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So for those who may or may not have read Mr. Grula’s latest attempt to convince the Pasadena Weekly reader’s that the California Nurses’ Association (CNA) should be given free reign at Huntington Memorial Hospital (HMH), by “just let the nurses vote” – what a disingenuous piece of tripe.

He begins by heralding that the LA region of the National Labor Relations Board (NLRB) has found “probable cause to believe the HMH has engaged in unfair labor practices against the nurses wanting to form a union”. That might be the case, but let me remind my readers that this is the same regional board of the NLRB that found that the threats made from the offices of the CNA against two Cedars’s nurses that opposed the union weren’t threats at all. However the DC NLRB (and final say on the matter) decided that threats made to one nurses children and another’s nurse’s pets were indeed threats and thus were enough to invalidate the vote – and to this day Cedar nurses remain union-free. In short, just because the regional branch feels there’s probably (i.e. a reasonable belief) cause it doesn’t mean that in the end it will be substantiated.

But what really galls me is this attempt by Grula to somehow equate union representation with the recently released “Leapfrog scores” published in a recent LA Times article — http://graphics.latimes.com/california-hospital-scores/. Granted HMH gets a rank of “C”, but so did 69 other hospitals, including such venerable institutions such as UCLA Medical Center, Loma Linda (which got a D believe it or not) and Stanford Hospital. Grula goes on, in his article to make it appear as though HMH is the only LA County hospital with such a low score – not true! He also goes on to pontificate that Kaiser (a CNA-represented hospital network) has a rank of “A”, which is true, but what he fails to disclose is many other CNA-represented hospitals that scored “C”, “D” and “F” grades– yes “F”.

So, Antelope Valley Hospital is the only LA County area hospital to receive a big fat F and is a CNA-represented hospital! California Hospital Medical Center, Citrus Valley Medical Center Inter-Community, Glendale Memorial Hospital, Good Samaritan Hospital, Henry Mayo Newhall Memorial, and UCLA Medical Center all receiving a C grade are all CNA-represented hospitals. So while HMH receiving a C-grade might provide fodder for Grula and the CNA to say that hospitals with unionized hospital staff get better grades from Leapfrog is a very weak assumption to make (I think they’re kind of leapfrogging to that assumption). It would appear that Grula is following in the footsteps of the CNA in not allowing the facts to get in his way.

The problem, in my opinion, lies with the CNA-campaign to gather enough valid RN signatures to call for a vote – and it would appear that they might be falling short of this goal. So now the CNA is trying to pressure HMH management into just giving the CNA the “keys to the kingdom” and allow a vote to go forward without showing via signed cards that a majority of HMH RNs want the union. The feedback that I’ve gotten from HMH nurses on the ground is that most have been rebuffing the CNA’s advances. So this will have to make the CNA representatives work all that much harder for the votes – oh boo hoo. The CNA likes to paint nurses that are pro-union as somehow being brave and self-determined all the while painting nurses that oppose the union as somehow misguided, naïve or shills for management. They accuse yours truly of interfering because I’m giving “aid and comfort” to those RNs standing up to the CNA union machine all the while the CNA applauds local politicians, church and community leaders who support the CNA. Their message if you support the CNA you are somehow brave and community minded, and if you don’t you’re weak minded and interfering; their logic boggles the mind.

The CNA tried this same tactic many years ago when they tried to get our state legislators to pass legislation that would bypass a vote entirely and simply allowing gathering enough signed cards to install a union. They testified that nurses were really too weak to “speak up for themselves” thus they needed this card check legislation. Union representatives even went so far as to tearfully testify that if only the nurses at that “Tenet hospital in Redding” had been unionized the RNs would have felt safe to come forward to blow the whistle on all the unnecessary cardiac surgery that was being performed. There was just one problem with that scenario. It was the nurses, themselves, that blew the whistle – the very non-unionized nurses that the union deemed to weak to speak for themselves. Meanwhile they never explained why the union represented nurses at UC Irvine never blew the whistle on the problems with the IVF program.

This is one of my fundamental issues with nursing unions, which is they all too often resort to mud slinging, fact mangling and sometimes out right lies to grow their ranks. Nursing is a profession and should be treated as such. All too often unions in their mad dash to unionize the RN workforce resort to tactics that leave a mark on our time honored profession. I say if they want to convince nurses to unionize do so with the facts, with well supported arguments and leave the bullying and threats out of it. And as I always say “if nurses are too weak and incapable to advocate for themselves (as the CNA purports) how can these same nurses advocate for their patient as they are require by The California Nursing Practice Act.

But back to the “C” grade awarded to HMH and many other hospitals. It’s important to keep in mind that there several different hospital safety “report cards” available. Leapfrog – www.hospitalsafetyscore.org- is but one of many that are recognized and used. You can also see how your local hospital stacks up by using the Joint Commission Quality Check – www.qualitycheck.org; CMS Hospital Compare – www.hospitalcompare.hhs.gov; and Consumer Reports Hospital Safety Ratings – www.consumerreports.org/health/doctors-hospitals/doctors-and-hospitals.htm to name a few.