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Marching for
nurse sta ng
                    United Nurses of Alberta
                 NewsBulletin

at Youville Home
                            Nurses from UNA’s North Central District
                            rally in front of Covenant’s Youville Home
                          in St. Albert. Now classified as an auxiliary
                      hospital, Youville is reducing front-line RN care
                       dramatically. The RNs and other staff are very
                         concerned about impact on their residents.




                        October 26, 27, 28, 2010

                                                   September|October 2010
                                                          Volume 34, Number 4
Message From the President
    Published by the United
    Nurses of Alberta six times
    a year for our members
                                                  A summer of many changes. A busy fall ahead.
    Editor                Production
    Keith Wiley           Kelly de Jong          Many nurses joined our union in recent        than about any real concern
    Executive Board                            weeks. We are pleased to welcome the            for the needs of patients
                                               nurses at the Alberta Alcohol and Drug          to receive appropriate, safe, quality care.
    President
    Heather Smith                              Abuse Commission (AADAC), and Al-               Potential staffing projections for continu-
                                               berta Correctional Services. ese nurses         ing care are particularly worrisome. So
    1st Vice-President
    Bev Dick                                   were brought into our bargaining unit           watch for more information and let your
                                               by the continuing expansion of Alberta          colleagues know, in case they didn’t, there
    2nd Vice-President
    Jane Sustrik
                                               Health Services. As we welcome these            is a nursing shortage in Alberta.
                                               nurses, who were formerly represented by
    Secretary/Treasurer                                                                             e Provincial Agreement ratified on
                                               the Alberta Union of Provincial Employ-
    Karen Craik                                                                                June 30th is off to the printers and we
                                               ees, we also welcome nurses – who are
    or 403-237-2377                                                                            are hopeful you will receive your new
                                               union members for the very first time – at
    North District                                                                             contract book this fall. e final version
    Roxann Dreger          Susan Gallivan      the Rimbey Hospital and Care Centre,
                                                                                               will also be available on the UNA website
                                               Canadian Blood Services Calgary, and
    North Central                                                                              (www.una.ab.ca).
    Terri Barr             Keith Lang          Revera Long Term Care-Miller Crossing.
    Teresa Caldwell        Beverley Lawrence
                                               Welcome also to new graduates just en-               is fall we start to implement the new
    Christina Doktor       Judy Moar
    Karen Kuprys           Beryl Scott         tering our profession. Welcome to United        committees to ensure there is no overall
    Central                                    Nurses of Alberta. Get ready for some           reduction in RN hours worked, monitor
    Dianne McInroy         Wanda Zimmerman     interesting times just ahead.                   the hiring of 70% of new graduates, and
    Sandra Zak
                                                                                               transform casual and relief hours into
    South Central                                A little over a year ago AHS CEO, Ste-
    Blanche Hitchcow JoAnne Rhodes                                                             regular positions. ese new provisions are
                                               phen Duckett, said ‘there are too many
    Tanice Olson     Lois Taylor                                                               the first of their kind in Canada.
    Denise Palmer    Daphne Wallace            nurses in acute care’ and we had an abrupt
    South                                      halt to recruitment across the province.          On the back cover of this issue is in-
    Maxine Braun           John Terry
                                               Remember “vacancy management”? Well             formation about the new benefit plan for
    Directors                                  now AHS is very concerned about the             retired nurses. I point out that just about
                                               workforce shortage and forecasts thou-          EVERY retired nurse in Alberta is eli-
    Labour Relations
     David Harrigan                            sands of vacancies. A newly developed           gible to buy into this plan. And, until the
    Finance and                                AHS workforce supply model projects             end of January, you can buy in without a
    Administrative Services                    that thousands of nurses will be needed to      medical exam. Plans like these reject as
     Darlene Rathgeber
                                               replace those who will be retiring, etc.        many as one-third of appplicants because
    Information Systems
                                                                                               the medical exam shows they may have
     Florence Ross                               We apparently cannot expand the
                                                                                               high costs.
    Provincial Office
                                               number of graduates enough to solve the
    900-10611 98 Avenue NW                     impending dilemma, so what will AHS               We are pleased to be joining with the
    Edmonton AB T5K 2P7                        do? A summit of stakeholders will be            Alberta Retired Teachers Association in
    PH: (780) 425-1025
    Toll Free: 1-800-252-9394                  held in November. AHS is circulating a          this plan, as an option for nurses. I want
    FX: (780) 426-2093                         discussion paper for feedback (available        to advise you to also research other com-
                                               from UNA on request).                           petitive plans to find out which one is the
    Southern Alberta
    Regional Office                                                                             right fit for you.
                                                  After the past year, it is ironic that the
    300-1422 Kensington Road NW
                                               opening sentence of the discussion paper          And on a final note, this fall the Gov-
    Calgary AB T2N 3P9
    PH: (403) 237-2377                         is “For nearly five decades the nurs-            ernment may introduce Alberta Health
    Toll Free: 1-800-661-1802
                                               ing staffing shortage has been a critical         Act legislation. Should the Government
    FX: (403) 263-2908
                                               concern for healthcare across Canada”.          follow through on MLA Fred Horne’s
    Web Site: www.una.ab.ca
    E-mail: nurses@una.ab.ca                   Cynics have suggested the modelling             Committee recommendations (see the
     PUBLICATIONS MAIL AGREEMENT #40064422     scenarios contained in the discussion           story inside), a whole lot more will be
     RETURN UNDELIVERABLE
     CANADIAN ADDRESSES TO:                    paper are more about justifying reducing        happening. So stay tuned for that too.
                                               the skill mix and using unskilled workers
     UNITED NURSES OF ALBERTA
     900-10611 98 AVENUE
     EDMONTON AB T5K 2P7                                                                                 Heather Smith - President, UNA
     United Nurses of Alberta
2    NewsBulletin
New Members



               Welcome nurses to UNA
               AADAC, Corrections and others

U
         NA is pleased to welcome many                         Rimbey
         nurses who have recently joined
         or formed new UNA bargain-              Registered Nurses with the Rimbey
                                               Hospital and Care Centre voted earlier
ing units.
                                               this year to join UNA and have formed
     Alberta Alcohol and Drug                  their own UNA Local. As Alberta
        Abuse Commission                       Health Services employees they are
                                               automatically included in the provincial
   About 80 nurses who work with AA-           bargaining unit and the Provincial Agree-
DAC became employees of Alberta Health         ment. e nurses have been meeting            Newly elected Executive members
Services under the province-wide consoli-      with UNA LROs to work out details of            at Local 412 in Rimbey are from
                                                                                            left to right are: Jennifer Anderson
dation. ese nurses work all around the         applying the Agreement.                          (VP), Rachel Murray (Treasurer),
province in a number of capacities with                                                         Kristy Gutterink (President) and
                                                                                                        Kelly Fairley (Secretary).
AADAC. UNA, including representa-                        Canadian Blood
tives from the AADAC nurses, recently                    Services Calgary
negotiated the terms for transition into the
UNA Provincial Collective Agreement.             Nurses with CBS in Calgary voted
   e nurses had a ratification vote on these    in May to join UNA this year. ey are
terms on September 15. e AADAC                 forming their own Local with about 38
nurses will become members in UNA Lo-          members and are beginning negotiations
                                               soon for their first contract.
cals in the communities where they work.

                                                     Revera Miller Crossing
        Alberta Correctional
                                                     Care Centre Edmonton
          Services nurses
                                                 Rose Boadi is the new President at
  Nurses working with Alberta Correc-          Local 410 Revera Miller Crossing in          UNA’s Director of Labour Relations
tional Services also became AHS em-            Edmonton, one of UNA’s other new-             David Harrigan talks with AADAC
                                                                                                    nurses at an info session in
ployees after provincial consolidation but     est Locals. e nurses voted earlier this     Edmonton. The new to UNA nurses
court action over their bargaining unit        year to join UNA and are about to begin
                                                                                             are: (l to r) Alison Treichel, Wendy
                                                                                           Rudzcki, Cailin Doyle, Lindsay Piojo.
has made them wait some time before            negotiations for a first collective agree-
finding out which union they would be           ment.
in. Finally, about 150 nurses who work in
the provinces correctional services were
brought into the UNA bargaining unit
on September 13. Dates are still being
set for negotiations on how their contract
terms will transition to the UNA agree-
ment. No decision has been made as of
publication date on which Locals Correc-
tions nurses will join.




                                                                                                          September|October 2010
                                                                                                             Volume 34, Number 4     3
HRC Controversy


                      Private HRC hospital faces
                    bankruptcy, bailed out by AHS

                                               T
                                                        he financial insolvency of the           Networc Health rejected the AHS pro-
                                                        Health Resources Centre – the         posal and indicated that it was prepared
                                                        for-profit orthopaedic surgical        to argue in court against a staff transfer.
                                               centre in Calgary – has been in the news       As a result, AHS withdrew its proposal
                                               lately. Although it had contracts for joint    and will post new positions for the units
                                               replacement surgeries with AHS, HRC is         opening at the McCaig Tower in No-
                                               a private-for-profit facility owned by Net-     vember. ese will be new AHS positions
                                               worc Health. It filed for bankruptcy pro-       and will be posted in accordance with the
                                               tection after it was unable to fulfill a real   existing terms of the Collective Agree-
                                               estate agreement. AHS filed an injunction       ment with UNA.
                                               and an Interim Receiver was appointed.

