The NYSNA Handbook
A MEMBER’S GUIDE
Suburbs/Upstate Public Sector 2019
NYSNA HANDBOOK: A MEMBER’S GUIDE
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Who is NYSNA?........................................................................ 3 • Who is NYSNA? What is a union? How to get involved........................................................ 4 • Member leaders moving forward with the new NYSNA • NYSNA members’ paths to involvement and leadership in a powerful RN movement
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Nurses’ rights...................................................................... 6 • Your contract • Your rights under federal, state and local laws • Your right to advocate • If management calls you into the office • Protection from unjust treatment our vision............................................................................... 7 • Patients or profits? • A new direction • NYSNA RNs up to the challenge Safe staffing for patients............................................. 8 • Our fight for safe staffing – bargaining and political action • Safe Staffing Captains • Political action for safe staffing • Protecting our patients by protesting unsafe assignments • Research shows safe staffing makes the difference what we won....................................................................... 14 • Our contract campaign • Contract highlights public health advocacy............................................... 19 • Defending public hospitals and protecting the safety net • Protecting our profession • Challenging corporate healthcare • Healthcare for all • Promoting a healthy environment
NYSNA HANDBOOK: A MEMBER’S GUIDE
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NYSNA advances nurses and nursing.................... 22 • Nursing practice resources • Continuing education • Certification review workshops • e-leaRNTM • Statewide Peer Assistance for Nurses (SPAN) affected by substance abuse disorders keeping nurses healthy and safe............................ 23 • Health and safety • Safe patient handling • Workplace violence OUR LEADERS.........................................................................24 • The board of directors • NYSNA staff organizational structure CONTRACTS & LINKS............................................................ 27 • NYSNA Representatives at the NYC Office • NYSNA Contracts • Pension & Health Benefits • SPAN (Statewide Peer Assistance for Nurses) • Social Justice & Civil Rights Committee • Political & Community Organizing facilities REPRESENTED BY NYSNA................................29
IN MEMORIAM NYSNA BOARD MEMBER MARTHA WILCOX, RN It is with great sadness that we acknowledge the passing of our colleague, NYSNA Board Member and extraordinary public health nurse Martha Wilcox, RN. We remember Martha as a dedicated nurse and public health expert, who was committed to the people of Sullivan County. “You devoted your life in service to your patients and faithfully practiced and elevated the standard of our noble profession. As a ‘minister of health’ your dedication to improving human welfare is recognized and appreciated by NYSNA and the community that you served. We humbly thank you for having fulfilled your pledge.” Board of Directors, New York State Nurses Association
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NYSNA HANDBOOK: A MEMBER’S GUIDE
w h o is nysna?
Who is NYSNA? We are! We are a union of 42,000 frontline nurses standing together to defend our workplace standards, strengthen our practice, achieve safe staffing and promote healthcare for all. The New York State Nurses Association (NYSNA) was formed on April 16, 1901, and helped create New York’s Nurse Practice Act. We are New York’s oldest and largest union and professional association of Registered Nurses.
What is a union? As a union of healthcare workers, our commitment is to protecting our patients and profession. But we are also dedicated to a just and humane society, where everyone has a right to quality healthcare and economic security. As union nurses, we fight for safe staffing at the bargaining table and in the statehouse. We work with other unions and community groups to promote single-payer healthcare (Medicare for All), so everyone has access to quality care. Unfortunately more and more hospitals are heading in the opposite direction, putting the bottom-line ahead of patient
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NYSNA’s role is to help members to realize that they can actually change their conditions, whether it is the conditions they work under on a unit or conditions in their neighborhood, their state, their country or their world. Because all these things are related to each other, our job as a union is to help people make these connections, to allow them to have a space for their voices to be heard and for their actions to have meaning, and to defend their right to practice nursing safely and under the best possible circumstances. That way they can do what we all were taught: to take care of our people, take care of our society.” –Judy Sheridan-Gonzalez, RN, NYSNA President
care. That is why our union is working hard to: • Secure safe staffing standards • Guarantee quality healthcare for all • Protect our profession and our scope of practice • Improve standards for RNs across the state: better wages and pensions, sustainable schedules, and working conditions that help recruit and retain excellent nurses. Unions are one of the most important ways working people, including RNs, can build power on the job. When workers from different industries join together, we form an entire labor movement. Together, we can get corporations and government to do what working families need and want. Past gains include improvement in the minimum wage, overtime pay, Social Security and Medicare, family leave, pensions and health benefits. To keep moving forward we: • Bargain collectively with our employers • Promote legislation and engage in political action • Organize the unorganized, bringing non-union RNs into NYSNA • Mobilize along with patients, communities and the broader labor movement NYSNA HANDBOOK: A MEMBER’S GUIDE
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h o w to g e t in vo lv e d
How to get involved There are so many ways to get involved in NYSNA, whatever your level of experience or time you have available. The heart of our work is building power on the job through workplace organizing. NYSNA members volunteer as unit representatives and staffing captains. Members also serve as local bargaining unit leaders or join NYSNA’s statewide leadership as elected convention delegates. Other members engage in nursing practice advocacy, volunteering with facility-based professional practice committees, or our statewide Council on Nursing Practice. Others do political action, volunteering in local community and political action, attending lobby days or serving on our statewide Council on Legislation. Other members are active on social justice and civil rights issues, from addressing climate change and health disparities to disaster recovery efforts coordinated by our New York Relief Network.
Member leaders — moving forward with the new NYSNA One good way to get involved is to attend a member leader training session, where you’ll learn about your rights on the job and how to organize. We have trained more than 1,000 NYSNA members as
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NYSNA HANDBOOK: A MEMBER’S GUIDE
unit reps and delegates over the past two years, and they are our first line of defense. These leaders organize with their coworkers to fix problems in hospitals, spearhead NYSNA’s political efforts — recruiting members to lobby days — and build solidarity with NYSNA members in other hospitals and with other unions — attending pickets and rallies. Our goal is to recruit and train a member leader on every unit and shift in every hospital. We are up against powerful institutions with deep pockets, who want to slash public support for healthcare and weaken unions like NYSNA. The future of nursing and patient care is on the line. Do your part. Get involved.
Learn more Talk with your Rep about attending a leadership training – upcoming classes are listed at http://bit.ly/ nysnaclasses. Learn more at the NYSNA Convention or Biennial (held on alternating years in the fall) and at other conferences in the spring, such as the Public Sector/Private Sector Solidarity conference.
