RN Community

SEIU 1021

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

Download the tentative agreement for San Francisco RNs

Download the Memorandum of Understanding for San Francisco RNs

Download the MOU Extension Agreement (2016-2019)

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


Download the Assignment Despite Objection Form
Download the Assignment Despite Objection Form for Jail and Health Services RNs
Download the Patient Safety Reporting Form


2019 SF Registered Nurses Ratification Vote Schedule

Day Date Time Chapter Location
Mon 6/17 12:00pm-1:00pm Comm Public Health Nurses Ocean Park Health Center, 1351 24th Ave.
Mon 6/17 2:30pm-3:30pm Comm Public Health Nurses Medical Respite & Sobering Ctr, 1171 Mission St.
Tues 6/18 10:00am-11:00am Comm Public Health Nurses

No Hate in Healthcare
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Today nurses, joined by community allies, gathered in front of SF General Hospital’s historic Ward 86—the first dedicated AIDS clinic in the country—to speak out against the Trump Administration’s “conscience in healthcare” rule. The rule allows healthcare providers, insurance companies, hospitals and pharmacies to refuse healthcare based on personal beliefs.