Annual Report 2014 - St.Boniface Nurses
Transcription
Annual Report 2014 - St.Boniface Nurses
Annual Report 2014 February 2015 Read this Annual Report and bring it with you to our 45 th Annual General Meeting on Wednesday, March 4, 2015 Norwood Hotel 112 Marion Street, Winnipeg “Confidential within St. Boniface Nurses Local 5” St. Boniface Nurses Local 5 Page 2 - Annual Report 2014 Local 5 Upcoming Meeting Dates Pre MNU AGM Meeting Tuesday, April 14, 2015 @ 1900 hrs Taché Room - Norwood Hotel Open to all Local 5 members. To prepare for the MNU AGM. Proxy Votes: Manitoba Nurses’ Union - Annual General Meeting 2015 Please read carefully! Article IX—Elections Open to all MNU members however, only elected voting delegates may vote on motions. 9.04 A member who is unable to attend the annual meeting only by reason of being on duty may appoint another member as her/his proxy, provided that no member shall hold more than two (2) Proxies. Welcome reception Monday evening, April 27, 2015 April 28 & 29, 2015 (Annual Meeting) April 30, 2015 (Education Day) Victoria Inn, Winnipeg The proxy must be completed and the original signed by the member who is working, indicating which member he/she is assigning the proxy to. PROXY - MARCH 4, 2015 I, a member in good standing of St. Boniface Nurses Local 5, of the Manitoba Nurses' Union, by reason of being on duty, hereby assign my Proxy vote for the 2015 MNU Local 5 Annual General Meeting to the member listed below, who is a member in good standing of St. Boniface Nurses Local 5. Signature Name of Membe r Rece iving Proxy (please print) Dated: Member Rece iving P roxy Signature* Member Giving P roxy *My signature affirms that I am unable to attend the elections because I am at work St. Boniface Nurses Local 5 Page 3 - Annual Report 2014 St. Boniface Nurses Local 5 Forty-fifth (45 th ) Annual General Meeting Wednesday, March 4, 2015 Norwood Hotel - 112 Marion Street, Winnipeg Registration: 1645 hrs Appetizers 1700 - 1800 hrs Meeting: 1800 hrs 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Call to Order Welcoming Remarks Introduction of the Local 5 Executive Approval of the Agenda Approval of Rules of Procedure for the Meeting Approval of Rules of Procedure for Elections Minutes of the Last General Meeting – February 10, 2015 Business Arising Nominating Committee Report – Elections Finance Report 10.1 Auditor’s Report for 2014/Approval of Auditor for 2015 10.2 Approval of 2016 Proposed Budget 3 4 4 41 43 46 Special Guest Speaker - Sandi Mowat, President, MNU 11. 12. President’s Report Standing Committee Reports: 12.1 Grievance Report 5 17 Includes: Ongoing Issues & Resolutions, Attendance Support and Assistance Program (ASAP), WCB Employer Appeals, Gradual Return to Work (GRTW), Duty to Accommodate (DTA), Mandatory Overtime & Reassignment 13. 14. 15. 12.2 MNU Board Representatives' Report 12.3 Workload/Staffing Reports Committee Report Joint Committee Reports: 13.1 Joint Education Fund Committee Report 13.2 Joint Union-Hospital Council Report 13.3 Nursing Advisory Committee Report 13.4 Regional Nursing Advisory Committee Report 13.5 Workplace Safety & Health Committee Report 13.6 WRHA Continuing Education Fund Committee Report Other Business: 14.1 Event Committee Report Adjournment St. Boniface Nurses Local 5 21 22 24 25 26 31 33 39 Page 4 - Annual Report 2014 Rules of Procedure for the Meeting 1. Order of business is subject to majority approval. 2. A member may speak only once to any given matter. Debate is limited to three (3) minutes, unless permission to the contrary is given by the assembly. 3. All members are requested to speak at the microphone and identify themselves by name. 4. Speakers must address the chair. 5. Scrutineers will be responsible for counting a “show of hands vote” and presenting totals to the chair if necessary. Voting flags will be used for proxy votes. 6. Robert’s Rules of Order will govern for any procedural matters brought into issue. Rules of Procedure for Elections 1. Only members in good standing are allowed to vote. 2. Each Local 5 member is entitled to bring two proxies. 3. Proxies must be registered prior to elections. Proxies must abide by the constitutional amendment passed at the Local 5 AGM on March 4, 2008, which states “A member who is unable to attend the Annual Meeting ONLY by reason of being on duty, may appoint another member as her/his proxy, provided that no member shall hold more than two (2) proxies The proxy must be completed and the original signed by the member who is working, indicating which member he/she is assigning the proxy to”. 4. There will be a minimum of two (2) scrutineers. 5. NO ONE may leave or enter the room once elections commence. 6. Two Nominating Committee members may replace two scrutineers for the collection of ballots. 7. Scrutineers will be responsible for counting all ballots. 8. Head scrutineer will give results of ballot votes to the chair as soon as possible. 9. All ballots to be marked with an “X” or a “”. 10. The number of voting delegates to be elected for the 2016 MNU AGM which will take place in Brandon, will be announced at the Local 5 AGM prior to the elections. Actual number of voting delegates is not known at time of printing this report. St. Boniface Nurses Local 5 Page 5 - Annual Report 2014 President's Report - 2014 This annual report outlines the many ways in which the union represents its members. Local 5 and the Manitoba Nurses’ Union (MNU) have worked diligently on your behalf to address the issues and concerns which have arisen. We have resolved collective agreement issues and disputes, provided educational information, and promoted issues as directed by members. In this annual report any references to articles refers to articles in the St. Boniface Nurses Local 5 collective agreement. A large part of Local 5’s member representation is provided by nurses who volunteer their time and energies on behalf of all of us. We commend the Local key executive and executive committee members for their willingness to support the nurses in our Local. Key Executive Committee In 2014 the key executive met four times as the key executive committee and once as the finance committee. The key executive committee’s feedback, advice and support have been invaluable to me in my role as president. Their assistance and input on issues is always reliable and their consistent, unwavering support throughout the year is very much appreciated. Reviewing resolutions, budgets and constitutional amendments for the MNU annual general meeting (AGM); Giving direction on issues being discussed with regards to grievances or the collective agreement; Direction to assist me in representing Local 5 matters at negotiations; Decisions to ensure appropriate representation for members. Our executive committee members volunteer their time and efforts to participate in discussions and activities, and they provide vital communication to co-workers. Their efforts and commitment are sincerely appreciated. The executive committee met five times in 2014 and dealt with a variety of issues including but not limited to: The Local 5 proposed 2016 budget; President Karen Sadler Vice President Sheila Holden Secretary Amber Schultz Treasurer Kathy Hillstrom MNU Board Reps Diana Martinson Sheila Holden General Membership In 2014 there were four meetings of Local 5 general membership (inclusive of the 2014 annual general meeting) as well as one special general meeting to prepare for the MNU AGM. General meeting discussions and presentations focused on preparing for the MNU AGM; presentation of the Local 5 2015 budget; changes to the College of Registered Nurses of Manitoba (CRNM) registration process for 2015; an update on ACSS and escort transports; updates on the areas in the hospital experiencing workload issues; as well as ongoing Transformation activities. PCBC updates were also presented. Executive Committee The executive committee consists of the key executive, chairpersons of Local committees, and unit representatives. This committee is vital to the operation of the Local. In addition to their decision-making role, those serving on this committee communicate vital information to other Local 5 members. Key Executive 2014/2015 Other Activities Regionalization At St. Boniface Hospital there was no change in regional status in 2014. A "Service Purchase Agreement" between St. Boniface Hospital and the WRHA is negotiated on an annual basis. This agreement means that St. Boniface Hospital continues to be the employer, whereas most other facilities have "evolved" to WRHA control/authority. (Continued on page 6) St. Boniface Nurses Local 5 General Meetings Local 5 general meetings are open to all Local 5 members. Page 6 - Annual Report 2014 (Continued from page 5) than 92,000 customers in over 120 countries. Having said that, programs at St. Boniface Hospital continue to be vulnerable to regionalization. I am pleased to report that no programs affecting Local 5 members were regionalized in 2014. Enterprise Resource Planning (ERP) is an integrated computer system used to manage information across an organization's business functions, as well as connections to external business partners. An ERP system is described as integrated because it is built on a central database shared by all business areas. ***** Highlights/Updates (in no particular order) Smoothing Banks Smoothing banks for fulltime 12 hr nurses were shut down on November 14, 2014 as they could not be supported by the new SAP payroll system. The union was served notice by the employer during the last round of bargaining that their past practice of smoothing banks would end. Interestingly...There was never any language in the collective agreement to begin with, that allowed/ supported smoothing banks. Business Process Solutions Project (BPSP) and Systems, Applications and Products (SAP) Discussions with our employer have been taking place since the fall of 2013 regarding BPSP and SAP. In the spring of 2014 we were advised that St. Boniface Hospital had been assigned a target date in 2015 to go live with these initiatives. (At time of writing this report SBH's go live date is set for July.) The following information is from the WRHA's "INSITE", which can be found on the WRHA's intranet and is their explanation and rationale for choosing these systems. BPSP is an initiative to implement new, integrated business software (SAP) and processes for human resources/payroll, staff scheduling, finance, and supply chain functions across the Winnipeg Health Region. By doing this, we will enable our business areas to function more effectively. As a health region, we will have enhanced access to information to guide decision making, and as a result, we will be able to more efficiently support care delivery to our patients, residents, and clients. The plan is to complete the SAP deployment across all sites within two years. This will be done in three rollouts with sites grouped in a way that captures available synergies. SAP stands for Systeme, Anwendungenm, Produkte (Systems, Applications and Products), a German software corporation which was founded in 1972 and is based in Walldorf, Germany. SAP provides enterprise resource planning to business and organizations across the world with more St. Boniface Nurses Local 5 Centralized data means that all business areas have access to the same information at the same time. New information that is entered into the system is automatically captured by other related business functions. This increases the efficiency of updated information, reduces the potential for mistakes, and provides a more accurate picture of what is taking place at any given moment. We chose this product because SAP is a well supported product used by top performing businesses and healthcare organizations throughout the world. It has proven to be an effective solution for business needs such as those of the WRHA. SBH decided to try out "our new world" in advance of the July 2015 go live date. This was so they could run parallel payrolls with the hopes of working out any issues that may occur with this change, prior to the go live date. The move to SAP revealed the need to change SBH's pay week dates in order for them to align with those of SAP. The union recognized quickly that any change to SBH's pay week date would have a major impact on nurses' rotations. After many discussions with employee relations and hospital executive, it was determined that all rotations would need to be reviewed and then adjusted to align with the new pay week. In many situations, new master rotations had to be created. The union recognized that changing nurses' master rotations had the potential to be disruptive and we did not take this fact lightly. (Continued on page 7) Page 7 - Annual Report 2014 (Continued from page 6) New collective agreement language achieved in the most recent round of bargaining now provides an opportunity for the union to review all new rotations prior to being implemented by the employer. New rotations were reviewed by employee relations who then provided a copy to the union. We then reviewed the rotations for contract compliance in addition to noting any glaring inequities. Nurses need to be aware that the union did not receive nurses' meaningful input submissions. That information was for the PTM's to take into consideration when they were building the new rotations. The process of reviewing and re-reviewing all nursing master rotation was undertaken by our vice president, Sheila Holden, and it was a colossal undertaking from a workload point of view. It is at this juncture that I wish to thank Sheila and acknowledge the tremendous time and effort that she devoted to this project. Sheila reviewed each and every master rotations and reported to me any issues that needed to be addressed. She compassionately advocated for fair and reasonable rotations for all nurses. Thank you Sheila for your unwavering commitment to our members and the huge support you were to me throughout this process. During this process we wanted to ensure our members had as much information as possible and we encouraged the employer to provide updates in a timely fashion. Transition to the new pay cycle took place on November 21, 2014. The changes associated with the new pay cycle included a new pay week as well as a new pay day. As well, there was an impact on how the night shift was represented on master rotations and posted hours. Previously the night shift was represented as the first shift of the day. It is now represented as the last shift of the day. Despite the change in representation of the night shift on the new rotations and posted hours, the definition of the night shift as per article 1503 has not changed - it is still considered as the first shift of the calendar day ***** NICU Master Rotation Concerns In late September we began receiving calls from nurses in NICU expressing their concerns regarding meaningful input and the lack thereof during the process of changing NICU's master rotation. When we raised this issue with the employer we were hopeful that nurses would be given an opportunity to provide their meaningful input and that their concerns regarding a certain shift configuration would be taken into consideration. We were prepared to offer the employer a timeline extension in order for the PTM to re-do the master rotation. On October 20, 2014 a meeting was held in employee relations with Sue McMahon, PTM; Monica Warren, program director Woman & Child; Debbie Appleyard, employee relations officer; Reghan Scaletta, manager employee relations; Sheila Holden and myself. We were hopeful that the employer was going to advise us that they would be re-opening the NICU master rotation to allow opportunity for those nurses who wished to provide input into an alternate shift pattern. We were very disappointed when the employer advised that they were going to go ahead and implement the NICU master rotation "as is" on November 21, 2014. As a result of the employer's decision and after a review of the information provided to us by the NICU nurses, we filed a grievance on this issue. (Continued on page 8) St. Boniface Nurses Local 5 Page 8 - Annual Report 2014 frontline nurses being directed to call their own staff. (Continued from page 7) In December 2014 I sent a letter to each NICU nurse (who we had contact information for) chronicling the events leading up to the filing of the grievance so that these nurses are kept apprised of the situation. ***** Staff Scheduling Project Update The long awaited Staff Scheduling Office took up residence in room CR2204 in the I.H. Asper Clinical Research Institute on April 23, 2014. The following is an excerpt from an employer memo circulated on April 22, 2014: "...The move to the new office space is the first step towards centralizing staff scheduling services. The consolidation of staff scheduling services will reduce manager and frontline staff time spent on scheduling, allowing staff to focus on what matters most - providing exceptional patient care. Things to Know Right to Refuse Dangerous Work If you would like more information on your right to refuse dangerous work, please visit Safe Work Manitoba's website. Below is the link for bulletin #193 which outlines your rights to refuse dangerous work. http://safemanitoba.com/ bulletin-193 St. Boniface Hospital operates 24 hours a day, seven days a week - a central location is critical to better meet frontline staff needs, to expand staff scheduling services to a 24/7 operation, and to prepare for the implementation of an electronic staff scheduling system, expected to occur in mid to late 2015. Program based