NYSNA Members’ Paths to Involvement and Leadership in a Powerful RN Movement Path 1: Workplace Organizing
Steward or Unit Representative Grievance Committee Health and Safety Committee LBU Executive Committee Contract Negotiations Committee Contract Action Team
LBU Leadership
Path 2: Nursing Practice Advocacy
Path 3: Political Action
Elected LBU Leader for Practice Committee Council on Nursing Practice
Political/Legislative Action Team Council on Legislation Political Action Committee
Practice Committees
Path 4: Social Justice Activism
Social Justice and Civil Rights Committee Climate Change and Public Health Committee Single-Payer Healthcare Committee Disaster Relief and Recovery Committee
Political/Legislative Committees
Issue Committees
Election as Delegate to convention that sets NYSNA policy and direction Election to NYSNA Board of Directors NYSNA HANDBOOK: A MEMBER’S GUIDE
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nurs e s ’ R I GH T S
Your contract NYSNA members in every facility have a contract that spells out their wages, working conditions and benefits. Our contracts address critical issues like seniority and transfers, education benefits, vacation allocations, floating and more. Every NYSNA member should get a copy of their contract and read it. If you have questions about specific contract provisions, ask your unit delegate, one of your LBU leaders or your NYSNA Rep.
Your rights under federal, state and local laws NYSNA members are protected by federal, state and local laws. For example, you have the right to take leave under the federal Family Medical Leave Act as well as the state Paid Family Leave law. You have the right to safe and healthy working conditions, as well as protections from discrimination for age, race, religion and sexual orientation. New York State law bars mandatory overtime and guarantees whistleblower protections to healthcare workers who report unsafe patient care conditions. Find a list of your rights under the law at http:// www.nysna.org/your-rights-under-law.
Your right to advocate Under NYS Taylor Law, union (and nonunion) nurses have the right to advocate for our patients and for ourselves: • At work you can talk, give out literature, sign cards on non-work time in nonwork areas as long as it doesn’t disrupt patient care. • Non-work time means before and after shifts and during breaks. • Non-work areas mean breakrooms, bathrooms, near the elevator, off the floor, in the cafeteria or in the parking lot. • You may also talk about nursing issues at the nurses’ station, the way you would talk about a birthday party or weekend plans, while you’re on a momentary break, since nurses can only take brief breaks on busy occasions. But you must use good judgment about
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NYSNA HANDBOOK: A MEMBER’S GUIDE
who is around and not disrupt another employee who is working. • You have the right to participate in collective patient advocacy, including group letters, petitions and meetings. If in doubt, contact your delegate or Rep.
If management calls you into the office Here are some tips to help you keep your cool and protect your rights if you get called into the office for discipline or an investigation: • Ask what the meeting is about. You have a right to know what is being investigated or discussed before the meeting. • Ask for your NYSNA delegate or Rep. You have the right to union representation if the reason for the meeting could be disciplinary. Before you attend the meeting, ask if the conversation could lead to discipline so you can contact your union rep/steward beforehand. If the answer is “yes,” you have a right to representation at the meeting itself and do not have to answer questions until your delegate or Rep is present. • Keep it simple. Answer management’s questions with clear, simple answers. Don’t fall for their fishing expeditions. • Don’t remember? Just say so. If management asks you about something and you don’t know the details, just say, “I don’t know” or “I don’t remember.” The worst thing you can do is to make up a story and give management an excuse to try to discipline you for dishonesty.
Protection from unjust treatment As a NYSNA member, you have more protection from unjust treatment by a manager than healthcare workers who do not belong to a union. In the rare event that a manager initiates a counseling, verbal warning or written discipline for you, your union delegate or Rep will help you evaluate if there is “just cause” for such a counseling or discipline. If the manager fails to prove that there was just cause, the discipline may not be proper and could be remedied.
OUR VISION
Patients or profits? The future of patient care in New York and across the country is in danger. A powerful network of hospital executives, private insurance companies, for-profit hospital chains, Wall Street firms and private equity hedge fund operators have a goal: to make big profits out of healthcare. They have joined forces with politicians to promote the idea that we cannot afford quality care for all people, even though we live in the richest country in the world. They have used their deep pockets and political muscle to cut taxes for corporations and the wealthy, choking off public funding for healthcare. This has forced some hospitals to cut RN staffing, privatize services, shutter units and close whole facilities. The remaining hospitals are consolidating through mergers and acquisitions and competing for a shrinking pool of well-insured patients. These private NYC hospitals rely on public ones to pick up care for the uninsured and low-margin services like mental healthcare. This is a business model that threatens patient care. On our units, management is trying to diminish our unique role, using electronic medical records and scripting to limit our judgment.
A new direction For years NYSNA was not up to this challenge. Directors of nursing and administrators dominated our organization’s leadership. Nationally, we were the largest member organization in the American Nurses Association. But they used our members’ dues to oppose nurse-to-patient ratio legislation. NYSNA officials even backed state proposals to shut down hospitals! That all stopped in May 2012, when thousands of frontline caregivers came together to change the direction of our union. We eliminated outdated rules so we could function as a real union. And we made winning safe staffing our numberone priority.
Since then, we’ve transformed our union from top-to-bottom. We’ve trained more than 1,000 member leaders. We’ve united members to fight and win strong contracts and made our voices heard across New York.
NYSNA RNs are up to the challenge With one strong, united voice for patient care: • We’ve put the issue of healthcare disparities on the map and kept hospitals open for care. • We’ve stopped multiple attempts to turn our healthcare system over to for-profit corporations. • We’ve made New York City and New York State recognize the need for a more equitable distribution of Indigent Care funds. Winning hasn’t been easy. Our opponents have deep pockets and a lot to lose, but together, we can continue to make the changes our patients deserve.
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For-profit hospitals have mortality rates that are 2 percent higher than non-profits.” –David Himmelstein, MD, Canadian Medical Association Journal NYSNA HANDBOOK: A MEMBER’S GUIDE
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S A F E S TA F F I N G FO R PAT I E N T S
Our fight for safe staffing Patients and their families count on our hospitals to care for their loved ones when they are sick or injured. Nurses are a vital part of safe, successful hospitals. We care for patients around the clock, providing lifesaving treatment, medication and support. A safe staffing ratio of nurses to patients is critical to ensuring every patient is properly cared for. That’s why one of NYSNA’s top priorities is winning stafe staffing at the bargaining table and in the legislature.