                                                                                                     Was HRC a good deal
                                                      Will nurses working at                           for Albertans?
                                                       HRC lose their jobs?                     AHS has paid over $2 million in extra
                                                 Networc Health had a chance to work          costs because of the HRC bankruptcy
                 The UNA delegation at the     with AHS and transfer the staff to the          and surgeries at the facility were not cost
                  Friends of Medicare rally.
                                               new McCaig Tower facility at the Foot-         effective to begin with. Premier Ralph
                                               hills Medical Centre. is would have al-        Klein admitted in 2005 that privately
                                               lowed AHS to continue with the surgeries       contracted surgeries on average cost 10%
                                               and keep the surgeons and nurses working.      more than those in public hospitals. HRC
                                                                                              handled cheaper, less complex surgeries.




     United Nurses of Alberta
4    NewsBulletin
HRC Controversy




      Did AHS have the right
     to terminate the contract
       with Networc Health?
  According to an affidavit from Chris
Mazurkewich, AHS Vice-President and
Chief Financial Officer, the agreement
with Networc Health included a “con-
tractual right to suspend or terminate
the Surgical Services Agreement without
notice should Networc become insolvent,
bankrupt or is placed in receivership or
commits any act of insolvency.”


      AHS did NOT push HRC                          Who is Networc Health
         into insolvency.                             looking out for?                        Friends of Medicare held a rally in
                                                                                             front of the for-profit HRC hospital
                                                                                              on September 10th. “No bailout of
  Some misinformation being circulated          Networc Health has presented a list of      for-profit medicine” was the slogan
suggests that HRC became insolvent            demands to AHS which they say would
because AHS did not provide a mini-           need to be met for HRC to continue as a
mum number of surgeries required by           privately-operated facility:
the contract. In reality, the agreement
                                                  the current senior management of
limited “...the maximum annual number
                                                  HRC must be maintained,
of procedures that can be performed at
the Health Resource Centre, but Alberta           AHS must provide the maximum
Health has no obligation to fund any              possible number of procedures,
minimum number of procedures.” (Court
                                                  AHS must pay for the legal fees
of Queen’s Bench of Alberta Decision,
                                                  incurred by Networc Health Inc.
June 1, 2010)                                                                                  e war of words launched
                                                Networc Health is holding the staff
  Court documents explain that Networc
                                              hostage by not allowing AHS to pres-              by Networc Health has
Health had not received a commitment
                                              ent conditional offers of employment to
on volume of surgeries before it signed a                                                    irresponsibly put business
                                              clinical staff at HRC and opposing the
real estate deal with Cambrian Properties.
                                              transfer of staff to the McCaig Tower.
   “Networc Health had admitted that it                                                         interests before staff job
                                                UNA believes that Networc Health
was no longer capable of meeting its ob-                                                      security and patient care.
                                              should not use their staff as bargaining
ligations under the leases ... Networc had
                                              pieces in this legal battle. e evidence
received only partial commitment from
                                              presented in these court documents
Alberta Health with respect to business
                                              provide clarity to the misinformation
volumes for the budget year ... Networc
                                              being perpetuated by groups who have a
did not have the ability to pay lease costs
                                              political interest in keeping HRC open
on the two buildings that were the subject
                                              at any cost. e war of words launched
of the leases.” (Court of Queen’s Bench of
                                              by Networc Health has irresponsibly put
Alberta Decision, June 1, 2010)
                                              business interests before staff job security
                                              and patient care.

                                                                                                          September|October 2010
                                                                                                             Volume 34, Number 4    5
Alberta Health Act

                                            New Alberta Health Act
                                         likely introduced in October
                                          Critics say it’s a back door approach to privatization


                                    T
                                             he Alberta government will likely          e report specifically names:
                                             try to pass its new Alberta Health
                                                                                       Alberta Health Care Insurance Act
                                             Act when the provincial Leg-
                                    islature resumes in late October. MLA              Hospitals Act
                                    Fred Horne is in charge of a committee             Nursing Homes Act
                                    that has been holding “invitation only”            Health Care Protection Act
                                    consultations on the proposed law. e               Health Insurance Premium Act
       More information on          meetings were opened up when Friends
                                                                                        ese acts, the Horne report goes on:
     the Alberta Health Act         of Medicare protested.
                                                                                   “inhibit the system’s ability to work out
                                      Parkland Institute’s research direc-         effective ways to access care from the
      Parkland Institute reports:   tor Diana Gibson says there is “nothing        right provider, in the right place, at the
            parklandinstitute.ca    to gain and everything to lose” with the       right time and at the right cost.”
                                    proposed Alberta Health Act. Gibson and
                                                                                        ese are carefully chosen words. In
               Special website:     BC researcher Colleen Fuller report that
        www.albertahealthact.ca                                                    Alberta you only have to look at recent
                                    the new act would lead to “the loss of
                                                                                   history to get the full meaning. Go back
                                    critical protections for the public system
                                                                                   to what Ralph Klein referred to as his last
                                    and quality standards with the merging of
                                                                                   attempt to privatize health care, the ird
                                    existing health care acts”.
                                                                                   Way. In 2005 one of the government’s
                                       Fred Horne’s report, released at the           ird Way discussion papers was a pow-
                                    beginning of the year was fairly clear on      erpoint which is still on the government’s
                                    some points: “Certain legislation should be    website as of September 2010 (www.
                                    given priority in the process of consolida-    health.alberta.ca/documents/Removing-
                                    tion, particularly those Acts that currently   Barriers-PPT-2005.pdf ).
                                    establish, define and regulate how publicly
                                                                                     It says:
                                    funded health services are provided.”
                                                                                       Amendments required to Alberta
                                                                                       Health Care Insurance Act and
                                                                                       Hospitals Act
                                                                                       Opens market for private health
                                                                                       insurance
                                                                                       Removes barriers to private delivery,
                                                                                       and
                                                                                       Doctors and dentists will be able
                                                                                       to work in both private and public
                                                                                       system for specified procedures.
                                                                                     Changing the current laws is neces-
                                                                                   sary to bring in what Don Mazankowski
                                                                                   envisaged in 2001: a health market with
                                                                                   a parallel, for-profit health system and
                                                                                   private insurance coverage.

     United Nurses of Alberta
6    NewsBulletin
BC & CNA




    BC College set to
   withdraw from CNA
    Setting up new association

T
         he College of Registered Nurses     Debra MacPherson said in her newslet-
         of BC (CRNBC) is looking at         ter column “We do not believe another
         creating a new separate associa-    organization is required as BCNU has
tion to represent BC RNs at the Canadian     been carrying out the professional advo-
Nurses Association. Some nurses say the      cacy role for some time, and has involved
controversial move is necessary because      itself successfully in nursing education,
of BC’s new Health Professions Act. But      research, policy and administration.”           “Why has there been no
BCNU and some other nurses oppose
                                               “Why has there been no grassroots in-       grassroots involvement or
creating a separate association, a third
                                             volvement (in the drive to form the new
     e new act changed the nurses’           association) or even one bedside nurse on     even one bedside nurse on
organization mandate at the same as it       the steering committee or newly formed
gave the new College name to the former      board?” Debra MacPherson asked.                the steering committee or
Registered Nursing Association of BC.
                                                   e Canadian Nurses Association says         newly formed board?”
   Also this spring, the RN Network of BC    it “is committed to facilitating CRNBC’s
was formed, clearly setting its sights on    withdrawal from CNA in a way that will        Debra MacPherson asked.
becoming a professional association and      ensure a continued voice on health and
replacing CRNBC at the CNA. At a May         social policy issues for British Columbia’s
meeting the Network noted that: “Func-       registered nurses.” But the CNA also says
tions to advance the profession or articu-   outstanding questions need to be settled,
late nursing views are seen as distinctly    including what will happen to the CNA
different from and in conflict with regula-    membership fees currently collected
tion.” e Network established a board         by the College and whether member-
and the BC College gave it $186,000 dol-     ship will be voluntary or mandatory in
lars towards becoming an association.        the proposed Association of Registered
                                             Nurses of BC.
  However, the proposed changes are
controversial. A motion calling for the           e province of Ontario has long had
BC College to resign from the Canadian       a separate college and association, the
Nurses Association was defeated by a         Registered Nurses Association of Ontario
vote of 40 to 29 at the CRNBC Annual         (RNAO).
General Meeting in June. But the sub-
                                                  e RNAO also reported on the BC
sequent College Board meeting decided
                                             discussions and noted that “the formation
they remain committed to developing
                                             of a national regulatory council for reg-
and implementing a plan for withdrawal
                                             istered nurses [the Canadian Council of
from CNA.
                                             Registered Nurse Regulators (CCRNR)]
     e BC Nurses Union is critical of        is proceeding “with the full support of all
the change. In July, BCNU President          the regulatory bodies in Canada.”
                                                                                                    September|October 2010
                                                                                                       Volume 34, Number 4   7
BC & CNA


                                                         CARNA staying in CNA
     CARNA has joined in as one       In Alberta the College and Association              ing further discussion of the need for
                                    of Registered Nurses is making clear it will          participation in other international
    of five Canadian RN Colleges     stay in the Canadian Nurses Association.
                                                                                          or national nursing organizations
                                    CARNA has joined in as one of five Cana-
        to form the new Canadian                                                          separate from CNA...”
                                    dian RN Colleges to form the new Cana-
                                    dian Council of Registered Nurse Regula-             CARNA’s provincial Council later
      Council of Registered Nurse
                                    tors (CCRNR). e new Council will focus             passed a motion which emphasizes its
             Regulators (CCRNR).    on professional regulatory matters, entry to       continued commitment to CNA:
                                    practice, standards and best practices.
                                                                                            “ at Provincial Council does sup-
                                      A motion at the April CARNA annual                  port CARNA’s participation in the
                                    meeting called on the organization to
                                                                                          National Council of State Boards of
                                    hold off on the new Council and to stay
                                                                                          Nursing (NCSBN) and the Canadian
                                    in CNA:
                                                                                          Council of Registered Nurse Regulators
                                         “...suspend further participation of             (CCRNR) and the Canadian Nurses
                                      CARNA in the National Council of                    Association (CNA).”
                                      State Boards of Nursing (NCSBN) [a
                                                                                         CARNA is also an associate member
                                      U.S. nurse regulators’ organization]
                                                                                       of the U.S. nurse regulators’ organization,
                                      or the Canadian Council of Registered            the National Council of State Boards of
                                      Nurse Regulators (CCRNR) pend-                   Nursing (NCSBN).



