Annual Report 2013 - St.Boniface Nurses
Transcription
Annual Report 2013 - St.Boniface Nurses
Annual Report 2013 February 2014 Read this Annual Report and bring it with you to our 44 th Annual General Meeting on Wednesday, March 5, 2014 Norwood Hotel 112 Marion Street, Winnipeg “Confidential within St. Boniface Nurses Local 5” St. Boniface Nurses Local 5 Page 2 - Annual Report 2013 Local 5 Upcoming Meeting Dates Pre MNU AGM Meeting Wednesday, April 16, 2014 @ 1900 hrs Taché Room - Norwood Hotel Open to all Local 5 members. To prepare for the MNU AGM. General Meeting Tuesday, June 10, 2014 @ 1900 hrs Taché Room - Norwood Hotel Open to all Local 5 members. Proxy Votes: Manitoba Nurses’ Union - Annual General Meeting 2014 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, May 12, 2014 May 13 & 14, 2014 (Annual Meeting) May 15, 2014 (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 5, 2014 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 2014 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 2013 St. Boniface Nurses Local 5 Forty-fourth (44 th ) Annual General Meeting Wednesday, March 5, 2014 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 12, 2014 Business Arising Nominating Committee Report – Elections Finance Report 10.1 Auditor’s Report for 2013/Approval of Auditor for 2014 10.2 Approval of 2015 Proposed Budget 3 4 4 33 35 38 Special Guest Speaker - Sandi Mowat, President, MNU 11. 12. President’s Report Standing Committee Reports: 12.1 Grievance Report 5 11 Includes: Ongoing Issues & Resolutions, Attendance Support and Assistance Program (ASAP), WCB Employer Appeals, Gradual Return to Work (GRTW), Duty to Accommodate (DTA), Mandatory Overtime & Secondment 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 15 16 18 19 20 25 27 31 Page 4 - Annual Report 2013 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 2015 MNU AGM 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 2013 President's Report - 2013 This annual report contains reports outlining the many ways 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 2013 the key executive (officers) met three 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. Executive Committee The executive committee consists of the key executive (officers), 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. The executive committee met five times in 2013 and dealt with a variety of issues including but not limited to: The Local 5 proposed 2015 budget; 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; The challenge of communicating the constantly growing amount of information to co-workers on their units; Decisions to ensure appropriate representation for members. Our executive committee members volunteer their time and efforts to participate in discussions and activities, and to provide vital communication to co-workers. Their efforts and commitment are sincerely appreciated. General Membership In 2013 there were four meetings of Local 5 general membership (inclusive of the 2013 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 2014 budget, changes to the College of Registered Nurses of Manitoba (CRNM) registration process for 2014, an update on ACSS and escort transports, updates on the areas in the hospital experiencing workload issues, and ongoing Lean Transformation activities. PCBC updates were also presented. Bob Romphf, LRO, MNU provided our members with a fantastic presentation on "Retirement in a Nutshell". Other Activities Regionalization At St. Boniface Hospital there was no change in regional status in 2013. 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" (Continued on page 6) St. Boniface Nurses Local 5 Key Executive (Officers) 2013/2014 President Karen Sadler Vice President Sheila Holden Secretary Amber Schultz Treasurer (to April 30, 2013) Suzanne Hrynyk Treasurer (as of May 1, 2013) Kathy Hillstrom MNU Board Reps Diana Martinson Sheila Holden General Meetings Local 5 general meetings are open to all Local 5 members. Page 6 - Annual Report 2013 (Continued from page 5) to WRHA control/authority. Having said that, programs at St. Boniface Hospital continue to be vulnerable to regionalization. I am pleased to be able to report that no programs affecting Local 5 members were regionalized in 2013. ***** Program Highlights/Updates (in no particular order) Surgery Program Operating Room Last year I reported that the OR was going to be implementing a new master rotation by January 14, 2013. This new rotation would have "standby" assigned according to article 1801 which reads: "Standby" shall refer to any period of time duly authorized by the employer during which a nurse is required to be available to return to work without undue delay. Callback shall be limited to the unit(s) for which the nurse is on standby. Standby shall be assigned and scheduled in accordance with the provisions of article 1501 whenever reasonably possible. Prior to the implementation date we met with the employer multiple times regarding the proposed changes to standby/call. We referenced that there is a long standing practice of this employer allowing nurses to volunteer for standby/call. We also raised concerns regarding comments that the PTM would be filling up holes in the standby/call schedule with part-time nurses as only fulltime nurses are referenced in the collective agreement as having scheduled days off. On January 8, 2013 we were advised in writing by the employer (in a letter that was cc'd to the Labour Relations Secretariat) that the employer was putting the union on notice that effective upon date of ratification of the new collective agreement they will no longer be continuing their practice of permitting nurses to voluntarily sign up for standby/call. This meant that upon St. Boniface Nurses Local 5 ratification of our new collective agreement the employer would be scheduling all standby/call in accordance with article 1801. Despite our efforts to put a stall on the new master rotation, it went ahead as scheduled in January 2013. As soon as that happened the workload in the Local 5 office exploded as multiple calls of concern and frustration came pouring in from nurses in the OR. Many files were opened to deal with the individual situations, and complaint stage grievances. The "call guidelines" associated with the new master rotation became a moving target and changed depending on the PTM's staffing needs at the time. Unfortunately, nurses' frustration with their work schedule took its toll on the department. The employer realized that the environment in the OR was not healthy and that it needed to be dealt with. In April 2013, the employer enlisted the services of Dr. Leigh Quesnel, principal of HQS Consulting Services to help address the issues at hand and encouraged staff to attend one on one confidential meetings with him. The outcomes of these meeting were to form a non-biased report from Dr. Quesnel to the employer for their consideration and to assist in moving the department forward in a healthy and respectful manner. (Sheila Holden and I also met with Dr. Quesnel to express our concerns with what we were observing and experiencing as union leaders on behalf of our members in the operating room.) While Dr. Quesnel was formalizing his report some leadership changes occurred within the surgical program. Lance Barber, director of the surgical program, was seconded to a fulltime LEAN project and Heather Nowak was appointed as acting director, surgical program. In addition to that change, Carol Knudsen, PTM went on a leave of absence and Don Taylor, RN was appointed as acting PTM. Shortly after these changes were (Continued on page 7) Page 7 - Annual Report 2013 (Continued from page 6) CRNM Registration Renewal (CRNM) implemented, Heather Nowak met with the nurses in the operating room for a candid discussion about the rotation/call issues and asked them what would help relieve some of their frustrations. The nurses suggested that the new call guidelines be disregarded and that standby/call go back to being voluntary while the issues were being looked at by the employer and the union. Heather agreed. Over the summer and at the time of writing this report, call has continued to be voluntary. Don Taylor, the acting PTM has been working on a new revised master rotation with scheduled standby/call. The draft has been reviewed by the union. It appears to be a positive and fair master rotation and above all, is collective agreement compliant. All along, in discussions with the employer we continued to reference article 1505 which states: "A master rotation that observes the conditions listed in section 1504 herein shall be planned for each nursing unit by the employer with provision made for meaningful input and review by the nurses affected of any new or revised master rotation pattern prior to implementation." At the time of writing this report we are scheduled to meet with the employer on January 8, 2014 for an update. Dan Kushneryk our LRO from MNU will be attending the meeting with us. ACSS (inclusive of 2B day surgery, L2 & NFA) Please see the Regional Nursing Advisory Committee (RNAC) report on page 25). Woman & Child Program Please see the Nursing Advisory Committee (NAC) report on page 20. Emergency Please see the Nursing Advisory Committee (NAC) report on page 22. CRNM "tweaked" their registration process by moving up the deadline to register for 2014 from December 10 (as it was in 2012) to December 1 (2359 hrs). This meant that if you did not register for 2014 by December 1, 2013, as of midnight on December 31, 2013 you would not be on the practice register for 2014; you would not be able to work; and you would now have to wait until the CRNM office opened after the Christmas break to re-register for 2014. CRNM is hoping that the December 1 deadline will be an easier date to remember versus the December 10 date that was chosen for 2012. At time of writing this report seven Local 5 RNs were not registered to practice for 2014. 