Safe Staffing Captains At our bargaining tables, we’re pushing for contract language that guarantees safer staffing and protects patients. In addition to filing POAs, you can help by becoming a Safe Staffing Captain. Safe Staffing Captains use a text messaging system to document the real-time staffing conditions we face on our shift every day. By collecting data on nurse-to-patient ratios, NYSNA is better positioned to enforce our contract and make sure that management lives up to our agreements. We’re also able to provide a picture of staffing conditions to the general public, so they understand what’s going on in our hospitals.
GET INVOLVED Look for NYSNA Lobby Day in April, Multi-Union Safe Staffing Lobby Day in May, and End-of-Session MiniLobby Days in June. And watch for NYSNA’s Voter Guide for Primary and General Elections at the local, state and federal levels. Analysis of the data yielded evidence in support of our campaign for the Safe Staffing for Quality Care Act and helped us get the bill passed in the New York State Assembly in 2016.
Political action for safe staffing Every year we meet with local elected officials in our neighborhoods and in Albany with state legislators to educate them about the benefits of mandatory safe staffing legislation. We also work to elect leaders who share our values. In 2016, Long Island members mobilized to elect Todd Kaminsky, adding a strong supporter of our bill to the State Senate. We’re also part of the Campaign for Patient Safety, with other healthcare unions, patient advocacy groups and community organizations. Together, we lobbied local governments and saw success as five counties, five cities, and towns and villages throughout the state passed resolutions calling on the state legislature to pass our bill.
GET INVOLVED Sign up for Staffing Captain: Just text “captain” to 877-877 Sign up for campaign emails and text alerts on our website! http://bit.ly/SafeStaffingActionTeam
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NYSNA HANDBOOK: A MEMBER’S GUIDE
Protecting our patients by protesting unsafe assignments As registered nurses, our top priority is providing quality care to our patients. But sometimes we’re asked to work under conditions that are not safe for our patients, including inadequate RN staffing levels. We can do something about it! Many NYSNA members have won additional staffing by filling out Protest of Assignment (POA) forms, which are like a call bell for our managers!
What is a Protest of Assignment (POA)? A POA form should be filled out, if, in your professional judgment, you believe a patient care assignment is unsafe or potentially unsafe. As a registered nurse, you have a legal and professional obligation to notify your employer of an unsafe situation so the problem can be corrected and injury or harm to the patient can be averted. Remember, you can fill out a POA at any point during your shift if conditions change or patient acuity increases.
How to submit your POA 1. Give a copy to your employer. 2. Keep a copy for your own records. 3. Give a copy to your NYSNA rep.
(Sample form is on page 11.)
Here’s how filling out a POA can help: • Tracks unsafe staffing • Creates accountability for administrators • Ensures that there is a documented record that can protect your license • Can be used in court, before state agencies and in legislative hearings
The POA form is protected union activity! Management cannot prevent us from filling out a POA, and no RN can be disciplined or retaliated against for raising their patient care concerns by filing a POA.
We protest TOGETHER! When multiple nurses sign on to a POA it protects all of us and shows administration how widely felt a patient safety issue is on the unit.
We keep filling them out! When nurses fill out a POA consistently to track patient care issues, it allows your local NYSNA leadership to identify patient care trends in a unit. This enables us to investigate safety issues and clearly articulate them to management. In cases where we have been able to show these trends to management, we have been able to make gains for our patients, including: • Increased staffing levels on units • Improvements in patient care policies and procedures
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MedSurg patients increasingly have mental and behavioral health comorbidities, sometimes resulting in aggressive and violent behavior. Behavioral RNs and MedSurg RNs worked together to document this problem, crafted a solution and forced management to order the IT department to program a way to flag these patients’ prior histories so that MedSurg Unit RNs can take appropriate precautions.“ –Kristen Almeter, RN, Erie County Medical Center NYSNA HANDBOOK: A MEMBER’S GUIDE
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Here are some examples of when a POA form can be completed: • Unsafe RN or support staffing levels • Can’t reach a doctor for orders on admission • Late lunch/no lunch • Patient acuity requires a higher level of care (eg., an ICU patient housed in PCU) • Rapid admissions between 9 am and 12 pm, and during shift change • Supplies not available • Not enough staff or equipment to safely lift a patient
• Unable to safely perform charge duties and take a patient assignment at the same time • Lack of training or competency to handle patient care assignment • Mandatory overtime that does not comply with New York State law • Skill mix on unit is insufficient • Unsafe environment or workplace violence POA Instruction Sheet available at http://bit.ly/POAInstructionSheet.
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POA everyday keeps the Office of Professional Discipline Away. Remember this is your only safeguard under the laws of the state to document an unsafe patient care incident and to protect your license.“ –Jayne Cammisa, RN, Westchester Medical Center
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NYSNA HANDBOOK: A MEMBER’S GUIDE
PROTEST OF ASSIGNMENT
34425
Print in block letters!
Facility code Date M
/
M
D
Facility name
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Y
Name of individual submitting report
Time Management notified (12 hr clock) What type of nursing (shade the type that CCU/ICU/NICU Med/Surg ER Maternity/GYN Peds/NICU/PICU Psychiatry Ambulatory Surgery Other
Y
Y
:
Y
Code of nursing unit
First
Name of nursing unit Last
AM PM Manager's Name
unit is this? best applies) Home Care/Public Health School Correctional Facility Ambulatory Care/Clinic OR/Anesth/Recovery Stepdown/Telemetry Nursing Home/Rehab
What was your staffing like today? (write numbers in the boxes) Staffing RN
Normal or Core staff
*Regular is sum of FT/PT/PD
Number On duty today Regular* Float Agency
What you needed
LPN
Ancillary Census
Bed Capacity
For what reasons are you protesting this assignment? (shade all that apply)
patient acuity higher than usual inadequate number of qualified staff volume of admissions and discharges not adequately trained for this situation don't have resources I need such as supplies, equipment, or medications case load too high and impedes safe care inadequate time for documentation mandatory Overtime Other
Additional Comments Print in
Block letters!