           Long term care aide speaks out
     R
             etired health care aide Loretta Raiter went pub-         Raiter described that staff-to-patient ratios were so
             lic in August about the declining conditions of        low that it was impossible to do everything that needed
             resident care at Salem Manor in Leduc. Raiter          to be completed in a 3 p.m. to 11 p.m. shift. People were
     told the media that she retired early because she could        sometimes given powdered meal replacements instead
     no longer give residents the care they needed.                 of real food, others ended up sitting for hours in soiled
                                                                    diapers or having wet diapers put back on after bathing.
       “I went home feeling guilty – guilty that I could not
     provide proper care for these people that had become            Retired health care aid Loretta Raiter was joined by NDP MLA Brian Mason as
     my friends,” Raiter told the Edmonton Journal.                    she described the declining state of resident care at Salem Manor in Leduc.




     United Nurses of Alberta
8    NewsBulletin
Protection of Persons in Care




           Changes to Protection
          of Persons in Care raise
        concerns for care providers
I
    n 2009, the provincial government changed the ten-year-old Protections for
    Persons in Care Act (PPIC) broadening the definition of abuse which raises real
    concerns for health care providers. e revised legislation came into effect July 1
2010. It now applies to service providers in mental health facilities as well as providers
in other health care settings.
     e new amendments redefine the nature of abuse to focus on acts or omissions that
result in “serious” harm. Concerns have come up because the new government guide
includes “discomfort” in a very broad definition of harm.

  Another important – and worrisome –          of many facilities, these situations could
change is that an individual can now be        be a real problem.
found to have committed abuse without
                                                 Anyone can allege abuse. Perhaps a
any intent or willful act.
                                               disgruntled family member or unhappy
  Being found to have committed abuse          co-worker, or just someone who perceives
under the PPIC Act obviously has pro-          abuse without understanding the context
found repercussions for a medical pro-         and limitations of a professional’s ability
fessional – potentially even ending that       to provide medical care. e amend-
person’s career. e changes to the Act,         ments to the legislation may have cre-              www.seniors.alberta.ca/ppc

the definitions and the process raise the       ated an open door for a huge increase in
possibility of more care providers fac-        complaints. Even when a professional is
ing complaints and serious ramifications        eventually vindicated (less likely under the
from them.                                     new legislation) such a complaint hang-
                                               ing over a person’s head for a considerable
  Taken together with the broad defini-
                                               period of time is a heavy burden to bear.
tion of “abuse” in the legislation, it is
                                                                                                   e changes to the Act, the
conceivable that, if a resident or patient          e July 2010 Guide to Understand-
accidentally falls and injures herself while   ing the PPIC Act directs people to think         definitions and the process
alone in her room, it is possible an RN        of serious harm “broadly”, including any
could be found to have committed abuse         hurt or injury that interferes with the               raise the possibility of
for failing to provide adequate monitor-       health or comfort of the person, where it
                                                                                                more care providers facing
ing. Similarly, if there is a delay in pro-    is more than merely transient or trifling
viding PRN medication to a patient and         in nature, including a “low level of harm           complaints and serious
the patient remains in discomfort for a        that did not require any physical inter-
while longer than normal, an RN may be         vention or treatment” and “temporary              ramifications from them.
exposed to an allegation of abuse. With        stress or embarrassment.”
tight budgets and resulting understaffing

                                                                                                           September|October 2010
                                                                                                              Volume 34, Number 4   9
Keeping Healthy at Work


                                                     Joint Occupational Health and
                                                    Safety Committees – Status Quo

                                            S
       It is vitally important that                everal months ago representatives             e proposed model is not compliant
                                                   of AHS Workplace Health and             with the language of the provincial col-
       any OH&S concerns/issues                    Safety met with UNA, HSAA and           lective agreement that sets out a specific
                                            AUPE and proposed a new model for              process for dealing with OH&S issues/
          be reported to your Local
                                            Joint Occupational Health and Safety           concerns. Article 34: Occupational
                         representatives.   Committees ( JOHSC). Covenant Health           Health and Safety requires that there
                                            also proposed this same model around           be an Occupational Health and Safety
                                            the same time.                                 Committee with representatives of the
                                                                                           Union (your Local) and the Employer
                                                 ey proposed that every unit in a facil-
                                                                                           (Alberta Health Services). is commit-
                                            ity and every community health services
                                                                                           tee meets monthly and Local OH&S
                                            office have their own JOHSC that would
                                                                                           Committee representatives are elected at
                                            deal with and attempt to resolve OH&S
                                                                                           the Local Annual General Meeting.
                                            concerns. AHS also proposed that the
                                            current OH&S committees would only                  e creation of unit/office commit-
                                            deal with concerns that were not resolved      tees would add an additional step to the
                                            at the unit/office committees and act in         agreed upon process for dealing with
                                            an advisory capacity on OH&S policy.           OH&S issues/concerns and would re-
                                                                                           quire a change to the language of Article
                                                                                           34. During the recent bargaining neither
                                                                                           AHS nor Covenant Health proposed a
         Dealing with OH&S Issues/Concerns:                                                changes to Article 34. e structure and
                                                                                           purpose of the current OH&S com-


     O
                 nce an OH&S concern is raised you and/or your Local                       mittees established under the collective
                 representative must first discuss the issue with your supervi-             agreement remains the same.
                 sor (management) and attempt to resolve the concern at that
                                                                                            UNA has notified AHS and Covenant
     level. If the concern is not resolved before the next monthly meeting of
                                                                                           Health that the Union is not in agree-
     OH&S committee it will be discussed at the committee meeting. e
                                                                                           ment with the proposed new model for
     concern is presented to the committee on a UNA OH&S Form. is
                                                                                           OH&S committees
     form is filled out and signed by the nurse or a union representative.
                                                                                             If a concern/issue is brought to an
       Your Local representatives will present the concern to the commit-
                                                                                           employer unit/office based committee
     tee and make recommendations for eliminating or controlling the
                                                                                           and is not resolved then there is no ability
     workplace hazard. If the issue is not resolved at the OH&S commit-
                                                                                           to pursue the issue further to the Chief
     tee then it moves to the CEO level.
                                                                                           Executive Officer (CEO) or to the AHS
        Once the issue is referred to the CEO a resolution meeting is                      Board as per the Collective Agreement.
     set up to discuss the issue within 21 calendar days. e CEO must
                                                                                             It is vitally important that any OH&S
     provide the Local with a written reply within 7 calendar days. If the
                                                                                           concerns/issues be reported to your Local
     issue remains unresolved then it moves to the Board.
                                                                                           representatives so that they can be dealt
       Local representatives have the right to present its concern and rec-                with by the OH&S committee set up
     ommendations to the AHS Board. e Board then has 14 calendar                           under the Agreement to ensure that they
     days to provide a response to the Local.                                              are resolved and the health and safety of
                                                                                           our members is protected.