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 2014. ***** (Continued on page 8) St. Boniface Nurses Local 5 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 8 - Annual Report 2013 (Continued from page 7) Provincial Collective Bargaining Committee (PCBC) 2013 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. bargaining, and progress was made in a number of areas: Nursing Advisory Committee; Workload Staffing Reports; Respectful Workplace Policies; and Safe staffing and workload issues. RPN's who's license is not renewed by midnight on December 31 will have their license cancelled. Monetary issues have yet to be discussed. Up to this point, employer representatives have not received a mandate from government with regards to monetary issues. Continued talks without this mandate would be fruitless. At time of writing this report there were no issues with RPNs not being registered for 2014. We anticipate returning to the table early in the New Year. ***** Provincial Collective Bargaining Committee PCBC) Update Our current collective agreement expired March 31, 2013. In last year's annual report to Local 5 membership I detailed the path of preparation undertaken by your PCBC for this round of bargaining. MNU was contacted by the Labour Relations Secretariat in June 2013 who advised that negotiations would commence on August 12, 2013. At that time approximately seven weeks of bargaining dates were booked between August 12 and November 1, 2013. Your PCBC was very optimistic that they would be able to reach a tentative agreement by the end of those seven weeks as we had come to the table prepared! Unfortunately, our employer counterparts did not appear to be in the same position. This along with some outstanding amalgamation issues pushed bargaining dates out further. Two more weeks were added in November. By the end of those dates both sides had discussed most of the non-monetary proposals. Below is the last communication from MNU regarding the status of bargaining. Your PCBC has completed nine weeks of St. Boniface Nurses Local 5 We realize that this is as frustrating for our members as it is for the bargaining committee. Thank you for your continued support and your patience. We will continue to exert pressure on the employers and government to return to the table as quickly as possible to negotiate a new Central Table Agreement. New bargaining dates will be announced as soon as they are scheduled. Essential Services Dan Kushneryk, LRO, MNU; Sheila Holden and I met with the employer many times over the past year to discuss essential services. Those meetings were needed to review the number of nurses required to provide nursing care in the event of a strike by MNU members. These discussions are, at times, difficult and emotional, especially for those of us who were around in January of 1991. That said, we met with all of the program managers and/or directors to discuss the essential services numbers. We often needed to remind some program managers that during a strike, it is not "business as usual". At time of writing this report we have reached an agreement with the employer. Details will (Continued on page 9) Page 9 - Annual Report 2013 (Continued from page 8) be shared with Local 5 member at future meetings. ***** Local 5 Office Activity The relationship between the employer and the Local remains healthy and respectful. Sheila Holden, Dan Kushneryk and I meet regularly with SBH employee relations to address issues and concerns, and hopefully resolve issues for our members in a timely fashion. ***** There continues to be many gradual return to work (GRTW) meetings taking place in occupational health. As well, attendance support and assistance program (ASAP) meetings continue to occur on a frequent basis. GRTW and ASAP meetings demand much of our time as each one requires prep work with the nurse prior to meeting with the employer. (See pages 13 & 14 for more information regarding these meetings.) 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. 374 issues files were opened in 2013 - 82 more than the 292 files that were opened in 2012. ***** Sheila Holden and I continue to have regular meetings with the 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. ***** Bargaining took me away from the daily operations of the Local 5 office for nine weeks in the latter part of 2013. I was privileged 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 has been an extreme asset for our members. We extend our sincere thanks to Sheila . She has brought to the vice president role her 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 dedication to Local 5. Awards & Special Mentions Two teams from St. Boniface Hospital received Innovation Awards for their presentations at the annual Manitoba Patient Access Network Health Innovation Conference held November 18 & 19, 2013. Leadership Category: Giving Patient Flow our Dedicated Attention: Changing Internal Flow Process in Emergency Submitted by the Emergency Program Tools, Methods and Approaches Category: The use of Visual Communication to Improve Patient Flow Submitted by the Woman & Child Program Congratulations to the nurses in these two areas. ***** Nurses from the Pacemaker Clinic as well as nurses from 5A Cardiology were featured in a scope of practice series in the October issue of CRNM's RN Journal (Number 4, Volume 38). It is an amazing snapshot of what goes on in these two areas. I encourage everyone to read the article. Local 5 Priorities Along with attending to membership needs, other priorities that we are addressing include: The creation of a Local 5 website. We continue to work with Hitek Printing & (Continued on page 10) St. Boniface Nurses Local 5 Page 10 - Annual Report 2013 (Continued from page 9) Design (www.hitekpm.com) , a locally owned and operated union shop (who also prints this annual report), to design a user friendly, and eye catching website for us. Things to Know 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). Due to the nature and flow of work in this office and the need to re-jig priorities as issues arise, this project has taken longer than we original anticipated. The unveiling of this new facet of Local 5's ability to better serve our members was a dream of former Local 5 president Debbie Mintz, but none of it would be possible without the amazing assistance and creative eye of our administrative assistant Helga Grose. Thank you Helga for your dedication to moving this project forward and for keeping Sheila and I on task. Please contact the Local 5 office should any issue arise related to this topic. We are in the process of finalizing the content for the website and are hoping to launch it this spring. 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] Increasing our email database for Local 5 members has been another priority for us. Email is a great tool not only for replying to members issues and concerns, but for the ability to do communication "blasts" to our members with respect to specific issues. and sweet treats so all that members needed to do was bring their lunch. We advertised these sessions in SBH's "This Week" and put up posters on the units. At our May session we held a general Q&A on our collective agreement. November's session focused on social media and workplace concerns. We will once again host lunch and learns in 2014 as we feel this is a great way to meet with our members and provide education. Winnipeg Hospital Local Presidents (WHLPs) Meetings Throughout 2013 the presidents of the eight Winnipeg hospitals and the Pan Am Clinic 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 President, Local 5 Education for Members Education for members was also given priority in 2013. As a result of this initiative Sheila Holden and I hosted two lunch and learn sessions at the hospital for our members. As the title suggests, these sessions took place over the lunch hour. We provided beverages 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 14 years) for her outstanding assistance, support, dedication and commitment throughout 2013. Thank you Helga, we are genuinely grateful! St. Boniface Nurses Local 5 Page 11 - Annual Report 2013 Grievance Report - 2013 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 2013 Total Number of grievances resolved in 2013 Balance Number of grievances withdrawn in 2013 Number of grievances carried over into 2014 Grievances Resolved in 2013 #2009-156 – The union grieved because the employer allowed employees from other bargaining units to transfer their non-MNU/ non-nursing seniority hours from another facility to St. Boniface Hospital which is contrary to the provisions of the MOUs Re: Staff Mobility. Resolved when a new memorandum of agreement regarding mobilizing cross sector seniority recognized that the employer will no longer apply mobility agreements in a manner that mobilizes cross sector seniority. This memo was retroactive to March 12, 2012 for St. Boniface Nurses Local 5. #2013-118 - 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. Resolved when the employer agreed to rescind the termination in lieu of a voluntary resignation. Additionally, the member was made whole financially for all lost wages. The employer also notified the CRNM that the nurse’s termination was rescinded. Grievances Carried Over into 2014 #2009-091 – The union grieved because the employer regularly and routinely left the 3 3 6 2 4 0 4 Five Year Hisotry of Grievances Filed 45 40 39 35 30 25 24 20 15 10 5 0 2009 2010 0 2011 2 2012 3 2013 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 have raised with the employer the length of time it is taking for this anticipated resolution. Local 5 members continue to expend onerous amounts of their valuable time resolving and dealing with staffing issues. On December 17, 2013 Dan Kushneryk and I met with Reghan Scaletta, Manager, Employee Relations; and Clara Tcheon, Payroll Manager & Project Lead for Clinical Staff Scheduling to hear an update on the Clinical Staff Scheduling project and it's implementation phases. I am happy to report that significant progress is being made on this project with a view to it being implemented in incremental steps throughout 2014. As this system is rolled out it will expand service to include the intake of all short (Continued on page 12) 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 12 - Annual Report 2013 (Continued from page 11) notice/absence notifications on a 24/7 support basis for all clinical areas . We will continue to provide updates on the Clinical Staff Scheduling project as we move through 2014. #2012-123 - The union grieved on behalf of a member who was terminated without cause. #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. Ongoing Issues & Resolutions (Complaint Stage of Grievance) 5 Year History of Issues Files 2013 2012 2011 2010 2009 374 files were opened 292 files were opened 239 files were opened 200 files were opened 230 files were opened Statistics Number of issues carried over from previous years Number of issues initiated in 2013 Total # of issues investigated, discussed or addressed in 2013 Number of issues resolved in 2013 Number of issues that became grievances in 2013 Number of issues no longer under discussion* in 2013 Number of issues carried over into 2014 85 374 459 228 3 97 131 *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. 