Number of RNs signing this form Under the laws of this state, as a registered professional nurse, I am responsible and accountable to my clients. Therefore, this is to confirm that I notified you that, in my professional judgement, today's assignment is unsafe and places my clients at risk. As a result, the Hospital/Agency and you share responsibility for any adverse effects on patient care. ability. I will, under protest, attempt to carry out the assignment to the best of my professionalDate
Signature
M
M
/
D
D
Y
Y
/
Y
Y
Management Comments
Management Signature
Time management responded (12 hr clock)
Date
:
AM PM
M
M
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D
D
/
Protecting our license and our patients is no small task! However, when we work together to track patient safety issues, we can have a huge impact on patient care. In partnership with NYSNA’s Nursing Education and Practice Department we turn our Protests of Assignments into powerful tools to enforce safe patient care conditions on our units. NYSNA HANDBOOK: A MEMBER’S GUIDE
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Research shows safe staffing makes the difference Overwhelming evidence shows that: • Safe staffing saves lives. Peer-reviewed research found higher nurse staffing is associated with lower mortality rates. Adding one RN per patient day was associated with a 16-percent decrease in failure to rescue in surgical patients. • Safe staffing improves patient outcomes. Studies have shown increased RN staffing lowers the risk of patient outcomes, including hospital-acquired infections and pneumonia, and also cardiac arrest. Higher staffing also reduces hospital readmissions and emergency room wait times. • Safe staffing is cost-effective. The savings associated with lives saved were greater than the increased cost of one additional RN per patient day in intensive care, surgical and medical units. • Safe staffing reduces nurse burnout, turnover and injuries. Adding one patient per nurse increased burnout by 23 percent and job dissatisfaction by 15 percent in one study. Safe staffing ratios in California were associated with an occupational injury and illness rate 31.6 percent lower than what would have been expected. • Safe staffing legislation has a proven track record. Since California’s law was implemented, nurses care for fewer patients, on average, than they did prior to the legislation and compared to other states. • Safe staffing strengthens the safety net. The California legislation increased RN staffing in safety-net hospitals “in which an improvement in staffing has historically been most difficult and most improvement was needed.” • Safe staffing doesn’t hurt hospital performance. No hospitals closed in California following the implementation of minimum nurse ratios there, and hospital margins have actually improved since implementation. Nor did hospitals decrease ancillary staffing. As reimbursements shift to a value-based model, the improved outcomes of safe RN staffing will directly translate into financial benefit for hospitals.
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w h at w e w o n
SOME RECENT SUBURBAN & UPS TATE CONTR AC TS & CAMPAIGNS HUDSON VALLEY NYSNA Nurses at WMC – Advancing Care in the Hudson Valley More than 1,600 NYSNA nurses work at Westchester Medical Center (WMC) across three distinct teaching hospitals. Caring for more than 120,000 patients a year, the nurses are the heart of this Level 1 Trauma Center, which also includes the Hudson Valley’s only acute care children’s hospital. The expert level of care NYSNA members deliver each and every day at WMC ensure that patients who live in the region’s 8 counties have the resources needed to pull through any medical crisis without having to make the journey into Manhattan. Our contract campaign: Whatever it takes for as long as it takes! In 2012 WMC nurses were faced with a massive layoff that was a tactic used by the management of the medical center to attempt to make the union agree to givebacks at the negotiating table. WMC had left the outpatient clinics and the 600bed three Hospitals with a staff of only 1000 RNs. And so the fight for patient care began • Staffing in the public sector is not a mandatory subject of bargaining but nurses found creative ways to advocate for their patients.
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• RNs filed thousands of Protests of Assignment (POAs), wrapping them all around a hospital that WMC was attempting to acquire in protest (and the acquisition did not happen). They delivered them on a yearly basis to WMC’s Board of Directors, and County Legislators. RNs protested outside the Board meetings on numerous occasions. They wore Safe Staffing Buttons, signed up to be Safe staffing captains, signed a larger POA board to present to WMC’s Board, held joint Press Conferences with their sisters and brothers in the Committees of Interns & Residents (CIR) and the Civil Service Employees Association (CSEA). • Management started to relent and began hiring to increase the number of RNs. • By the January 2017 date of the ratification of our new contract our RN staff had increased from 1,000 RNs to 1,556. We also achieved contract language ensuring that the union and management would meet monthly to review POAs and come up with mutually agreeable solutions to enhance patient care.
Highlights of Westchester Medical Center Agreement (2011-2021) • $98 million in retroactive increases • $14.5 million in retroactive pay and bonuses
• $0 increase in healthcare costs to current WMC nurses Other provisions:
• $9.5 million in retroactive pay ($8.3 million on base alone)
• Enhanced vacation time
• $5 million ratification bonus
• Transfer protections
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• Floating protections
We can provide the highest level of care to our patients.” –Wilma Wynter, RN
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Our bond and perseverance allowed us to fight strong and ultimately achieve a great contract!” –Damayanthy Sujanthan, RN
Benefits provide a boost to advancement and a safety net for sickness Tuition Reimbursement NYSNA’s contract at WMC contains one of the most generous tuition reimbursement provisions in the industry, with the hospital paying for up to 15 credits per academic year—no dollar cap—for BSN, MSN and Doctorate degrees in Nursing. This is an essential benefit at any teaching institution and is instrumental for nurses’ advancement in the profession, while ensuring that NYSNA RNs can minimize the burden of student debt.
Sick Bank A key feature of the WMC contract is the bargaining-unit-wide sick bank that allows for qualified participants to receive pay when their own personal sick time banks are exhausted. This provision has provided financial assistance to many members when personal illness would have left them financially vulnerable.
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NYSNA Nurses at ECMC – Advancing Care in Western New York Over 1,200 NYSNA nurses staff Erie County Medical Center (ECMC), an advanced academic medical complex with 573 inpatient beds, more than 30 outpatient specialty care services and Terrace View, a 390-bed long-term care facility. ECMC is Western New York’s only Level 1 Adult Trauma Center, as well as a regional center for burn care, behavioral health, transplantation, oncology and head &
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neck cancer care and rehabilitation and is a major teaching facility for the University at Buffalo. In 2018, inpatient hospital visits exceeded 20,000, and there was double-digit growth in outpatient clinic, including the Center for Occupational and Environmental Medicine, Neurology, Urology, Cardiology and Primary Care. ECMC serves Buffalo and 8 counties across Western New York.
Highlights of Erie County Medical Center Agreement (2012-2018) Wage Scale
Personal Leave
The ECMC wage scale is regionally competitive and promotes longevity. Nurses obtained substantive annual increases in addition to anniversary step increases throughout their placement on the scale.
Everyone must tend to family emergencies and last minute obligations from time to time. Nurses have the right to take time off with only a few days’ notice to their manager --without recourse, discipline, or compiling time and attendance occurrences. Each nurse has four personal days per year. Unlike other requests, the employer cannot deny personal leave requests due to operational needs or staffing.