scheduling assistants and program assistants will move to CR2240 in late June or early July (date to be confirmed), at which time the staff scheduling office will expand to a 24/7 service model. The staff scheduling office team will provide consolidated staffing scheduling services to all clinical programs, and will be responsible for all business processes affecting clinical staff scheduling…." At time of writing this report nurses have raised concerns with us regarding the awarding of additional shifts and overtime shifts, as well as the notification timelines, and we are taking these concerns forward to the employer. We have also been made aware that there are still many instances of St. Boniface Nurses Local 5 As with any change, there is always a time of transition. We continue to advise the employer of concerns related to this project as nurses bring them forward to us. The creation of the staff scheduling office is the resolution of a grievance filed by the union in 2009. We are hopeful that in the near future this process will be an assistive and seamless solution to managing staff scheduling. ***** Entonox on L&D and LDRP On March 10, 2014 a member advised the Local that the Entonox being administered to laboring women on LDRP was not being evacuated (scavenged). The nurse previously worked at HSC where Entonox is scavenged. She also advised us that there are studies that show Entonox exposure is detrimental to women who are pregnant. We immediately raised this issue with the employer and requested a meeting to discuss it further. We also informed our WS&H reps of these concerns and solicited MNU's assistance. Occupational Health advised the PTM to not allow any pregnant staff to work with or be around the Entonox. On March 13, 2014, at a meeting with the employer, which included the director and PTM of these areas ,the use of Entonox was discussed. The employer's explanation for no longer properly scavenging the gas was that the scavenging system broke down over time and parts were no longer available. The employer went back to using the old "tank and mask" method of Entonox delivery and left it at that. The employer also shared that when Occupational Health was on the unit on March 12 to measure the Entonox as part of a hygiene study, the reading was very high and (Continued on page 9) Page 9 - Annual Report 2014 (Continued from page 8) therefore unacceptable. I inquired as to what the employer was going to do now that they were aware of this unsafe situation and I reminded them of their obligation of providing a safe workplace for their staff. On March 14 the union was advised by the employer that until further notice the hospital would no longer be providing nitrous oxide for pain management in LDRP and L&D. On July 15, after changes were made to the scavenging system, Occupational Health ran tests confirming acceptable levels of nitrous oxide and the use of nitrous was reintroduced but to the LDRP suite only. As for the use of nitrous on L&D, the employer (simultaneously to the Entonox issue) was experiencing issues with the unsatisfactory ventilation of general anesthetic gas post C-section in the L&D recovery room. To manage this concern the employer was not allowing pregnant nurses to work in the recovery room and was restricting the number of C-section assignments to one C -section per nurse per shift for all other nurses. As well, newborns were restricted from "skin-to-skin" within the first hour of delivery. In September of 2014 the employer devised a ventilation/evacuation system to address the general anesthetic off-gasses that met Occupational Health standards. The employer continued to restrict pregnant nurses from caring for post C-section patients. At time of writing this report nitrous oxide is not available for use on L&D as the employer is having difficulty developing a scavenging system that meets the needs of this area. ***** L&D and LDRP Delivery Model Changes On October 28, 2014 two staff forums were held by the Woman & Child Program to present "preliminary ideas and options to address obstetrical capacity". Staff from the W&C program were invited to these presentations along with MNU and UFCW. PTMs in the W&C program, Wendy Rudnick our chief nursing officer; and Susan Fogg, director for the regional W&C program were also in attendance. Monica Warren, director of SBH's W&C program presented concepts to better meet the needs of patients and staff and increase capacity. The following are excerpts from the employers presentation: The goal: Better support staff and all health care providers in delivering care to patients Reduce the focus on which unit is more appropriate for the laboring woman Reduce juggling of postpartum patients or staff to better respond to incoming patients Consider how we might use our current space more effectively to create capacity to increase obstetrical volumes and reduce diversions Bring our infrastructure deficits up to standard The concepts: Restructure to one labour delivery recovery (LDR) unit Convert some non-patient rooms on postpartum to patient rooms to increase bed base from 38 to 48 (18 additional beds). Consolidate all vaginal deliveries (high and low risk) on LDRP. This should provide beds to manage all of the deliveries on this unit. Women would move into a postpartum bed after delivery, creating capacity to receive other labouring women. L&D staff would be one team and assigned to care for patients as needed. Continue to perform C-sections in the L&D OR (no move). Explore converting L&D to Triage. Explore converting Triage into a program wide staff lounge, and the early labour lounge into a program wide family lounge. (Continued on page 10) St. Boniface Nurses Local 5 Email Addresses If you have not shared your personal email address with us (no hospital email addresses) please do so, so that we can include you in any future communication "blasts". Email us at [email protected] Page 10 - Annual Report 2014 (Continued from page 9) The one service unit model would allow more capacity to accept laboring women and care for them safely. Currently patients are assigned to LDRP or L&D based on assessment of risk There are times when MCU unit beds are available and the unit is fully staffed when Triage, LDRP and L&D are full and busy. One service unit model would better support patients needs. Changing the current LDRP model into an LDR unit would create space to accept other laboring women. Women would be moved to a postpartum bed after delivery and suitable recovery. This would make better use of the current mother and child unit spaces. Staff on the new LDR unit would be assigned to care for patients where they are needed. Discussions occurred at these sessions regarding what this change would mean for staff. Merging two separate units into one new unit will mean employment changes related to restructuring, however the employer was very clear that there would be no job loss associated with this new model. The employer is inviting staff to share their ideas and participate on committees as these options are explored. The hospital needs to develop a detailed plan with a total cost estimate before it goes to the region's leadership for review and approval. Sheila Holden and I attended these two sessions as our nurses were hearing this information for the first time. It was evident how invested these nurses are in the success of their program. They were professional, asked appropriate questions, and even offered suggestions for the employer's consideration. The employer has not set timelines for undertaking this change, but we will make every effort to keep nurses apprised of where this is at. Should this plan be approved and move forward the union will work with the employer St. Boniface Nurses Local 5 throughout the process to ensure all applicable provisions of the collective agreement are followed. For other Woman & Child issues I refer you to my Nursing Advisory Committee report which can be found on page 26. ***** ER Utilization Working Group Sandi Mowat, president of MNU, reports on the progress of the ER utilization working group at Regional NAC. The working group was established in April of 2012. Laurie Baxter is the emergency staff nurse that represents Local 5 on this working group. This group has been working on a list of recommendations that Sandi presented in October 2012 to the then minister of health Theresa Oswald. Two years and three ministers of health later, this group is still drilling down and working on solutions. It has been a long wait but the feeling is very positive and optimistic that some good changes will be forthcoming for the city's emergency departments. We will keep members apprised of the status of these recommendations as further meetings take place. ***** Article 10 - Operating Room Flood In the early morning hours of January 22, 2014 the operating rooms at SBH experienced a failure of the heating, ventilation and air conditioning (HVAC) system. This resulted in water freezing in pipes, eventually splitting the pipes open and flooding the OR suites on the second floor. No patients or staff were harmed, surgeries were immediately cancelled, and the hospital activated their Hospital Incident Command System (HICS) team. The hospital notified the union of what transpired and declared a state of emergency. (Continued on page 11) Page 11 - Annual Report 2014 (Continued from page 10) Article 10 went into effect immediately upon that notice. Meetings took place on January 23, 2014 which included hospital executive, managers, directors, all OR staff, as well as union representatives. Dan Kushneryk, MNU LRO was also in attendance to provide us with assistance and respond to any questions our members had regarding the process of an article 10. What was first thought to be a situation that would only shut down the OR for two or three days, ended up spanning a 20 day period. During those 20 days, approximately 350 elective surgeries were cancelled. Heart surgeries were redirected to HSC and Local 5 nurses were reassigned to work at HSC so that they could continue to care for those cardiac patients. On Monday, February 10, 2014 the employer notified the union that they were in a position to stand down from article 10. As far as emergencies go, I must admit that this one appeared to run smoothly. This was in part due to the commitment made by the employer to share information with the union as soon as they were of any changes in the process. Communication with Local leaders at the Vic, the Grace, the Conc and HSC allowed for a smooth transition for Local 5 members working at other sites. Throughout this experience we received nothing but positive comments from the CNO and employee relations praising the efforts of our members along with the entire staff of the OR. The comments regarding our members were not surprising to us. We know just how hard this committed group of nurses work to care for their patients and we are very proud of how they handled themselves during this emergency. CRNM Registration Renewal CRNM has again "tweaked" their registration process, this time by including the completion of a jurisprudence module prior to renewing your registration for 2015. The deadline for registration for 2015 was midnight, December 1, 2014. This meant that if you did not renew your registration for 2015 by December 1, 2014, as of midnight on December 31, 2014 you would not be on the practice register for 2015; you would not be able to work; and you would now have to wait until the CRNM office opened after the Christmas break to reregister for 2015. At time of writing this report only one RN was not registered to practice for 2015. ***** CLPNM Registration Renewal LPN's current active practicing license expires each year at midnight on November 30. Registration renewal opens August 15 of each year with a deadline of midnight October 15. Late renewal (after the October 15 deadline) is accepted but is subject to a $100 late fee. LPNs who have not renewed their license by November 30 must pay a late fee of $100 in addition to a reactivation fee of $125. At this point your license is no longer valid and you are not authorized to practice. After midnight on December 15 LPNs who have not renewed to an active practicing registration will have their license cancelled and will be required to contact the CLPNM to have their license reinstated. At time of writing this report there were no issues with LPNs not being registered for 2015. (Continued on page 12) CRNM Registration If you have changed your CRNM status from active practicing to non practicing due to a prolonged leave of absence or maternity leave of absence, please contact the College well in advance of your expected return to work date. Re-registration with CRNM appears to be a lengthy and time consuming process and failure to register with the College means you cannot work as a nurse! Page 12 - Annual Report 2014 Witness Duty clause). (Continued from page 11) Provincial Collective Bargaining Committee (PCBC) 2014 Sandi Mowat President Kirsten Andersson Director of Labour Relations (Chief Negotiator) Dan Kushneryk Labour Relations Officer Wendy Giesbrecht Administrative Support ***** Karen Taylor Assiniboine Region Wanda Zolinski Brandon Region Cindy Hunter Central Region Darlene Jackson Churchill/Burntwood/ Norman Region Renate McGowan Eastman Regions Kathy Nicholson Interlake Region Karen Cleaver Parkland Region Dawn Thompson Winnipeg Community & Health Care Region Charlotte Adolphe Winnipeg Long Term Care Region Kim Swanson Grace/Victoria Hospitals Lana Penner Health Sciences Centre Dana Orr Misericordia/Riverview Kardene Campbell Concordia/Seven Oaks Hospitals Karen Sadler St. Boniface Hospital CRPNM Registration Renewal Registration renewal deadline is November 15. Late fees apply to all renewals submitted after December 1. RPN's who's license is not renewed by midnight on December 31 will have their license cancelled. At time of writing this report there were no issues with RPNs not being registered for 2015. ***** Provincial Collective Bargaining Committee PCBC) Update Collective bargaining commenced August 12, 2013. After ten weeks of bargaining spanning August 2013 - April 2014, a tentative agreement was reached on April 9, 2014. The monetary highlights in the proposed four year contract included wage increases and market adjustments which totaled 10.1% over the life of the contract. The monetary breakdown is as follows: Effective April 1, 2013 2% wage increase (retroactive*) Effective April 1, 2014 2% wage increase (retroactive*) Effective October 1, 2014 1.1% market adjustment Effective April 1, 2015 2% wage increase April 1, 2016 2% wage increase October 1, 2016 1% market adjustment *Retroactive pay was part of the settlement. Many language enhancements were also achieved including, but not limited to, the Nursing Advisory Committee, the Workplace Safety & Health Committee and Legal and Investigative Proceedings (formerly Jury/ St. Boniface Nurses Local 5 On April 30, 2014 MNU members from across the province overwhelmingly endorsed the tentative agreement by voting in favour of the new collective agreement. At Local 5 we were successful in maintaining our threshold clause as well as our supreme language in article 1808 for our nurses who work standby. ***** Updates re Change in Practice Notice served by the employer on June 24, 2013 Five issues were on the change in practice notice we received from the employer. Two issues related to article 16: 1. Article 1601 - Overtime - The hospital has been improperly applying how it applies "two consecutive bi-weekly periods" when determining eligibility for overtime payment. The hospital will no longer be looking at a rolling 4 weeks, but a fixed posted 4 week schedule (2 pay periods). This notice along with the new language in article 1607 (which states Overtime shall be distributed as equitably as possible amongst those nurses qualified for the work in accordance with 1601. Preference for such overtime shall be awarded in order by unit, program, and then facility) has seen the employer and the union meet to discuss and revise the guidelines for the equitable distribution of overtime. At time of writing this report, the revised guidelines have not yet been finalized. Once the guidelines have been finalized they will be shared with our members. 