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! Attendance Support and Assistance Program (ASAP) The union has reserved 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 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. St. Boniface Nurses Local 5 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). 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. 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 (Continued on page 13) Page 13 - Annual Report 2013 (Continued from page 12) representative, the PTM, the union and the nurse. These meetings are non-disciplinary. Sheila Holden and I continue to hold the employer accountable to this 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 2013 we opened 63 new files representing members at ASAP meetings with the employer. Gradual Return to Work (GRTW) In 2013 we opened 79 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) Duty to accommodate (DTA) meetings involve employee relations, the disability manager from SBH occupational health and the union. WCB Employer Appeals Employer appeals of nurses' approved WCB claims continued in 2013. At every opportunity possible we continue to express our concerns regarding this process and the damaging effect that it has on our nurses. 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. There were 35 accommodation meetings held in 2013. Most accommodations start out as temporary although some have evolved into permanent accommodations. Members are encouraged to contact the Local 5 office with any questions or concerns regarding the GRTW or DTA processes. Mandatory Overtime 120 80 60 If you had a WCB claim denied or if your approved WCB claim has subsequently been appealed by the employer, please contact the Local 5 office as soon as possible for assistance. Karen Sadler President, Local 5 46 40 20 We are fortunate to have the assistance of MNU provincial who provides a labour relations officer to assist with nurses' WCB claim denials as well as the employer's appeal of approved WCB claims. 107 100 2013 26 2012 18 11 2 2 8 0 6 0 2 4 9 9 7 0 There were 109 incidents of nurses being mandated to work overtime reported to the Local in 2013 compared to the 148 incidents reported to us in 2012. Mandatory overtime is voluntarily reported to the Local by nurses who fax us a copy of the "Notification to the Union of Mandatory Overtime" reporting form. (Continued on page 14) ***** St. Boniface Nurses Local 5 Things to Know (Information is specific to St. Boniface) 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. Page 14 - Annual Report 2013 report incidents of secondment to the Local 5 Office. (Continued from page 13) When notification of an incident of mandatory overtime is received at our office we 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. For more information on these issues please contact the Local 5 office. Secondment Report In June 2013 members reported that secondment, otherwise known as "being pulled" was on the rise. Secondment falls under article 2804 of our collective agreement and reads as follows: In the event of a temporary lateral secondment being necessitated by an unforeseen staffing shortage on a nursing unit, this secondment will be made as close to the commencement of the shift as possible. Selection of the nurse to be seconded 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. At our June 2013 general meeting members requested an opportunity to be able to report occurrences of secondment to the Local 5 office in the same manner that they do for mandatory overtime. They asked for information to be included on the Notification to Union of Mandatory Overtime form. The mandatory overtime form was revised to include information pertaining to secondment and members now have an tool to voluntarily St. Boniface Nurses Local 5 When a notification of secondment is received we contact the seconded nurse to review the situation to ensure that the secondment occurred as per article 2804. Issues that arise as a result of information received from nurses are communicated to the employer in an attempt to ensure secondment is being utilized in the correct manner. Between June 25 & December 29, 2013 there were 58 occurrences of secondment reported to the Local by our members. Sheila Holden Vice President, Local 5 Page 15 - Annual Report 2013 MNU Board Report - 2013 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 23 representatives from the following Regions: Assiniboine, Brandon, Central, Churchill/ Burntwood, Interlake, NorMan, Parkland; along with 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 2013 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. 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; education committee; 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 2013 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; and staff scheduling issues. Local 5's report to the MNU board of directors is provided to the Local 5 executive committee for informational purposes. the Local 5 executive committee to assist us in preparing for the next board meeting. Board meeting discussions included CFNU communications; activities; media campaigns; and negotiations. In 2013, as a result of the amalgamation of regional health authorities in the large RHAs, MNU reconvened the governance and structure committee. The mandate of this committee was to review the regionalization plans and make recommendations to MNU's board of directors. At the board of directors' meeting held December 4, 2013 the governance and structure committee recommendations were carried and will be implemented May 1, 2014. These recommendations include an increase in president's days for the regional presidents to support the increased workload that has resulted from regionalization. Until the recommendations become effective, it was agreed that in order to support the increased workload, regional presidents could utilize all of their president's days for 2014 between January 1 & April 30, 2014. 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. Sheila Holden & Diana Martinson Board Representatives, Local 5 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 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 16 - Annual Report 2013 Workload Staffing Reports Committee Report - 2013 COMMITTEE REPRESENTATIVE AREAS OF RESPONSIBILITY Surgery Program: B2 Pre-Op Clinic, B2, Vascular Access, L2 Pre Op Holding & Day Surgery Recovers, 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 Things to remember when a workload situation arises: Woman & Child Program: L & D, LDRP, FAU, NICU, 3MCU, B4 AP/Gyne, ACF Woman’s Health, ACF Pediatrics, Woman & Child Relief Team 1. Discuss the situation with your PTM/Supervisor Mental Health Program: M2/M3, Adult Ambulatory Care & Geriatric Outpatient Services 2. Fill out the vouchers on the inside of the WSR and forward them as indicated A8 Palliative Care 3. Fill out the WSR and forward it in its entirety to the person with whom you discussed the situation Medicine Program: 5B Medicine, EEG/EMG, E5 Medicine, Medicine Relief Team, 6E Medicine, ACF Medicine, Respiratory Therapy, Med/Surg ICU (ICMS) Renal Program: Dialysis, Hemodialysis, Peritoneal Dialysis Each unit should have a copy of “The Staff Nurses Guide on How to Complete a Workload Staffing Report” (blue duo tang). If you require a copy, please contact the Local 5 office. Emergency Program Sheila Holden (Local 5) W - 204.231.0188 Rehab/Geriatrics Program: E4 Geriatrics, Geriatric Day Hospital Cardiac Sciences Program: A5 Cardiology/CCU, CR4 CSIU, CR5 ICCS, Cardiac Clinics (CR1 & Y2), Y2 Pre & Post WSR Statistics These vouchers allow us to follow up on WSRs that have been filled out but not received in the Local 5 office. Kathy Hillstrom (CR4 CSIU) W – 204.237.2801 Family Medicine Program: 6AS Family Medicine, &Family Medical Centre plus NFA, OR & PARR If you have any questions, please contact your unit’s WSR representative. When you complete a WSR form please ensure you fill out and forward the vouchers from the inside front cover of the WSR. Chris Boychuk (Labour & Delivery ) (Committee Co-Chair) W – 204.237.2778 As of January 13, 2014, 413 workload staffing reports (WSRs) were received for 2013 compared to the 384 reports received in 2012 (as of January 9, 2013). There are still 65 WSRs outstanding for 2013 (voucher received but actual report not yet received). Kathy Hillstrom (interim) (CR4 CSIU) W – 204.237.2801 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 20 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 17) St. Boniface Nurses Local 5 Page 17 - Annual Report 2013 (Continued from page 16) 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! If you have any questions, contact a member of the WSR committee for assistance (a list similar to the one on page 16 should be available on your unit). You can also refer to “The Staff Nurses Guide on How to Complete a Workload/Staffing Report” for assistance in filing out the form (located on the ward in a blue duo-tang). 5 Year History of WSRs Received 2013 2012 2011 2010 2009 Important: On the WSR form Under Section 4 Patient/Resident Care 413 384 308 290 483 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 46 Geriatrics Program 30 Palliative Care Program Emergency Program If a situation occurs that warrants an occurrence report (i.e. patient fall, drug error, equipment failure), please note on the WSR that an occurrence report was filled out. WSRs Received in 2013 by Program 13 20 Medicine Program 45 Surgery Program 84 Cardiac Sciences Program 49 Woman & Child Program 126 0 20 Nursing is the art of healing and of caring … If we cannot live up to the standard of our nursing profession, We must speak up and be heard! Diana Martinson, Chair Workload Staffing Reports Committee St. Boniface Nurses Local 5 40 60 80 100 120 140 Page 18 - Annual Report 2013 Joint Education Fund Committee Report - 2013 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. Union representatives were Karen Sadler, Sheila Holden; Leanne Smith, 2B Surgery, Kathryn Ott, 7AW. The employer provides the administrative support (Arlene Kitchur) for this committee. 