Assault Pay NYSNA RNs have pushed ECMC to take a progressive approach in the aftermath of unfortunate violent acts by patients. Members who are victims of workplace assault receive assault pay if they are unable to return to work as a result of an injury from assault regardless of whether the member presses charges or the patient is convicted. Members won (and continue to work with management on) a peer assistance program aimed at healing both the physical and emotional trauma resulting from workplace violence and to guide members through the returnto-work process. Each case of assault is communicated directly to the Union and a root-cause analysis is conducted with the union and the affected member(s).
Committees Having a say at work is an institutional staple at ECMC. The Union meets monthly with the employer to resolve workplace issues, unsafe staffing, and to discuss process improvement and best practices. Member expertise and input is central to this process to address: • Review of Protests of Assignment and staffing shortages • Med Surg capacity to handle comorbidities • Retention issues • Job postings
Tuition Reimbursement NYSNA believes in the importance of continuing education and enabling our members to pursue additional degrees in nursing. NYSNA members have the opportunity to pursue ongoing education and nursing related degrees through a doubled Tuition Reimbursement fund.
Preparing for a new contract campaign: “I’ve been involved in my union for over a decade. In the last four years I’ve seen a resurgence of union activism. We are becoming a strong, cohesive union that advocates for our patients and our rights on the job. We’ve made huge strides in electing union delegates on each unit and even floor reps on each shift. We’ve never been this strong before going into negotiations with management. Our members are ready to fight for safe staffing and quality patient care, our own safety on the job and to defend and improve retiree health insurance.” –Murnita Bennett, RN, Erie County Medical Center
• Training and education
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NYSNA Nurses protecting the public’s health across the state
In addition to WMC and ECMC, NYSNA represents many other public health nurses at 13 county health departments, 7 school districts, Chemung County Nursing Facility & Massena Memorial city hospital. For example, the nursing job at one of New York’s 62 counties is very different from that in a typical hospital. Many county nurses are field-based and directed out of the health, social service and mental health departments. They
may provide home visits, run vaccination clinics, conduct cancer and TB screenings, or administer flu shots. Regardless of the particular job and which county they work for, these nurses may travel miles every day to bring healthcare to those who need it most. One great Sullivan County nurse was our Board Member Martha Wilcox, who died in June 2019 (photo center). See Memorial to her at the front of this handbook.
The Onondaga County Nurse Contract Campaign “Most of our patients are those that no one else will see: the disenfranchised, the uninsured, the underinsured,” said Linda Geariety, RN—former LBU Vice President and current President of this 40-nurse bargaining unit. “We work with so much autonomy that being part of a strong union is really essential. Because of NYSNA, we know can stand up for our patients and insist on doing our jobs in a safe manner,” said Wendy Czajak, RN. One of the demands they won was the right of a nurse to request a colleague to pair up with for a home visit that might be unsafe. In bargaining, 18 nurses presented two petitions to Carl Hummel, the county’s chief negotiator. The first included more than 2,000 signatures gathered at the New York State Fair and called on all Central New York
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providers, including Onondaga County, to staff safely and negotiate fair and equitable nurse contracts. The second petition, signed by the bargaining unit’s members, stated that the nurses are committed to winning a fair contract with the county. The Onondaga County Executive and Legislature had voted the year before to give themselves a substantial pay raise but lagged on settling the nurses’ union contract. “This is the first time we’ve involved so many nurses in the bargaining process, and I suspect it’s come as a shock to some in management. They’re not accustomed to dealing with a large group of nurse activists,” Ms. Czajak said. The contract they won included raises, increased tuition and vacation, sick and comp time.
New York State’s public hospitals never turn a patient away. That’s the mission of RNs everywhere. Public hospitals are in danger: from Buffalo to Westchester to New York City, officials are seeking to cut care and privatize services. The need for safety-net hospitals has never been greater, especially in workingclass communities of color and rural areas. The future of healthcare in New York State hinges on adequate funding for our public hospitals, plus private community hospitals who serve Medicaid and uninsured patients, and rural hospitals where no other healthcare services are available. NYSNA helped secure legislation that would ensure New York State’s safety-net hospitals receive adequate funding, and millions of New Yorkers get the care they need. We have also worked hard to defend federal healthcare funding, as Congress considers drastic cuts to Medicare and Medicaid – programs that have protected our patients since the programs were founded in 1965.
Protecting our profession Our licensure, professionalism and advocacy for our patients are built upon the skills of each and every registered nurse. That’s why we successfully resisted efforts by the NY State Legislature to erode our scope of practice. One example was the 2017 proposal in the state budget for
“Health Care Regulation Modernization Teams” which would have resulted in highly skilled nurses being replaced by workers without the training of an RN. Management would have the power to force non-nurses to take on RN duties without proper training or pay, and no clear path for advancement.
Challenging corporate healthcare For-profit companies and providers are collecting the lion’s share of healthcare dollars and its hurting our patients — from pharmaceutical companies to medical device manufacturers to technology and electronic medical records vendors. Then there’s the insurance industry, which drives up costs and waste. No wonder so little money is left for actual care at the bedside. Hospitals are also “going corporate,” so whether you work in a struggling community hospital or a rich academic medical center, the bottom-line has become more important than our patients getting the care they need. But NYSNA members are uniting to put our patients over profits — on our units and at the bargaining table.
pu b l ic h e a lt h a dvo cacy
Defending public hospitals and protecting the safety net
Healthcare for all NYSNA’s mission is to care for all New Yorkers. That’s why we supported the Patient Protection and Affordable Care Act (ACA, also known as Obamacare), which dramatically reduced the number of uninsured Americans. But we still need
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ensure access to high-quality care for everyone and would also reduce costs.
to expand healthcare coverage, reduce costs and improve quality. That is why we endorse a single-payer Medicare for All system and NY Health, plans which would
• A single-payer system would replace private, corporate health insurance by extending Medicare to cover everyone living in the United States. Rich or poor, young or old — everyone would have access to the same level of care. • Medicare spends just 2 percent of its income on operating expenditures vs. up to 17 percent for private insurance — which also takes big profits off the top. • A single-payer system would also save money. A 2009 study by the NYS Department of Health found that NY Health was the only plan that would provide healthcare for all state residents and was also the most efficient way to cut healthcare costs. • This will also keep hospitals open for care. From Central Brooklyn to the North Country, struggling community hospitals would get the funding they need to care for hundreds of thousands of patients. • A single-payer system is the only way to ensure patients come before profits.
Want to get involved? Speak to your NYSNA delegate or representative about upcoming events! Sign up at http://bit.ly/nysnahc4all for email and text alerts. Email SinglePayerCommittee@nysna.org to find out about joining the Single-Payer Committee of member leaders and active members in this campaign.