2. Article 16 - Overtime - When a scheduling error is made, and a nurse is owed an overtime shift, she will no longer be paid at overtime rates and will be paid at straight time. (Continued on page 13) Page 13 - Annual Report 2014 (Continued from page 12) This change would bring SBH's payment practice for nurses who were overlooked for an overtime opportunity, in line with other facilities. On March 20, 2013 the provincial labour relations secretariat also served notice to MNU's director of labour relations and chief negotiator, Kirsten Andersson regarding overtime payment errors. The provincial notice directed the employer to offer the next opportunity for overtime to an nurse who was overlooked for overtime. At the time of writing this report discussions continue between the union and the employer as to which of the two notices is the one in effect at SBH. The employer has implemented the provincial notice while we investigate our position. ***** Ebola Planning The unfortunate outbreak that occurred in many West African countries soon became a health and safety concern for all. In early September 2014 the union was advised that SBH, along with the WRHA was making provisions for a planning oversight group based on the Hospital Incident Command System (HICS) model, so that SBH would be prepared in the event a patient presents at SBH with symptoms of Ebola. The employer designated Barb Guyot as the coordinator contingency planning and clinical initiatives, in addition to being the hospital's liaison with the WRHA. Plans and education first rolled out in our Emergency department as that would likely be the point of entry for a patient. Overall the nurses in the ER were expressing confidence in the personal protective equipment (PPE) and Fit Testing being done but they still had questions regarding isolating the patient properly and keeping other health care workers as well as themselves, safe. We conveyed these concerns to the employer who invited Sheila Holden and I to attend a report out on a rapid improvement event (RIE) related to Ebola preparedness. Standard work around the patient cycle from presentation, screening, isolation, transport, environmental cleaning, and waste removal were set to be tested through experimentation and mock-ups. I would be lying if I did not say I found the information provided by that RIE anything but impressive! Special staff meetings were held for the Emergency department and subsequently with L&D and LDRP so that those staff members could hear from the entire Ebola team, ask any questions, and raise any concerns they may have. Any questions that could not be immediately answered were researched and then responded to. Communication and updates were a priority for our members and the employer provided the following: Frequent memos to staff An Ebola preparedness link on the hospital's intranet Town Hall meetings As members raised their concerns to us, we raised those concerns with employer for a response that we could bring back to our members. Ensuring our members are being provided with the appropriate in-servicing, education, and access to PPE/Fit Testing continues to be a priority for the union. ***** Reporting of Abuse in the Workplace This past round of bargaining saw language in article 7A04 strengthened with respect to the onus being placed on the employer to report to the Local any incident where a nurse is physically, verbally or mentally abused in the workplace. The new language reads:...The employer shall notify the union ninety-six (96) hours after receipt of the report". We are pleased to report that the employer is complying with this new language. (Continued on page 14) Page 14 - Annual Report 2014 (Continued from page 13) In 2014 48 incidents of abuse of nurses were reported to the Local. We follow up on these reports by mailing a letter to the affected nurse so that the nurse knows we were notified of the abuse and to see if the nurse requires any additional support. Of those 48 incidents reported, five members were victim of an abusive situation on more than one occasion. ***** Local 5 Office Activity Gradual return to work (GRTW) meetings, attendance support and assistance program (ASAP) meetings, and duty to tccommodate (DTA) otherwise known as accommodation meetings occur on a frequent basis. (See my Grievance Report pages 18 & 19 for more information regarding these meetings.) If you know of a Local 5 member who has done something special or has received a nursing related recognition/award, please let us know - we'd love to share their story. These meetings, in addition to requests for unit meetings regarding workload and contract interpretation resulted in continued demands on the Local 5 office for member representation. 444 issue files were opened in 2014 - 70 more than the 374 files that were opened in 2013. ***** Sheila Holden and I continue to have regular meetings with Wendy Rudnick, our chief nursing officer. Ms. Rudnick is a good ambassador for nursing at St. Boniface Hospital. She always responds to any inquiries or calls that we send her way and we are appreciative of that. ***** The relationship between the employer and the Local remains healthy and respectful. Sheila Holden and I meet regularly with SBH employee relations to address issues and concerns, and hopefully resolve issues for our members in a timely fashion. ***** St. Boniface Nurses Local 5 Bargaining continued to take me away from the daily operations of the Local 5 office during the first four months of 2014. It was a privilege to be able to leave everything in the very capable hands of our vice president Sheila Holden. Having Sheila work along side Helga and I is an extreme asset for our members. We extend our sincere thanks to Sheila . She has brought to the vice president role a strong knowledge of our collective agreement and a commitment to you - our members, to provide you with the best service possible. We are very grateful to Sheila for her dedication to Local 5. ***** Special Mentions This past round of bargaining saw new collective agreement language added to article 1103: "A working group will be established and meet within 60 days of ratification for the purpose of reviewing and revising as necessary, the Workload Staffing Report (WSR) form." MNU president, Sandi Mowat appointed Local 5 member Diana Martinson to be part of the Provincial Nursing Workload Staffing Reports Working Group. Diana brings with her many years of experience in dealing with WSRs as the chair of our Local Workload Staffing Reports Committee. Congratulations Diana on your appointment to this committee! ***** This past fall three nurses from our surgical program embarked on a journey to Zambia to volunteer as members of the OkanaganZambia Health Initiative Foundation (OkaZHI). The main focus of OkaZHI's work is to train doctors, nurses, and practitioners in Zambia Melissa Porpiglia, Amy Douglas and Heidi Kolomic utilized their vacation time and interchanges to give them three weeks in (Continued on page 15) Page 15 - Annual Report 2014 (Continued from page 14) Please contact the Local 5 office should any issue arise related to this topic. Zambia. In addition to using their vacation time, they were financially responsible for making their way to and from Africa. ***** Local 5 Priorities When it came to the our attention that these three nurses were about to embark on this adventure we brought to their attention the MNU International Assistance Fund as we felt they may be able to benefit from it. MNU's International Assistance Fund was established for the purpose of providing donations to organizations which provide health and social support in developing countries, or those countries recovering from natural or human disasters. Melissa, Amy and Heidi made application to the fund and after reviewing their applications, MNU made a $1,500 donation to OkaZHI on their behalf (nurses can be funded up to $500 a year.) Melissa, Amy and Heidi, Local 5 commends you on your generous gift of time and talent to this very worthwhile endeavor. For more information on the OkanaganZambia Health Initiative, please visit their website www.okazhi.org. ***** Offsite Secure Document Storage The safe and secure storage of Local 5 office files (many related to dealing with members' issues and concerns) is of paramount importance to us. The nature of our business generates a large volume of documentation. Confidential member files are kept in my office which is locked when no one is in the Local 5 office (Sheila, Helga or myself), and cleaning staff do not have access to my office unless one of us is in the office. In early 2014 we arrived at a point where the filing cabinets in my office reached their capacity, the storage cabinets in Sheila's office/meeting room reached their capacity, and there was no more floor space in the Local 5 office to add another filing cabinet/ additional storage space. Fortunately, back in 2013 Sheila and Helga met with Rob Vittera from Allmove regarding document storage as it was already becoming a concern for us at that time. They chose to contact Allmove as we already had a business relationship with them - they provide our shredding service . Social Media Awareness Nurses are reminded not to participate in blogs, Facebook, or any other venue with information that may identify patients or place of employment (your email address may identify your name and therefore employer/ patient). Never post work related comments on your social media page. Keep your photos, videos, and postings professional. An inappropriate work related post on social media may be viewed as a violation of a nurse's code of ethics and could be reported to the appropriate college. Sheila and Helga were very happy with the information presented by Rob with respect to secure offsite document storage and they felt that when the time came, we would deepen our business relationship and go with Allmove as our offsite storage provider. In early 2014 it was evident that we needed to deal with our storage situation and we contacted Allmove to begin the process. After an orientation to Allmove's electronic document management system Helga began the process of preparing files to be moved offsite. She did all the "heavy lifting" - culling and organizing files and recording each file in (Continued on page 16) St. Boniface Nurses Local 5 Page 16 - Annual Report 2014 (Continued from page 15) the computer. Allmove's computer program for cataloguing documents stored is a comprehensive one and we have the ability to recall any file when we need it and have it delivered to our office. In June thirty-seven boxes of files were picked up by Allmove and moved out of our office to their secure document storage facility. Our meeting room/Sheila's office now has breathing space and the storage cabinets now have a few empty shelves. This whole process was a huge undertaking but in the end we felt is was well worth the time and effort. ***** Education for Members The opportunity to educate Local 5 members is a priority for us. We will once again be holding Lunch and Learn sessions at SBH in 2015. We provide beverages and a sweet treat so all nurses need to is bring their lunch. Information on when these sessions will be taking place will posted on our website, put in "This Week", and posters will be circulated to units. idea I said, and Helga was off to the races putting together an updated and improved handbook that will be provided to our executive committee members at our February 2015 Executive Education Day. The handbook contains information about the various aspects of the Local's role in representation of members and contains the policy manual that guides the business of the Local. ***** Winnipeg Hospital Local Presidents (WHLPs) Meetings Throughout 2014 the presidents of the eight Winnipeg hospitals, the Pan Am Clinic, and Winnipeg regional nurses, continued to meet with MNU president Sandi Mowat on a regular basis to discuss common issues related to the provision of health care in the city of Winnipeg, and the representation of our members. We discussed collective agreement issues, mobility and portability; inter-facility agreements; grievances; program transfers; workload issues, and security issues. These meetings provided an excellent opportunity to identify any trends that were happening in the city and allowed us to serve as a resource for one another. ***** Karen Sadler, RN President, Local 5 Executive Handbook In 2014 Helga approached me about reestablishing an Executive Handbook for our unit reps and committee members. Great With Appreciation and Gratitude On behalf of the Local 5 key executive, executive, and general membership our continued and sincere thanks and appreciation to Helga Grose, Local 5's Administrative Assistant (who has been with us for 15 years) for her outstanding assistance, support, dedication, and commitment through 2014. Thank you Helga, we are genuinely grateful! Recovering Nurses United (RNU) Recovering nurses united is a support group for all nurses in recovery from drug or alcohol additions or wanting help and support with related problems. Recovering Nurses United is not affiliated with any professional association or organization. *** If you feel you may benefit from their assistance , please contact RNU for further information recoveringnursesunited @gmail.com Private & Confidential Page 17 - Annual Report 2014 Grievance Report - 2014 Issues and grievances related to the application of the collective agreement are discussed and resolved or arbitrated with the active support, consultation and assistance of our MNU labour relations officer (LRO) Dan Kushneryk. On behalf of our members we extend our heartfelt thanks to Dan for his advice and efforts. It is very much appreciated and we are grateful for his ongoing support. Grievance Statistics: Number of grievances carried over from previous years Number of grievances filed in 2014 Total Number of grievances resolved in 2014 Balance Number of grievances withdrawn in 2014 Number of grievances carried over into 2015 Grievances Resolved in 2014 #2012-123 - The union grieved on behalf of a member who was terminated without cause. Resolved when the employer, on a without prejudice or precedent basis, rescinded the nurse's termination in lieu of a voluntary resignation. #2014-044 - The union grieved on behalf of a member because at a meeting with the employer, the member was informed that he was terminated from his position at SBH while on a non-disciplinary leave of absence. Resolved when the employer agreed to rescind the termination in lieu of a voluntary resignation. Financial compensation was awarded for lost wages. Grievances Carried Over into 2015 #2009-091 – The union grieved because the employer regularly and routinely left the filling of unassigned, anticipated nursing shifts to the Charge Nurse or CRN. The union agreed to adjourn this grievance sine die*. The employer continues to commit to resolve this issue with the development of a standardized staff scheduling system. We raised with the employer many times, the length of time it was taking for this 3 3 6 2 4 0 4 5 Year History of Grievances File 2014 - 3 grievances were filed 2013 - 3 grievances were filed 2012 - 2 grievances were filed 2011 - No grievances were filed 2010 - 39 grievances were filed anticipated resolution. Local 5 members continue to expend onerous amounts of their time and energy dealing with staffing issues. On April 23, 2014 the SBH's Staff Scheduling Office received a permanent home in the I.H. Asper building. There are still wrinkles that need to be smoothed out and we will continue to pursue the issues that resulted in this grievance going forward, before we consider it to be resolved. #2013-058 - The union grieved on behalf of a member because the employer disqualified her application for a CRN position for which she met the posted qualifications. #2013-120 - The union grieved on behalf of a member because at a meeting with the employer the member was informed that she was terminated from her position at St. Boniface Hospital. #2014-149 - The union grieved on behalf of a member who was denied the opportunity to be interviewed for a job posting. Member was informed by the employer that she had not met the posted qualifications. After further investigation, the employer informed (Continued on page 18) Things to Know (This information is specific to St. Boniface ) Timelines Nurses are reminded that there are timelines for raising issues. Missing the timelines may prejudice your case. Please contact the Local 5 office for assistance when an issue first arises. Protect your collective agreement rights and entitlements by familiarizing yourself with your collective agreement. Page 18 - Annual Report 2014 (Continued from page 17) her she did meeting the posted qualifications but the position had already been awarded. #2014-150 - The union grieved on behalf of a member because the employer failed to award her a position for which she met the posted qualifications, submitted a written application, and was interviewed for. Ongoing Issues & Resolutions (Complaint Stage of Grievance) 5 Year History of Issues Filed 2014 - 444 files were opened 2013 - 374 files were opened 2012 - 292 files were opened 2011 - 239 files were opened 2010 - 200 files were opened Things to Know (This information is specific to St. Boniface) Paystubs Many issues arise around the payment of shifts, overtime, standby, vacation, stats, etc. We can only argue an error if we can prove that it occurred. In order for this to happen we often need to review nurses' paystub(s). Paystubs are also valuable in the event that you are called into an ASAP meeting. Having your diary or paystubs will allow you to verify the dates of sick calls provided to you by the employer. Do not assume these numbers are accurate as they often are not. Don't be caught without this important proof. Retain your paystubs! Statistics Number of issues carried over from previous years Number of issues initiated in 2014 Total # of issues investigated, discussed or addressed in 2014 Number of issues resolved in 2014 Number of issues referred to NAC in 2014 Number of issues transferred to WCB files in 2014* Number of issues that became grievances in 2014 Number of issues no longer under discussion** in 2014 Number of issues carried over into 2015 Number of ASAP files carried over into 2015 Number of DTA files carried over into 2015 131 444 575 334 7 36 3 116 48 24 7 [At the end of 2014 we determined that we needed to separate issues in order to accurately reflect our workload and more easily track ASAP and DTA files.] *Issues transferred to WCB files are referred to MNU's LRO who specializes in WCB appeals. **Issues reported as no longer under discussion are issues that were investigated and did not continue to discussion stage or did not proceed beyond the discussion stage. Attendance Support and Assistance Program (ASAP) The union continues to reserve the right to grieve regarding any issue related to the “Attendance Support and Assistance Program” (ASAP). The employer has the authority to review your attendance at work with you. This must be done in a fair manner, consistent with other units/managers in the facility and is generally triggered by exceeding absence “averages” in the facility. This review should never occur during a notification (sick) call. A review is typically done “informally with your manager”. Attendance issues should not be discussed St. Boniface Nurses Local 5 with you in relation to the “Overall Contribution Assessment” form. Scheduling clerks, administrative assistants, CRNs and coworkers should not be present during these discussions and should not be told about the discussion by the PTM. The discussion should not be in the tone of a reprimand. If you feel it is, then request the Local president or vice president be present for any discussions. The employer will provide you with a number and the dates of sick calls. Do not assume their information is accurate as it often is not. Ask for a copy of the dates and later verify them with your own diary or payroll stub(s). (Continued on page 19) Page 19 - Annual Report 2014 (Continued from page 18) The PTM may indicate that the discussion is non-disciplinary. There may be no reason to think that this is not true. However, these discussions are formal and on the record, and if there are any future issues with your attendance, what you said during these discussions may become part of the formal process. A PTM's conversation with you is considered a step 1 ASAP meeting. We remind CRNs, coordinators and nurses who perform charge responsibility that information received via a sick call is confidential and should be treated as such. The formal ASAP process takes place in employee relations with an employee relations representative, the PTM, the union and the nurse. These meetings are nondisciplinary. A meeting in employee relations regarding attendance is considered a step II ASAP meeting. Sheila Holden and I continue to hold the employer accountable to the ASAP process being a supportive one, as is clearly stated in the employer's policy. In some situations a temporary accommodation to certain shifts or shift patterns, or a temporary reduction in EFT has been negotiated and was found to be helpful to the nurse in dealing with their attendance issues. In 2014 we opened 97 new files representing members at ASAP meetings with the employer. ***** WCB Denied Claims and Employer Appeals Throughout 2014 Local 5 members continued to have WCB claims denied by WCB. Many nurses also had their approved WCB claim appealed by the employer. Although the legislation allows for the employer to appeal a decision by the WCB, this process is often devastating for the nurse involved. Many nurses have expressed that they feel as though their employer does not believe them, that their injury is not legitimate. We are fortunate to have the assistance of provincial MNU in that they provide a labour relations officer to assist nurses with WCB claim denials as well as with the employer's appeal of approved WCB claims. If you had a WCB claim denied or if your approved WCB claim was subsequently appealed by the employer, please contact the Local 5 office as soon as possible for assistance. Karen Sadler, RN President, Local 5 ***** Gradual Return to Work (GRTW) In 2014 we opened 63 new files representing members in the gradual return to work (GRTW) process and continued on with files from previous year that were still active. The GRTW process is an asset to nurses who are returning to the workplace after an injury, WCB claim, MPI claim, HEB claim, or sick leave. In some instances the GRTW process leads to an accommodation where warranted. ***** Duty to Accommodate (DTA) In 2014 we opened 31 new files representing members at accommodation meetings. Some accommodations require multiple meetings as medical is clarified. Most accommodations start out as temporary although some have evolved into permanent accommodations. Duty to accommodate (DTA) meetings involve the member, employee relations, the disability manager from SBH occupational health and the union. Members are encouraged to contact the Local (Continued on page 20) St. Boniface Nurses Local 5 Page 20 - Annual Report 2014 (Continued from page 19) ratification April 30, 2014. 5 office with any questions or concerns regarding the GRTW or DTA processes. Article 2804 of our collective agreement now reads : Things to Know (Information is specific to St. Boniface) ***** Mandatory Overtime Requests for Time Off/Time Back/Stats (Article 1501) Members are reminded that Article 1501 of our collective agreement provides an option for nurses to make requests two (2) weeks in advance of the four (4) weeks of hours [six (6) weeks in advance of the date] for specific time off. This article requires efforts by the employer to schedule staffing and allows for the granting of requests. Nurses who are summarily refused or told to submit requests closer to the date may have a legitimate grievance. If this is happening to you, please contact the Local 5 office. In 2014 there were 198 instances of nurses being mandated to work overtime reported to the Local compared to the 109 instances reported to us in 2013. Mandatory overtime is voluntarily reported to the Local by nurses who fax us a copy of the "Notification to the Union of Mandatory Overtime or Reassignment" reporting form. When notification of an nurse being mandated to work overtime is received at our office I try to contact the mandated nurse to review the situation and to ensure that the nurse was mandated as a last resort only. Issues that arise as a result of information received from mandated nurses are communicated to the employer in an attempt to decrease the incidents of mandatory overtime. ***** Reassignment There were 101 instances of nurses being reassigned reported to the Local in 2014. Between June 25 - December 31, 2013 58 incidences were reported to the Local. Reassignment is voluntarily reported to the Local by nurses who fax us a copy of the "Notification to the Union of Mandatory Overtime or Reassignment" reporting form. The Local's tracking of reassignment (formerly secondment) began in June 2013 and arose out of members requesting an opportunity to be able to report occurrences of reassignment to the Local in the same manner that they do for mandatory overtime. Reassignment falls under article 28 Promotion and Reassignment and the language in the collective agreement changed slightly upon St. Boniface Nurses Local 5 In the event of a temporary lateral work reassignment being necessitated by an unforeseen staffing shortage on a nursing unit, a nurse may be reassigned subject to the following condition: This lateral work reassignment will be made by the out-of-scope manager as close to the commencement of the shift as possible. Selection of the nurse to be reassigned shall be based on ability and experience and shared as equally as possible. Orientation will be provided of sufficient duration to assist the nurse in becoming acquainted with essential information such as policies and procedures, routines, location of supplies and equipment, and fire and disaster plans." The overriding principles of fair and equitable apply. When a notification of reassignment is received at our office I try to contact the reassigned nurse to review the situation to ensure that the reassignment occurred as per article 2804. Issues that arise as a result of information received from nurses' notifications are communicated to the employer in an attempt to ensure reassignment is being utilized in the correct manner. For more information on mandatory overtime and/or reassignment please contact the Local 5 office. Sheila Holden, RN Vice President, Local 5 Page 21 - Annual Report 2014 MNU Board Report - 2014 The MNU board of directors (chaired by Sandi Mowat, president of MNU) consists of Donna McKenzie, vice president, MNU; Holly Cadieux, secretary/treasurer, MNU; and up until November 2014 23 representatives from the following regions: Prairie Mountain, Northern, Interlake Eastern & Southern, as well as Concordia General Hospital, Grace General Hospital, Health Sciences Centre, Misericordia Health Centre, Riverview Health Centre, St. Boniface Hospital, Seven Oaks General Hospital, Victoria General Hospital, and Winnipeg Long Term & Community Care. In 2014 the MNU board met five times as well as at the MNU annual general meeting (AGM). Board meetings are one day long with an additional day or half day for board education. MNU staff attend these meetings on a regular basis. Observers, including nursing students, are welcome to attend the meeting, exclusive of in-camera sessions. Please contact the Local 5 office if you are interested in attending a board meeting as an observer. Each board meeting includes reports from or about: the president; secretary/treasurer and finance; director of operations; director of labour relations; grievances and arbitration activity; and PCBC (if applicable). In addition, each region and/or local provides MNU with a report regarding trends, issues and activities in their region/local. In 2014 Local 5 submitted written reports at each board meeting highlighting Local 5 office activity, hospital activity, WSR statistics, position vacancy statistics, and issues such as the workload in the woman & child program; employee relations at SBH; ACSS; cardiac sciences; E4 Geriatric Medicine workload concerns; attendance management; Emergency workload issues; and staff scheduling issues. for informational purposes. Following each board meeting a report is provided to the Local 5 executive committee regarding board initiatives; activities; and matters of relevance. Feedback is sought from the Local 5 executive committee to assist us in preparing for the next board meeting. In 2014 board meeting discussions included CFNU communications; activities of president Sandi Mowat; MNU media campaigns; negotiations; and the ratification of our new collective agreement. At the November 2014 board meeting a motion came to the board to amend bylaw No 1 which references the structure of the board in relation to the regional health authorities, which are established by the government of Manitoba. The passage of this amendment resulted in the elimination of one board member and was supported by the affected board member. I refer you to the MNU handbook for the final representation of regions and board members. General membership is provided with this information via the MNU annual report. Priority issues, topics, and campaigns are highlighted in the MNU Front Lines magazine and are posted on MNU's website www.nursesunion.mb.ca As always members should feel free to contact us with any questions you may have. Diana Martinson, RN & Sheila Holden, RN Board Representatives, Local 5 Local 5's report to the MNU board of directors is provided to the Local 5 executive committee St. Boniface Nurses Local 5 Members are encouraged to read MNU publications, annual reports, and any information posted on the MNU website to ensure they are current regarding MNU board of directors activities. MNU Front Lines Magazine Please know that articles published in the MNU Front Lines magazine are based on standard collective agreement language which may not be the same as St. Boniface Nurses Local 5 Collective Agreement language. Remember to check our Collective Agreement and contact the Local 5 Office with any questions or concerns. Page 22 - Annual Report 2014 Workload Staffing Reports Committee Report - 2014 COMMITTEE REPRESENTATIVE AREAS OF RESPONSIBILITY Surgery Program: B2 Pre-Op Clinic, B2, Vascular Access, L2 Pre Op Holding & Day Surgery Recovery, A4S Urology/Vascular, ACF Surgery, A7S, A7W excluding NFA, OR & PARR Diana Martinson (7A West) (Committee Chair) W – 204.237.2835 Diagnostic Imaging: Angiography, Bone Density, CT Scan, MRI, Mammography, Nuclear Medicine, Ultrasound, X-Ray Woman & Child Program: L & D, LDRP, FAU, NICU, 3MCU, 6AW AP/Gyne, ACF Woman’s Health, ACF Pediatrics, Woman & Child Relief Team Chris Boychuk (Labour & Delivery ) (Committee Co-Chair) W – 204.237.2778 Mental Health Program: M2/M3, Adult Ambulatory Care & Geriatric Outpatient Services Kathy Hillstrom (CR4 CSIU) W – 204.237.2801 A8 Palliative Care Cardiac Sciences Program: A5 Cardiology/CCU, CR4 CSIU, CR5 ICCS, Cardiac Clinics (CR1 & Y2), Y2 Pre & Post Rehab/Geriatrics Program: E4 Geriatrics, Geriatric Day Hospital Sheila Holden (Local 5) W - 204.231.0188 Emergency Program When you fill out a WSR form please ensure you fill out and forward the vouchers from the inside front cover of the WSR. These vouchers enables the Local to follow up on WSRs that have been filled out but not received in the Local 5 office. Plus 5AS Cardiology Medicine Program: 5B Medicine, EEG/EMG, E5 Medicine, Medicine Relief Team, 6E Medicine, ACF Medicine, Respiratory Therapy, Med/Surg ICU (ICMS) Leanne Smith) (B2 PAC) W – 204.237.2347 Family Medicine Program: B4 Family Medicine, &Family Medical Centre plus NFA, OR & PARR Renal Program: Dialysis, Hemodialysis, Peritoneal Dialysis WSR Statistics 5 Year History of WSRs Received 2014 - 367 2013 - 413 2012 - 384 2011 - 308 2010 - 290 As of January 15, 2015, 367 workload staffing reports (WSRs) have been received for 2014 compared to the 413 reports received in 2013 (as of January 13, 2014). There are still 49 WSRs outstanding for 2014 (voucher received but actual report not yet received). union-management tool, these forms have provided us with statistics which assisted in improving communications at NAC by bringing forth an awareness of the issues related to workload and nursing standards at SBH. Please see the NAC Report on page 26 for further details. Important information to remember when Workload staffing report statistics continue to filling out a WSR: be taken forward to each nursing advisory committee (NAC) meeting (see NAC report) and When a situation occurs, discuss it with the a copy of the WSR is forwarded to MNU for Supervisor or PTM to see if something can provincial stats. be done to improve the workload at that time. It is important that nurses fill out WSRs in order to resolve workload issues at SBH. Being a joint (Continued on page 23) St. Boniface Nurses Local 5 Page 23 - Annual Report 2014 (Continued from page 22) If the situation cannot be resolved at that time (i.e. no staff available), tell the supervisor or PTM you spoke with that a WSR will be filled out. Do not be intimidated, documentation of the situation is necessary! ***** WSR Quick Tips Booklet In the spring of 2014 7AS nurses Laura Wickstrom and Virginia Mushumanski provided the Local with some notes they made for assisting nurses in filling out WSRs. Their document was titled Quick Tips on WSRs. Their Quick Tips on WSRs was reviewed at an all day meeting of the WSR Committee on June 5, 2014. The committee decided to incorporate Laura and Virginia's notes into an updated version of The Staff Nurses Guide on How to Complete a Workload/Staffing Report” as that guide had not been updated since 2002. A new Quick Tips booklet was finalized on July 16, 2014 and circulated to all units. If you do not have a green duo tang titled "Quick Tips for filling out a Workload Staffing Report (WSR) form" please contact the Local 5 office to get a copy. Things to remember when a workload situation arises: 1. Discuss the situation with your PTM/Supervisor 2. Fill out the vouchers on the inside of the WSR and forward them as indicated 3. Fill out the WSR and forward it in its entirety to the person with whom you discussed the situation If you have any questions, please contact your unit’s WSR representative. Each unit should have a green duo-tang containing the “Quick Tips for filling out a Workload Staffing Report”. If you require a copy, please contact the Local 5 office. Important: On the WSR form Under Section 4 - Patient/Resident Care If you check off the box for a "actual " (vs. potential) you are required to complete and submit an Incident/Occurrence Report to your manager. Mental Health Program 47 Geriatrics Program 12 Palliative Care Program Emergency Program Many thanks to Laura and Virginia for sharing their insight with us. Nursing is the art of healing and of caring … If we cannot live up to the standards of our nursing profession, We must speak up and be heard! WSRs Received in 2014 by Program 9 22 Medicine Program 54 Surgery Program 68 Cardiac Sciences Program 18 Woman & Child Program 137 0 If you have any questions, contact a member of the WSR committee for assistance (a list similar to the one on page 22 can be found in the green duo tang. Diana Martinson, RN Chair, Local 5 Workload Staffing Reports Committee St. Boniface Nurses Local 5 20 40 60 80 100 120 140 160 Page 24 - Annual Report 2014 Joint Education Fund Committee Report - 2014 The Joint Education Fund is for educational courses and needs only. It is not for exam costs or recertification tests. Important: Applications must be received before the conference/course begins. This committee consists of both union and employer representatives. Employer representatives this year were Daunna Sommerfeld, PTM Mental Health, and Louise Allen, manager education services. During the year Daunna left the committee and was replaced by Lydia Harris, PTM Emergency. Union representatives were Sheila Holden; Leanne Smith, 2B Surgery; Kathryn Ott, 7AW; and Monique Dela Cruz, 3MCU. The employer provides the administrative support (Arlene Kitchur) for this committee. The joint education fund committee