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. The joint education fund committee meets monthly 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. Thank you to Arlene Kitchur for her assistance to this committee and to our members. Funding * NEW * Joint Education Fund Funding Increase Effective April 1, 2014 The amount Local 5 members can receive in a fiscal year will increase to $750 (from $500). The 2012/2013 budget year began with a carry forward amount of $137,264.89 from the 2011/2012 surplus. This money was added to our short-term funds ($62,629.70) to give a total of $208,890.48 available in short-term funds for 2012/2013. The budget for longterm funds for 2012/2013 was $4,563.00. In 2012/2013 short-term funds approved totaled $12,044.75 and long-term funds approved totaled $10,543.34. The committee approved a transfer of $5,980.34 from shortterm funds to long-term funds to enable all long-term funding requests to be 100% funded to the $500.00 maximum allowable. As of 2013 a large surplus of funds has accumulated. After much discussion the committee voted to increase the amount nurses can receive in the fiscal year from $500 to $750. The committee also voted to pay out the funds as they are received. This will begin April 1, 2014. We hope this will encourage Local 5 members to apply for this funds to further their education. Please review the Joint Education Fund criteria found on the back of the application form. Keep in mind that applications must be received before the conference/course begins. St. Boniface Nurses Local 5 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 Daunna Sommerfeld and Louise Allen. Sheila Holden Vice President, Local 5 Page 19 - Annual Report 2013 Joint Union Hospital Council Report - 2013 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. New this year - sites within the Winnipeg Regional Health Authority (WRHA) completed the same survey (administered by AON Hewitt). Eight Joint Union-Hospital Council meetings were held in 2013. 1,626 50% 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. 2013 response highlights: 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, HISP, clinical program movement/ changes, emergency departments daily status reports, and articles of association were reviewed. Focus issues presented at joint council included: Campus master plan Terms of Reference IT System Project - Centralized Staffing Office project H7N9 Virus Planning SBH/AON Hewitt Employee Opinion Survey Results Staff Engagement At the September 2013 JUHC meeting Paulette McCarthy, Chief Human Resources Officer reviewed the results of the most recent employee opinion survey. 2013 SBH Employee Opinion Survey Results: 3,231 Total number of SBH employees (excluding casuals) Number of respondents Rate of return 50% of staff participated in this year's survey (up from 44% in 2012, which was a drop from 51% in 2011). Overall participation in the WRJA was 41%. SBH's overall employee engagement score was 50% (same as it was in 2012) versus 54% for the WRHA. Staff "not engaged" remained at 8% which is where it has sat for the past four years. SBH continues to work towards a target of 65% staff engagement by 2015. This is a strategic priority for this employer. 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 Dr. Tétreault, President & CEO St. Boniface Hospital continues to maintain there will be no job losses as a result of Transformation (LEAN). I can report that to date there have been no job deletions of MNU members related to LEAN. It has been six years since SBH embraced and endorsed LEAN 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 LEAN Transformation. Karen Sadler President, Local 5 St. Boniface Nurses Local 5 Transformation This initiative continues at St. Boniface Hospital. We continue to encourage our members to contact us if they have any questions or concerns regarding this process. Page 20 - Annual Report 2013 Nursing Advisory Committee Report - 2013 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 our collective agreement, the Nursing Advisory Committee (NAC) is a joint committee comprised of union and management representatives mandated to: WSR form; issues in MRI re ongoing Versed administration; staff assaults in McEwen; workload issues in fetal assessment; and secondment concerns. i) Review and make recommendations relative to those unresolved issues relating to workload and staffing; A review of the committee's terms of reference took place in 2013. 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. Workload Staffing Reports (WSRs) The NAC process is outlined in article 1103 of our collective agreement. Sheila Holden; Vice President, Local 5; Diana Martinson, 7AW surgery; and I continued as the union representatives for 2013. Employer representatives for 2013 were Diane Genyk, Program Director Outpatient Services; Lydia Harris, PTM Emergency; Melody Damm, PTM 5E; 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. In 2013 this committee met eight (8) times. Two meeting were cancelled in 2013: one due to my attendance required at PCBC and the other due to the lack of attendance on the part of the employer. Along with the items highlighted, issues discussed included workload staffing reports (WSRs) and concerns with PTMs' and supervisors' lack of response on WSRs as well as the length of time it was taking for completed WSRs to reach the Local 5 office. Other issues discussed were escort duty; 2B day surgery workload concerns (inclusive of 2B, L2, NFA); and the pre op clinic's increased workload specifically when the senior ward clerk is not replaced; potential changes to the St. Boniface Nurses Local 5 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. If your unit would like to have a WSR inservice, please contact Diana Martinson, WSR Committee Chair. NAC Referrals & Updates E4 Geriatrics was re-referred to NAC in 2013. The following are previous referrals and items that were closely monitored at NAC this past year. 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 workload. BCG Vaccine Preparation BCG vaccine preparation became a Workplace Safety & Health (WS&H) concern for nurses in MCU and LDRP. The BCG vaccine that previously came as a simple rubber stopper mutlidose vial (closed system) was now being supplied quite differently. The version now being supplied comes with two glass vials; one containing the live vaccine and the other the diluent. Nurses have to reconstitute the live vaccine in an open system where the (Continued on page 21) Page 21 - Annual Report 2013 (Continued from page 20) potential for aerosolization of the vaccine was a real concern. The nurses figured something was not right when in order to prepare this medication they had to go to an area that could be closed off during the mixing; place signs on the door so no one could enter while the vaccine was being prepared; and then decontaminate any surfaces the vaccine may have come in contact with. Education was provided however, the process was implemented without much support being offered to nurses and was lacking regarding the potential exposure and protection needed for the nurses involved. The nurses notified us and a string of meetings and discussions ensued. Our WS&H reps were brought on board and this issue was actively being discussed in employee relations, at WS&H committee meetings, at NAC, and with the chief nursing officer. The open mixing of this medication with the potential for aerosolization, should take place under a hood in pharmacy. Operationally SBH could not dedicate a hood specifically to the mixing of the BCG vaccine. The nurses and the union continued to request from the employer a safe, documented procedure for the preparation of this medication. On July 30, 2013 Kim Roer, Reghan Scaletta, Dan Kushneryk and I met to discuss our concerns regarding the lack of a hospital procedure for the preparation of this vaccine. Finally there was light at the end of the tunnel. It was acknowledged that discussion regarding a SAFE Work procedure would be tabled at a forthcoming WS&H committee meeting. At the time of writing this report a SAFE Work procedure for administering the BCG vaccine is in the process of being finalized. Sheila Holden and I express our gratitude to the nurses who stood up and brought this issue forward. We also thank our WS&H reps Bernardine Brys and Liz Cronk for their diligent efforts on this issue. Tom Henderson, MNU's LRO responsible for WS&H and Dan Kushneryk our MNU LRO were extremely supportive and provided a great deal assistance in dealing with this issue. Secondment & Mandatory Overtime in the Woman & Child Program In summer and fall 2013 we received a large number of secondment notifications from this program. MCU nurses were being seconded to LDRP to care for post partum patients, and LDRP staff were being seconded to L&D to assist with laboring patients. Secondments (August - December 2013): 3MCU to 4B Gyne 2 3MCU to LDRP 17 4B Gyne to LDRP 1 LDRP to L&D 5 In addition to secondment the incidences of mandatory overtime were having an impact on this program as well. Mandatory Overtime (June - December 2013): 3MCU 3 B4 Gyne 2 L& D 7 LDRP 21 The union had the opportunity to raise these concerns with Monica Warren, Director of the Woman & Child Program. She advised that sick time usage was up by 5%. In addition patient volumes were increased on LDRP and L&D. Patient census on MCU at the time was down therefore, in those situations staff from MCU were being seconded to LDRP and nurses from LDRP were being seconded to L&D. The director was hopeful that volumes were trending down for fall. We will continue to monitor secondment and mandatory overtime as it occurs in this program. Please continue to fill out the notification forms and submit them to our office. (Continued on page 22) St. Boniface Nurses Local 5 Page 22 - Annual Report 2013 (Continued from page 21) MCU Master Rotation Updates included information on a new master rotation for MCU that has been in the discussion phase for many months. The union was alerted to some concerns regarding how the PTM was providing meaningful input and consultation as per article 1505. In light of those concerns the union requested a meeting with employee relations and the PTM to clarify the process regarding master rotation changes and complying with the collective agreement. At the time of writing this report we have not been made aware of when a new master rotation for MCU will be implemented. Staffing Mix MCU is one of the areas that has introduced licenced practical nurses (LPNs) into their baseline staffing. The employer has not followed up with staff regarding their long term staffing plan for MCU with respect to the number of LPN and RN positions on the unit. In fall of 2013 we requested a meeting with the director of the woman and child program and the PTM for MCU to find out what their plans are as we would that information to be shared with the nurses on the unit. At time of writing this report we have not yet been invited to a meeting regarding the above. We continue to pursue this information from the employer and we will share it with our members once received. B4 Antepartum/Gyne This unit which was formerly located on 3B will be moving once again to a newly renovated