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Promoting a healthy environment Protecting the public’s health also means addressing climate change and responding to the many natural disasters stemming from climate change. We know climate change is real. In 2016 the Intergovernmental Panel on Climate Change (IPCC), a worldwide committee of hundreds of scientists, concluded that: “Warming of the climate system is unequivocal, and since the 1950s, many of the observed changes are unprecedented over decades to millennia. The atmosphere and ocean have warmed, the amounts of snow and ice have diminished, sea level has risen, and the concentrations of greenhouse gases have increased.” The reason for these changes? “Human influence.” Profound health effects include: • More climate-related deaths. The World Health Organization estimated that in the year 2000 there were 160,000 excess deaths globally due to climate change alone. • Extreme weather and storm surges not only cause drowning and injuries; displaced populations create catastrophic public health threats. • Long-term health problems. Warming temperatures negatively affect air quality, exacerbating respiratory problems and creating other long-term health issues. But there are things we can do! 1. Support adaptive measures that help our communities respond when environmental disaster strikes. 2. Fight for policies on clean air and clean energy to slow, stop and reverse climate change. 3. Spread the word. People trust nurses. This gives us a unique ability to educate the public and advocate for change.
Want to get involved? NYSNA is part of multiple coalitions promoting a healthy environment for the communities in which we serve! To get involved contact your NYSNA Delegate or Representative about upcoming events! Sign up http://bit.ly/NYSNAClimateJustice for email and text alerts. Consider joining the Climate Change Committee of member leaders and active members who discuss the campaign and contribute their perspectives by emailing ClimateChangeCommittee@nysna.org.
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N YS N A A DVA N C E S N U R S E S & N U R S I N G
Nursing practice resources Our nursing practice is under attack. Short staffing, de-skilling, unit restructuring and new technology all take away our time from the bedside and harm patient care. You can protect your practice and your patients by working with your colleagues and getting support from the Nursing Education and Practice Department.
Continuing Education NYSNA offers free and low-cost classes for members, including free online statemandated courses on Infection Control and Child Abuse. Certification Review Workshops prepare professional registered nurses to take ANCC certification examinations in their specific specialty. Courses are FREE for NYSNA Members, who pay only a $25 materials fee.
• For a listing of our Certification Review programs held at locations, including NYSNA Offices go to http://bit.ly/ certificationreviewprograms. • A new series of Certification Review Workshops are now available ON-SITE at various NYSNA facilities. For a listing of these new programs, go to http:// bit.ly/onsitecertificationcourses. NYSNA has partnered with MED-ED’s online learning system to offer certification review classes and other courses. CE posttests are administered online, with instant results and printable CE Certificates. All NYSNA members receive a 50% discount on course subscriptions.
MED-ED F or more information go to
http://bit.ly/MED-ED.
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Other nursing resources e-leaRNTM NYSNA’s online learning system, e-leaRN™, offers free online education courses for NYSNA members. Topics cover New York State mandated courses, including Infection Control Mandated Training and Child Abuse: Identification and Reporting. For more information go to www.elearnonline.net/.
Statewide Peer Assistance for Nurses (SPAN) NYSNA’s Statewide Peer Assistance for Nurses (SPAN) is a confidential education, support and advocacy program for ALL nurses licensed in New York State. SPAN’s mission is to foster public safety, and it is the resource for New York nurses affected by substance use disorders. The SPAN program operates on the belief that every nurse deserves access to treatment, help in preserving his or her license and employment, and ongoing support throughout the recovery process.
For confidential assistance, call 518-782-9400, ext. 250 or email span@nysna.org. For more info: www.statewidepeerassistance.org.
Nurses spend their careers working to protect the health of their patients. Ironically, according to OSHA and the U.S. Bureau of Labor Statistics, healthcare facilities are some of the unhealthiest places to work. Exposure to cleaning/ disinfecting chemicals and hazardous drugs, infectious diseases, patient handling injuries and violence are just some of the many hazards nurses are exposed to on a daily basis. Understaffing increases the likelihood of injuries and illnesses from these hazardous conditions. Our best protection is a strong union. NYSNA Health and Safety Committee members, delegates and local health and safety leaders are our first line of defense. Training topics include: • • • • • • • •
Workplace violence Safe patient handling Infectious disease prevention Chemical exposures Disaster preparedness Indoor air quality Construction hazards Workers’ compensation
Trained member health and safety leaders are effective on facility labor-management committees on: • Health and safety • Safe patient handling • Workplace violence NYSNA’s Occupational Health and Safety staff are always available to provide professional assistance to members and to conduct on-site inspections and reach out to city, state and federal enforcement agencies when necessary.
KEE P I N G N U R S E S HE A LT H Y & S A F E
Caring for patients shouldn’t turn YOU into a patient
Learn more If you have specific questions about health and safety hazards at work, talk to your NYSNA delegate or representative right away. They will work with NYSNA’s Occupational Health and Safety Representatives to answer your questions and help improve the safety of your workplace. NYSNA members can also contact Occupational Health and Safety staff directly by sending an email to healthandsafety@ nysna.org or calling 212-785-0157. More can be found under Nursing Practice at www.nysna.org/ nursing-practice.
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o ur l e a d e rs
The Board of Directors Setting a course NYSNA is led by frontline nurses elected by our members. Every member has a vote. In this democratic process, we draw upon the knowledge of our members and the local leaders they elect in local bargaining units to set the direction for our movement. We recognize we cannot do it alone; our duty to fully advocate for patients requires a coalition effort — with public health experts, community advocates, religious organizations, elected leaders and other unions.