meets monthly (except July and August) to review and approve the short-term and long-term financial requests submitted by Local 5 members. A review of the committee’s financial statements also takes place at each meeting. Funding Details of funding provided for 2013/2014 was not available at time of writing this report and will be provided to members at our AGM. ***** On April 1, 2014 the committee began paying out funds as the supporting documents (proof of attendance and receipts) were received. Most delays in paying out funds were related to the supporting documents not being received. The committee will be evaluating this process at the one year anniversary mark and a decision will be made at that time whether or not to continue with this process for paying out funding. Please review the Joint Education Fund criteria found on the back of the application form. Applications must be received in Education Services prior to course/conference commencement St. Boniface Nurses Local 5 Employer Sponsored Educational Development (formerly MNU Education Development Fund) The fund's name change took place in 2014 as a result of bargaining. This fund provides nurses $200/fiscal year for the reimbursement of tuition/registration/ required books only. Applications must be received in Education Services prior to course commencement ***** The committee thanks Local 5 members for their patience and understanding in waiting for their monies as we continue to better meet the needs of many. Many thanks to Tanya Van Den Bussche, accountant , ancillary and fund accounting for her support to our committee. Our thanks as well to employer representatives Louise Allen and Lydia Harris. Thank you to Arlene Kitchur for her assistance to this committee and to our members. Sheila Holden, RN Vice President, Local 5 Page 25 - Annual Report 2014 Joint Union Hospital Council Report - 2014 The Joint Union-Hospital Council (JUHC) is a committee of executive level employer representatives as well as union representatives from all unions at SBH. The committee meets to review and discuss events, information and issues relevant to the facility. Sheila Holden and I are the Local 5 representatives on this committee. Seven Joint Union-Hospital Council meetings were held in 2014. The meeting format continued to follow the structure change that was implemented in 2007 in that these meetings are more for informational purposes and hospital presentations. Specific union concerns are dealt with in smaller meetings set up with hospital executives and the respective union. Despite the format of having additional separate meetings for union concerns, we continue to voice the issues of our members at joint council. In addition to the topics highlighted below, joint council meetings included updates on the hospital president’s overview, monthly reports on the hospital’s financial/operating status, clinical program movement/changes, emergency departments daily status reports, and articles of association were reviewed. Focus issues presented at joint council included: Workplace respect/Scents and Sensitivity Terms of Reference IT System Project - Centralized Staffing Office project BPSP/SAP/Rotations SBH/AON Hewitt Employee Opinion Survey MAHCP vacancies & workload concerns Contribution Assessment Reviews (CARs)/ recognition initiatives Staff Engagement At the October 2014 JUHC meeting Paulette McCarthy, chief human resources officer encouraged participation in the current employee opinion survey. The survey deadline was October 24, 2014 for paper submissions and October 30, 2014 for online submissions. In 2013 the survey participation rate was 50%. For 2014 the employer was targeting a participation rate of minimally 60%. At our December 2014 JUHC meeting we were advised the employer reached a participation rate of 64%. A celebration of this achievement was held for staff on November 28, 2014. Since this survey was occurring late in the year (normally done in the spring) results will not be reported on until sometime in 2015. The executive team has advised that the results of the 2014 survey will be presented to staff in a very transparent fashion. What is "Staff Engagement" Staff engagement is a measure of the state of mind of employees within an organization, and whether the organization has captured the hearts and minds of its employees Transformation Transformation This initiative continues at St. Boniface Hospital. Dr. Tétreault, president & CEO St. Boniface Hospital continues to maintain there will be no job losses as a result of Transformation. I can report that to date there have been no job deletions of MNU members related to Transformation. We continue to encourage our members to contact us if they have any questions or concerns regarding this process. It has been seven years since SBH embraced and endorsed Transformation principles and it is still difficult to keep up with all of the rapid improvement events (REIs) and roll outs. At SBH there has been little that has not been affected in some way by Transformation. Karen Sadler, RN President, Local 5 St. Boniface Nurses Local 5 Page 26 - Annual Report 2014 Nursing Advisory Committee Report - 2014 Any nurse or group of nurses who feel an issue has not been resolved at the unit level, may refer the issue to the NAC. The issue could pertain to workload, staffing, nursing standards, and nursing functions as well as the physical environment. As stated in article 1103 of our collective agreement, the Nursing Advisory Committee (NAC) is a joint committee comprised of union and management representatives mandated to: i) Review and make recommendations relative to those unresolved issues relating to workload and staffing; ii) Provide a forum for discussion and make recommendations on issues relative to nursing professional practice such as nursing standards, nursing functions, physical planning and layout of facilities. New collective agreement language was achieved this past round of bargaining which addressed the use of agency nurses, equal cost sharing of the workload staffing report (WSR) form, and a review of the WSR form itself. Additional language within article 1103 was achieved regarding the response time from managers when a nurse submits a workload staffing report. "The Manager shall provide a written response as soon as is reasonably possible and no later than 14 days after the form has been submitted to management. The response will outline the actions(s) taken and any further actions to be implemented. The Workload Staffing Reports will then be reviewed at the next scheduled Nursing Advisory Committee meeting." If the decision of the NAC regarding an issue is unacceptable to the nurse(s) who submitted the issue, or if NAC is unable to resolve the issue, the matter shall be referred in writing to the facility administrator/executive management committee. Upon request of either party, a meeting will be scheduled as soon as possible, but no later then fourteen (14) days. The rationale for obtaining the changes to article 1103 are as follows: St. Boniface Nurses Local 5 These amendments reflect the priorities of members to have the WSR be administered more respectfully and efficiently. Currently, members are often frustrated that the manager's response is sometimes incomplete or dismissive. Often the manager does not respond at all. The language now requires the manager to respond within fourteen days and prescribes that the response outline the actions taken, and any further actions to be taken in the future to avoid a repeat of the unsafe staffing situation. Failure to do so will attract a grievance. This will allow NAC's to function more effectively in that the WSR can be dealt with at each meeting and do not languish on a manager's desk. Further , this language clarifies the route of a nurse's concern that includes the WSR. This amendment specifies a deadline for the parties to meet, giving nurses the ability to have workload concerns addressed in a timely manner. Local 5 vice president Sheila Holden; Diana Martinson, 7AW surgery; and I continued as the Local 5's NAC representatives for 2014. Employer representatives for 2014 were Diane Genyk, program director Outpatient Services; Lydia Harris, PTM Emergency; Melody Damm, PTM 5E Medicine; Monica Warren, program director Woman & Child; Sheila Bowles, program director Cardiac Sciences; and Brenda Badiuk, program director Emergency; who came on board as committee co-chair. There are two employer vacancies on NAC as we enter into 2015. Monica Warren has left SBH and is now the regional director for the Woman & Child Program. Brenda Badiuk has accepted the position of executive director Support Services at SBH and has stepped down from NAC. At time of writing this report, we have not yet been apprised of who will be appointed to fill these vacancies. (Continued on page 27) Page 27 - Annual Report 2014 (Continued from page 26) NAC Referrals & Updates NAC met eight (8) times in 2014. Two meetings were cancelled in 2014: one was due to my attendance being required at PCBC, and the other was due to the employer's enacting article 10 due to the flooding in the OR. The following are previous and new referrals, as well as items that were closely monitored at NAC this past year. Along with the items highlighted in this report, issues discussed at NAC included workload staffing reports (WSRs) and concerns re PTMs' and supervisors' lack of response; intimidation by supervisors and PTMs to members to not fill out a WSR; as well, the length of time it was taking for completed WSRs to reach the Local 5 office. Other issues discussed were the potential changes to the WSR form; reassignment concerns, mandatory overtime, surge and over capacity on medical units, security presence in Emergency, Fit Testing, and personal protective equipment (PPE). ***** Workload Staffing Reports (WSRs) WSR statistics and education are reviewed and discussed at each meeting. Difficulties/ issues related to the WSR process and/or individual forms are reviewed. Requests for educational presentations re filling out WSRs are tabled at NAC. At the request of the PTMs for 5E and 6E Medicine, I attended a staff meeting for these two areas to review how to fill out and submit a WSR. Discussions took place regarding the requesting of additional staffing when workload changes occur on the unit. Communication is key in advocating for additional resources to provide safe patient care. If your unit would like to have a WSR inservice, please contact Diana Martinson, WSR committee chair or the Local 5 office. Woman & Child Program Busy does not even begin to describe the activity and workload throughout all facets of this program. From the clinics and FAU all the way to the inpatient units, nurses in these areas are working excessive amounts of additional shifts and overtime to support the workload. As reported in my President's Report, staffing model changes are underway for LDRP and L&D and these changes will also affect MCU. We will continue to monitor the progress and advocate for our members as we wait for the proposed changes to be implemented. ***** BCG Vaccine Preparation BCG vaccine preparation became a Workplace Safety & Health (WS&H) concern for nurses in MCU and LDRP back in 2013. At time of writing my annual report for 2013 a SAFE work procedure for the administration of the BCG vaccine was in the process of being finalized. I can now report that the SAFE work procedure was completed and implemented in 2014. Despite this SAFE work procedure being in place, the union continues to receive concerns from nurses in the Woman & Child Program regarding the administration of this vaccine. We have asked the employer to research a safer way for nurses to open the glass ampoule. Currently the only option is to "file" the neck of an ampoule, which is not scored. The union has provided some information to the employer reps at NAC on a device called "snap-it". "Snap-it" is a plastic sleeve that is placed over the neck of the ampoule and provides protection when it is (Continued on page 28) St. Boniface Nurses Local 5 Page 28 - Annual Report 2014 (Continued from page 27) being opened. We are waiting to hear back from the employer on the status of this. ***** committed/dedicated funding from the region. This was a wonderful acknowledgement by the employer of the ongoing needs of the patients and nurses on E4 and we were more than happy to agree to these term positions. ER Utilization Working Group This group has been meeting regularly since it's inception in April of 2012. I refer you to page 10 of my President's Report for an update. ***** The union was notified by the employer on January 2, 2015 that approval had been received to permanently increase the staffing compliment on E4 by the four positions referenced above. This positive result is directly related to the power of nurses filling out workload staffing report forms. ***** E4 Geriatrics This area remained on the NAC agenda throughout 2014. The landscape of the patient population on E4 has dramatically changed over the years. The workload on this unit continues to support that it is not a "geri rehab" unit, but rather, a sub-acute medical unit which needs to be staffed accordingly. E4 requires additional resources across the board and the union has been advocating for the employer to address the concerns in this area. Nurses on E4 have been diligent in filling out WSRs and have been patient when it comes to receiving a response. Conversations between the union and the employer have been moving this issue forward however, not as quickly as we would have preferred. We knew we had the program's attention on this issue back in 2013 as the employer had prepared briefing notes to go to the region. At that time, where the employer could, they provided heavy workload staffing to E4. In the summer of 2014 the union was asked to agree to the posting of four term positions for E4. Two 0.7 evenings and two 0.7 nights term positions were being asked for by the employer so that they could increase the baseline on E4. The employer was attempting to assist E4 in the absence of Peritoneal Dialysis This unit first raised their workload concerns in 2013 and those issues continued to be discussed at NAC throughout 2014. A new process for PD was the post-op recovering of patients who were having their PD catheter inserted. Clearly the PD nurses are qualified to do this aspect of care, but the concerns raised related to the increased workload and no additional resources provided. We raised this concern with the employer at NAC. The employer's response was that clinic appointments would not be scheduled for those times when patients would be received post-op. We will continue to monitor this issue. ***** Medicine Program (5E/6E) - New Referral Nurses on 5E and 6E raised concerns regarding a Transformation exercise to assist with patient flow which was having an impact on their workload. A new nursing role - admission/discharge and transfer (ADT) nurse - was introduced to the clinical teaching units (CTUs) in February of 2014. The main role and responsibility of this nurse was to complete all of the admissions, (Continued on page 29) St. Boniface Nurses Local 5 Page 29 - Annual Report 2014 (Continued from page 28) watching what SBH does with this role. discharges and transfers of patients that occur during the shift. One of the employer's objectives is to have the bulk of the work of admitting/discharging /transferring patients take place during the day shift when all resources are available. This in turn would reduce patient wait times in emergency by getting patients up to a unit sooner. We will continue to raise nurses' concerns with respect to the ADT nurse role and will continue to have discussions at NAC to ensure nurses' workloads are manageable and safe. ***** Mental Health On the surface having one nurse doing all aspects of admissions/discharges/transfers has the potential to be a great addition to CTUs as long as that nurse does not have a patient assignment on top of the ADT work. A problem that was quickly identified was that on days and evenings the person filling the role of ADT nurse was being taken from the existing baseline staffing and no new or additional resources added. Because of this it is very difficult for nurses to completely embrace the ADT nurse role as their workload has increased (they now have more patients in their assignment). Nurses on both units have begun to submit WSRs regarding this issue. The union has raised nurses' concerns at NAC and with chief nursing officer Wendy Rudnick. We were advised that after a "trial period" the role of the ADT nurse would be evaluated. Months passed before the trial period ended and nurses continued to fill out WSRs. On several occasions the union had requested information from the employer regarding the data that was collected from trial of the ADT nurse. On November 17, 2014 Heather CarlssonReid, director of the Medicine Program, and Melodie Damm, PTM for 5E Medicine met with Sheila Holden and I, and provided us with hard copies of a slide presentation that was shared with the hospital's executive team, on the success of the ADT nurse as it relates to patient flow. The are still some issues that the program is trying to improve on but clearly the ADT nurse is not going away. The region is closely In 2014 nurses from McEwen began identifying workload issues that were occurring regularly on the weekend shifts. Historically, on weekends the nursing complement drops as a result of patients receiving weekend passes. A new trend appears to be that patients are no longer being allowed weekend passes and therefore remain in hospital. The nursing complement however, has not increased. We are continuing to explore this issue at NAC and hope to achieve a meaningful resolution to this concern. ***** 8A Palliative Care Unit This area was tabled for discussion at NAC in the fall of 2014 based on multiple calls we were receiving from nurses on the unit. The acuity and complexity of patients on 8A is increasing and appears to no longer match the baseline staffing that this in place. 