home unit on 6A West. This is the third phase of the women's health renovation project which started back in 2010. Details include enlarged washrooms for patients, four private rooms, and one patient comfort room. We are hopeful that the newly designed staff areas will support an efficient work area. St. Boniface Nurses Local 5 This move to the 6th floor has always been of concern as AP/Gyne will now be three floors away from labour and delivery and the rest of the woman and child program. We will follow up with the nurses on this unit to see if they have any concerns regarding the distance between them and the 3rd floor. Emergency Program ER Utilization Working Group You may recall that I reported on this in last year's annual report. On April 11, 2012 MNU held a meeting for all Local presidents along with one ER nurse from each of the city hospitals. (Lea Wessner was our original rep from emergency. Laurie Baxter assumed the role as ER rep when Lea Wessner left SBH.) This group provided detailed feedback regarding workload concerns and other issues faced in the ER. From that a list of recommendations were developed. In October 2012 Sandi Mowat, President, MNU met with Theresa Oswald, Minister of Health and presented the recommendations from that meeting. The working group had the opportunity to met with the new minister of health Erin Selby on October 24, 2014. Sandi Mowat; Bill Crawford, Director of Communications and Government Relations, MNU; and Lori Lamont, Vice President and Chief Nursing Officer, WRHA were also in attendance at this meeting. The ER nurses representing the city hospitals gave excellent anecdotal examples to help support the recommendations that were on the table. The minister of health recognized that future meetings would be required for consideration of the proposed recommendations. On December 11, 2013 the ER nurses who were part of the working group were invited to meet with Lori Lamont at the WRHA for further discussions. It has been a long wait but the feeling is very positive and optimistic that some good (Continued on page 23) Page 23 - Annual Report 2013 (Continued from page 22) changes will be forthcoming for the ER department's in the city. We will keep members apprised of the status of these recommendations as further meetings take place. ER Master Rotation Update In 2012 it was recognized that there was an imbalance with the ER rotation and that a new master rotation was needed. During all discussions with the employer regarding a new master rotation the union spoke of the need to ensure it is collective agreement compliant. Current language in our collective agreement does not require the employer to vet the proposed master rotation to the union, although we always offer to review a new master rotation prior to it's being implemented. The new ER master rotation was implemented in October 2013. We immediately began receiving calls from ER nurses who had concerns regarding the new rotation. It was quickly revealed that there were indeed violations of the collective agreement with respect to this new master rotation. We alerted the employer of the concerns and discussions ensued. With Christmas and the holidays being so close, we agreed on a without prejudice or precedent basis, to allow the ER rotation to remain as is while the employer worked on revisions to ensure the master rotation was contractually compliant prior to the vacation selection period for 2014. The union will be reviewing this master rotation prior to its implementation. Rehab/Geriatrics Program E4 Geriatrics This area once again made a referral to NAC in2013 regarding their workload concerns. The landscape of the patient population on E4 has dramatically changed. The workload supports that this is no longer a "geri rehab" unit but rather a sub-acute medical unit which needs to be staffed appropriately. E4 requires additional resources across the board and the employer needs to address the concerns in this area. Staffing levels for E4 at the time of their presentation were as follows: Days CRN: 1 (M-F only) 1 nurse assigned charge Sat & Sun RN/LPN: 5 HCA: 4 WC: M-F only Evenings CRN: 1 w/ 10 patients RN/LPN: 3 HCA: 3.5 (.5 1630-2030 hrs) WC: M-F only (1630-2030 hrs only) Nights: CRN: none RN/LPN: 2 with 1 of 2 assigned charge HCA: 2 WC: none No WC on D & E Sat & Sun. Desired staffing levels for E4 are as follows: Days CRN: 1 (M-F only) 1 nurse assigned charge Sat & Sun RN/LPN: 6 HCA: 5 WC: 1 Evenings CRN: 1 w/ no patient assignment RN/LPN: 4 HCA: 4 WC: 1 Nights: CRN: none RN/LPN: 3 with 1 of the 3 assigned charge) HCA: 3 WC: none (Continued on page 24) St. Boniface Nurses Local 5 Page 24 - Annual Report 2013 (Continued from page 23) Sheila Holden and I presented the referral of the E4 staffing concerns at an NAC meeting on April 17, 2013 in an formal presentation to Sandy Bell the program director and Faye Ostrove, PTM. We did not hear back from the employer until June 19, 2013 when Sandy Bell and Sheila Bowels (co chair of NAC at the time) came to our office to meet with Sheila Holden and I to discuss the referral. Sandy apologized for the delay in responding and stated they had just finished compiling their review of E4. The employer acknowledged the nurses' concerns and were being supportive of the workload issues by staffing over baseline when necessary, and minimally always staffing to baseline. There was a commitment to filling the ward clerk position on evenings if they anticipated an absence. (In the past that ward clerk shift would have been left vacant.) Additionally an extra HAC was being provided on nights. Sandy went on to say that this was not a longterm solution. Proposals are being developed in conjunction with the region and that they would share that information with us as soon as they could. Sandy assured us that the new proposal would be better for the unit. Discussions with the CNO regarding E4 identified that sooner vs. later needs to be the timeline to address the workload issues and concerns on this unit. At the December 2013 NAC meeting Sandy provided an update on E4. She commented that patients seen on E4 are mostly sub acute. In collaboration with the WRHA a briefing note has been prepared and is going to the region. The employer is hoping to hear back from the region sometime in January 2014. On a side note E4 will be decanted to 4B January 29 - March 25, 2014 [tentative dates] for much needed flooring renovations. At time of writing this report, we have been advised by the CNO that although the capacity on B4 is for 28 beds, the program is trying to find a way to care for 40 patients on this unit. St. Boniface Nurses Local 5 We conveyed our concerns regarding over crowding and WS&H issues to the CNO. We understand this decant is only for a two month period however, the concerns are real and need to be addressed. We urged the CNO to make the best decisions possible to support and assist the staff while they care for their patients during this time. New Referral Peritoneal Dialysis At the December 2013 NAC meeting concerns were being discussed regarding the workload issues on Peritoneal Dialysis. We will continue to monitor the concerns coming from members on this unit with respect to their referral to NAC. ***** Many thanks to Diana Martinson, Chris Boychuk, Kathy Hillstrom, Sheila Holden and Whitney Bay who served as your WSR committee representatives in 2013. Their work, efforts and commitment is very much appreciated by the Local 5 office. Karen Sadler President, Local 5 Page 25 - Annual Report 2013 Regional Nursing Advisory Committee Report - 2013 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. Committee Members Each city local/worksite is represented by their local/worksite president along with two MNU members-at-large: Sandi Mowat and Sheila Holden, who are appointed by the local/worksite representatives. This committee met four times in 2013. The following is a summary of issues discussed at those meetings. Acute Care Surgical Services (ACSS) - Escort Duty This was one of the last pieces of the ACSS working group recommendations to be realized. The development of a central booking process and the algorithm used for transport needs has been overall, very positively received. Issues with nurses needing to escort patients still continue. Below is an excerpt of a memo dated June 28, 2013 from Milton Good, RRT WRHA Regional Director Patient Transport regarding enhancements to patient transport services: Patient Transport is making important changes that will enhance our ability to provide consistent service with the appropriate level of expert care, based on individual patient needs. Currently, all members of the WRHA Patient Transport team are advanced practice respiratory therapists with expertise in complex, acute patient care needs. Effective July 9, 2013, we will add general duty respiratory therapists who will support patients needing intermediate levels of care. In addition, we are in the process of hiring primary care paramedics who will accompany patients who require basic levels of care during transport. The intent of these changes is for Patient Transport to provide escort services across the continuum of patient acuity, rather than having referring sites pull resources to accompany patients (which also often result in overtime costs to bring in additional staff). Sites are reminded that if no one is available from the Regional Patient Transport Team, an appropriate escort needs to be provided by the sending site. As we build capacity in the Transport Team, the goal is to meet the demands of the system so sites do not have to provide an escort for their patients who are being transferred out. Additional enhancements to stretcher services, which we contract to provide transport for the most stable and least acute patients, will be announced in early Fall. Zero Tolerance - Safe Work Environment Issues and concerns regarding this agenda item have been carried over from previous years. 