      United Nurses of Alberta
10    NewsBulletin
About your Pensions


  Pension benefits for nurses on long-term disability

N
           urses on long-term disability          As the nurse is leaving ten years before       Nurses on disability and
           (LTD) who do not expect to          age 65 the reduction is 10 x 3% or a total
                                               of 30%. e early pension would be                 considering accessing their
           ever return to work may be able
                                               $1,100 less 30% or about $770 per month.
to increase their income to 80% of their                                                          pension can call Alberta
former wages by accessing the disability         However, if the 55-year-old nurse is dis-
                                               abled she or he may qualify for the LAPP                  Pension Services
benefit of their pension.
                                               disability, which is full pension. She or he
                                                                                                       1-800-661-8198.
     e Local Authorities Pension Plan          would receive the full $1,100 a month.
(LAPP) disability benefit is the full                                                                Of if you have further
                                                     e situation becomes slightly more
monthly pension the employee has ac-           complex for a nurse who is receiving
                                                                                              questions, contact your UNA
crued. To qualify for the LAPP Disability      Long Term Disability Benefits. LTD
pension a participant’s medical evidence       normally pays 66.6% of former regular             Labour Relations Officer.
must show he or she suffers from a physi-       earnings to qualified disabled employees.
cal or mental impairment that can reason-      Any LAPP pension would be consid-
                                               ered to be “other income” for insurance
ably be expected to last for the remainder
                                               company LTD purposes. e maximum
of their lifetime; and prevents them from
                                               “other income” that a participant can
working in any gainful occupation.             receive can only boost their total income
    e LAPP definition of disability is          to 80% of their regular earnings. If the
almost the same as the definitions used         disabled nurse’s combined income from
by Canada Pension Plan Disability and          LTD, CPP Disability and LAPP disabil-
SunLife Long Term Disability (after 24         ity exceeds 80%, the insurance company
months).                                       will reduce their payments so that the
                                               combined incomes do not exceed 80% of
     e LAPP Disability will start an
                                               their regular earnings.
unreduced pension at any age without an
early retirement deduction for those who         At current earnings levels the difference
meet the disability definition.                 between 66% of regular earnings and 80%
                                               of regular earnings can be as much as
     is is different from taking an early
                                               $1,117 per month.
pension benefit, which is reduced by 3%
for every year earlier than normal.              Nurses who have accrued LAPP Ben-
                                               efits and meet the LAPP definition of
   For example, the LAPP normal retire-
                                               disability should consider accessing this
ment age is 65, but a nurse who is 55 years
                                               benefit. ere are no age limitations,and
of age with 10 years of pensionable service
                                               the pension can begin whenever the
could initiate retirement. At current salary
                                               LAPP Disability definition is met. As
levels the full pension (at age 65) would
                                               with any access to the LAPP pension, the
be about $1,100 per month. But it would
                                               participant can no longer be employed.
be reduced by 3% for each year the nurse
is under 65. (Or it would be reduced for         Employees on the Employer’s Long
each year it is short of the “85 factor” –     Term Disability Plan need to be cautious
age + years of service = 85 – if this calcu-   about resigning prior to receiving 24
lation results in less of a reduction.         months of LTD benefits. A resignation
                                               ends their access to the Employer’s dental
                                               and supplemental health benefit plan.

                                                                                                          September|October 2010
                                                                                                             Volume 34, Number 4   11
Faces & Friends


                                                   Unit goes the extra mile
                                                    for the English patient
                                                    Nurses at Chinook Regional Hospital organized
                                                         fundraiser to help stranded patient


                                               E
               “All of Unit 4B at the                  arlier this month, Allan Whittle and his wife, Sheila, traveled from the United
                                                       Kingdom to Alberta to visit their son in Lethbridge. During their visit, Allan
              Chinook Hospital was                     Whittle collapsed due to medical complications caused by the change in alti-
                                               tude. When arranging their travel itinerary, their son Paul had purchased travel insur-
         involved in the bake sale.
                                               ance, but after his father became ill the insurance company refused to pay and claimed
      Everyone from transition to              they had not been given a full disclosure of his health status.
                                                 Whittle could access free-health care in the United Kingdom, but because of his
      respiratory was involved, it
                                               medical condition he missed his return flight, a cost the insurance company also re-
                        was so positive,”      fused to pay.

                             Devonee Jensen.
                                                 Upon hearing about Whittle’s situation, the nurses at Unit 4B at the Chinook Re-
                                               gional Hospital decided that they needed to do something to help this patient in need.
                                                 “His attitude so was positive and inspiring, we felt we needed to do something else
                                               to help and give him a boost,” said UNA Local 120 member and Registered Nurse
                                               Devonee Jensen. Jensen and her Unit 4B colleague LPN Candace Cockerill organized
                                               a bake sale to raise funds for Whittle.
                                                 “All of Unit 4B at the Chinook Hospital was involved in the bake sale. Everyone
                                               from transition to respiratory was involved, it was so positive,” said Devonee Jensen.
                                                    e nurses’ initiative raised around $2100 to help Whittle with the costs of return-
                                               ing to the United Kingdom.




                                                   Celebrating Labour Day with the unemployed and disadvantaged
                                                     has become a tradition in both Edmonton and Calgary, with the
                People lined up around the          annual Labour Day Barbecue. The Labour Council’s in both cities
           block for the food at the Calgary     feed thousands of people in both cities and raise awareness of the
                       Labour Day Barbecue          impact unemployment and underemployment has on Calgarians
                                                          and Edmontonians. The barbecues also feature live music
      United Nurses of Alberta
12    NewsBulletin
UNA Vice-President Bev Dick and President Heather                                                               Faces & Friends
        Smith joined a mass picket line at the UFCW strike
       at McKesson in Edmonton recently. The Edmonton
        and District Labour Council organized the event for
        Edmontonians to show support for the workers on
    strike for over two months at the shipping warehouse
         company. Just shortly after the event the workers
          reached a new agreement with improved wages.




  Getting your
   extra 2%
      Employers match RRSP
      contributions up to 2%
        of annual earnings



N
         urses can contribute to a supple-
         mentary RRSP and the Em-
         ployer will match the contribu-
tion. e supplementary RRSP benefit is
an easy way to double your money.
  Nurses can begin contributing to the
RRSP in any month. Contact Human
Resources to set up a deduction from your                       2010 UNA Nursing Scholarships
                                                                  Six $750 awards,
cheque. You are not allowed to contribute
for previous months, however.
  You do NOT have to leave the money
in the RRSP. You can withdraw it to use as
you like (taxes are automatically withheld).
Some time restrictions may apply. Check
                                                                  One $1,000 award
                                                              E
with your local plan for details.
                                                                     very year contributions from UNA members are building
  You can withdraw double what you put                               a fund for special nursing scholarships for family mem-
in, because the Employer matches it. is                              bers who are entering nursing studies. is year, UNA
RRSP program is like a bank account                           will award six $750 Nursing Scholarships. In addition, the national
that doubles your money!                                      Canadian Federation of Nurses Unions sponsors a $1,000 scholar-
                                                              ship. ese scholarships go to assist students in their first year in an
   Alberta Health Services has recently
                                                              approved nursing program in Alberta.
changed its management of the RRSP
plan, but any member who is not con-                              e students must be related to a UNA member in good standing,
tributing can begin to do so. e money                         and submit a short essay to be eligible for the award.
going in to the RRSP savings, is categori-
                                                               For more information see the UNA website and click on Members
cally the nurse’s money.
                                                              Resources (www.una.ab.ca/resources).
     e supplementary RRSP is completely
separate from the regular benefit pension
                                                                  Completed applications must be received at the UNA
plan --which for most nurses is LAPP
                                                               Provincial Office no later than 4:30 pm, October 15, 2010.
(Local Authorities Pension Plan) or PSPP
(the Public Service Pension Plan).                                 e awards will be announced in late January 2011.


                                                                                                                     September|October 2010
                                                                                                                        Volume 34, Number 4   13
Faces & Friends


Faces &                                                                                                                 Just some of the unionists at
                                                                                                                        the Calgary Gay Pride parade

friends                                                                                                                 in August. Nancy Furlong
                                                                                                                        (Secretary-Treasurer, Alberta
                                                                                                                        Federation of Labour (AFL),
                                                                                                                        Alex Shevalier from the AFL
News about the                                                                                                          pride and solidarity committee,
                                                                                                                        UNA’s Karen Craik, provincial
people of United                                                                                                        Secretary Treasurer, and Gil
                                                                                                                        McGowan, President of the AFL.
Nurses of Alberta.




                                               Members from UNA Local 1 and 115 supporting
                                               Calgary Stampede & Exhibition workers in the
                                               fight for their first contract as IMAW Local 99.

   Gathering of former Wetoka Health
       Unit colleagues and friends, in a
      Rimbey restaurant in September.
   “We had a great turn out of friends
     from days past, as well as current
   staff. We have these get togethers
     at least three or four times a year,
  rotating the event within the former
                                                                                                                   Rose Boadi, right, the new President
    Wetoka Health Unit area, between
                                                                                                                   at Local 410 Miller Crossing in
     Wetaskiwin, Ponoka, Rimbey and
                                                                                                                   Edmonton joins in the UNA rally in
      the Winfield community,:” writes
                                                                                                                   front of Youville Home. Here she
   Margie Jones. She says the regular
                                                                                                                   is with UNA Provincial President
    gatherings over nearly three years
                                                                                                                   Heather Smith and Mary Roche, left,
    have “been an amazing help in our
                                                                                                                   President of the Youville Local 154.
     adjustment to the ‘new’ reality of
         Public Health and Home Care.  ”




