New Data from City Shows Overcrowded Psychiatric Health System, and Epidemic of Untreated Mental Health Problems
More than 400 registered nurses and other healthcare staff at San Francisco General Hospital rallied to warn the public that the City’s psychiatric healthcare system has entered into a state of emergency, citing new data showing sharp jumps in the amount of time that the psychiatric emergency services and the emergency departments are on diversion, closing the facility to most new patients.
The City’s other emergency rooms do not offer the same level of care, especially for psychiatric issues; the result is an epidemic of untreated and under-treated mental health problems in the community.
These problems could worsen in the new facility, which was paid for with public money, but will open with services on diversion, departments understaffed, and no solutions in sight to this crisis.
The nurses released new data showing a sharp increase in 2016 in condition red for psychiatric emergency services. Psychiatric Emergency Services are “condition red,” essentially closed to new patients 34% of the time in January of 2016, up from 16% of the time in February of 2015. PES have been on condition red for approximately 250 hours each week of 2016.
The new data also showed that the San Francisco General Hospital Emergency Room is on diversion a record 60% of the time in February of 2016. That figure is expected to rise again in March. This indicates a significant and worrisome weakening of the City’s emergency room abilities.
“We see this crisis in psychiatric healthcare. We work in it. We know the tragedy. What can we do? We have to call it what it is, a state of emergency. City Hall wants to cover this up, but let’s fix it instead. We can’t let these problems just transfer to the new building and continue to fester,” said Jeanette Conley, a Psychiatric Emergency Services Registered Nurse.
On May 19th, nurses and healthcare workers will bring their message directly to Mayor Lee at City Hall. Join them, along City and nonprofit workers, to stand up for the communities they serve. Download the flyer (PDF).
San Francisco Department of Public Health (SF DPH) is the heart of the city and cares for some of the most vulnerable residents. In the midst of a thriving economy, SF DPH remains understaffed and under resourced, which compromises patient and staff safety. We strive to provide the best possible care to our patients but need the resources to do so. We have an opportunity to do this when we begin contract negotiations in March. Our contract expires on June 30th of this year.
Our current salary, when compared to other area hospitals ,will not enable SF DPH to recruit experienced nurses as we prepare for the transition to the new hospital. We need fair wages and benefits that allow us to retain nurses committed to serving our diverse community. We need to ensure that front-line nurses have a voice in DPH policy decisions that affect our patients and us.
We need to hear from you to prioritize all of our issues at the bargaining table. Thank you for filling out the SEIU 1021 RN bargaining survey today.
Complete the survey at:1021.seiu.org/SFRN-BargainingSurvey
It’s time to elect the Bargaining Team! The San Francisco Registered Nurses contract expires on June 30th this year, and we urge you to nominate yourself or someone in your chapter that will represent your values.
We are holding nominations and elections to the Bargaining Team from our three different SEIU 1021 RN Chapters of SFGH, Laguna Honda and RN Community.
RN Bargaining Team Members should
February 8 to February 19
Notice of Elections and Nominations
The notice will be posted on www.1021RN.org and union bulletin boards at your worksites. Any member may nominate themselves or another member in their Chapter. The Election Committee will verify the eligibility of all candidates.
February 20 to February 22
Eligible candidates announced
Eligible candidates’ names will be posted on www.1021RN.org. The date, time, and location of voting will also be posted on union bulletin boards.
February 24 to March 2
Voting will take place in person at various worksites with contested seats. Dates, times, and voting locations will also be posted on union bulletin boards and on www.1021RN.org
Vote Count and Results Announced
Ballots will be counted at 5:00 pm on March 2nd. The results of the elected Bargaining Team members and alternates will be posted on www.1021RN.org.
SEIU 1021 Chapters & RN Programs
Bargaining Team Member(s)
|Labor & Delivery, NICU||1|
|Adv. Practice, from DPH, HSA, SFFD||1|
|Laguna Honda||TOTAL: 2|
|RN Community||TOTAL: 5|
|COPC (Clinics)/CBHS (Mental Health Clinics0||2|
|DPH Programs (MCAH, Call Centers, H@H, APS)||1|
FREQUENTLY ASKED QUESTIONS
For the latest updates, go to: www.1021convention.org
The convention will be a transformative event, where members will gain greater clarity, energy, motivation and direction to step more fully into their power, with grace, vision, courage and knowledge. This is an opportunity for chapter building, engaging and developing potential leaders, hence making it a priority for staff and elected officers.
Q: What are the qualifications to be a delegate?
A: To be eligible, a member would have to had paid dues for any 4 months in 2014 as well as either January or February, 2015.