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. Draft policies regarding violence prevention for the province are being developed. The educational rollout will be a large component, with different training required for each site. Protocols are being developed for the flagging of individuals with behavioral issues. (Continued on page 26) St. Boniface Nurses Local 5 Page 26 - Annual Report 2013 (Continued from page 25) Sandi Mowat, who sits on the provincial violence committee, says lots of good work is being done, with the goal of having an electronic tracking form for use throughout the province, to report violent incidences. Sandi also continues to recommend to the government a regional security program to address the security issues at all facilities. Mentorship Program This item continues to struggle along at RNAC. Carolyn Dekeyster, CNO of the Misericordia Health Centre, who co-chairs the RNAC along with Sandi Mowat, has agreed to meet and discuss the objectives of the mentorship committee and will re-focus efforts on this in 2014 post-bargaining. Presentations at RNAC Some informational presentations were made to the committee this past year. They included the following: Six Core Strategies - A Mental Health Perspective Antibiotic Resistant Organisms (AROs) presented by Brenda Dyck, Infection Control, WRHA Excessive Documentation Project Update presented by Laurie Walus, CNO Concordia Hospital Integrating Community Care More presentations are planned for 2014. Local 5/SBH Concerns Discussed at RNAC Included the following areas: Woman & Child Program Emergency E4 Please see my NAC report for details on these three areas. St. Boniface Nurses Local 5 Other issues being discussed at RNAC include: Conscious sedation Electronic learning requirements Infection control concerns Karen Sadler President, Local 5 Page 27 - Annual Report 2013 Workplace Safety & Health Committee - 2013 The year began with many new challenges and ongoing topics which the committee addressed. Beginning in February we met with our MNU Workplace Safety and Health (WS&H) Officer Tom Henderson and Local 5 President Karen Sadler to liaise and review ongoing WS&H issues. This meeting proved to be very helpful in our pursuit of outstanding issues and we have now adopted this format for future Local 5 WS&H issues. We plan to continue to meet on an ongoing basis and have established good lines of communication with Tom, our expert in safety and health. Tom is well versed in the Workplace Safety and Health Act and has been both a mentor and friend to your Local 5 reps on the WS&H Committee. He is always willing to share his knowledge and provide support to us. In May 2013 we once again participated in the North American Occupational Safety and Health (NAOSH) Week to create awareness and participation in health and safety. As in previous years we were able to network with hospital staff. The poster safety contest and prizes were well received. This fall I attended my first MNU Labour School. I made good use of this experience by attending and participating in Tom Henderson’s WS&H Committee Basics workshop. I am pleased to say it was a welcome change to previous committee training and proved to be a very rewarding experience. I especially enjoyed the networking and the sharing of WS&H committee experiences with other provincial MNU members. This was eye opening experience and allowed me to put my own concerns and committee experiences in perspective. I was able to gain a new appreciation for my experiences as a St. Boniface Hospital WS&H committee member. As in previous years WS&H committee management and worker members jointly inspected designated areas within the hospital. I participated in the inspection of 7AW and the outside grounds of the hospital. In spring 2013 both Liz Cronk and I attended the WRHA sponsored Safe Healthcare Conference. I especially enjoyed the focus on healthy living and the importance of creating balance in one’s life. Many guest speakers incorporated a focus on spiritual, mental and physical wellbeing. There was also much focus on incorporating short exercise breaks into our work day to break up the potential for long periods of inactivity. I enjoyed this aspect and I feel it is important to recognize the need for break periods to help rejuvenate and to provide perspective in the workplace. A good portion of this year’s committee work dealt with the preparation of the BCG vaccine. Several nurses from LDRP and MCU brought forward concerns on behalf of their colleagues, as the felt their concerns were not being addressed to their satisfaction. I wish to acknowledge Michelle Churchill for her tenacious effort in bringing this issue forward. Bravo to all the nurses who recognized this change in practice would need to be pursued further. We were able to bring forward change largely due in part to the unending support and assistance of Karen Sadler and Dan Kushneryk, LRO, MNU. On behalf of our members, Karen and Dan met with employee relations on two occasions to bring forward outstanding concerns and enable the development of a SAFE Work procedure for BCG vaccine preparation. We extend our gratitude to Tom Henderson who was instrumental in recognizing and guiding us through this process. We have laid the ground work for future consideration of items which may need to be addressed in this format in accordance with the Workplace Safety and Health Act. The BCG vaccine SAFE Work procedure is near completion and we take pride in it’s development for the benefit of our members. On the lighter side, Liz Cronk and I were selected to grace the cover of the MNU (Continued on page 28) St. Boniface Nurses Local 5 Page 28 - Annual Report 2013 (Continued from page 27) Annual Report which was published in March 2013. We both enjoyed being a “cover girl for a day” however, we won’t be giving up our day jobs any time soon! Overall it was a lot of fun and provided our Local with much appreciated recognition. You might not be aware but MNU's communication team was able to achieve this photo even though Liz and I were working opposite shifts the day of the shoot. Thanks to the wonders of technology, one of us was able to be “photo shopped into the picture with a wonderful photo resulting. I encourage members to read the MNU Front Lines magazine and to follow the MNU website for current information. MNU's website contains very helpful information regarding health and safety issues and concerns as well as a helpful format on how to bring WS&H items forward. I recognized a need for our members to have a vehicle to report their concerns regarding WS&H. A draft form is being worked on and will soon be available through the Local 5 office. We will let members know when it becomes available. Bernie Brys, RN Local 5 Rep Workplace Safety & Health Committee Of the baseline tests seven were normal and one was abnormal. The total number of annual re-tests was 49 no abnormal. Committee Meetings WS&H committee co-chairs and SBH's Safety Coordinator met with Jack Slessor from the province's WS&H Division regarding our meeting structure. Jack questioned the number of members (16) on the committee but now understands the reason we have more members than the maximum of 12. Overall the WS&H Division is pleased with our minutes but Jack suggested that there be some format changes to the categories. As well, he stated that the committee members should be listed on the front page of minutes. There are now three categories of employee members noted on the agenda: one for management, one for workers and one for guests. Taras Stacey falls under management and represents employee relations. Kim Roer is considered a guest but will attend future meetings to provide updates on various reports. There were several communications with the WS&H Division: ***** This year has been challenging and interesting for your WS&H Committee reps. Several issues were discussed and resolved by the committee. Hearing Conservation We received the Annual Hearing Conservation Report for 2012 (which was also sent to the Chief Occupational Medical Officer at the Workplace Safety & Health Division of the government of Manitoba). Hearing tests are also reviewed by Dr. Kevin Coates in SBH's Occupational Health & Safety department. Total # of employees tested: Baseline (new employees tested): 57 8 St. Boniface Nurses Local 5 Norman Tran, Senior Hygienist, reviewed the issues of handling formalin. This report is now closed. There was a serious incident in the Energy Centre involving an acid splash. This was investigated and corrections made (e.g. lock out tag). The Violence Prevention Program improvement order is still ongoing but there has been much progress on that issue. There is an outstanding asbestos abatement improvement order for the mechanical rooms. Funds requested through the safety and security budget were denied. (Continued on page 29) Page 29 - Annual Report 2013 (Continued from page 28) Locker Room Security The female/male locker room issue which continued from 2012 was finally resolved. A mirror ball has been mounted at the back exit lobby area of the locker rooms. Safety Concerns - M1 Safety concerns on M1 were placed on the agenda in November 2012. The issues were air quality, mice and mold. Air quality studies were done and the results were poor. Initially staff had difficulty accessing the results. Traps were laid for the mice but according to staff, the mold issue was not dealt with. The Adolescent Program moved to HSC March 1, 2013 with staff feeling there was no resolution to the concerns they brought forward prior to the move. Response Times to Codes There have been issues surrounding response times when a code white is called. Much discussion has occurred among directors, managers and educators regarding training, policies and procedures, as well as following protocol. Information is being gathered regarding frequency, who is responding, training, etc. Security has been keeping a log to see how many staff show up for both codes white and codes red. The collection of stats began in August 2013 and is ongoing. Barb Guyot and Kim Roer attended a management information meeting in October 2013 to discuss code white response times. During that month there was an increase in staff response to code whites. The emergency codes video played at hospital orientation is being updated to advise staff that there are no exceptions - all staff must attend code white training. E-Block Ramp The ramp on E-Block has been a long standing issue. It is located in the sub-basement and is utilized by property management, diagnostic imaging, housekeeping and MTS. Last year an injury was sustained on the ramp. It was suggested to have a lift installed to prevent any further injuries. There were numerous issues regarding the installation of the lift: The manager felt the lift could be more hazardous than the ramp; There were no funds available to install a lift; Should that area be accessible to staff? Could the storage in that area be placed elsewhere? An assessment of the area was completed and it was decided to replace the ramp. One suggestion was to install a lift on a trial basis; another was to install it permanently. A letter was to be sent to the managers of the area regarding the above. This issue has been on the agenda since May 2012. Bernie Brys and I will keep members apprised of further developments. Isolation Gowns Staff from the Surgery & Mental Health Programs raised concerns regarding the shortage of isolation gowns. The paper (disposable) gowns were stockpiled by the WRHA in preparation for the H1N1 crisis. Afterwards a large supply of these gowns were stored in a warehouse. The WRHA wanted to use up some of their supply so gown were distributed to sites throughout the city with the WRHA keeping a small supply on hand. The supply of gowns has now been depleted and they are no longer available. The WRHA had no plans to replenish the supply of paper gowns once they were depleted. We are now back to using the re-usable (cloth) gowns. If you have any issues with the cloth gowns (e.g. need mending) please place them in the mesh mending bag located on one end of the laundry cart. Central Laundry has worked diligently in laundering the cloth gowns in (Continued on page 30) St. Boniface Nurses Local 5 Page 30 - Annual Report 2013 employed by SBH (Continued from page 29) order to meet the demands of all facilities. If you have an issue regarding the gowns, please notify your PTM. On the weekend you call CSR or the nursing supervisor. Committee Terms of Reference The Terms of Reference were revised and sent to the committee for review/feedback. Revisions included: 1. Duties of the Committee (#15): Review hospital WS&H program policies and procedures recommended by Occupational Health & Safety. 