Other Negotiations


                                               Ontario nurses face possible
                                                  two-year wage freeze
                                            O
                                                      ntario Nurses Association have            the table, saying government was not
                                                      just elected a new negotiating            negotiating on their wage freeze posi-
                                                      committee to start bargain-               tion. Newspapers were reporting experts
                                            ing for a new agreement as their current            saying the province could face a round of
    President of the Quebec nurses’
 union, FIQ, Régine Laurent (centre)
                                            one expires March 31, 2011. But public              public service strikes.
  marches with other labour leaders         service bargaining in Ontario may be in
    against continued wage freezes.                                                               Meanwhile, ONA nurses got their last
                                            an uphill battle because the provincial
  FIQ has launched a province-wide                                                              increase, 3%, in their agreement April 1,
   tour to discuss the impasse they         government has declared a two-year
    face at the bargaining table with                                                           but unhappy non-unionized nurses were
                                            public service wage freeze.
      the provincial government. On                                                             told recently that rather than getting
  July 2nd FIQ announced they had
      broken off contract talks. They         Government discussions with a num-                par with the union wages as usual, their
      have been proposing a 3.75%
       annual increase for each year
                                            ber of public sector unions in August fell          salaries would be frozen.
          of a three-year agreement.        apart when unions walked away from
 United Nurses of Alberta
 NewsBulletin
Know
                                                              Rights
                                                                                                   your UNA Contract
                                                 your
  Bargaining continues for LTC                        Venta Care Centre deal
      and other employers                             gets provincial parity in
  Nurses at many of the province’s Long-                  wages, premiums
term care facilities are also included in the     Early in September the first bargaining
provincial bargaining round. Bargaining         wrapped up with an agreement for Local
has begun with CareWest (Local 221) in          226 Venta Care Centre. e members
Calgary and will be beginning in October        voted to ratify the deal on September 16.
for Bethany Care (Local 91, Local 173
and Local 2) in Calgary.                              e agreement included a 2% increase
                                                to bring Venta nurses up to current
  Other bargaining dates have been set,         provincial rates, and then they stay on
or are still being set for:                     par with a 2% increase in 2011 and 4% in
  Good Samaritan (Locals 212,                   2012. e negotiated settlement also gave
  223, 227, 311, 314, 316)                      the Venta nurses parity in shift differen-
  Shepherds Care Founda-                        tial, weekend premium and charge pay.
  tion (Local 219)                                                                                           David Harrigan
                                                                                               Director of Labour Relations
  St. Michael’s Edmonton (Local 150)                    Voluntary Exit Plan
  Salem Manor (Local 194)
                                                  Almost everyone who applied for the
  Local 99 St. Joseph’s Hospital                AHS Voluntary Exit Plan before the
  Local 118 Capital Care - Edmon-               December 23, 2009 deadline is approved
  ton/Touchmark at Wedgewood                    for the plan. UNA LRO Richard West is
  Local 172 Edith Cavell Care                   attempting to resolve cases for nurses who
  Centre - Lethbridge                           applied for the VEP but later resigned
                                                before their application was settled. Many
  Extendicares Local 168 Holyrood,
                                                of these people who left before hearing
  Local 170 Leduc, Local 209 May-
                                                about their VEP application will likely fi-
  erthorpe, Local 215 Viking, Lo-
                                                nally be approved, although some of these
  cal 189 Fort MacLeod, Local 117
                                                cases may be going to arbitration.
  Somerset, Local 143 Vulcan


           Nurses with two or more separate jobs with AHS will
               amalgamate those jobs into a single position
     e new 2010 Collective Agreement includes transitional changes to amalgamate               A detailed document is
the former Health Regions, and the Cancer Board into a single employer. Nurses
                                                                                               available on the UNA
who hold separate positions in different Regions or the Cancer Board can have only a
single position with a maximum Full-time Equivalency (FTE) of 1.0. A nurse cannot            website at: http://www.
have regular hours more than full-time.
                                                                                             una.ab.ca/news/archive/
  Nurses amalgamating jobs need to meet with Human Resources and a UNA La-
bour Relations Officer to determine which will be their home site and their hours of                   amalgamatedjobs
work. Vacation and sick leave banks also need to be arranged.
  Nurses should be in a single position by September 30th, but there is more time to
sort out schedules, which must be contract compliant by June 30, 2011.
                                                                                                      September|October 2010
                                                                                                         Volume 34, Number 4   15
Know a retired nurse?
                                                        new



                                                                                              e open period to enrol, with NO
                                                                                          medical exam, is until January 31, 2011


                                                                                               Criteria for eligible retired nurses:




                                                                                               Available plans include:




                                        Examine plan details and alternatives carefully




                                                               For more information:
Publications Mail Agreement #40064422

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UNA Newsbulletin September|October 2010 (Issue 4)

