San Francisco General Hospital

Bargaining Team Nominees

Attention all SEIU Local 1021 San Francisco RNs :

The following are the eligible nurses nominated to be part of the 2017 MOU Bargaining Team:



First Name

Last Name



DPH PHN Community – DPH Programs



Health at Home Community – DPH Programs



SFGH Med Surg



SFGH – Co-Chair






DPH Comm Behav Health



LHH – Alternate



COPC Ambu Care



SFGH Clinics












SFGH Med Surg



SFGH – Advanced Practice



SFGH Psych









Jail Health Services



Health at Home – Co-Chair



SFGH Med Surg






SFGH – Surgi Center



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Notice of SF RN Bargaining Team Election

In 2017 we’ll build on the strong foundation we created during last year’s negotiations. We have a tough fight ahead of us, but by uniting together we have power to take on the attacks and win a contract that allows for fair wage and benefits and prioritizes patient care.

While negotiations promises its share of challenges, there’s an equal number of opportunities for all of us and the communities who rely on our care—from the clinics to General Hospital and Laguna Honda.

Our Contract Campaign will champion the care that San Francisco residents and workers need and deserve.

Take take the first step and be part of the Bargaining Team.

Download a copy of this notice and the nomination form

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San Francisco Nurses Ratify a Contract With Safe Staffing Levels

San Francisco Nurses Ratify a Contract With Safe Staffing Levels

96% of Registered Nurses in the City and County of San Francisco overwhelmingly ratified a new contract today after months of consistent actions highlighting the impacts of inadequate staffing levels and the need for sustainable wages.

The one-year contract (which begins July 1) marks a major victory for Registered Nurses throughout the City and County of San Francisco hospitals, clinics and community. It starts with a $0.75% one-time bonus, with a total 3.25% COLA and with a 7.5% Medical Emergency Response Team Differential.

The ratification comes on the heels of the expansion of the new Zuckerberg San Francisco General Hospital. For several months leading up to the opening, Registered Nurses throughout the city spoke up about the high diversion rates, the inadequate staffing and the need for sustainable wages so nurses can be available to live and work in the Bay Area. Actions were held at Laguna Honda Hospital, San Francisco General and a massive rally at City Hall.

“We are extremely excited that our nurses ratified this contract with the City and County of San Francisco. Through this contract our patients will have the access to the quality services they need that helps to build a healthy San Francisco. Together with Nurses throughout the City we achieved two goals: We gained more staff to support the needs of San Francisco and we received a fair contract,” said Aaron Cramer, San Francisco General Hospital Registered Nurse.

Other contract benefits include:

  • Dedicated break coverage for units with Title 22 ratios
  • Increased staffing for Med Surg, Laguna Honda, SFGH Emergency Department, PACU, Psychiatry and Maternal Child Health
  • Part-time employees may apply for full-time reassignment
  • Fast tracked processes for tuition reimbursement
  • $50,000 life insurance for covered employees

Watch a recap campaign video:

Read some of the coverage here:


Mission Local


San Francisco Examiner

San Francisco Examiner

San Francisco Examiner

San Francisco News


The San Francisco Registered Nurses’ Bargaining Team reached a tentative agreement with the City and County of San Francisco on Memorial Day after several weeks of intensive bargaining sessions. Voting begins today and runs through Saturday at sites throughout San Francisco.

The main issues were safe staffing at San Francisco General Hospital, Laguna Honda Hospital and Community Clinics and the recognition by City Administrators that wages must increase in order for nurses to live and work in the surrounding communities. In a time when Emergency Department and Psychiatric Emergency Services are on record diversion, it is imperative that we won safe staffing for the for safety of the nurses and the patients. In this one-year contract we won $ 9 million in SFGH Staffing improvements including break coverage, in addition to improvements for all of our facilities. Although we made many gains in this contract, the fight for safe staffing continues.

The strength of the bargaining sessions, mainly had to do with the representation from the bargaining team members who work alongside nurses throughout the City and understood the complexities of their job and how vital staffing is to the success of current and new facilities and being able to outline what the true realities are on the ground for nurses.

While the bargaining team was knowledgeable and fighting for the voices of members in the field, the willingness of members to participate in rallies and actions throughout the city was a clear indication to City Negotiators that our membership cares about our patients and cares about the things they can do to ensure nurses are fully prepared and equipped when they arrive at work.

Some of the contract highlights include:

  • One-year contract
  • 25% wage increase July 1st, 2016
  • 0.75% bonus August 23rd, 2016
  • 5% MERT differential
  • $50,000 Life Insurance
  • Dedicated break relief nurses in units covered by Title 22 ratios
  • Improved Staffing for:
    • Medical- Surgical
    • Psych Emergency
    • Emergency Department
    • Laguna Honda
  • Improved tuition reimbursement processes
  • Training for Charge Nurses
  • Removal on restrictions that prevent part time employees from advancing to full time
  • Assurances to build a childcare center in 2 years at SFGH

“We are extremely excited to achieve this agreement with the City and County of San Francisco. Our aim has always been to highlight our experiences as we attempt to provide the best care for our patients. We are glad the City has acknowledged our position and understands that San Francisco Nurses are well-equipped, not only to do our job exceptionally well, but also to work with hospital administrators to ensure we have all the tools and resources we need to reach our shared goals, said Aaron Cramer, RN.

SEIU 1021 is in the process of scheduling informational meetings throughout the City for the San Francisco RN Chapter to gather more information and updates in preparation for a ratification vote.