2. Under membership (#2): Guests as deemed appropriate by the committee will attend the meetings upon notification to the co-chairs They must have an agenda item. They will be considered nonvoting members. 3. Membership: Should consist of six management members and six worker reps. Our committee presently has eight of each. This has been approved by WS&H Division as our organization is so large it needs more representatives. Tom Henderson, LRO, MNU who is responsible for Workplace Safety & Health, attended our December 2013 meeting. Safety Committee Education Bernie Brys and I will be attending Safety Services Manitoba's SAFE Work Conference on January 23, 2014 as part of our mandatory training under the WS&H Act. Ongoing agenda issues for 2014: BCG vaccine Funding for asbestos abatement program Provincial violence prevention program Facility inspections Review of policies and procedures Injury statistics Garbage compactor Hazard reporting for hospital workers not St. Boniface Nurses Local 5 A new issue will be the “Accessibility for Manitobans Act”. This is new legislation regarding access for Manitobans living with disabilities (removing barriers of access for clients). We are not yet sure what the implications will be however, we will keep members posted on this issue. Liz Cronk, RN Local 5 Rep Workplace Safety & Health Committee Page 31 - Annual Report 2013 WRHA Continuing Education Fund Committee Report - 2013 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 rund (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). This past September is when the NRRF finally provided this committee with notification of that the funds being allocated for 2013/2014 fiscal year were $788,160.00 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. As a result of the regional amalgamation Churchill is now part of the WRHA. This will have an impact on the funds available for distribution. The NRRF is taking at look at this change and will report its recommendations to the committee. Management (Marg Synyshyn, MATC) and union (Dana Orr, Riverview) co-chair the committee. 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 2014 remain unchanged. You may recall that they were increased in January 2012 and remain as follows: RN/RPN 8 hour shift 12 hour shift LPN 8 hour shift 12 hour shift 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 $170 $250 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. (Continued on page 32) St. Boniface Nurses Local 5 The financial report validates the need for these kinds of funds and illustrates the increasing activity in attending educational programs by nurses. Did you know? The decisions made by the committee regarding funding, guidelines, and applications were guided by the following: Money from this fund can be obtained for costs related to the following: 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 5, 2014. $215 $315 The $500.00 annual cost funding also remains unchanged for 2014. WRHA Continuing Education Fund - Financial Report - 2013 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 32 - Annual Report 2013 (Continued from page 31) Things to Know 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. Mail completed application forms to: (faxed application forms not accepted) WRHA Continuing Education Fund 120 Tecumseh Street Winnipeg, Manitoba R3E 2A9 Inquiries: Phone: 204.334.3433 E-mail: [email protected] Many thanks to Audrey German (Administrative Assistant) for her efforts on behalf of the committee. Thank you also to Marg Synyshyn and Dana Orr for their willingness to share the responsibilities for this committee. Karen Sadler President, Local 5 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 33 - Annual Report 2013 Nominating Committee Report - 2013 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. Local 5 Elections 2014 Key Executive (Officers) President Karen Sadler is entering the second year of her two-year term which continues to April 30, 2015. MNU Board Representatives Sheila Holden is entering the second year of her two-year term which continues to April 30, 2015. As no other nominations were received for the position of board representative as per 9:06c), Diana Martinson was elected for a two -year term by acclamation January 6, 2014. Local Collective Bargaining Committee (LCBC) was elected in 2011 and will serve a term of office that expires upon ratification of the new Collective Agreement - post 2013) Workload Staffing Reports Committee (3 to be elected, each for a two-year term) Diana Martinson and Sheila Holden are entering the second year of their two-year term which continues to April 30, 2015. Chris Boychuk was elected by acclamation January 6, 2014. Nominating Committee (3 to be elected each for a one-year term) Chris Boychuk was elected by acclamation January 6, 2014. Joint Education Fund (2 to be elected - each for a two-year term) Monique Dela Cruz was elected by acclamation January 6, 2014. Secretary Workplace Safety & Health (2 to be elected each for a one-year term) Treasurer As no other nominations were received for the position of treasurer as per 9:06c), Kathy Hillstrom was elected for a two year term by acclamation January 6, 2014. 9:06 a) Nominations for positions shall be submitted by January 5th of the election year for any position. 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. Nominations for Standing Committees Nominations for the Joint Committees Vice President As no other nominations were received for the position of vice president as per 9:06c), Sheila Holden was elected for a two-year term by acclamation January 6, 2014. LOCAL 5 CONSTITUTION ARTICLE IX – ELECTIONS Liz Cronk was elected by acclamation January 6, 2014. (Continued on page 34) 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 34 - Annual Report 2013 Voting Delegates to the 2015 MNU AGM in Winnipeg Val Bakker (L&D)* Gisele Petit (OR)* Chris Boychuk (L&D)* Liz Cronk (Mental Health)* Janice Morissette (B2 Pre Op)* *Were elected by acclamation January 6, 2014. Unit Representatives** **Unit Representatives are elected at the unit level. Information is current at time of printing this report. A complete listing of units with reps and those without will be available at the AGM. 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. 7AS Surgery Laura Wickstrom & Virginia Mushumanski 7AW Surgery Diana Martinson Operating Room Gisele Petit B2 Pre Op Clinic Janice Morissette CR4 CSIU Kathy Hillstrom Pacemaker Clinic Linda Jackson 3MCU Monique Dela Cruz LDRP Amber Wiens Labour & Delivery Val Bakker E5 Medicine Patricia Adamson & Danielle Smith Adult Inpatient MH (M2/M3) Liz Cronk Chris Boychuk, Chair Nominating Committee St. Boniface Nurses Local 5 Page 35 - Annual Report 2013 Finance Report - 2013 Suzanne Hrynyk who served as Local 5's treasurer for the past number of years resigned her position as of April 30, 2013. We appreciate and thank Suzanne for her dedication to serving the members of Local 5. chequing account to our investments. The balance remaining in our chequing account is more than sufficient to cover Local 5's ongoing operating needs. 2013 Budget It has been my pleasure and honour to have been appointed to represent the Local as its treasurer for balance of Suzanne's term which expires April 30, 2014. It has been an interesting and educational year, to say the least. I submit the following information to membership. Should any questions arise as a result of my report, please contact me. Our 2013 budget was approved at the 2012 Local 5 AGM. It projected a deficit of $13,000.00. At the time of writing this report we are now projecting surplus for the year ending 2013. 2014 Budget Our 2014 budget was approved at the 2013 Local 5 AGM with an projected deficit of $2,100.00. Investments Our investments continue to grow. The market value of our total investment portfolio as of October 18, 2013 was $491,308.00. This is an increase in market value of $53,176.00 since October 31, 2012. 