  • 1. Marching for nurse sta ng United Nurses of Alberta NewsBulletin at Youville Home Nurses from UNA’s North Central District rally in front of Covenant’s Youville Home in St. Albert. Now classified as an auxiliary hospital, Youville is reducing front-line RN care dramatically. The RNs and other staff are very concerned about impact on their residents. October 26, 27, 28, 2010 September|October 2010 Volume 34, Number 4
  • 2. Message From the President Published by the United Nurses of Alberta six times a year for our members A summer of many changes. A busy fall ahead. Editor Production Keith Wiley Kelly de Jong Many nurses joined our union in recent than about any real concern Executive Board weeks. We are pleased to welcome the for the needs of patients nurses at the Alberta Alcohol and Drug to receive appropriate, safe, quality care. President Heather Smith Abuse Commission (AADAC), and Al- Potential staffing projections for continu- berta Correctional Services. ese nurses ing care are particularly worrisome. So 1st Vice-President Bev Dick were brought into our bargaining unit watch for more information and let your by the continuing expansion of Alberta colleagues know, in case they didn’t, there 2nd Vice-President Jane Sustrik Health Services. As we welcome these is a nursing shortage in Alberta. nurses, who were formerly represented by Secretary/Treasurer e Provincial Agreement ratified on the Alberta Union of Provincial Employ- Karen Craik June 30th is off to the printers and we ees, we also welcome nurses – who are or 403-237-2377 are hopeful you will receive your new union members for the very first time – at North District contract book this fall. e final version Roxann Dreger Susan Gallivan the Rimbey Hospital and Care Centre, will also be available on the UNA website Canadian Blood Services Calgary, and North Central (www.una.ab.ca). Terri Barr Keith Lang Revera Long Term Care-Miller Crossing. Teresa Caldwell Beverley Lawrence Welcome also to new graduates just en- is fall we start to implement the new Christina Doktor Judy Moar Karen Kuprys Beryl Scott tering our profession. Welcome to United committees to ensure there is no overall Central Nurses of Alberta. Get ready for some reduction in RN hours worked, monitor Dianne McInroy Wanda Zimmerman interesting times just ahead. the hiring of 70% of new graduates, and Sandra Zak transform casual and relief hours into South Central A little over a year ago AHS CEO, Ste- Blanche Hitchcow JoAnne Rhodes regular positions. ese new provisions are phen Duckett, said ‘there are too many Tanice Olson Lois Taylor the first of their kind in Canada. Denise Palmer Daphne Wallace nurses in acute care’ and we had an abrupt South halt to recruitment across the province. On the back cover of this issue is in- Maxine Braun John Terry Remember “vacancy management”? Well formation about the new benefit plan for Directors now AHS is very concerned about the retired nurses. I point out that just about workforce shortage and forecasts thou- EVERY retired nurse in Alberta is eli- Labour Relations David Harrigan sands of vacancies. A newly developed gible to buy into this plan. And, until the Finance and AHS workforce supply model projects end of January, you can buy in without a Administrative Services that thousands of nurses will be needed to medical exam. Plans like these reject as Darlene Rathgeber replace those who will be retiring, etc. many as one-third of appplicants because Information Systems the medical exam shows they may have Florence Ross We apparently cannot expand the high costs. Provincial Office number of graduates enough to solve the 900-10611 98 Avenue NW impending dilemma, so what will AHS We are pleased to be joining with the Edmonton AB T5K 2P7 do? A summit of stakeholders will be Alberta Retired Teachers Association in PH: (780) 425-1025 Toll Free: 1-800-252-9394 held in November. AHS is circulating a this plan, as an option for nurses. I want FX: (780) 426-2093 discussion paper for feedback (available to advise you to also research other com- from UNA on request). petitive plans to find out which one is the Southern Alberta Regional Office right fit for you. After the past year, it is ironic that the 300-1422 Kensington Road NW opening sentence of the discussion paper And on a final note, this fall the Gov- Calgary AB T2N 3P9 PH: (403) 237-2377 is “For nearly five decades the nurs- ernment may introduce Alberta Health Toll Free: 1-800-661-1802 ing staffing shortage has been a critical Act legislation. Should the Government FX: (403) 263-2908 concern for healthcare across Canada”. follow through on MLA Fred Horne’s Web Site: www.una.ab.ca E-mail: nurses@una.ab.ca Cynics have suggested the modelling Committee recommendations (see the PUBLICATIONS MAIL AGREEMENT #40064422 scenarios contained in the discussion story inside), a whole lot more will be RETURN UNDELIVERABLE CANADIAN ADDRESSES TO: paper are more about justifying reducing happening. So stay tuned for that too. the skill mix and using unskilled workers UNITED NURSES OF ALBERTA 900-10611 98 AVENUE EDMONTON AB T5K 2P7 Heather Smith - President, UNA United Nurses of Alberta 2 NewsBulletin
  • 3. New Members Welcome nurses to UNA AADAC, Corrections and others U NA is pleased to welcome many Rimbey nurses who have recently joined or formed new UNA bargain- Registered Nurses with the Rimbey Hospital and Care Centre voted earlier ing units. this year to join UNA and have formed Alberta Alcohol and Drug their own UNA Local. As Alberta Abuse Commission Health Services employees they are automatically included in the provincial About 80 nurses who work with AA- bargaining unit and the Provincial Agree- DAC became employees of Alberta Health ment. e nurses have been meeting Newly elected Executive members Services under the province-wide consoli- with UNA LROs to work out details of at Local 412 in Rimbey are from left to right are: Jennifer Anderson dation. ese nurses work all around the applying the Agreement. (VP), Rachel Murray (Treasurer), province in a number of capacities with Kristy Gutterink (President) and Kelly Fairley (Secretary). AADAC. UNA, including representa- Canadian Blood tives from the AADAC nurses, recently Services Calgary negotiated the terms for transition into the UNA Provincial Collective Agreement. Nurses with CBS in Calgary voted e nurses had a ratification vote on these in May to join UNA this year. ey are terms on September 15. e AADAC forming their own Local with about 38 nurses will become members in UNA Lo- members and are beginning negotiations soon for their first contract. cals in the communities where they work. Revera Miller Crossing Alberta Correctional Care Centre Edmonton Services nurses Rose Boadi is the new President at Nurses working with Alberta Correc- Local 410 Revera Miller Crossing in UNA’s Director of Labour Relations tional Services also became AHS em- Edmonton, one of UNA’s other new- David Harrigan talks with AADAC nurses at an info session in ployees after provincial consolidation but est Locals. e nurses voted earlier this Edmonton. The new to UNA nurses court action over their bargaining unit year to join UNA and are about to begin are: (l to r) Alison Treichel, Wendy Rudzcki, Cailin Doyle, Lindsay Piojo. has made them wait some time before negotiations for a first collective agree- finding out which union they would be ment. in. Finally, about 150 nurses who work in the provinces correctional services were brought into the UNA bargaining unit on September 13. Dates are still being set for negotiations on how their contract terms will transition to the UNA agree- ment. No decision has been made as of publication date on which Locals Correc- tions nurses will join. September|October 2010 Volume 34, Number 4 3
  • 4. HRC Controversy Private HRC hospital faces bankruptcy, bailed out by AHS T he financial insolvency of the Networc Health rejected the AHS pro- Health Resources Centre – the posal and indicated that it was prepared for-profit orthopaedic surgical to argue in court against a staff transfer. centre in Calgary – has been in the news As a result, AHS withdrew its proposal lately. Although it had contracts for joint and will post new positions for the units replacement surgeries with AHS, HRC is opening at the McCaig Tower in No- a private-for-profit facility owned by Net- vember. ese will be new AHS positions worc Health. It filed for bankruptcy pro- and will be posted in accordance with the tection after it was unable to fulfill a real existing terms of the Collective Agree- estate agreement. AHS filed an injunction ment with UNA. and an Interim Receiver was appointed. Was HRC a good deal Will nurses working at for Albertans? HRC lose their jobs? AHS has paid over $2 million in extra Networc Health had a chance to work costs because of the HRC bankruptcy The UNA delegation at the with AHS and transfer the staff to the and surgeries at the facility were not cost Friends of Medicare rally. new McCaig Tower facility at the Foot- effective to begin with. Premier Ralph hills Medical Centre. is would have al- Klein admitted in 2005 that privately lowed AHS to continue with the surgeries contracted surgeries on average cost 10% and keep the surgeons and nurses working. more than those in public hospitals. HRC handled cheaper, less complex surgeries. United Nurses of Alberta 4 NewsBulletin
  • 5. HRC Controversy Did AHS have the right to terminate the contract with Networc Health? According to an affidavit from Chris Mazurkewich, AHS Vice-President and Chief Financial Officer, the agreement with Networc Health included a “con- tractual right to suspend or terminate the Surgical Services Agreement without notice should Networc become insolvent, bankrupt or is placed in receivership or commits any act of insolvency.” AHS did NOT push HRC Who is Networc Health into insolvency. looking out for? Friends of Medicare held a rally in front of the for-profit HRC hospital on September 10th. “No bailout of Some misinformation being circulated Networc Health has presented a list of for-profit medicine” was the slogan suggests that HRC became insolvent demands to AHS which they say would because AHS did not provide a mini- need to be met for HRC to continue as a mum number of surgeries required by privately-operated facility: the contract. In reality, the agreement the current senior management of limited “...the maximum annual number HRC must be maintained, of procedures that can be performed at the Health Resource Centre, but Alberta AHS must provide the maximum Health has no obligation to fund any possible number of procedures, minimum number of procedures.” (Court AHS must pay for the legal fees of Queen’s Bench of Alberta Decision, incurred by Networc Health Inc. June 1, 2010) e war of words launched Networc Health is holding the staff Court documents explain that Networc hostage by not allowing AHS to pres- by Networc Health has Health had not received a commitment ent conditional offers of employment to on volume of surgeries before it signed a irresponsibly put business clinical staff at HRC and opposing the real estate deal with Cambrian Properties. transfer of staff to the McCaig Tower. “Networc Health had admitted that it interests before staff job UNA believes that Networc Health was no longer capable of meeting its ob- security and patient care. should not use their staff as bargaining ligations under the leases ... Networc had pieces in this legal battle. e evidence received only partial commitment from presented in these court documents Alberta Health with respect to business provide clarity to the misinformation volumes for the budget year ... Networc being perpetuated by groups who have a did not have the ability to pay lease costs political interest in keeping HRC open on the two buildings that were the subject at any cost. e war of words launched of the leases.” (Court of Queen’s Bench of by Networc Health has irresponsibly put Alberta Decision, June 1, 2010) business interests before staff job security and patient care. September|October 2010 Volume 34, Number 4 5
  • 6. Alberta Health Act New Alberta Health Act likely introduced in October Critics say it’s a back door approach to privatization T he Alberta government will likely e report specifically names: try to pass its new Alberta Health Alberta Health Care Insurance Act Act when the provincial Leg- islature resumes in late October. MLA Hospitals Act Fred Horne is in charge of a committee Nursing Homes Act that has been holding “invitation only” Health Care Protection Act consultations on the proposed law. e Health Insurance Premium Act More information on meetings were opened up when Friends ese acts, the Horne report goes on: the Alberta Health Act of Medicare protested. “inhibit the system’s ability to work out Parkland Institute’s research direc- effective ways to access care from the Parkland Institute reports: tor Diana Gibson says there is “nothing right provider, in the right place, at the parklandinstitute.ca to gain and everything to lose” with the right time and at the right cost.” proposed Alberta Health Act. Gibson and ese are carefully chosen words. In Special website: BC researcher Colleen Fuller report that www.albertahealthact.ca Alberta you only have to look at recent the new act would lead to “the loss of history to get the full meaning. Go back critical protections for the public system to what Ralph Klein referred to as his last and quality standards with the merging of attempt to privatize health care, the ird existing health care acts”. Way. In 2005 one of the government’s Fred Horne’s report, released at the ird Way discussion papers was a pow- beginning of the year was fairly clear on erpoint which is still on the government’s some points: “Certain legislation should be website as of September 2010 (www. given priority in the process of consolida- health.alberta.ca/documents/Removing- tion, particularly those Acts that currently Barriers-PPT-2005.pdf ). establish, define and regulate how publicly It says: funded health services are provided.” Amendments required to Alberta Health Care Insurance Act and Hospitals Act Opens market for private health insurance Removes barriers to private delivery, and Doctors and dentists will be able to work in both private and public system for specified procedures. Changing the current laws is neces- sary to bring in what Don Mazankowski envisaged in 2001: a health market with a parallel, for-profit health system and private insurance coverage. United Nurses of Alberta 6 NewsBulletin