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Judy Sheridan-Gonzalez, RN President, Montefiore Medical Center
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Anthony Ciampa, RN First Vice President, NY Presbyterian Hospital
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Karine Raymond, RN Second Vice President, Montefiore Medical Center
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Tracey Kavanaugh, RN Secretary, Flushing Medical Center
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Patricia Kane, RN Treasurer, Staten Island University Hospital
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Anne Bové, RN Director at Large, Bellevue Hospital Center/NYC H+H
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Judith Cutchin, RN Director at Large, Woodhull Hospital/NYC H+H
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Seth Dressekie, NP Director at Large, NYC Human Resources Administration/ NYC H+H
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Jacqueline Gilbert, RN Director at Large, Harlem Hospital/NYC H+H Nancy Hagans, RN Director at Large, Maimonides Medical Center
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Robin Krinsky, RN Director at Large Mt. Sinai Hospital
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Lilia Marquez, RN Director at Large, Bellevue Hospital
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Nella Pineda-Marcon, RN Director at Large, Mt. Sinai - St. Luke’s Hospital
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Verginia Stewart, RN Director at Large, Metropolitan Hospital/HHC
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Marva Wade, RN Director at Large, Mt. Sinai Medical Center
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Marion Enright, RN Central Regional Director, Nathan Littauer Hospital
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Yasmine Beausejour, RN Southeastern Regional Director, LIJ Valley Stream
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Jayne Cammisa, RN Lower Hudson / NJ Regional Director, Westchester Medical Center
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Sean Petty, RN Southern Regional Director, Jacobi Medical Center/HHC
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Chiqkena Collins, RN Western Regional Director, Erie County Medical Center
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Martha Wilcox, RN Eastern Regional Director, Sullivan County Health Center
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NYSNA S taff Org aniz ational S tructure Executive Director Jill Furillo, RN, BSN, PHN, became a registered nurse in 1985 and has worked as an ER nurse, an organizer, the executive vice president of the RN Division of 1199, and the national bargaining director of National Nurses United (NNU). She successfully shepherded the country’s first law setting safe nurse-to-patient ratios through the California legislature. New Organizing
Executive Director
External Strategic Campaigns Political Affairs & Public Policy Internal Organizing
Field Operations
Strategic Campaigns
Administration
Nursing Education & Practice (Health & Safety) SPAN Research Labor Education IT & Security Membership Communications Legal
Regional Teams Upstate/Western NY Westchester/Hudson Valley/Rockland Long Island • Brooklyn/Queens/Staten Island/NJ NYCHH • Manhattan Teams (NYP, Sinai) Bronx Teams (Montefiore)
Human Resources & Administration Meeting & Planning NYSNA Office Operations Finance Funds
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NYSNA HANDBOOK: A MEMBER’S GUIDE
NYSNA Representatives c/o NYSNA Offices: LI & HV: 212-785-0157 Upstate: 518-782-9400 www.nysna.org Sign up for text alerts and email updates – www.nysna.org Like us on Facebook – www.facebook.com/nynurses Follow us on Twitter – twitter.com/nynurses Follow us on Instagram – https://www.instagram.com/nynurses/
NYSNA Contracts with Suburban/Upstate Public Sector Facilities Log on (Register with) NYSNA Members Only webpages in order to access a pdf copy of your contract: http://www.nysna.org/user
co ntracts & l in k s
CO N T r AC T S & L I N K S
Allegany Cty Health Department Belmont Amityville Union Free School District
Amityville
Arlington Central School District Lagrangeville Chemung Cty Nursing Facility Elmira Chemung Cty Elmira Chenango Cty Public Health Service
Norwich
Copiague Union Free School District
Copiague
Cortland Cty Health Dept.
Cortland
Delaware Cty Nursing Service Delhi Erie Cty Health Dept. Buffalo Erie Cty Medical Center Buffalo Horseheads Central School District Horseheads Lackawanna School District Lackawanna Lindenhurst Union Free School District 4 Lindenhurst Livingston Cty Health Dept. Geneseo Madison Cty Health Dept.
Wampsville
Massena Memorial Hospital
Massena
Onondaga Cty Health Department
Syracuse
Royalton-Hartland Central School District
Middleport
Sullivan Cty Liberty Terrace View Long Term Care Buffalo Washington Cty Public Health Hudson Falls Westchester Cty
White Plains
Westchester Medical Center Valhalla NYSNA HANDBOOK: A MEMBER’S GUIDE
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HEALTH BENEFITS ECMC Labor-Management Healthcare Fund 3786 Broadway Street, Cheektowaga , New York 14227, United States (716) 601-7980 https://lmhf.net/ WMC and other public employee RNs: please check with your NYSNA Representative regarding your benefits.
Pension WMC & ECMC New York State and Local Retirement System (NYSLRS) 110 State Street Albany, NY 12244-0001 Toll-free: 1-866-805-0990 https://www.osc.state.ny.us/retire Consultation sites White Plains: https://www.osc.state. ny.us/retire/consultation_site_offices/ white_plains.php Buffalo: https://www.osc.state.ny.us/retire/ consultation_site_offices/buffalo.php Albany: https://www.osc.state.ny.us/retire/ consultation_site_offices/albany.php Other public employee RNs: please check with your NYSNA Representative regarding your benefits.
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Telephonic Counseling and Referral NYSNA Union Assistance Program 800-252-4555 www.UnionAP.com http://bit.ly/UnionAssistanceProg
SPAN (Statewide Peer Assistance for Nurses) For confidential assistance, call 518-782-9400, ext. 250 or email span@nysna.org. www.statewidepeerassistance.org
SOCIAL JUSTICE & CIVIL RIGHTS COMMITTEE Contact a NYSNA delegate or representative or Karen Jarrett, Downstate Director, Political & Community Organizing Sign up at http://bit.ly/cmtejustice
POLITICAL & COMMUNITY ORGANIZING 518-782-9400, ext. 283, email legislative@nysna.org www.nysna.org/our-campaigns/ political-action