Download the tentative agreement for San Francisco RNs

Voting Locations are as follows:

Tuesday, June 7, 2016

Laguna Honda

Conference 2 (room P1191)

6a – 8a | 11:30a – 1p | 9p – 11p

Wednesday, June 8, 2016

SF General – New Hospital Lobby

18:30 – 21:00

Community Public Health

Group One

Health @ Home • 8:30 AM

30 Van Ness • 9:45 AM

170 Otis • 10:30 AM

Urgent Care, 150 Ivy • 11:30 AM

HUH Sobering & Respite • 12:30 PM

(234 Eddy St.)

2712 Mission • 3:00 PM

Group Two

Maxin Hall • 9:00 AM

TWHC- Golden Gate • 10:30 AM

Larkin • 11:30 AM • City Clinic • 1:00 PM

Cole Street • 2:30 PM • Silver Avenue • 3:30 PM

Jail House Services

CJ 1 (Day & Night Shifts) | 6:00 AM

CJ 2 (AM Shift) • 6:30 AM

CJ 4 (AM Shift) • 7:30 AM

San Bruno (Day & Evening Shifts) • 2:15 PM—3:00 PM

CJ 1 (PM Shift) | 6:00 PM

CJ 2 (PM Shift) | 6:30 PM

CJ 4 (PM Shift) | 7:00 PM

Thursday, June 9, 2016

SF General – New Hospital Lobby

06:30 – 13:00 and 18:00 – 23:30

Laguna Honda

Conference 2 (room P1191)

6a – 8a | 11:30a – 1p | 9p – 11p

Group One

Castro Mission • 8:30 AM

Potrero Hill • 10:00 AM

Southeast Health Clinic • 11:30 PM

Family Mosaic • 1:00 PM

Group Two

Chinatown • 9:00 AM

Chinatown North Beach • 9:30 AM

South of Market & SF First • 10:00 AM

OMI • 11:00 AM

Sunset • 1:00 PM

Ocean Park Health Center • 1:30 PM

Central City Older Adult • 2:00 PM

1390 Howard • 3:00 PM

Friday, June 10

SF General – New Hospital Lobby

06:30 – 13:00

Saturday, June 11

SF General – New Hospital Lobby

11:00 – 13:00

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Nurses Declare Psychiatric Healthcare State of Emergency for San Francisco


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).

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Nurses and Healthcare Professionals Alert Public of Chronic Understaffing and Title 22 Staffing Ratio Violations in SFDPH


Informational Picket Educates Public on Problem of Understaffing at San Francisco General Hospital and San Francisco Department of Public Health

Could Potentially Compromise Delivery of Care and Patient Safety as Health Research Demonstrates Nurse Understaffing Leads to Worse Patient Outcomes

Registered nurses, Nursing Assistants, Radiology Techs, and other healthcare workers gathered outside General Hospital on Thursday, February 25 to ring the alarm bell for the public about chronic understaffing and Title 22 violations occurring across SF Department of Public facilities.

Although San Francisco is on the verge of opening a new hospital building, the healthcare workers will report on the ongoing and unaddressed issue of understaffing.

For example, when nurses are on their legally-mandated breaks, they utilize a buddy system which puts them and the hospital out of compliance with Title 22 Staffing Ratio Laws. During break time, this buddy system could potentially place 1 nurse responsible for up to 10 patients, depending on the unit they work on.

Another example of short staffing occurs in the radiology department. San Francisco General is a Level 1 trauma center that relies heavily on the radiology department to perform imaging in a timely manner. Understaffing in this department could lead to a delay in care, and every minute counts for trauma patients.

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SF RN Bargaining Survey -2016


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

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Notice to SF Registered Nurses: Bargaining Team Election


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

  • Be a member of SEIU 1021
  • Be open to learning new things
  • Represent all RNs, not just their specific work area
  • Be committed to sharing information with coworkers


  • Be organized
  • Inspire confidence in judgment and ability
  • Be a good communicator
  • Be willing to assess risks and outcomes
  • Be able to tolerate tense situations and conflict
  • Must be willing and able to put in the time. Most meetings
    are during the day
  • Bargaining Team members will be paid “lost time” by the
    City. “Lost time” means you don’t lose pay but you also don’t
    get overtime.
  • Attend meetings that sometimes go into the evening and
    are on weekends, possibly on their scheduled days off.

February 8 to February 19
Notice of Elections and Nominations
The notice will be posted on 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 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

March 2
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

SEIU 1021 Chapters & RN Programs

Bargaining Team Member(s)
to be Elected


Med-Surgery 4
ED 1
Labor & Delivery, NICU 1
Psychiatry/BHC, PES 1
Critical Care 1
Adv. Practice, from DPH, HSA, SFFD 1
Clinics 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

Download a copy of this flyer and the nomination form (PDF)

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Oakland Airport Hilton, September 26-27


For the latest updates, go to:

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.


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San Francisco Registered Nurses Contract

SF RNs get your contract here:
2014-2016 Staff Nurses Contract 


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San Francisco RNs Approve Tentative Agreement

2014 RN Bargaining Team

Here, get the flyer: RNs APPROVE TA 

We are pleased to announce that San Francisco Registered Nurses of SEIU 1021 have ratified a new two-year agreement by a 90% margin! The votes were tabulated on June 16, with a majority of RN members participating.

In 2014, 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.

This agreement would not have been possible without the solidarity actions of RN members, the dedication of the RN Bargaining Team, and the full support of our organization!


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