  • 7. BC & CNA BC College set to withdraw from CNA Setting up new association T he College of Registered Nurses Debra MacPherson said in her newslet- of BC (CRNBC) is looking at ter column “We do not believe another creating a new separate associa- organization is required as BCNU has tion to represent BC RNs at the Canadian been carrying out the professional advo- Nurses Association. Some nurses say the cacy role for some time, and has involved controversial move is necessary because itself successfully in nursing education, of BC’s new Health Professions Act. But research, policy and administration.” “Why has there been no BCNU and some other nurses oppose “Why has there been no grassroots in- grassroots involvement or creating a separate association, a third volvement (in the drive to form the new e new act changed the nurses’ association) or even one bedside nurse on even one bedside nurse on organization mandate at the same as it the steering committee or newly formed gave the new College name to the former board?” Debra MacPherson asked. the steering committee or Registered Nursing Association of BC. e Canadian Nurses Association says newly formed board?” Also this spring, the RN Network of BC it “is committed to facilitating CRNBC’s was formed, clearly setting its sights on withdrawal from CNA in a way that will Debra MacPherson asked. becoming a professional association and ensure a continued voice on health and replacing CRNBC at the CNA. At a May social policy issues for British Columbia’s meeting the Network noted that: “Func- registered nurses.” But the CNA also says tions to advance the profession or articu- outstanding questions need to be settled, late nursing views are seen as distinctly including what will happen to the CNA different from and in conflict with regula- membership fees currently collected tion.” e Network established a board by the College and whether member- and the BC College gave it $186,000 dol- ship will be voluntary or mandatory in lars towards becoming an association. the proposed Association of Registered Nurses of BC. However, the proposed changes are controversial. A motion calling for the e province of Ontario has long had BC College to resign from the Canadian a separate college and association, the Nurses Association was defeated by a Registered Nurses Association of Ontario vote of 40 to 29 at the CRNBC Annual (RNAO). General Meeting in June. But the sub- e RNAO also reported on the BC sequent College Board meeting decided discussions and noted that “the formation they remain committed to developing of a national regulatory council for reg- and implementing a plan for withdrawal istered nurses [the Canadian Council of from CNA. Registered Nurse Regulators (CCRNR)] e BC Nurses Union is critical of is proceeding “with the full support of all the change. In July, BCNU President the regulatory bodies in Canada.” September|October 2010 Volume 34, Number 4 7
  • 8. BC & CNA CARNA staying in CNA CARNA has joined in as one In Alberta the College and Association ing further discussion of the need for of Registered Nurses is making clear it will participation in other international of five Canadian RN Colleges stay in the Canadian Nurses Association. or national nursing organizations CARNA has joined in as one of five Cana- to form the new Canadian separate from CNA...” dian RN Colleges to form the new Cana- dian Council of Registered Nurse Regula- CARNA’s provincial Council later Council of Registered Nurse tors (CCRNR). e new Council will focus passed a motion which emphasizes its Regulators (CCRNR). on professional regulatory matters, entry to continued commitment to CNA: practice, standards and best practices. “ at Provincial Council does sup- A motion at the April CARNA annual port CARNA’s participation in the meeting called on the organization to National Council of State Boards of hold off on the new Council and to stay Nursing (NCSBN) and the Canadian in CNA: Council of Registered Nurse Regulators “...suspend further participation of (CCRNR) and the Canadian Nurses CARNA in the National Council of Association (CNA).” State Boards of Nursing (NCSBN) [a CARNA is also an associate member U.S. nurse regulators’ organization] of the U.S. nurse regulators’ organization, or the Canadian Council of Registered the National Council of State Boards of Nurse Regulators (CCRNR) pend- Nursing (NCSBN). Long term care aide speaks out R etired health care aide Loretta Raiter went pub- Raiter described that staff-to-patient ratios were so lic in August about the declining conditions of low that it was impossible to do everything that needed resident care at Salem Manor in Leduc. Raiter to be completed in a 3 p.m. to 11 p.m. shift. People were told the media that she retired early because she could sometimes given powdered meal replacements instead no longer give residents the care they needed. of real food, others ended up sitting for hours in soiled diapers or having wet diapers put back on after bathing. “I went home feeling guilty – guilty that I could not provide proper care for these people that had become Retired health care aid Loretta Raiter was joined by NDP MLA Brian Mason as my friends,” Raiter told the Edmonton Journal. she described the declining state of resident care at Salem Manor in Leduc. United Nurses of Alberta 8 NewsBulletin
  • 9. Protection of Persons in Care Changes to Protection of Persons in Care raise concerns for care providers I n 2009, the provincial government changed the ten-year-old Protections for Persons in Care Act (PPIC) broadening the definition of abuse which raises real concerns for health care providers. e revised legislation came into effect July 1 2010. It now applies to service providers in mental health facilities as well as providers in other health care settings. e new amendments redefine the nature of abuse to focus on acts or omissions that result in “serious” harm. Concerns have come up because the new government guide includes “discomfort” in a very broad definition of harm. Another important – and worrisome – of many facilities, these situations could change is that an individual can now be be a real problem. found to have committed abuse without Anyone can allege abuse. Perhaps a any intent or willful act. disgruntled family member or unhappy Being found to have committed abuse co-worker, or just someone who perceives under the PPIC Act obviously has pro- abuse without understanding the context found repercussions for a medical pro- and limitations of a professional’s ability fessional – potentially even ending that to provide medical care. e amend- person’s career. e changes to the Act, ments to the legislation may have cre- www.seniors.alberta.ca/ppc the definitions and the process raise the ated an open door for a huge increase in possibility of more care providers fac- complaints. Even when a professional is ing complaints and serious ramifications eventually vindicated (less likely under the from them. new legislation) such a complaint hang- ing over a person’s head for a considerable Taken together with the broad defini- period of time is a heavy burden to bear. tion of “abuse” in the legislation, it is e changes to the Act, the conceivable that, if a resident or patient e July 2010 Guide to Understand- accidentally falls and injures herself while ing the PPIC Act directs people to think definitions and the process alone in her room, it is possible an RN of serious harm “broadly”, including any could be found to have committed abuse hurt or injury that interferes with the raise the possibility of for failing to provide adequate monitor- health or comfort of the person, where it more care providers facing ing. Similarly, if there is a delay in pro- is more than merely transient or trifling viding PRN medication to a patient and in nature, including a “low level of harm complaints and serious the patient remains in discomfort for a that did not require any physical inter- while longer than normal, an RN may be vention or treatment” and “temporary ramifications from them. exposed to an allegation of abuse. With stress or embarrassment.” tight budgets and resulting understaffing September|October 2010 Volume 34, Number 4 9
  • 10. Keeping Healthy at Work Joint Occupational Health and Safety Committees – Status Quo S It is vitally important that everal months ago representatives e proposed model is not compliant of AHS Workplace Health and with the language of the provincial col- any OH&S concerns/issues Safety met with UNA, HSAA and lective agreement that sets out a specific AUPE and proposed a new model for process for dealing with OH&S issues/ be reported to your Local Joint Occupational Health and Safety concerns. Article 34: Occupational representatives. Committees ( JOHSC). Covenant Health Health and Safety requires that there also proposed this same model around be an Occupational Health and Safety the same time. Committee with representatives of the Union (your Local) and the Employer ey proposed that every unit in a facil- (Alberta Health Services). is commit- ity and every community health services tee meets monthly and Local OH&S office have their own JOHSC that would Committee representatives are elected at deal with and attempt to resolve OH&S the Local Annual General Meeting. concerns. AHS also proposed that the current OH&S committees would only e creation of unit/office commit- deal with concerns that were not resolved tees would add an additional step to the at the unit/office committees and act in agreed upon process for dealing with an advisory capacity on OH&S policy. OH&S issues/concerns and would re- quire a change to the language of Article 34. During the recent bargaining neither AHS nor Covenant Health proposed a Dealing with OH&S Issues/Concerns: changes to Article 34. e structure and purpose of the current OH&S com- O nce an OH&S concern is raised you and/or your Local mittees established under the collective representative must first discuss the issue with your supervi- agreement remains the same. sor (management) and attempt to resolve the concern at that UNA has notified AHS and Covenant level. If the concern is not resolved before the next monthly meeting of Health that the Union is not in agree- OH&S committee it will be discussed at the committee meeting. e ment with the proposed new model for concern is presented to the committee on a UNA OH&S Form. is OH&S committees form is filled out and signed by the nurse or a union representative. If a concern/issue is brought to an Your Local representatives will present the concern to the commit- employer unit/office based committee tee and make recommendations for eliminating or controlling the and is not resolved then there is no ability workplace hazard. If the issue is not resolved at the OH&S commit- to pursue the issue further to the Chief tee then it moves to the CEO level. Executive Officer (CEO) or to the AHS Once the issue is referred to the CEO a resolution meeting is Board as per the Collective Agreement. set up to discuss the issue within 21 calendar days. e CEO must It is vitally important that any OH&S provide the Local with a written reply within 7 calendar days. If the concerns/issues be reported to your Local issue remains unresolved then it moves to the Board. representatives so that they can be dealt Local representatives have the right to present its concern and rec- with by the OH&S committee set up ommendations to the AHS Board. e Board then has 14 calendar under the Agreement to ensure that they days to provide a response to the Local. are resolved and the health and safety of our members is protected. United Nurses of Alberta 10 NewsBulletin
