF advocates for expanding the bill to include licensed professional nurses, nurse practitioners and clinical nurse specialists, as well as clarifying \u201cunderserved area\u201d to include all state agencies.<\/span>\u00a0<\/span><\/p>\n

Subsidize SUNY hospitals, oppose shifting license oversight from DOE to DOH<\/span><\/b>\u00a0<\/span><\/p>\n

SUNY hospitals \u2013 Downstate, Upstate and Stony Brook \u2013 offer top patient care and led the way throughout the COVID-19 pandemic in their communities. While the budget does include funding for the hospitals, PEF maintains it\u2019s not enough to address shortfalls caused by the pandemic.<\/span>\u00a0<\/span><\/p>\n

\u201cWe are asking for $100 million to shore up the SUNY hospital system,\u201d said Lyons. \u201cThese institutions train the most minority doctors and nurses in the state. They are nationally recognized and are the only teaching hospitals in New York. We have a severe workforce shortage; this could help us meet that demand.\u201d<\/span>\u00a0<\/span><\/p>\n

There must be changes to make the state competitive as an employer.<\/span>\u00a0<\/span><\/p>\n

\u201cAll our health facilities are demoralized,\u201d said DiAntonio. \u201cThe state is paying tons of money to hire contract nurses, travel nurses, but they are not looking internally to support the nurses they already have. They are no longer a competitive employer.\u201d<\/span>\u00a0<\/span><\/p>\n

In the Health and Mental Health budget, Part C, the governor proposes shifting oversight and licensure from the Department of Education to the Department of Health for all health care professionals, including nurses, psychiatrists, physical therapists and mental health professionals, among others.<\/span>\u00a0<\/span><\/p>\n

PEF opposes this legislation.<\/span>\u00a0<\/span><\/p>\n

\u201cOur concern is about direct gubernatorial control over the healthcare professions,\u201d Lyons said. \u201cThe DOH commissioner is appointed by the Governor while the State Education Department works underneath the Board of Regents. We don\u2019t want politics infused into these professions. We feel like, if it\u2019s not broke, why are we trying to fix it?\u201d<\/span>\u00a0<\/span><\/p>\n

Confront toxic workplace<\/span><\/b>\u00a0<\/span><\/p>\n

A culture of disrespect at worksites across the state also needs to be addressed, PEF members said.<\/span>\u00a0<\/span><\/p>\n

In one Office of Mental Health facility, a member of management yelled at nurses, kicked a Sharps container across the floor and was allegedly heard muttering, \u201cI love watching them scurry when I walk on the floor.\u201d In another, a doctor got right up in a nurse\u2019s face to scream at her, spraying spit on her face. She filed a complaint, but the final decision was to leave the doctor where he was and move her.<\/span>\u00a0<\/span><\/p>\n

\u201cPeople shouldn\u2019t have to endure such abuse,\u201d Higgins said.<\/span>\u00a0<\/span><\/p>\n

Legislators were appalled at the treatment.<\/span>\u00a0<\/span><\/p>\n

\u201cYou guys have a staffing problem. It\u2019s definitely a policy issue,\u201d said Assemblywoman Reyes, a nurse herself. \u201cYou guys have a very toxic culture. That\u2019s just unacceptable.\u201d<\/span>\u00a0<\/span><\/p>\n

\u201cIt\u2019s awful to hear,\u201d said Sen. Mannion. \u201cI hate hearing the stories, it shouldn\u2019t be happening. You know you have a lot of allies in my conference, and we are going to continue making sure your members aren\u2019t forgotten in there.\u201d<\/span>\u00a0<\/span><\/p>\n

PEF supports legislation to promote building healthy worksites and holding employers accountable.<\/span>\u00a0<\/span><\/p>\n

\u201cWorkplace bullying is real and has real consequences for workers and the people that they service,\u201d Lyons said. \u201cEmployees, especially nurses and other health care employees, should not be forced to endure workplace bullying, abuse or harassment or the stress, anxiety, humiliation or depression that stem from such actions.\u201d<\/span>\u00a0<\/span><\/p>\n

The New York State Legislature must finalize the state budget by the end of March.\u00a0 You can read a full breakdown of PEF\u2019s budget priorities <\/span>here<\/span><\/a>. And if you haven\u2019t participated yet, you can write your elected lawmakers in support of PEF\u2019s priorities <\/span>here<\/span><\/a>.<\/span>\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

March 9, 2022 — Never has the spotlight shone so brightly on the health care profession than during the COVID-19 pandemic. That\u2019s why now is the perfect time for PEF…<\/p>\n","protected":false},"author":6,"featured_media":1276,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"division":[],"allowed_regions":[],"allowed_divisions":[],"class_list":["post-1273","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","issue-volume-40-no-2"],"acf":[],"yoast_head":"\nNurses share stories of short staffing, mandatory overtime and toxic workplace culture with legislators during Lobby Day - PEF Communicator<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/communicator.pef.org\/issue\/volume-40-no-2\/nurses-share-stories-of-short-staffing-mandatory-overtime-and-toxic-workplace-culture-with-legislators-during-lobby-day\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nurses share stories of short staffing, mandatory overtime and toxic workplace culture with legislators during Lobby Day\" \/>\n<meta property=\"og:description\" content=\"March 9, 2022 — Never has the spotlight shone so brightly on the health care profession than during the COVID-19 pandemic. 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