Kelly Kanary has been working for Kaiser Permanente as a Certified Registered Nursing Anesthetist since 2015. Many union activists don’t get involved until workplace issues arise and suddenly they are getting a crash course in shop floor organizing, which is how Kelly got involved.
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Union health care workers fought hard for a new staffing law in Washington, and we celebrated together when it passed. Now we’re preparing for the first stages of successful implementation. To get the most out of this statute and hold hospital management accountable for safer staffing, it’s going to require knowledgeable and empowered nurses and other health care workers in every department, on every shift, at every hospital. Here’s how we’re going to get there, together:
The state Hospital Staffing Advisory Committee has been established and will meet monthly. Among its first tasks is development of a uniform hospital staffing plan form. This committee comprises health care workers and hospital representatives.
Staffing committees must be established under the new law. These will include RNs, LPNs, CNAs,and other direct patient care staff. 50% of the voting members must be nursing staff.
New staffing committee charters—covering processes for meetings, attendance, electing co-chairs, reviewing complaints, etc.—must be filed with Dept of Health (DOH). Proposed staffing plans are due to hospital management.
Every hospital must submit a final staffing plan to DOH.
Hospitals must implement the new approved staffing plans by this date, and begin reporting noncompliance to DOH whenever they fail to meet at least 80% compliance that month.
Joint SEIU 1199NW / UFCW 3000 / WSNA Trainings in 2023-24:
All trainings will be online, relevant to where we are in the statewide rollout of the staffing law, and whenever possible will be recorded and shared for those who cannot attend live. Contact a representative or organizer from your union to learn more about signing up!
“The safe staffing bill has many tools we can use to help immensely with safe staffing. I am deeply passionate and excited to learn more and to get to work, and I invite all my fellow healthcare workers to join me.”
“My coworkers and I spent a lot of energy advocating for this law to pass, so we’re certainly going to learn how to enforce it to the fullest. The big hospitals have a lot of money and a lot of resources to figure out the staffing models they think are best, and we’ll need to match that with knowledge of the law and union power.”
“We know that our unity is our strength in every challenge we face, and the work it will take to successfully implement our safe staffing bill is no exception. Working together across all three of our healthcare unions is how we’re going to kickstart a culture of safety in our hospitals and hold our employers accountable to ensure compliance. As a member of SEIU Healthcare 1199NW, I’m proud to continue working collaboratively with my WSNA and UFCW 3000 siblings to create a united front and tackle the next piece of our implementation plan: healthcare workers’ education.”
Our bill to address safe staffing in hospitals, ESSB 5236, was passed by the House earlier this month — the last step in a lengthy legislative process that we, in coalition with SEIU Healthcare 1199NW, UFCW 3000, and the Washington State Nurses Association, helped move forward with our actions, stories, and willingness to use our collective voice to ensure safer care in our hospitals. When we fight, we win!
The bill landed on Gov. Inslee’s desk to be signed into law on April 20, 2023. As of today, our bill is law.
What’s next?
Seattle: Seattle Labor Temple, 5030 1st Ave. S
Spokane: UFCW 3000 Office, 2805 N. Market St.
Tri-Cities: SEIU 1199NW Office, 7525 W. Deschutes Pl Ste 2 Kennewick, WA 99336
Tacoma: Shiloh Baptist Church, 1211 S I St.
Mt. Vernon: UFCW 3000 Office, 1510 N 18th St.
Everett: Snohomish County Labor Temple, 2810 Lombard Ave.
Olympia: Washington State Labor Council, 906 Columbia St. SW (2nd floor)
We’ll distribute an implementation timeline, provide resources, and share information to help us enforce the new staffing law and ensure accountability.
“I’m very glad to see the nursing staff representatives on our staffing committees expanded to include CNAs and LPNs alongside RNs. I know ensuring strict enforcement of a new staffing law is going to take some work, but I’m excited to get started learning how we can use it to keep our patients safer, our hospitals accountable, and our jobs more sustainable.”
Strengthen accountability to hospital staffing plans set by staffing committees.
Eliminate CEO veto power over those plans.
Expand staffing committees to include LPNs, CNAs, and other direct patient care staff in addition to RNs.
Reduce hospitals’ ability to pack staffing committees with people who impede plans.
Create uniform reporting forms, which will mean that patients and healthcare workers will easily understand how many staff should be present.
Require hospitals to report noncompliance to the Department of Health (DOH) and the Department of Labor & Industries (L&I).
Allow DOH to issue corrective action plans that could require minimum staffing standards and fines.
Expand meal and rest break laws to include all frontline staff.
Close loopholes to make mandatory overtime laws fully enforceable.
Allow L&I to issue escalating penalties for missed breaks.
Funds the Washington State Institute for Public Policy to conduct a study of existing staffing plans.
Today the House passed the healthcare staffing bill (ESSB 5236), the final legislative hurdle in a long process, to begin addressing the ongoing hospital staffing crisis this legislative session. The bill now heads to the governor’s desk.
We would not have gotten this bill through the Legislature without the countless members like you who sent in selfies, signed in “pro” on bills, contacted your legislators, testified in hearings, and so much more. The voices of healthcare workers at the bedside pushed the State Senate to go farther down the path toward safe staffing than ever before.