  • 11. About your Pensions Pension benefits for nurses on long-term disability N urses on long-term disability As the nurse is leaving ten years before Nurses on disability and (LTD) who do not expect to age 65 the reduction is 10 x 3% or a total of 30%. e early pension would be considering accessing their ever return to work may be able $1,100 less 30% or about $770 per month. to increase their income to 80% of their pension can call Alberta former wages by accessing the disability However, if the 55-year-old nurse is dis- abled she or he may qualify for the LAPP Pension Services benefit of their pension. disability, which is full pension. She or he 1-800-661-8198. e Local Authorities Pension Plan would receive the full $1,100 a month. (LAPP) disability benefit is the full Of if you have further e situation becomes slightly more monthly pension the employee has ac- complex for a nurse who is receiving questions, contact your UNA crued. To qualify for the LAPP Disability Long Term Disability Benefits. LTD pension a participant’s medical evidence normally pays 66.6% of former regular Labour Relations Officer. must show he or she suffers from a physi- earnings to qualified disabled employees. cal or mental impairment that can reason- Any LAPP pension would be consid- ered to be “other income” for insurance ably be expected to last for the remainder company LTD purposes. e maximum of their lifetime; and prevents them from “other income” that a participant can working in any gainful occupation. receive can only boost their total income e LAPP definition of disability is to 80% of their regular earnings. If the almost the same as the definitions used disabled nurse’s combined income from by Canada Pension Plan Disability and LTD, CPP Disability and LAPP disabil- SunLife Long Term Disability (after 24 ity exceeds 80%, the insurance company months). will reduce their payments so that the combined incomes do not exceed 80% of e LAPP Disability will start an their regular earnings. unreduced pension at any age without an early retirement deduction for those who At current earnings levels the difference meet the disability definition. between 66% of regular earnings and 80% of regular earnings can be as much as is is different from taking an early $1,117 per month. pension benefit, which is reduced by 3% for every year earlier than normal. Nurses who have accrued LAPP Ben- efits and meet the LAPP definition of For example, the LAPP normal retire- disability should consider accessing this ment age is 65, but a nurse who is 55 years benefit. ere are no age limitations,and of age with 10 years of pensionable service the pension can begin whenever the could initiate retirement. At current salary LAPP Disability definition is met. As levels the full pension (at age 65) would with any access to the LAPP pension, the be about $1,100 per month. But it would participant can no longer be employed. be reduced by 3% for each year the nurse is under 65. (Or it would be reduced for Employees on the Employer’s Long each year it is short of the “85 factor” – Term Disability Plan need to be cautious age + years of service = 85 – if this calcu- about resigning prior to receiving 24 lation results in less of a reduction. months of LTD benefits. A resignation ends their access to the Employer’s dental and supplemental health benefit plan. September|October 2010 Volume 34, Number 4 11
  • 12. Faces & Friends Unit goes the extra mile for the English patient Nurses at Chinook Regional Hospital organized fundraiser to help stranded patient E “All of Unit 4B at the arlier this month, Allan Whittle and his wife, Sheila, traveled from the United Kingdom to Alberta to visit their son in Lethbridge. During their visit, Allan Chinook Hospital was Whittle collapsed due to medical complications caused by the change in alti- tude. When arranging their travel itinerary, their son Paul had purchased travel insur- involved in the bake sale. ance, but after his father became ill the insurance company refused to pay and claimed Everyone from transition to they had not been given a full disclosure of his health status. Whittle could access free-health care in the United Kingdom, but because of his respiratory was involved, it medical condition he missed his return flight, a cost the insurance company also re- was so positive,” fused to pay. Devonee Jensen. Upon hearing about Whittle’s situation, the nurses at Unit 4B at the Chinook Re- gional Hospital decided that they needed to do something to help this patient in need. “His attitude so was positive and inspiring, we felt we needed to do something else to help and give him a boost,” said UNA Local 120 member and Registered Nurse Devonee Jensen. Jensen and her Unit 4B colleague LPN Candace Cockerill organized a bake sale to raise funds for Whittle. “All of Unit 4B at the Chinook Hospital was involved in the bake sale. Everyone from transition to respiratory was involved, it was so positive,” said Devonee Jensen. e nurses’ initiative raised around $2100 to help Whittle with the costs of return- ing to the United Kingdom. Celebrating Labour Day with the unemployed and disadvantaged has become a tradition in both Edmonton and Calgary, with the People lined up around the annual Labour Day Barbecue. The Labour Council’s in both cities block for the food at the Calgary feed thousands of people in both cities and raise awareness of the Labour Day Barbecue impact unemployment and underemployment has on Calgarians and Edmontonians. The barbecues also feature live music United Nurses of Alberta 12 NewsBulletin
  • 13. UNA Vice-President Bev Dick and President Heather Faces & Friends Smith joined a mass picket line at the UFCW strike at McKesson in Edmonton recently. The Edmonton and District Labour Council organized the event for Edmontonians to show support for the workers on strike for over two months at the shipping warehouse company. Just shortly after the event the workers reached a new agreement with improved wages. Getting your extra 2% Employers match RRSP contributions up to 2% of annual earnings N urses can contribute to a supple- mentary RRSP and the Em- ployer will match the contribu- tion. e supplementary RRSP benefit is an easy way to double your money. Nurses can begin contributing to the RRSP in any month. Contact Human Resources to set up a deduction from your 2010 UNA Nursing Scholarships Six $750 awards, cheque. You are not allowed to contribute for previous months, however. You do NOT have to leave the money in the RRSP. You can withdraw it to use as you like (taxes are automatically withheld). Some time restrictions may apply. Check One $1,000 award E with your local plan for details. very year contributions from UNA members are building You can withdraw double what you put a fund for special nursing scholarships for family mem- in, because the Employer matches it. is bers who are entering nursing studies. is year, UNA RRSP program is like a bank account will award six $750 Nursing Scholarships. In addition, the national that doubles your money! Canadian Federation of Nurses Unions sponsors a $1,000 scholar- ship. ese scholarships go to assist students in their first year in an Alberta Health Services has recently approved nursing program in Alberta. changed its management of the RRSP plan, but any member who is not con- e students must be related to a UNA member in good standing, tributing can begin to do so. e money and submit a short essay to be eligible for the award. going in to the RRSP savings, is categori- For more information see the UNA website and click on Members cally the nurse’s money. Resources (www.una.ab.ca/resources). e supplementary RRSP is completely separate from the regular benefit pension Completed applications must be received at the UNA plan --which for most nurses is LAPP Provincial Office no later than 4:30 pm, October 15, 2010. (Local Authorities Pension Plan) or PSPP (the Public Service Pension Plan). e awards will be announced in late January 2011. September|October 2010 Volume 34, Number 4 13
  • 14. Faces & Friends Faces & Just some of the unionists at the Calgary Gay Pride parade friends in August. Nancy Furlong (Secretary-Treasurer, Alberta Federation of Labour (AFL), Alex Shevalier from the AFL News about the pride and solidarity committee, UNA’s Karen Craik, provincial people of United Secretary Treasurer, and Gil McGowan, President of the AFL. Nurses of Alberta. Members from UNA Local 1 and 115 supporting Calgary Stampede & Exhibition workers in the fight for their first contract as IMAW Local 99. Gathering of former Wetoka Health Unit colleagues and friends, in a Rimbey restaurant in September. “We had a great turn out of friends from days past, as well as current staff. We have these get togethers at least three or four times a year, rotating the event within the former Rose Boadi, right, the new President Wetoka Health Unit area, between at Local 410 Miller Crossing in Wetaskiwin, Ponoka, Rimbey and Edmonton joins in the UNA rally in the Winfield community,:” writes front of Youville Home. Here she Margie Jones. She says the regular is with UNA Provincial President gatherings over nearly three years Heather Smith and Mary Roche, left, have “been an amazing help in our President of the Youville Local 154. adjustment to the ‘new’ reality of Public Health and Home Care. ” Other Negotiations Ontario nurses face possible two-year wage freeze O ntario Nurses Association have the table, saying government was not just elected a new negotiating negotiating on their wage freeze posi- committee to start bargain- tion. Newspapers were reporting experts ing for a new agreement as their current saying the province could face a round of President of the Quebec nurses’ union, FIQ, Régine Laurent (centre) one expires March 31, 2011. But public public service strikes. marches with other labour leaders service bargaining in Ontario may be in against continued wage freezes. Meanwhile, ONA nurses got their last an uphill battle because the provincial FIQ has launched a province-wide increase, 3%, in their agreement April 1, tour to discuss the impasse they government has declared a two-year face at the bargaining table with but unhappy non-unionized nurses were public service wage freeze. the provincial government. On told recently that rather than getting July 2nd FIQ announced they had broken off contract talks. They Government discussions with a num- par with the union wages as usual, their have been proposing a 3.75% annual increase for each year ber of public sector unions in August fell salaries would be frozen. of a three-year agreement. apart when unions walked away from United Nurses of Alberta NewsBulletin
  • 15. Know Rights your UNA Contract your Bargaining continues for LTC Venta Care Centre deal and other employers gets provincial parity in Nurses at many of the province’s Long- wages, premiums term care facilities are also included in the Early in September the first bargaining provincial bargaining round. Bargaining wrapped up with an agreement for Local has begun with CareWest (Local 221) in 226 Venta Care Centre. e members Calgary and will be beginning in October voted to ratify the deal on September 16. for Bethany Care (Local 91, Local 173 and Local 2) in Calgary. e agreement included a 2% increase to bring Venta nurses up to current Other bargaining dates have been set, provincial rates, and then they stay on or are still being set for: par with a 2% increase in 2011 and 4% in Good Samaritan (Locals 212, 2012. e negotiated settlement also gave 223, 227, 311, 314, 316) the Venta nurses parity in shift differen- Shepherds Care Founda- tial, weekend premium and charge pay. tion (Local 219) David Harrigan Director of Labour Relations St. Michael’s Edmonton (Local 150) Voluntary Exit Plan Salem Manor (Local 194) Almost everyone who applied for the Local 99 St. Joseph’s Hospital AHS Voluntary Exit Plan before the Local 118 Capital Care - Edmon- December 23, 2009 deadline is approved ton/Touchmark at Wedgewood for the plan. UNA LRO Richard West is Local 172 Edith Cavell Care attempting to resolve cases for nurses who Centre - Lethbridge applied for the VEP but later resigned before their application was settled. Many Extendicares Local 168 Holyrood, of these people who left before hearing Local 170 Leduc, Local 209 May- about their VEP application will likely fi- erthorpe, Local 215 Viking, Lo- nally be approved, although some of these cal 189 Fort MacLeod, Local 117 cases may be going to arbitration. Somerset, Local 143 Vulcan Nurses with two or more separate jobs with AHS will amalgamate those jobs into a single position e new 2010 Collective Agreement includes transitional changes to amalgamate A detailed document is the former Health Regions, and the Cancer Board into a single employer. Nurses available on the UNA who hold separate positions in different Regions or the Cancer Board can have only a single position with a maximum Full-time Equivalency (FTE) of 1.0. A nurse cannot website at: http://www. have regular hours more than full-time. una.ab.ca/news/archive/ Nurses amalgamating jobs need to meet with Human Resources and a UNA La- bour Relations Officer to determine which will be their home site and their hours of amalgamatedjobs work. Vacation and sick leave banks also need to be arranged. Nurses should be in a single position by September 30th, but there is more time to sort out schedules, which must be contract compliant by June 30, 2011. September|October 2010 Volume 34, Number 4 15
  • 16. Know a retired nurse? new e open period to enrol, with NO medical exam, is until January 31, 2011 Criteria for eligible retired nurses: Available plans include: Examine plan details and alternatives carefully For more information: Publications Mail Agreement #40064422