8A PCU is often referred to as the ICU of palliative care. We encourage nurses to fill out and submit WSRs so that we have documented data related to their concerns. In November of 2014 we were advised that the program was providing additional staff to assist with workload, but that this was being done on a day-to-day basis. A staff meeting was held on 8A which (Continued on page 30) St. Boniface Nurses Local 5 Page 30 - Annual Report 2014 (Continued from page 29) included Sandy Bell, program director, and Elaine Bronstein, PTM. The nurses expressed their concerns re their inability to provide safe patient care and the need for additional staff. There was acknowledgement by the employer that increased acuity is not a 'blip" but an actual trend. We will continue to discuss this issue at NAC and will provide updates as information becomes available. ***** Increase in EFT The Increase of EFT memo was renewed this last round of bargaining with amendments designed to ensure transparency and ease of implementation. The amendments included: The process will be monitored by the Nursing Advisory Committee The employer must identify the available EFT and shift patterns in advance. It allows for more flexible time lines and is not limited to once a year. It allows for an individual unit to use the process independent of the facility. The memorandum is limited to the life of the agreement in order for the parties to assess if it is meeting the needs of nurses. CR4 (cardiac surgery inpatient unit) was going to be posting new positions in the summer of 2014 as a result of an increase in funding to increase beds. The PTM explored the possibility of an increase in EFT for the area prior to posting the new positions. As a result of the newly defined process in the collective agreement, all eight of the nurses who responded with a request to increase their EFT, received their full request. Many thanks to Diana Martinson, Chris Boychuk, Kathy Hillstrom, Leanne Smith, and Sheila Holden who served as your WSR committee representatives in 2014. Their work, efforts and commitment is very much appreciated. St. Boniface Nurses Local 5 Sheila and I also extend our thanks to Ana-Maria Cubela, Brenda Badiuk's administrative assistant, for her administrative support to this committee. Karen Sadler, RN President, Local 5 Page 31 - Annual Report 2014 Regional Nursing Advisory Committee Report - 2014 Contractually the mandate of this committee is to resolve the regional issues related to staffing and scheduling; prolonged periods of work (consecutive hours and consecutive shifts); standby assignments; and the use of part-time additional shifts and casuals shifts as it relates to the creation of permanent positions. The RNAC reviews data relative to the use of additional and/or casual shifts, with a view to making recommendations relative to the creation of positions. The process of the RNAC is outlined in our collective agreement. A review of the committee's terms of reference took place in 2014. ***** Committee Members Each local/worksite/region is represented by their local/worksite/regional president along with two MNU members-at-large: Sandi Mowat and Sheila Holden, who are appointed by the local/worksite/regional representatives. This committee met four times in 2014. The following is a summary of issues discussed at those meetings. ***** Acute Care Surgical Services (ACSS) - Escort Duty In our 2013 annual report I updated members on the proposed changes and additions to enhancing the transport and escort aspect of ACSS. At the March 2014 regional NAC meeting, Milton Good, RT & regional director WRHA Patient Transport, presented an update on the patient transport project for inter-facility transport. He explained the collaboration between the WRHA patient transport program and the Winnipeg Fire & Paramedic Service (WFPS) to centralize the call intake process and provide a cost effective and efficient model. Additional WFPS communication staff was funded by the region to create a call centre (central intake). This centre manages all calls for service from acute care sites, as well as Riverview, St. Amant and Deer Lodge. The Inter-facility Transport (IFT) Centre dispatches ambulances (WPFS) and nonurgent stretcher units (private contractors). The IFT Centre also dispatches the private escorts where needed. The following information was provided by Milton Good in his presentation to RNAC: The WRHA Patient Transport Team includes: Advanced Practice Respiratory Therapists who can manage all levels of patients General Duty Respiratory Therapists who can provide care for very stable and intermediate level patients (e.g. a patient requiring pain management with narcotics) Primary Care Paramedics who can transfer very stable patients requiring minimal interventions (e.g. administration of a bronchodilator). This initiative will affect/benefit the acute care and long term sectors and all programs by: Sending the appropriate transport vehicle to ensure that the transfer occurs in a timely fashion Providing the appropriate level of escort which allows sites to keep their staff in house. By being able to dispatch the appropriate resources, the WRHA can recognize costs savings for patient transport while ensuring the patient is transported in the safest manner possible. There were pointed questions to Mr. Good regarding the ability of the RTs to give narcotics. He responded with ...the RT should witness the nurse at the sending facility withdraw the narcotics; if the RT is to administer any narcotics en route, they must (Continued on page 32) St. Boniface Nurses Local 5 Page 32 - Annual Report 2014 Presentations at RNAC (Continued from page 31) sign for what is given to the patient, and then return to the sending facility what is not used during transport… All of this requires appropriate documentation along the way. Mr. Good acknowledged that the staffing complement that is required has not yet been achieved and that the necessary training for the dispatchers (who are not from a medical background) is being developed. Some informational presentations were made to the committee this past year. They included the following: ***** Zero Tolerance - Safe Work Environment Issues and concerns regarding this agenda item have been carried over from previous years. New online operating room course education presented by Lynette Kolodziejak, WRHA program director, Surgery Panel Project - LTC redesign presented by Suzanne Wowchuk Community Mental Health Crisis Response Centre presented by Nancy Parker and Susan Chipperfield, regional program director for Mental Health Regional Transport Status presented by Milton Good, WRHA regional director Patient Care ***** Security is still a concern at many sites despite changes to the legislation. Some issues stem from the increased number of behavioral patients (Alzheimer's, dementia and brain injuries). It is quite evident that more behavioral units are needed. Violence prevention processes are moving along and the policies are no longer in draft form. Sandi Mowat co-chairs The Violence Prevention committee and they are rolling out the policy. Providing supportive education is the next step. Each facility/region is responsible for implementing the education surrounding this policy. SBH has deferred this education to the Occupational Health & Safety portfolio. No additional monies have been provided from the government for this initiative. Mentorship Program This item was struggling along on the RNAC agenda in 2013 and there was an agreement to revisit this topic post bargaining. Local 5 will be asking to have this item put back on the RNAC agenda as a standing item. ***** Local 5/SBH Concerns Discussed at RNAC Woman & Child Program Emergency Program E4 Geriatric Medicine 8A Palliative Care Please see my NAC report for further details. Karen Sadler, RN President, Local 5 St. Boniface Nurses Local 5 Page 33 - Annual Report 2014 Workplace Safety & Health Committee - 2014 This year has been challenging and interesting for the committee. Asbestos Issues in Mechanical Rooms In 2013 the WS&H Division gave the hospital an improvement order for asbestos abatement in the mechanical rooms. A proposal was given to WRHA Safety & Security budget along with a request for $300,000. The request was denied. The Occupational Health & Safety department, in conjunction with property management assessed the mechanical rooms to determine if they were a Type 2 entry or not . If an area is determined to be Type 2, anyone entering that area would have to put on a suit and respirator. WRHA Safety & Security budget reconsidered their decision of our request and awarded SBH the monies as requested for asbestos abatement. An outside consultant company, Amex, has been hired and have begun the removal of asbestos beginning with the worst areas that have the greatest potential for harm through to the areas that have the least potential for harm. They are on schedule. ***** Bed Bugs Proper communication needs to be done when a patient who has bedbugs is transferred from the ER to a unit. Same should be noted on the report and verbally communicated when the patient is transferred. As well, the policy/procedure is to be initiated immediately upon admission. ***** Garbage Compactor There was concern that housekeeping staff had extended exposure to the elements along with repetitive stress injuries when dealing with garbage. A new platform and tipper has been installed by Bockstael Construction. Staff now have limited exposure when they are placing the bins in the tipper as it can now be operated from inside the building. The current operation of the tipper will be allowed through the winter season and will be evaluated for any shortcomings. An evaluation will also take place to see if a roof is needed for total protection from the elements. ***** Anesthetic Gas Exposures in L&D Staff in L&D were being exposed to anesthetic gases when patients who had been given a general anaesthetic for a procedure (caesarian) are taken to the recovery room and the anesthetic gas exhalation is breathed on the staff (off-gassing) The implementation of a face mask attached to a scavenger system (which is located on the wall) has hugely increased the capture rate of exhaled anaesthetic gas. ***** Nitrous Oxide Exposure in L&D and LDRP Hygiene surveys were done on three patients receiving nitrous oxide. It was discovered that nurses were overexposed to nitrous oxide which is used by labouring mothers for pain control. The use of the nitrous oxide was stopped for a period of time until the scavenging system was fixed and drawing suction. A mask has been adapted with a return line to the scavenging system which is now drawing the vapours away. The scavenger system had not been working due to a build up of dirt in the system. The educator for the department will be doing periodic reviews and will be providing education to ensure proper maintenance of the scavenger system. At time of writing this report nitrous oxide is only available on LDRP. (Continued on page 34) St. Boniface Nurses Local 5 Page 34 - Annual Report 2014 (Continued from page 33) Replacing the Ramp on E Block This has been a longstanding issue. Different departments (such as Diagnostics Imaging, Xray, Housekeeping. MTS, etc.) utilize the storage area in that area. Carts have to be pushed up and down the ramp and are sometimes ridden down which is a safety hazard. Initially there was agreement for a ramp/lift to be installed. However the manager has recommended that a lift not be installed due to concerns re individuals operating the lift, wearing steel toed boots, significant risk for crushing hands or feet, and protrusions in the concrete steps which has the potential of risk of injury. The ramp has been installed and a meeting is to be held to discuss the situation. This issue has been deferred since the June 2014 committee meeting and an update to be provided in the new year. ***** Communications with Provincial WS&H Division The WS&H Division has made approximately a dozen visits during the year to SBH to tour and inspect the support areas (mechanical rooms, housekeeping, fire system). 130 improvement orders were generated. As of December 2014, five improvements orders remain outstanding. ***** Safety concerns re BCG vaccine preparation The supplier of the BCG vaccine changed in 2013 to a product that required nursing staff to reconstitute the vaccine. One preparation station was set up which all the units preparing/dispensing the vaccine use. A SAFE work procedure for BCG vaccine preparation was developed at the request of MNU and presented to the WS&H committee. In 2014 Local 5 learned that nurses responsible for preparing the BCG vaccine had St. Boniface Nurses Local 5 compiled a list of concerns with respect to the preparation of the vaccine. Further enquiry by Local 5 at WS&H provided information regarding the number of incidents reported on the incident tracker related to the preparation of the BCG vaccine. This was followed up extensively by Local 5 and nurses were encouraged to complete and report their concerns. Kim Roer, Manager of Occupational Health, and PTM Janet Sawatzky met with the nurses regarding their concerns related to the BCG vaccine and staff identified that a permanent location for BCG vaccine mixing was considered. Woman & Child Program Director Monika Warren reported to Local 5 president Karen Sadler that “The department did explore different mixing station locations, but that the location of the current station was not an issue. The issue is they always need a second nurse to check the mixing of the BCG.” . The Local continues to monitor this issue. A vaccine preparation site visit is pending by WS&H committee member Liz Cronk. The BCG vaccine is presently supplied in a glass vial that has to be scored. Local 5 has found a tool called the “SnapIT” which we feel can safely assist in the scoring and removal of the top portion of the vial. The SnapIT tool was presented to the WS&H committee and brought forward to the Nursing Advisory Committee (NAC). Feedback on this tool is pending. ***** Non Tempered Eyewash Station The WS&H Division wrote an improvement order for the non-tempered eyewash stations throughout the hospital as they were deemed to not meet WS&H standards (require two people to operate). Tempered eye wash stations will be installed in Morrison Foods and the Print Shop. (Continued on page 35) Page 35 - Annual Report 2014 (Continued from page 34) Ventilator in MRI MAHCP brought forward staff concerns about exposure to magnetic fields while they are bagging intubated patients, as they do not have a ventilator in MRI. Concerns were also expressed for pregnant staff who were advised not to go into MRI room (implying that it is unsafe). There was follow up with the manager who informed the committee that the ventilator is now being funded and has been ordered. We have been advised that the ventilator has been delayed as the one originally ordered did not meet the specifications. ETA for a new MRI ventilator is now January 19, 2015. Educational sessions are planned for staff. ***** MAHCP Increased Workload/Work Hours Heavy workload reports were presented on areas with increased workload/hours related to inadequate staffing and increased patient activity. This was suggested by Human Resources that this issue be brought forward to the committee. The issue was also brought forward to Joint Union-Hospital Council. The MAHCP member is to update the committee as more information becomes available. ***** Serious Incident (Kitchen) A staff member sustained an injury when a freezer lid fell on her hand when she tried to stop it from closing on her. The staff member went to Emergency and received four stitches in one finger. Property Management was called to come look at the freezer . There is a chain on the wall which is attached to a metal bracket on the freezer and is used to keep the freezer door. A hook was installed to secure the door when it is open and the metal brackets were smoothed down. The area's manager has requested funding for a new freezer. Asbestos Sampling A MGEU committee member brought forward concerns regarding the Asbestos sampling procedure in that the size of the sample was thought not to capture an adequate depth of sample. Samples are sent to a lab to be analyzed. The committee was informed that based on this observation, recommendations were made which resulted in further staff training: a two day Pinchinn Training where new staff performing this task will be educated and coached on how to take proper Asbestos samples. ***** Ebola Preparation We discussed the hospital had activated a planning and response team on Ebola preparedness and we learned that communication and general memos were sent to all staff regarding Ebola preparedness. Information is available on the hospital intranet pertaining to current Ebola preparation and communication. ***** Signage A UFCW committee member raised a concern on behalf of a Security staff member regarding entering electrical rooms. Staff are not always aware of the hazards in those rooms as sometimes signage is not seen. As a safety