1 year annualized return - 9.78% 3 year annualized return - 5.04% 10 year annualized return - 4.37% Our Local Finance/Budget Day took place on October 18, 2013. Terry Kitching, RBC Dominion Securities, reviewed our current portfolio and recommended minor changes to our holdings. In fall 2013 our high interest savings account (where we park $25,000 to be utilized in the event of a strike) had a balance of $36,000.00. That was $11,000.00 more than is required to be set aside. This surplus was transferred to our investments prior to the end of 2013. After a one year review of our chequing account balance we determined that the balance being carried in this account was too high. We felt members would be better served by having this money in our investments. On December 11, 2013 $100,000 was from transferred from the 2015 Proposed Budget At our Local 5 Finance/Budget Day held on October 18, 2013, finance committee members worked on the proposed 2015 budget. The budget was reviewed on a line by line basis and a critical evaluation of each budget line took place. As you can imagine, making a budget for two years into the future is not easy, especially when our current collective agreement is under negotiations. As salaries represent a significant portion of our budget and any change is unknown at this time, they are reflected in the proposed budget at the December 31, 2012 rate. We are proposing a budget for 2015 with an projected deficit of $12,050.00. This proposed budget will be presented at our Local 5 AGM on Wednesday, March 5, 2014. If you have questions please contact me. We realize that over the past few years we have proposed deficit budgets. We strongly feel that as we are in a very healthy financial position with respect to our investments, money that we already have in the bank (our members' money) should be used to offset any deficit incurred rather than proposing a (Continued on page 36) St. Boniface Nurses Local 5 Page 36 - Annual Report 2013 (Continued from page 35) local dues increase. A big thank you to our key executive officers Karen, Sheila, Diana and Amber for their support over this past year. Thank you to Helga and to our bookkeeper Wendy Burdon for making my transition into this role as smooth as possible. Kathy Hillstrom Treasurer, Local 5 2013 Investments - as of October 18, 2013 Cash ACU High Interest Savings $25,000.00 Fixed Income Pools Book Value Russell Canadian Russell Core Plus Russell Global High Income Bond Total Fixed Income Pools $64,790.00 $68,293.00 $23,766.00 $156,849.00 Equity Pools Book Value Russell Canadian Dividend Russell Canadian Russell Emerging Markets Russell Global Russell Overseas Russell US Total Equity Pools $47,208.00 $50,545.00 $27,132.00 $44,671.00 $31,302.00 $54,285.00 $255,143.00 Total Investments (Book Value) $436,992.00 *all values are expressed in Canadian Dollars St. Boniface Nurses Local 5 Page 37 - Annual Report 2013 2013 Budget Comparisons RECEIPTS Dues Interest from Bank Accounts Interest from Investments President’s Days Reimbursement TOTAL DISBURSEMENTS Audit/Bookkeeper 2013 Approved Budget 2013 Estimated Receipts Variance 2014 Approved Budget 2015 Proposed Budget $304,200.00 $371,160.00 -$66,960.00 $315,900.00 $315,900.00 $0.00 $634.00 -$634.00 $300.00 $300.00 $3,000.00 $0.00 $3,000.00 $0.00 $0.00 $22,500.00 $23,382.00 -$882.00 $21,900.00 $24,332.00 $329,700.00 $395,176.00 -$ 65,476.00 $338,100.00 $340,532.00 2013 Approved Budget 2012 Estimated Expenditures Variance 2014 Approved Budget 2015 Proposed Budget $3,400.00 $2,963.00 $437.00 $3,450.00 $3,650.00 $200.00 $93.00 $107.00 $200.00 $200.00 $8,200.00 $10,472.00 -$2,272.00 $8,200.00 $8,900.00 Education $29,400.00 $7,360.00 $22,040.00 $27,450.00 $28,750.00 Honoraria $1,750.00 $1,750.00 $0.00 $1,750.00 $2,625.00 Local 5 AGM $2,850.00 $2,525.00 $325.00 $4,350.00 $4,750.00 Management Fees 0.00 $0.00 $0.00 $0.00 $0.00 Meeting Expenses $4,100.00 $4,238.00 -$138.00 $1,950.00 $2,800.00 Misc. & Charitable Donations $1,700.00 $1,631.00 $69.00 $1,200.00 $1,450.00 MNU AGM $3,700.00 $927.00 $2,773.00 $3,300.00 $3,250.00 CFNU (Biennial Convention) $3,150.00 $2,491.00 $659.00 $0.00 $6,100.00 $26,050.00 $24,460.00 $1,590.00 $29,600.00 $30,250.00 $750.00 $747.00 $3.00 $750.00 $750.00 $94,800.00 $93,692.00 $1,108.00 $94,200.00 $94,200.00 $8,400.00 $2,667.00 $5,733.00 $8,400.00 $8,400.00 $67,400.00 $71,499.00 -$4,099.00 $67,400.00 $67,400.00 Vice President's Liability $6,000.00 $2,639.00 $3,361.00 $6,000.00 $6,000.00 Salary Replacement $4,150.00 $2,426.00 $1,724.00 $4,200.00 $3,850.00 $29,900.00 $28,802.00 $1,098.00 $29,900.00 $31,100.00 $4,382.36 Bank Charge Communications Office Support Postage President’s Salary President's Liability Vice President's Salary Administrative Support Burdens $46,650.00 $42,267.64 $47,900.00 $48,150.00 Total $342,550.00 $303,649.64 $340,200.00 $352,575.00 Total Receipts Minus Disbursements -$12,850.00 $91,526.36 -$2,100.00 -$12,043.00 Trx from Investments (if needed) $13,000.00 $2,100.00 $12,050.00 $150.00 $0.00 $7.00 Net St. Boniface Nurses Local 5 Page 38 - Annual Report 2013 2015 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 2013 allocation of 64 days - received in two installments $300.00 $300.00 $24,332.00 $24,332.00 TOTAL RECEIPTS $340,532.00 All salaries listed under disbursements reflect the hourly rate as at December 31, 2012 and are set at the 20 year rate. Salary rates for 2015 are unknown at this time. DISBURSEMENTS Budget (5601) Audit/Bookkeeper $3,650.00 Audit $2,200.00 Bookkeeper ($20.00 x 6 hrs x 12 months) $1,440.00 Total $3,640.00 (5602) Bank Service Charge $200.00 (5603) Communications Annual Report Nurses' Week $8,900.00 $7,200.00 $500.00 Member Communication/Website Maintenance ($100 x 12) $1,200.00 Total $8,900.00 St. Boniface Nurses Local 5 Page 39 - Annual Report 2013 2015 Proposed Budget continued DISBURSEMENTS Budget (5604) Education $28,750.00 Executive Education Day Room Rental Lunch & Lifestyle Breaks (30 x $35) Salary Replacement (30 x [$38.807 + $0.596 AA] x 9.68) $375.00 $1,050.00 $11,442.63 $12,867.63 Education Day @ MNU AGM (in Winnipeg) Salary Replacement (23 x [$38.807 + $0.596 AA] x 9.68) Parking (23 @ $13) Lunch (23 @ $15) $8,772.68 $299.00 $345.00 $9,416.68 MNU Labour School - Local Funded Participants* Registration ($500 x 3) $1,500.00 Salary Replacement (3 x 3 x [$38.807 + $0.596 AA] x 9.68) $3,432.79 Travel Time (if applicable) *dependant on availability of spots from MNU Lunch & Learn (2 @ $250) Local Leadership Education Total $4,932.79 $500.00 $1,000.00 $28,717.10 (5605) Honoraria $2,625.00 Secretary $750.00 Treasurer $750.00 Board Members (2 @ $375) $750.00 Workload Staffing Reports Chair Total $375.00 $2,625.00 (5606) Local 5 Annual General Meeting (AGM) Printing Tickets Miscellaneous (door prizes/money tree) Attendance Incentives Salary Rep. Nominations Chair ( [$38.807 + $0.596 AA] x 9.68) $4,750.00 $80.00 $250.00 $1,000.00 $381.42 Food (100 members @ $30) $3,000.00 Total $4,711.42 (5607) Management Fees Unknown St. Boniface Nurses Local 5 Page 40 - Annual Report 2013 2014 Proposed Budget continued DISBURSEMENTS (5608) Meeting Expenses 3 General Meetings (@ $375) Budget $2,800.00 $1,125.00 Pre MNU AGM Meeting (@ $375) $375.00 Finance Day (Lunch 7 @ $20) $140.00 Key Executive Dinner Meeting $300.00 Lunch/Dinner Meetings (12 @ $50) $600.00 Parking $250.00 Total $2,790.00 (5609) Charitable Donations Local 5 AGM $1,450.00 $200.00 MNU AGM $1,250.00 Total $1,450.00 (5610) MNU AGM in Winnipeg Lunch Room Rental ($250 x 2 days) Lunch (25 x $30 x 2 days) Recovery on Lunch (23 x $15 x 2 days) Banquet Donation Salary Replacement Alternates (2 x 2 x [$38.807 + $0.596 AA] x 9.68) Parking/Mileage Alternates (2 x 2 x $50) $3,250.00 $500.00 $1,500.00 ($690.00) $200.00 $1,525.68 $200.00 Travel Time (if applicable) Total $3,235.68 (5611) CFNU Biennium - Nova Scotia $6,100.00 Registration (2 x $650) $1,300.00 Airfare (2 x $1,200) $2,400.00 Hotel (6 x $200) $1,200.00 Per Diem (2 x 6 x $80) Travel (2 x $100) Total $960.00 $200.00 $6,060.00 St. Boniface Nurses Local 5 Page 41 - Annual Report 2013 2015 Proposed Budget continued DISBURSEMENTS Budget (5612) Office Support Rent ($1,215.000 plus 5% GST {$60.75} = $1,275.75 x 12) $30,250.00 $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 ($70 x 12) Office Insurance $840.00 $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 $225.00 SBH Parking Passes ($95 x 12 x 2) labour on line.ca subscription Miscellaneous Total $2,280.00 $550.00 $500.00 $30,203.85 (5613) Postage $750.00 (5614) President’s Salary Salary ($46.150 x 2,015 hrs) Top of Nurse IV Academic Allowance ($0.596 x 2015 hrs) Total $94,200.00 $92,992.25 $1,200.94 $94,193.19 (5615) President's Liability $8,400.00 Income Protection (15 days x 7.75 hrs x $46.150) $5,364.94 Pre-Retirement Leave (4 days x 7.75 hrs x $46.150) $1,430.65 $6,795.59 Burdens @ 23% $1,562.99 Total $8,358.57 St. Boniface Nurses Local 5 Page 42 - Annual Report 2013 2015 Proposed Budget continued DISBURSEMENTS Budget (5616) Vice President’s Salary Salary ($41.201 x 1612 hours) (0.8 eft, top of Nurse III) Academic Allowance ($0.596 x 1612 hrs) Total $67,400.00 $66,416.01 $960.75 $67,376.76 (5617) Vice President’s Liability $6,000.00 Income Protection (15 days x 0.8) x 7.75 hrs x $41.201) $3,831.69 Pre-Retirement Leave (4 days x 0.8) x 7.75 hrs x $41.201) $1,021.78 $4,853.48 Burdens @ 23% $1,116.30 Total $5,969.78 (5618) Salary Replacement Treasurer (Finance Day Prep) (1 x 9.68 x [$38.807 + $0.596 AA]) $3,850.00 $381.42 Finance Day (4 x 9.68 x [$38.807 + $0.596 AA]) $1,525.68 WSR Committee (6 x 9.68 x [$38.807 + $0.596 AA]) $2,288.53 Total $3,814.21 (5619) Administrative Support Salary ($26.00 x 23 hours/week x 46 weeks) Vacation ($26.00 x 23 hours/week x 6 weeks) Total $31,100.00 $27,508.00 $3,588.00 $31,096.00 (5620) Burdens on: $48,150.00 President’s Salary @ 23% plus $550 for HSA $22,216.00 Vice President’s Salary @ 23% plus $550 HSA $16,052.00 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% $87.73 $87.73 $350.91 $526.36 Salary Replacement - Executive Education Day @ 23% $2,631.81 Salary Replacement - Education Day @ MNU AGM @ 23% $2,017.72 Salary Replacement - Alternates @ 23% $350.91 Salary Replacement - MNU Labour School @ 23% $789.54 Honoraria @ 9% Administrative Support Salary @ 9% Total $236.25 $2,799.00 $48,145.94 St. Boniface Nurses Local 5 Page 43 - Annual Report 2013 2015 Proposed Budget continued RECEIPTS $340,532.00 DISBURSEMENTS $352,575.00 TOTAL (deficit) ($12,043.00) TRANSFER FROM INVESTMENT (if needed) $12,050.00 NET $7.00 St. Boniface Nurses Local 5 Page 44 - Annual Report 2013 St. Boniface Registered Nurses Alumni Association The St. Boniface Registered Nurses' Alumni Association will be holding its Annual General Meeting (AGM) and Dinner on Wednesday, May 7, 2014 at Canad Inns. We will be honouring the 50 year graduates from 1964 A & B. This is an excellent opportunity for the renewal of friendships and a revisiting of memories. We will also be discussing the plans for an Archival Exhibit. For more information please contact: Gaylene Kramchynski [email protected] Post Diploma Bursary 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 for this bursary, graduates must: be paid members of the Alumni for the past two years; provide proof of enrolment for workshops or conferences; provide a one page summary of proposal for research studies; submit a letter of application by December 31, 2014; be in attendance at the Annual General Meeting and Dinner in May 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 in this bursary 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 St. Boniface Nurses Local 5 704 - 400 Taché Avenue Winnipeg, Manitoba R2H 3C3 Phone: 204.231.0188 Fax 204.237.3927 Email - [email protected] You’re invited to attend our 44th Annual General Meeting on Wednesday, March 5, 2014 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/Special Grand Prize (must be present to win) St. Boniface Nurses Local 5
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