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Mandatory Overtime, Nursing Quality of Patient Care, Short Staffing

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United States Department Of Labor Employment Standards Administration Fact Sheet No. Esa 91-7:"The Fair Labor Standards Act of 1938 (FLSA), as amended, requires that most employees in the U.S. be paid a minimum hourly wage and premium overtime pay after 40 hours in a workweek."
http://www.lectlaw.com/files/emp21.htm

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Fighting The Clock: Nurses Take On Mandatory Overtime by Susan Trossman, RN:"Mandatory overtime continues to be a dangerous practice in hospitals across the country. Promoted as a way to effectively staff during an unforeseen event, such as a disaster or flu epidemic, mandatory overtime frequently is used to cover routine personnel shortages. Some state nurses association (SNA) bargaining units already have gained contract language that limits or eliminates forced overtime. But SNAs and ANA still identify mandatory overtime as a hot topic at many more bargaining tables, as RNs fight to undo the harm caused by mergers and short-sighted restructuring schemes."
http://www.nursingworld.org/tan/98mayjun/ot.htm

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Legislature Hears Rns View On Overtime Pay:"Assembly Bill 15, introduced by Assemblymember Wally Knox (D - L.A.) and a companion measure introduced into the State Senate by Sen. Hilda Solis would preserve daily overtime while allowing worker-initiated flexible scheduling, including non-premium compensatory work for time taken off during the regular day for family emergencies or special concerns. The legislation was drafted in response to the decision of the state Industrial Welfare Commission to eliminate the state regulation mandating overtime pay after eight hours of work."
http://www.igc.org/cna/cal/may/ab15.htm

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Nurses Needed In Political Arena:"President Beverly L. Malone, PhD, RN, FAAN (March/April 1998). I irrevocably agree. The perspectives of today's nurses are much more diversified than those of yesteryear. The nursing profession currently finds itself thrust into the political arena to protect the rights of clients that once received bedside nursing care. This is very evident when one examines the health care industry transitions that are presently being enacted as a result of the Balanced Budget Act (BBA) of 1997.
http://www.nursingworld.org/tan/98julaug/letters.htm

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May 1999, Safe Staffing bill back in California Legislature:"Dramatic testimony underscores need for safe staffing legislation. On April 6, Inho Park of Los Angeles (l) told the State Assembly Health Committee how his son, Jonathan was almost fatally strangled by a restraint after being left unattended in a facility following an auto accident. As a result, Jonathan is permanently disabled and will require round-the-clock care for life."
http://www.calnurse.org/cna/cal/may99/cn4may99.html

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Safe Staffing Standards-The Need Has Never Been Greater By: Kit Costello, RN, CNA President:"For several years, the California Nurses Association has campaigned to protect nursing practice and public safety by extending specific ratios throughout the hospital setting. Assembly Bill 394 would accomplish that promise establishing minimum ratios of licensed nurses, including Registered Nurses and Licensed Vocational Nurses, to patients in all acute care units and limiting the inappropriate use of unlicensed personnel.
http://www.califnurses.org/cna/cal/may99/cn2may99.html

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Patient Abandonment:

Proposed Changes to Board Regulations: Questions and Answers:"In the past few years, the Board has received several complaints identified as ‘patient abandonment,’ when in fact the nurse had not abandoned her patients. For example, one employer filed a complaint of patient abandonment because the nurse had resigned her position with very short notice to the employer. The Board dismissed this complaint. The Board has taken action in cases of true abandonment. For example, a nurse was disciplined because she left a facility for several hours during her shift, inappropriately delegating all responsibility for nursing care to unlicensed assistive personnel."
http://www.magnet.state.ma.us/reg/boards/rn/cmrprop/questans.htm#6

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Staffing Requirements:

New Jersey Hospital Licensing Standards:"Nurse staffing assignments shall be based on patient acuity levels, determined through patient classification systems which address the needs of the nursing unit."
http://www.njsna.org/egw/egw.htm#staffing

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Striking Nurses:

RNs On Strike At Largest Hospital In Alaska:"Not only does management's offer fall short, it includes punitive provisions such as unlimited mandatory overtime and on-call, and mandatory shift rotations. "Management wants to significantly change the staffing patterns with no input from the nurses," said Doyle Stewart, RN, vice president of the bargaining unit. "They want to force us into unsafe staffing where we can't provide quality patient care." The hospital is refusing to negotiate on these critical staffing and patient care issues. "
CONTACT: Michelle Nawar, 202-651-7122 rn=realnews@ana.org http://www.nursingworld.org/pressrel/1999/pr0415.htm

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Whistleblower Protections:

Washington State Whistleblower Program:"The Whistleblower Act, enacted by the Washington State Legislature in 1982 and significantly amended by Chapter 361 Laws of 1999, provides an avenue for state employees to report suspected improper governmental activity. The Act does not authorize the State Auditor's Office to investigate personnel actions for which other remedies exist, such as employee grievances."
http://www.sao.wa.gov/Whistleblower/AbouttheProgram/WBProgram.htm

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Created on September 20, 1999

Last updated by Andrew Lopez, RN on Thursday May 20, 2010


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