precaution, rooms where electrical panels are located are not made public. WS&H Division safety officer Natalie Oree provided feedback that the employer/ owner must ensure that energized electrical equipment is suitably located and guarded so that no one is able to make contact with it. The manager of the area is looking into identifying electrical room doors with symbols or colors that would not be identifiable by the general public. (Continued on page 36) St. Boniface Nurses Local 5 Page 36 - Annual Report 2014 WS&H Committee Co-chair Report (Continued from page 35) Provincial Violence Prevention Program The SBH safety officer provided updates to the committee regarding the Violence Prevention Policy that has been in place since 2013. St Boniface Hospital specific procedures associated with the policy still have to be implemented into our Admin Manual. The training modules have been developed and Education Services is working with the hospital and the Violence Prevention committee on how the education/training roll out will be done. Once these two items have been completed the roll out of the education/ training will commence. ***** Icicles Falling at the Energy Centre For many years it has been noted that icicles form on the Energy Centre exhaust stacks during the winter. On November 21, 2014 a vehicle suffered significant damage from icicles that fell from the stacks. Those icicles could have seriously injured someone had they been in the area at that time. The towers on the Energy Centre is about 110' high and the radius of the pans is about 20'. The icicles that hang from the towers are probably in the range of 4' long. The parking lot has been closed off and flagged and signage has been put up as well. The committee requested there be more communication to staff regarding this issue. A letter will be generated on behalf of the committee requesting that temporary fencing be installed to reduce accessibility to this area. Respectfully submitted, Bernardine Brys & Liz Cronk Local 5 WS&H Committee Representatives In April 2014 I accepted the worker co-chair position that was vacated by UFCW member Carmela Abraham. This was an important first for Local 5. I believe filling of the worker cochair position should be done on a rotational basis in order to give all worker members of the committee the opportunity to serve as cochair. It has been both a challenging and interesting year. The committee was required to make changes that were in accordance with the Workplace Safety and Health Act ( WS&H Act). We were able to accomplish this talk in solidarity with assistance of Local 5 president Karen Sadler, and MNU LRO Tom Henderson whose portfolio includes Workplace Safety & Health. We are now empowered by these changes. I am grateful for Tom and Karen’s ongoing support and guidance. I encourage the members of Local 5 to continue to bring forward their safety and health concerns in order that we can continue to work towards an equitable and safe solution to WS&H concerns. Some important changes took place this year: The Terms of Reference and Educational /Work Plan Tracking Form The Workplace Safety and Health committee's terms of reference are revised every two years. This year’s revision was particularly challenging as we had to ensure that the committee membership accurately reflected the guidelines the wording in the WS&H Act. I am pleased to report that the necessary changes to the committee's membership are now in place and the terms of reference, which took almost a full year to revise, now reflects those changes. Local 5 and MNU played an important role in the revision and completion of the terms of reference and we are very proud of our role and input. An education and committee work form was created and presented to the managers by the SBH safety officer with little input from the WS&H committee. This form was not well (Continued on page 37) St. Boniface Nurses Local 5 Page 37 - Annual Report 2014 (Continued from page 36) received by the committee members as it was presented as a mandatory requirement. The WS&H committee chose to revise the form to more accurately reflect an educational/ committee work plan. Committee members will have the option of using the form on a voluntary basis or keeping their manager informed of their committee work through email. This was an important victory for the committee as worker members felt they were being unfairly singled out. All that is required regarding committee members' work as per the WS&H Act is that we keep our manager informed. ***** Guests In the past "permanent" guests frequently attended WS&H committee meetings. Local 5 and MNU have been instrumental in obtaining clarification on this point in order to manage guest attendance and reflect an accurate committee membership per the legislation. Jack Slessor from SAFE Work Manitoba and Natalie Oree from the WS&H Division were in attendance at our November meeting. They were able to observe the committee and provide feedback. The committee obtained clarification on some important points per the WS&H Act. WS&H committee co-chairs received notice that as per the Act, the entire workplace was to be inspected with the active participation of the committee members. Since this is currently not the practice at SBH, it was recognized that a regulatory variance was required by this employer and needed to be requested from the Workplace Safety & Health Division. MNU LRO Tom Henderson attended our most recent meeting and gave suggestions on methods of improving the frequency with which the committee conducts inspections. These discussions are ongoing and the committee has agreed that priority be given to inspecting high risk areas. An application for the variance was put forward by the hospital prior to the above input being given. MNU has provided feedback to the WS& H Division that consideration be given to methods in which greater compliance could be achieved. ***** Inspections The committee completed inspections of the following areas between September 2013 and December 2014: Paint Shop, Carpentry Shop, Admitting and Information Desk, Health Records, Everett Atrium, 5B Medicine, 5E Medicine, 6A Medicine, L & D, NFA, Diagnostic Imaging/MRI building and patient waiting area, administrative offices, common areas of ultrasound and CT scan. ***** Anesthetic Gas and Nitrous Oxide Exposure in L&D and LDRP Air quality assessments had identified anesthetic gas readings which were significantly in excess of acceptable limits. I visited L&D and LDRP in May 2014 and met with Brice Morin and PTM Susan Mussell to view the ventilation system on L&D and to go over the proposed changes/upgrades to extract gases. I also viewed how nitrous oxide was being delivered to patients on both L&D and LDRP. In addition I viewed the changes to the delivery of nitrous oxide on both these units and the proposed changes to the LDRP scavenging/extraction improvements in regards to the use of nitrous oxide. OH&S conducted additional surveys in L&D and the recovery room for exposure to anesthetic gases to staff. The implementation of a face tent with a scavenger system attached to the wall was reported to increase the capture rate with respect to anesthetic gas exposure. The use of nitrous oxide resumed on LDRP once the scavenging system had been cleaned (Continued on page 38) St. Boniface Nurses Local 5 Page 38 - Annual Report 2014 Road Show WS&H training presented by MNU LRO Tom Henderson. (Continued from page 37) and was functioning optimally. The area was resurveyed by OH&S. There was an improvement made to the method in which the nitrous oxide was delivered which included the addition of a hose which would capture the patient's exhaled gasses and would now be connected to the extraction or scavenging system. There were plans to reintroduce nitrous oxide on LDRP once the hygiene survey was repeated in September 2014. ***** National Occupational Safety and Health (NAOSH) Week, May 4-10, 2014 “Make Safety a Habit" The goal of NAOSH Week is to focus employers, employees, partners and the public on the importance of preventing injury and illness in the workplace, at home, and in the community. The WS&H committee actively participates by voluntarily manning a booth during this week and by being available to answer questions and provide information to SBH employees and the public. We offer a poster contest for children with prizes for age groups and to all who visit the booth - an entry for a door prize. ***** Education and Committee Training Committee members are entitled to a minimum of two education days per year. SBH offers the following committee training: Manager Responsibilities and OH&S Incident Tracker How to Conduct Workplace Safety & Health Inspections WS & H Committee Training In January 2014 Liz Cronk and I attended the Safe Work Conference which put on by the SAFE Work Manitoba. In April 2014, Liz Cronk and I, along with Local 5 president Karen Sadler and Local 5 vice president Sheila Holden attended the Spring St. Boniface Nurses Local 5 I attended the VIP conference sponsored by Safety Services Manitoba on September 30, 2014. This was the inaugural year for the conference which is intended for committee co -chairs. The theme was injury prevention. ***** Policies The Fit Test Policy and Respiratory Program Policy were reviewed by the WS&H committee. ***** As committee co-chair, I have the responsibility of reviewing and contributing to meeting minutes; meeting with the WS&H Division officer on a regular basis to review and sign compliance reports; reviewing outstanding agenda items and assisting with their completion. I have shown a keen interest in all safety concerns that have been brought to the committee. It has been a most enlightening experience as I have learned so much more about the role of the committee, the members and their concerns, and how to foster good relations between all committee members in order to give everyone a voice. Bernardine Brys, RN Workplace Safety & Health Committee Worker Co-Chair Page 39 - Annual Report 2014 WRHA Continuing Education Fund Committee Report - 2014 Funding for the WRHA Continuing Education Fund Committee is not negotiated at bargaining nor is it included in the collective agreement. It is discretionary from Manitoba Health on an annual basis. Additionally, monies flow from Manitoba health to the provincial nurses recruitment & retention fund committee. The nurses recruitment & retention fund (NRRF) committee (which includes Sandi Mowat, president, MNU) makes decisions annually regarding the disposition of these funds (example: to the WRHA continuing education fund committee). The WRHA continuing education fund committee represents nurses throughout the WRHA and is a joint committee of management and union representatives. The eight Winnipeg hospital local presidents as well as board members representing long-term care and continuing care, participate on this committee which meets quarterly. Management (Marg Synyshyn, MATC) and union (Dana Orr, Riverview) co-chair the committee. Money from this fund can be obtained for costs related to the following: Registration/tuition/travel/books and accommodation costs to attend workshops, university courses, conferences or seminars ($500.00 annually per nurse); Education subsidies (for short term education programs) - maximum of two days per year (for nurses who are required to take an unpaid leave of absence in order to attend an educational program). The education subsidy was always intended to be a monetary assistance for nurses who wanted to attend a conference, course or seminar but were required to take an education LOA (unpaid shift) for those day(s). The subsidy was never intended to be salary replacement for lost wages for the day(s) of the conference. Subsidy rates for 2015 remain unchanged and are as follows: RN/RPN 8 hour shift 12 hour shift $215 $315 LPN 8 hour shift 12 hour shift $170 $250 The $500.00 annual cost funding also remains unchanged for 2015. WRHA Continuing Education Fund - Financial Report - 2014 The financial information was not available at time of printing this report. It will be provided to members at the Local 5 AGM on March 4, 2015. The financial report validates the need for these kinds of funds and illustrates the increasing activity in attending educational programs by nurses. The decisions made by the committee regarding funding, guidelines, and applications were guided by the following: To cause the least disruption to nurses; To ensure a period and vehicle of communication to nurses, of the changes. This is very difficult as Winnipeg is a region but has no regional structure, only individual employers. To base decisions on review of data related to the fund. To use all the funds provided, while trying to forecast the annual demands for funding and balance those with trying to ensure viability of the fund for each current year of funding. Towards the end of 2014 this committee was discussing concerns regarding the funding budget and whether or not there would be sufficient funds to meet all requests by the end of the year. The funding trend is decreasing while our expenses are increasing. There will be a deficit, but how much of a deficit is not yet known. The committee agreed that a discussion with the nurse recruitment and retention fund (NRRF) was required to strategize our financial position. The two co-chairs are requesting to be put on the agenda for the next NRRF meeting. Our hope is they will hear all the successes and positive opportunities the (Continued on page 40) St. Boniface Nurses Local 5 Did you know? Bilingual/French Nursing Grant Bilingual/Francophone nurses who are newly hired into a position where bilingualism/ French language is a requirement and have not been employed in any such position in the six months prior to the grant application are eligible for this $2,000.00 grant. Nurses meeting the eligibility criteria are encouraged to apply. For further information, please contact the Nurses Recruitment and Retention Fund toll free 1.877.681.4983. Page 40 - Annual Report 2014 (Continued from page 39) ConEd fund provides, so that additional monies will be provided. Faxed application forms are not accepted. Mail completed application forms to: If we are not successful in obtaining additional monies, other options will need to be explored. We will continue to monitor this situation and provide updates to our members as information becomes available. Many thanks to Audrey German, administrative assistant, for her efforts on behalf of the committee. WRHA Continuing Education Fund 120 Tecumseh Street Winnipeg, Manitoba R3E 2A9 Inquiries: Phone: 204.334.3433 E-mail: [email protected] Thank you also to Marg Synyshyn and Dana Orr for their willingness to share the responsibilities for this committee. Karen Sadler, RN President, Local 5 The funding available comes from the WHRA Continuing Education Fund to you a nurse in the WRHA. It is your money to utilize in accordance with the guidelines. Applications are reviewed carefully to ensure employers are not offloading Collective Agreement Article 2407 responsibilities to the WRHA Continuing Education Fund. Employers do not have access to the WRHA Continuing Education Fund Committee funds and should not expect nurses to apply to the fund and then require nurses to pay that money back to the “unit/program/specialty Education Trust Fund”. Please be aware that if your employer is telling you to attend a conference/seminar, then they should be paying you in accordance with Article 2407. Unit specific Education (Trust) Funds are completely separate from the WRHA Continuing Education Fund. Guidelines for those funds cannot include repayment by nurses for monies received from the WRHA Continuing Education Fund. Should this occur please contact the Local 5 Office immediately for assistance. St. Boniface Nurses Local 5 Page 41 - Annual Report 2014 Nominating Committee Report - 2014 The New Year always brings with it time to begin preparations for our Local 5 Annual General Meeting (AGM). St. Boniface nurses who attend this meeting make our committee’s work much easier by their willingness to be involved in the process. Take a look at how many of your colleagues and friends work to make a difference in your workplace. Units throughout the hospital have received information regarding the nominations process and committee functions. Please take some time to get acquainted with a committee that may strike your interest, or become a representative for your unit. Orientation for unit reps can be arranged through the Local 5 office. Your involvement in the activities of Local 5 is important. Find a friend or co-worker and jointly run for a committee and make this the year you get involved in your union. Hope to see many of you at our AGM taking part in discussion and elections. ***** acclamation January 6, 2015. LOCAL 5 CONSTITUTION ARTICLE IX – ELECTIONS Treasurer Kathy Hillstrom is entering the second year of her two year term which continues to April 30, 2016. 