Adirondack Medical Center - Saranac Lake Administration for Children’s Services - New York Albert Einstein College of Medicine - Bronx Alice Hyde Medical Center - Malone Allegany Cty Health Department - Belmont Amityville Union Free School District - Amityville AO Fox Memorial - Oneonta Arlington Central School District - Lagrangeville Bellevue Hospital Center - New York Bellevue Women’s Center - Niskayuna Bertrand Chaffee Hospital/Jennie B. Richmond Nursing Home - Springville Beth Abraham CenterLight Health System - Bronx Borough of Manhattan Community College (CUNY) - NY Bronx Community College (CUNY) - Bronx Bronx-Lebanon Hospital Center (Concourse) - Bronx Bronx-Lebanon Hospital Center (Fulton) - Bronx Bronx-Lebanon Special Care Center - Bronx Brooklyn Hospital Center - Brooklyn Brooks Memorial Hospital - Dunkirk Brunswick Hospital Center - Amityville Canton-Potsdam Hospital - Potsdam Carthage Area Hospital - Carthage Catskill Regional Medical Center - Harrison Chemung Cty Nursing Facility - Elmira Chemung Cty - Elmira Chenango Cty Public Health Service - Norwich Claxton Hepburn Medical Center - Ogdensburg Coler Specialty Hospital/Nursing Facility - Roosevelt Isl. College of Staten Island (CUNY) - Staten Island Coney Island Hospital - Brooklyn Copiague Union Free School District - Copiague Correctional Health Services - New York Cortland Cty Health Dept - Cortland Cumberland D and T Center - Brooklyn Delaware Cty Nursing Service - Delhi Department of the Aging - New York Department of Correction (City of NY) - Corona Department of Sanitation (City of NY) - New York Dr Susan Smith McKinney Nursing/Rehabilitation Ctr Brooklyn East NY D and T Center - Brooklyn Eastern Niagara Hospital (Newfane) - Newfane Ellis Hospital - Schenectady Elmhurst Hospital Ctr - Elmhurst
Erie Cty Health Dept - Buffalo Erie Cty Medical Center - Buffalo Eugenia Maria De Hostos Community Coll (CUNY) Bronx Fire Dept (City of NY)/Emergency Medical Services Brooklyn Flushing Hospital Medical Ctr - Flushing FMS Kenmore (NY Dialysis Svcs) - Tonawanda Gouverneur Hospital - Gouverneur Gouverneur Healthcare Services - New York Gracie Square Hospital - New York Harlem Hospital Ctr - New York Health Alliance of the Hudson Valley - Kingston Henry J. Carter Hospital & Nursing Facility - New York HHC Health and Home Care - New York Horseheads Central School District - Horseheads Hospice and Palliative Care - New Hartford Hunter Community College (CUNY) - New York Interfaith Medical Center - Brooklyn Jacobi Medical Center - Bronx Jewish Home Lifecare (Manhattan) - New York Jewish Home Lifecare (Bronx) - Bronx Kings Cty Hospital Ctr - Brooklyn Kingsborough Community College (CUNY) - Brooklyn Kingsbrook Jewish Medical Ctr - Brooklyn Lackawanna School District - Lackawanna LaGuardia Community College (CUNY) - Long Island City Lincoln Medical and Mental Health Ctr - Bronx Lindenhurst Union Free School District 4 - Lindenhurst Livingston Cty Health Dept - Geneseo Loeb Ctr for Nursing and Rehabilitation - Bronx Madison Cty Health Dept - Wampsville Maimonides Medical Center - Brooklyn Massena Memorial Hospital - Massena Medgar Evers College (CUNY) - Brooklyn Metroplus Health Plan - New York Metropolitan Hospital Center - New York Montefiore New Rochelle (formerly Soundshore Med Ctr) - New Rochelle Montefiore Home Health Agency - Bronx Montefiore Medical Center (Weiler Division) - Bronx Montefiore Medical Center (Moses Division) - Bronx Montefiore Mt Vernon (formerly Mt. Vernon Hospital) Mount Vernon Montefiore Nyack Hospital - Nyack NYSNA HANDBOOK: A MEMBER’S GUIDE
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Montefiore Westchester Square - Bronx Morrisania D and T Center - Bronx Mount Sinai Hospital - New York Mount Sinai/St Luke’s - New York Mount Sinai West - New York Nathan Littauer Hospital - Gloversville NY Dialysis Management Inc. (Montefiore Dialysis) Bronx NY Dialysis Services (Soundshore Dialysis) New Rochelle NY Dialysis Services (ABC Sites) - Brooklyn NY Presbyterian Brooklyn Methodist Hospital - Brooklyn NYPresbyterian Hospital (Columbia-Presbyterian) New York North Central Bronx Hospital - Bronx Northwell/Plainview - Plainview Northwell/Southside - Bay Shore Northwell Staten Island Univ Hospital/North Staten Island Northwell Syosset - Syosset Northwell /LIJ Valley Stream - Valley Stream NY Dialysis Services (NephroCare and NephroCare West) - Brooklyn NY Eye and Ear Infirmary - New York NYC Department of Social Services - New York Olean General Hospital - Olean Oneida Healthcare Ctr - Oneida Onondaga Cty Health Department - Syracuse Opioid Treatment Center (Division of St Joseph’s Medical Center) - Jamaica Ozanam Hall Queens Nursing Home - Bayside Parker Jewish Institute Health Care and Rehabilitation New Hyde Park Parker Jewish Long Term Home Health Care and Hospice - Lake Success Peconic Bay Medical Ctr - Riverhead Police Department (City of New York) - New York Putnam Hospital Center - Carmel Queens College (CUNY) - Flushing Queens Hospital Ctr - Jamaica Queensborough Community College (CUNY) - Bayside Renaissance Healthcare Network - New York Richmond University Medical Ctr - Staten Island Royalton-Hartland Central School District - Middleport Samaritan Medical Ctr - Watertown Schafer Extended Care Ctr (formerly div. of Sound Shore Med. Ctr) - New Rochelle
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Sea View Hospital Rehabilitation Center and Home Staten Island Segundo Ruiz Belvis D and TC - Bronx Shore Memorial Hospital (dba Shore Medical Center) Somers Point (NJ) St Cabrini Nursing Home Inc (Cabrini of Westchester) Dobbs Ferry St Catherine of Siena Medical Ctr - Smithtown St Charles Hospital - Port Jefferson St. Elizabeth Medical Center - Utica St John’s Riverside Hospital Cochran School of Nursing - Yonkers St Joseph Hospital - Bethpage St Joseph’s Hospital (Arnot Health) - Elmira St Joseph’s Medical Center - Yonkers St Vincent Hospital Westchester (div of St Joseph’s Medical Ctr) - Harrison Sullivan Cty - Liberty SUNY Staffco - Brooklyn SVCMC - US Family Health Plan - New York Terence Cardinal Cooke Hlth Care Ctr - New York Terrace View Long Term Care - Buffalo Union Community Health Center - Bronx UVHN - Champlain Valley Physicians Hospital Plattsburgh UVHN - Elizabethtown Medical Center - Elizabethtown UVHN - Elizabethtown - Ticonderoga Campus Ticonderoga Vassar Brothers Medical Ctr - Poughkeepsie Visiting Nurse Association Staten Island - Staten Island Visiting Nurse Service Schenectady - Schenectady Washington Cty Public Health - Hudson Falls Westchester Community College - Valhalla Westchester Cty - White Plains Westchester Medical Center - Valhalla Woodhull Medical and Mental Health Ctr - Brooklyn Wyckoff Heights Medical Ctr - Brooklyn York College (CUNY) - Jamaica
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NYC Office 131 West 33rd Street, 4th floor New York, NY 10001 ALBANY OFFICE 155 Washington Avenue Albany, NY 12210 518-782-9400
nysna.org
b
nynurses
NYSNA HANDBOOK: A MEMBER’S GUIDE
@nynurses
info@nysna.org