Q: Can fee payers participate in the nomination and/or delegate election process?
A: Yes, once they sign a membership form, then they can nominate and vote.
Q: How many delegates can each Chapter elect?
A: Every Chapter gets 2 delegates automatically. After 300 members, each chapter will have 2 additional delegates. For every additional 150 members, a chapter will have 2 additional delegates.
Q: What is the period of time for completing elections?
A: April 20-July 20, 2015
Q: What is an “uncontested ballot”? (Previously referred to as “white ballot”)
A: When there are more or an equal number of delegate slots as candidates, that is referred to as a uncontested ballot and the chapter does not need to hold a full election.
Q: How are alternate delegates selected?
A: In case a delegate can’t participate due to scheduling, illness, etc. Chapters should select alternates even if the delegate election for that Chapter is uncontested or the Chapter does not elect the full number of delegates which it is entitled to.
Here are the rules for selecting alternates: All Chapters are encouraged to select at least two (2) alternates. Alternates need to be ranked by votes received (e.g. the highest vote total becomes Alternate #1, second highest voted becomes Alternate #2, etc.)
In Chapters with “uncontested ballots” (where there are more or an equal number of delegate slots as there are candidates, thus making an election unnecessary), Chapters are still encouraged to select up to two (2) alternates and designate these as Alternate #1 & #2.
Convention Delegates, who become ineligible or unable to attend, shall notify the 1021 Convention Election Committee in writing no later than 8/20/15. An Alternate or Alternates will then be credentialed and seated. Delegates who notify the 1021 Convention Election Committee after 8/20/15 will not be replaced by an alternate.
Q: Which chapters may select honorary delegates? How will honorary delegates be selected?
A:Workers who have recently organized with Local 1021, but who have not ratified their first collective bargaining agreement may select honorary delegates. The process for selecting honorary delegates will be as follows: two (2) honorary delegates will be elected at upcoming membership meetings.
If you are a Delegate:
Q: How will delegates register for the convention?
A: Once the delegate certification form is turned in, the delegate will be sent a welcome letter by e-mail and mail which gives them directions on how to register. (That is why it is critical that their contact information is on certification form).
Q: Do we pay lost time for delegates attending the Convention?
A: Yes, follow the local’s lost time policy. Anyone working from 12:01am on Saturday through 11:59pm on Sunday will receive lost time.
For example: If a delegate works anytime on Saturday or Sunday they may request lost time. So for instance if a member has a shift that starts 11pm on Friday September 25th but goes to 7am Saturday the 26th they may request the time off for their Friday shift and they would receive lost time per the guidelines specified in the policy.
Q: What are the rules around Friday night hotel stays for delegates?
A: Delegateswho travel 75 miles or more (one way) are qualified for Friday night lodging. All Delegates are entitled to Saturday night lodging (there is no required miles to qualify).
Q: What are the rules around the hotel stay on Saturday evening?
A: All delegates are encouraged to stay at the hotel regardless of how close they live to the venue. The local will pay the cost for double occupancy. Depending on room availability, they may request a single room but would need to pay the additional costs.
SF RNs get your contract here:
2014-2016 Staff Nurses Contract
Our RN Bargaining Team Recommend A ‘Yes’ Vote
RN Summary Flyer: RN Tentative Agreement Summary 2014
All Tentative Agreements: 2014 RN and SF Contract Bargaining Tentative Agreements
On Friday, May 30, our RN bargaining team reached atentative agreement with city administrators. In this deal, we won improvements in staffing and won wage increases that keep up with the cost of living. Our bargaining team worked hard to reach this two-year deal and they are unanimously recommending a ‘YES’ vote.
This tentative agreement is subject to your approval/ ratification. We encourage all members to attend informational meetings and vote. Notices for informational meeting and voting locations will be posted at your work site and on www.1021rn.org.
During contract negotiations, RNs and our allies came together at rallies, hearings, and ‘Worker Wednesdays’ to call out misguided City Hall policies hurting safe staffing throughout DPH. We also started a public conversation about City Hall policies that have made San Francisco the City in America with the fastest-rising rate of economic inequality.
Our fight against income inequality continues. We are pursuing a broad program that includes raising the minimum wage to $15 by 2017; protections for tenants and affordable housing; safe staffing for public health and 9-1-1; and an end to tax giveaways to tech CEOs.
Here are highlights of the settlement:
San Francisco General Hospital:
“Our staffing shortage is forcing nurses to do the work of other people like clerks, we don’t have a system to document how breaks are being covered. We haven’t been able to provide break coverage on a consistent basis.”
Please Fill Out Strike Commitment Cards!
Let the city know we are committed and united!