9:06 a) Nominations for positions shall be submitted by January 5th of the election year for any position. MNU Board Representatives b) A résumé outlining union experience, involvement and education shall be provided along with nomination for the position of president, vice president, secretary, treasurer and MNU board representative. c) Where a nominee has submitted their name in the time period specified in 9:06 a) and there are no other nominees, that member shall be deemed to be elected by acclamation. Diana Martinson is entering the second year of her two-year term which continues to April 30, 2016. As no other nominations were received for the position of board representative as per 9:06c), Sheila Holden was elected for a twoyear term by acclamation January 6, 2015. ***** Nominations for Standing Committees Local Collective Bargaining Committee (LCBC) As our current collective agreement does not expire until 2017 a new committee will not be elected until next year. Local 5 Elections 2015 Workload Staffing Reports Committee Key Executive (3 to be elected, each for a two-year term) President (one to be elected for a two year term) Chris Boychuk, Kathy Hillstrom and Leanne Smith are entering the second year of their two-year term which continues to April 30, 2016. As no other nominations were received for the position of president as per 9:06c), Karen Sadler was elected for a two-year term by acclamation January 6, 2015. Vice President Sheila Holden is entering the second year of her two year term which continues to April 30, 2016. Secretary (one to be elected for a one year term) Diana Martinson was elected by acclamation January 6, 2014 therefore, 2 to be elected each for a two-year term. Nominating Committee (3 to be elected each for a one-year term) Chris Boychuk was elected by acclamation January 6, 2015 therefore 2 to be elected each for a one-year term. As no other nominations were received for the position of secretary as per 9:06c), Amber Schultz was elected for a one-year term by (Continued on page 42) St. Boniface Nurses Local 5 d) Only if there are no nominations for a position submitted in the time period specified in 9:06 a), will nominations be accepted from the floor at the Local 5 Annual General Meeting. Page 42 - Annual Report 2014 (Continued from page 41) Nominations for the Joint Committees Joint Education Fund (2 to be elected - each for a two-year term) No nominations were received at time of printing this report. Workplace Safety & Health (2 to be elected each for a one-year term) Liz Cronk was elected by acclamation January 6, 2015 therefore 1 to be elected for a one-year term. ***** Voting Delegates to the 2016 MNU AGM in Brandon Gisele Petit (OR)* Mary Woloszyn (3MCU)* Chris Boychuk (L&D)* *Were elected by acclamation January 6, 2015. Number to be elected will be announced at the AGM. ***** Unit Representatives** Operating Room Gisele Petit CR4 CSIU Kathy Hillstrom 3MCU Mary Woloszyn & Monique Dela Cruz Y2 Cardiac Clinics Bernie Brys Adult Inpatient MH (M2/M3) Liz Cronk Chris Boychuk, RN Chair, Local 5 Nominating Committee St. Boniface Nurses Local 5 **Unit Representatives are elected at the unit level. Information is current at time of printing this report. A complete listing of units with reps is available on the Local 5 website. If you are currently a unit rep and you wish to continue in your role please contact Chris Boychuk . If you wish to become a Unit Representative please contact Chris as well. New faces are always welcome. Page 43 - Annual Report 2014 Finance Report - 2014 2014 was the second year in which I have had the honour of being Local 5's treasurer. Although there is still a lot to learn, I have enjoyed the past year and have already learned a great deal. Local 5 AGM with an projected deficit of $12,050.00. At the time of preparing that budget, salaries for 2015 were still unknown and therefore, were based the hourly rates as of December 31, 2012. I submit the following information to membership. If you have any questions or concerns regarding my report, please contact me. As our PCBC was successful in obtaining a salary increase this last round of bargaining, there will be an increase in 2015 to any budget line that has a hourly salary attached to it. ***** ***** Investments Our investments continue to grow. The market value of our total investment portfolio as of October 27, 2014 was $654,666.00. This is an increase in market value of $163,358 since October 18, 2013. A major contributing factor to this increase in our investments was that on December 11, 2013 we transferred $100,000 from our chequing account to our investments. 1 year annualized rate of return - 13.31% 3 year annualized rate of return - 10.68% 5 year annualized rate of return - 6.83% 10 year annualized rate of return - 4.66% Our Local Finance/Budget Day took place on October 30, 2014. Terry Kitching, RBC Dominion Securities, reviewed our current portfolio and advised that no changes to our portfolio are needed at this time. ***** 2014 Budget Our 2014 budget was approved at the 2013 Local 5 AGM. It projected a deficit of $2,100. At the time of writing this report we are now projecting surplus for year end 2014. ***** 2015 Budget 2016 Proposed Budget At our Local 5 Finance/Budget Day held on October 30, 2014, finance committee members worked on the proposed 2016 budget. We initially proposed a budget for 2016 with an projected deficit of $35,815.00. That proposed budget was approved at the November 12, 2014 executive committee meeting and was to be presented at our AGM on March 4, 2015. At the November 2014 MNU board meeting several financial decisions were made by the board that would have a direct impact on our proposed 2016 budget. MNU will now be paying for all voting delegates to attend the education day at the MNU AGM. This was great news as that day had always been a Local expense. As the 2015 MNU AGM in being held in Brandon this change saves the Local approximately $8,750.00 in salary replacement costs; $1,115.00 in per diem costs, and $2,200 in hotel costs for a total savings to the Local of approximately $12,065.00. I'm sure that anyone who has attended an education day at the MNU AGM in the past will agree that this is definitely money well Our 2015 budget was approved at the 2014 (Continued on page 44) St. Boniface Nurses Local 5 Page 44 - Annual Report 2014 (Continued from page 43) Given that the Local is in a very healthy position financially we felt that it would not be in the best interest of our members to seek a dues increase to cover the projected deficit. Rather, we will use the funds that have been accumulating in our investments (our member's money) to cover off the deficit projected for 2016. spent, regardless of who pays. MNU also increased the per diem to $15 for breakfasts/$20 for lunch/ $40 for dinner $75/day max (previously $55). This change would have a slight impact on our proposed budget. As this information was made known to us prior to general membership approving the proposed 2016 budget, we felt we would be remiss if we did not include these costs savings in the proposed 2016 budget being put forth to members. To that end, the proposed 2016 budget that will be presented and voted on at the Local 5 AGM on March 4, 2015 includes the noted changes and our projected deficit for 2016 has been reduced from $35,815.00 to $24,015.00. A big thank you to our key executive Karen, Sheila, Diana and Amber for their support over this past year. Thank you to Helga, and to our bookkeeper Wendy Burdon for all their help and support of the Local's finances. Kathy Hillstrom, RN Treasurer, Local 5 2014 Investments - as of October 27, 2014 Fixed Income Pools Book Value Russell Canadian Russell Global High Income Bond Russell Global Unconstrained Bond Total Fixed Income Pools Equity Pools $89,633.00 $32,156.00 $62,139.00 $183,929.00 Book Value Russell Canadian Dividend Russell Canadian Russell Emerging Markets Russell Global Russell Overseas Russell Real Assets Portfolio Russell US Total Equity Pools $59,602.00 $66,462.00 $25,695.00 $51,127.00 $50,114.00 $32,278.00 $64,178.00 $349,455.00 Total Investments (Book Value) $533,384.00 *all values are expressed in Canadian Dollars St. Boniface Nurses Local 5 Page 45 - Annual Report 2014 2014 Budget Comparisons RECEIPTS Dues Interest from Bank Accounts President’s Days Reimbursement TOTAL DISBURSEMENTS Audit/Bookkeeper 2014 Approved Budget 2014 Estimated Receipts Variance 2015 Approved Budget 2016 Proposed Budget $315,900.00 $342,176.00 -$26,276.00 $315,900.00 $315,900.00 $300.00 $390.00 -$90.00 $300.00 $300.00 $21,900.00 $24,440.00 -$2,540.00 $24,332.00 $24,560.00 $338,100.00 $367,006.00 -$28,906.00 $340,532.00 $340,760.00 2014 Approved Budget 2014 Estimated Expenditures Variance 2015 Approved Budget 2016 Proposed Budget $3,450.00 $3,174.00 $276.00 $3,650.00 $3,850.00 $200.00 $130.00 $70.00 $200.00 $200.00 $8,200.00 $7,496.00 $704.00 $8,900.00 $9,700.00 Education $27,450.00 $4,775.00 $22,675.00 $28,750.00 $21,900.00 Honoraria $1,750.00 $1,750.00 $0.00 $2,625.00 $2,625.00 Local 5 AGM $4,350.00 $3,996.00 $354.00 $4,750.00 $4,850.00 Management Fees -- -- -- -- -- Meeting Expenses $1,950.00 $2,242.00 -$292.00 $2,800.00 $3,000.00 Charitable Donations $1,200.00 $1,200.00 $0.00 $1,540.00 $1,450.00 MNU AGM $3,300.00 $1,552.00 $1,748.00 $3,250.00 $4,250.00 $0.00 $0.00 $0.00 $6,100.00 $0.00 $29,600.00 $32,022.00 -$2,422.00 $30,250.00 $30,300.00 $750.00 $931.00 -$181.00 $750.00 $1,000.00 $94,200.00 $96,691.00 -$2,491.00 $94,200.00 $103,000.00 $8,400.00 $425.00 $7,975.00 $8,400.00 $9,150.00 $67,400.00 $81,076.00 -$13,676.00 $67,400.00 $73,650.00 Vice President's Liability $6,000.00 $4,545.00 $1,455.00 $6,000.00 $6,550.00 Salary Replacement $4,200.00 $2,744.00 $1,456.00 $3,850.00 $4,600.00 Administrative Support $29,900.00 $26,300.00 $3,600.00 $31,100.00 $32,300.00 Burdens $47,900.00 $45,943.81 $1,956.19 $48,150.00 $52,400.00 $340,200.00 $316,992.81 $352,575.00 $364.775.00 -$2,100.00 $50,013.19 -$12,043.00 -$24,015.00 Bank Charge Communications CFNU (Biennial Convention) Office Support Postage President’s Salary President's Liability Vice President's Salary Total Disbursements Total Receipts Minus Disbursements Trx from Investments (if needed) NET $2,100.00 $12,050.00 $0.00 $7.00 St. Boniface Nurses Local 5 -$24,015.00 Page 46 - Annual Report 2014 2016 Proposed Budget RECEIPTS Budget (4001) Member Dues Based on: 1,250 F/T & P/T @ $9.00/member x 26 pay periods 100 Casuals @ $9.00/member x 26 pay periods $315,900.00 $292,500.00 $23,400.00 $315,900.00 (4002) Interest from Bank Accounts (4003) President’s Days Reimbursement Based on MNU's 2014 allocation of 64 days - received in two installments $300.00 $300.00 $24,560.00 $24,560.00 TOTAL RECEIPTS $340,460.00 All salaries listed under disbursements reflect the hourly rate as at April 1, 2016 and are set at the 20 year rate. Nurse II - $42.472 Nurse III - $45.088 Nurse IV - $50,503 DISBURSEMENTS Budget (5601) Audit/Bookkeeper $3,850.00 Audit $2,400.00 Bookkeeper ($20.00 x 6 hrs x 12 months) $1,440.00 Total $3,840.00 (5602) Bank Service Charge $200.00 (5603) Communications Annual Report - postcard notification mailer Nurses' Week $9,700.00 $8,000.00 $500.00 Member Communication/Website Maintenance ($100 x 12) $1,200.00 Total $9,700.00 St. Boniface Nurses Local 5 Page 47 - Annual Report 2014 2016 Proposed Budget continued DISBURSEMENTS Budget (5604) Education $21,900.00 Executive Education Day Room Rental $375.00 Lunch & Lifestyle Breaks (30 x $35) $1,050.00 Salary Replacement (30 x [$42.472 + $0.596 AA] x 9.68) $12,506.95 $13,931.95 Education Day @ MNU AGM (in Brandon) Salary Replacement - Alternates (2 x [$42.472 + $0.596 AA] x 9.68) $833.80 Hotel Room - Alternates (1 x 1 x $200) $200.00 Breakfast/Lunch/Dinner per diem - Alternates (2 x $75) $150.00 $1,183.80 MNU Education Conference (formerly Labour School) - Local Funded Participants* Registration ($500 x 3) $1,500.00 Salary Replacement (3 x 3 x [$42.472 + $0.596 AA] x 9.68) $3,752.08 Travel Time (if applicable) *dependant on availability of spots from MNU $5,252.08 Lunch & Learn (2 @ $250) $500.00 Local Leadership Education $1,000.00 Total $21,876.83 (5605) Honoraria $2,625.00 Secretary $750.00 Treasurer $750.00 Board Members (2 @ $375) $750.00 Workload Staffing Reports Chair $375.00 Total $2,625.00 (5606) Local 5 Annual General Meeting (AGM) $4,850.00 Printing Tickets $175.00 Miscellaneous (door prizes/money tree) $250.00 Salary Rep. Nominations Chair (if needed) ( [$42.472 + $0.596 AA] x 9.68) $416.90 Food $4,000.00 Total $4,841.90 (5607) Management Fees Unknown St. Boniface Nurses Local 5 Page 48 - Annual Report 2014 2016 Proposed Budget continued DISBURSEMENTS (5608) Meeting Expenses 3 General Meetings (@ $425) Budget $3,000.00 $1,275.00 Pre MNU AGM Meeting (@ $425) $425.00 Finance Day (Lunch 7 @ $20) $140.00 Key Executive Dinner Meeting $300.00 Lunch/Dinner Meetings (12 @ $50) $600.00 Parking $250.00 Total $2,990.00 (5609) Charitable Donations Local 5 AGM $1,450.00 $200.00 MNU AGM $1,250.00 Total $1,450.00 (5610) MNU AGM (in Brandon) Lunch Room Rental ($250 x 2 days) Lunch (25 x $30 x 2 days) $4,250.00 $500.00 $1,500.00 Recovery on Lunch (23 x $15 x 2 days) ($690.00) Banquet Donation $200.00 Hotel Room - Alternates (1 room x 2 nights x $200) Salary Replacement - Alternates (2 x [$42.472 + $0.596 AA] x 9.68) $400.00 $1,667.59 Breakfast/Lunch/Dinner per diem - Alternates (2 x 2 x $75) $300.00 Mileage - Alternates (2 x 424 km round trip x $0.43) $364.64 Travel Time - Alternates (2 x 5 hrs x [$42.472 + $0.596 AA] x 9.68) Total $430.68 $4,242.23 (5611) CFNU Biennium - Not held in 2016 $0.00 St. Boniface Nurses Local 5 Page 49 - Annual Report 2014 2016 Proposed Budget continued DISBURSEMENTS Budget (5612) Office Support Rent ($1,215.000 plus 5% GST {$60.75} = $1,275.75 x 12) $30,300.00 $15,309.00 Phone & Fax ($210 x 12) $2,520.00 Cell Phones ($180 x 12) $2,160.00 Copier Lease ($125 x 12) $1,500.00 Copier Service Agreement (toner, parts & labour) $689.85 (45,000 copies/year @ $ 0.0146/copy + 5% GST {$32.85) Internet ($75 x 12) Office Insurance 900.00 $450.00 Office Supplies & Furniture $2,000.00 Offsite Document Storage (12 @ $100) $1,200.00 Shredding ($80 x 6) $480.00 Alarm System Monitoring $250.00 SBH Parking Passes ($95 x 12 x 2) labour on line.ca subscription Miscellaneous Total $2,280.00 $550.00 $500.00 $30,288.85 (5613) Postage $1,000.00 (5614) President’s Salary Salary ($50.503 x 2,015 hrs) Top of Nurse IV Academic Allowance ($0.596 x 2015 hrs) Total $103,000.00 $101,763.55 $1,200.94 $102,964.49 (5615) President's Liability $9,150.00 Income Protection (15 days x 7.75 hrs x $50.503) $5,870.97 Pre-Retirement Leave (4 days x 7.75 hrs x $50.503) $1,656.59 $7,436.57 Burdens @ 23% $1,710.41 Total $9,146.98 St. Boniface Nurses Local 5 Page 50 - Annual Report 2014 2016 Proposed Budget continued DISBURSEMENTS Budget (5616) Vice President’s Salary Salary ($45.088 x 1612 hours) (0.8 eft, top of Nurse III) Academic Allowance ($0.596 x 1612 hrs) Total $73,650.00 $72,681.86 $960.75 $73,642.61 (5617) Vice President’s Liability $6,550.00 Income Protection (15 days x 0.8) x 7.75 hrs x $44.088) $4,193.18 Pre-Retirement Leave (4 days x 0.8) x 7.75 hrs x $44.088) $1,118.18 $5,311.37 Burdens @ 23% $1,221.61 Total $6,532.98 (5618) Salary Replacement Treasurer (Finance Day Prep) (1 x 9.68 x [$42.472 + $0.596 AA]) $4,600.00 $416.90 Finance Day (4 x 9.68 x [$42.472 + $0.596 AA]) $1,667.59 WSR Committee (6 x 9.68 x [$42.472 + $0.596 AA]) $2,501.39 Total $4,585.88 (5619) Administrative Support Salary ($27.00 x 23 hours/week x 46 weeks) Vacation ($27.00 x 23 hours/week x 6 weeks) Total $32,300.00 $28,566.00 $3,726.00 $32,292.00 (5620) Burdens on: $52,400.00 President’s Salary @ 23% plus $550 for HSA $24,240.00 Vice President’s Salary @ 23% plus $550 HSA $17,489.50 Salary Replacement - Local 5 AGM (Nominations Chair) @ 23% Salary Replacement - Treasurer - Finance Day Prep @ 23% Salary Replacement - Finance Day @ 23% Salary Replacement - WSR Committee @ 23% Salary Replacement - Executive Education Day @ 23% $95.89 $95.89 $383.55 $575.32 $2,876.60 Salary Replacement - Alternates - Education Day @ MNU AGM @ 23% $833.80 Salary Replacement - Alternates @ 23% $383.551 Salary Replacement - MNU Educational Conference @ 23% $862.98 Honoraria @ 9% Administrative Support Salary @ 9% Total $236.25 $2,907.00 $50,980.31 TOTAL DISBURSEMENTS $364,775.00 TOTAL RECEIPTS $340,760.00 TOTAL (DEFICIT) ($24,015.00) St. Boniface Nurses Local 5 704 - 400 Taché Avenue Winnipeg, Manitoba R2H 3C3 Phone: 204.231.0188 Fax 204.237.3927 Email - [email protected] www.stbonifacenurseslocal5.ca You’re invited to attend our 45th Annual General Meeting on Wednesday, March 4, 2015 Norwood Hotel 112 Marion Street, Winnipeg Registration begins at 1645 hrs Appetizers served between 1700 - 1800 hrs Meeting 1800 hrs ***** Tickets: No charge to members however ticket required Tickets are available from Unit Reps or from the Local 5 Office Door Prizes (must be present to win) St. Boniface Nurses Local 5 St. Boniface Registered Nurses Alumni Association Funding Opportunities Graduates of the Registered Nurse's program from the St. Boniface School of Nursing are eligible for funding up to a maximum amount of $500.00. Funding will be awarded for practice-based nursing research, workshops, and conferences. Proposed research must be clinically relevant and ultimately benefit patients. To be considered, graduates must: be or become paid members of the Alumni; provide proof of enrolment for workshops or conferences; provide a one page summary of proposal for research studies; submit a letter of application by February 28, 2015; be in attendance at the Annual Dinner on May 6, 2015. Please note that the Alumni Association reserves the right to request the return of funding should the candidate not complete the research or not attend the workshop or conference other than for reasons of personal illness. Those interested should apply in writing to: St. Boniface Registered Nurses' Alumni Association Attention: Treasurer Room NG018 409 Taché Avenue Winnipeg, Manitoba R2H 2A6 Wanda Andres President St. Boniface Registered Nurses' Alumni Association St. Boniface Nurses Local 5
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