After months of pre-contract negotiations between Petaluma Valley Hospital nurses and the hospital management team, disagreements over pay and scheduling for on-call shifts have led the nurses to declare a one-day strike set for June 13.
Hospital staff maintains that service will be unaffected since they are temporarily staffing the striking employee's positions with replacement nurses.
"Our concern, first and foremost, is maintaining patient safety and that the staff who chooses to come to work, can come to work," said Jane Read, the hospital's vice president of operations. "If they choose not to come that's fine, but we need to serve our patients in Petaluma."
Per the hospital's contract with US Nurses to bring in replacement nurses during employee strikes, the replacement nurses will remain at the hospital for five days, forcing striking employees to miss a total of five days of work.
Read said that while this is not the hospital's preference, it must honor its staff's right to strike and keep the hospital running while employees are out.
The main issue of contention between the two parties is the hospital's decision to decrease on-call pay for nurses from 50 percent down to 30 percent of a nurse's normal salary and the decision to require nurses who take on-call shifts to take them in 48- and 72-hour blocks, instead of breaking the shifts up as they currently do.
Petaluma registered nurse Kitty Brown, who has been a nurse for 48 years, said that right now it is typical for a nurse to work her eight-hour scheduled shift, and then to be on-call for an additional 16 hours at a time. She said that from a nurse's standpoint, being on-call for 16 hours at a time is hard enough, but that placing nurses on longer stints has exhausted the staff and put patient care at risk.
"You can't have someone on call for 48 hours straight. It's not safe," Brown said. "That's the difference between nurses controlling the on-call schedule and having someone who doesn't understand how much work it takes to be on-call."
Read contended that only 25 percent of the nursing staff takes on-call shifts and that once they are scheduled, the nurses can switch shifts with any other on-call nurses to break up their shifts any way they see fit. She also said that the hospital keeps a close eye on safe practices and would never do anything to put patient safety at risk.
But Brown said that in reality, the opportunity to change nurse's schedules to maintain safe working environments is very low.