ESSB 5236 reflects a compromise between SEIU Healthcare 1199NW, UFCW 3000, the Washington State Nurses Association and the Washington State Hospital Association. The final compromise will strengthen accountability to staffing plans and allow for corrective action by state agencies if necessary up to and including enforcing safe staffing standards on hospitals. It represents a meaningful step toward safe staffing.
The final bill:
Strengthens accountability to hospital staffing plans. If hospitals fall below 80 percent compliance with their staffing plans, they are required to report noncompliance to the Department of Health (DOH) and the Department of Labor & Industries (L&I). Noncompliant hospitals will be assigned a corrective action plan by L&I and DOH, which may include elements like safe staffing standards set by L&I that the hospital will have to follow.
Expands meal and rest break laws to include all frontline staff, closes loopholes to make mandatory overtime laws fully enforceable, and ensures hospitals follow the law. If there are more than 20 percent of breaks missed in a month, L&I will issue escalating penalties.
Funds the WA State Institute for Public Policy to conduct a study of existing staffing plans to establish what’s actually happening in WA hospitals and compare them to elsewhere. This study would set a baseline understanding of the staffing crisis in WA by a credible, nonpartisan source, and provide a benchmark against California and professional association standards for staffing levels, which is critical for continued work to ensure safe staffing in Washington.
After the Governor signs the bill, we will turn to implementation and enforcement. We will be reaching out about plans to educate members – particularly members of staffing committees – on the elements of the bill.
We’re writing with an update on the progress of Senate Bill 5236 – our bill to create safe staffing standards in Washington.
Last Friday, the Senate Ways and Means Committee voted to pass an amended version of SB 5236. It is worth celebrating that this bill is continuing to move forward through the legislative process, even as we know the fight for a strong version with meaningful enforcement provisions is ongoing. At this point, a few senators have prevented us from implementing statewide safe staffing standards across the board as initially proposed. Despite this, the committee did amend SB 5236 to strengthen staffing committees and improve enforcement, setting a solid foundation for us to keep fighting for safe staffing standards. We’re confident this agreement gets us closer to enforceable staffing standards by establishing penalties for hospitals that continue to violate staffing plans, and under the amended bill, if hospitals continue those violations, they would be subject to Labor and Industries’ strict enforcement of safe staffing standards.
There is still time for hospital lobbyists to try to weaken the bill, but that means there is also time for us to make our voices heard. Contacting your senator, and encouraging your coworkers, family, friends, and community to do so as well, is the main way we can keep up the pressure. Share your experiences with short-staffing and what it means for your patients. Let them know what the current lack of accountability around staffing plans looks like day to day. Make it clear that their constituents are paying attention and demanding action.
Our next hurdle will be to get SB 5236 passed off the Senate floor by March 8th. We thank Sen. June Robinson for being our legislative champion on behalf of Washington’s healthcare workers and Sen. Christine Rolfes, who chairs the Ways and Means Committee, for keeping the focus on this bill until it was voted out of committee.
Your work and advocacy up to this point have been invaluable. We encourage you to continue reaching out to your Legislators to urge them to pass SB 5236.
This week the coalition of healthcare workers from UFCW 3000, WSNA, and SEIU 1199NW, relaunched the WA Safe + Healthy campaign and Senate Bill 5236 to pass safe staffing standards to address the worsening hospital staffing crisis.
Please join healthcare workers from across the state for our first hearing in the Senate Labor and Commerce Committee scheduled for:
Tuesday, January 17 @ 10:30AM
Washington State Capitol - Senate Hearing Rm 1
John A. Cherberg Building and Virtual
(John A. Cherberg Building to the Capitol map link HERE)
Even if you are unable to testify in committee due to time constraints or distance, there are several other ways for members of the Senate Labor Committee hear from you about how unsafe staffing levels have impacted you, your patients, colleagues, and communities across the state.
The more healthcare workers and community our elected leaders hear from, the more likely they are to pass this critical legislation! Next week we will be wearing stickers in the worksites to show our support for safe staffing. Your Union Representatives will be in touch and getting those to workplace leaders for distribution.
Questions, or to get involved in helping lead the fight for safe staffing, please reach out to your Union Representative.
We haven’t given up the fight for safer staffing. Last legislative session, we made momentous progress in elevating the staffing recruitment and retention crisis to lawmakers, media, and the public. Unfortunately, we weren’t able to secure safe staffing standards in 2022. But we know the crisis hasn’t gotten better – if anything, it’s gotten worse.
We’re gearing up now to take the fight back to Olympia and do what it takes to make sure healthcare workers have the staffing they need to provide excellent care. We look forward to sharing more policy specifics soon. But we need you to keep fighting, too.
“Nurses and other healthcare workers continue to burn out under the stress of caring for more and more patients. Across the state, we’re seeing long backups in emergency rooms and patients waiting in the ER until there’s a bed and a nurse to take care of them. We’re seeing nurses and other healthcare workers run ragged trying to keep up. That’s why we can’t let up on our fight for safe staffing. We need state-level solutions, which is why we’re headed back to the legislature to win safe staffing in 2023.” -Jacob Garcia, Med-Surg Registered Nurse, Astria Sunnyside
“We need to do something now to retain our experienced staff and attract new caregivers to the field. We have lost too many co-workers to burnout already. It’s painful to see just how much short staffing is affecting patient care. I’m encouraging my co-workers and all fellow healthcare workers to speak up so state lawmakers can hear directly from those of us on the front lines. Solving this problem is going to require lawmakers to act in the interest of patients and ensure our communities have access to quality healthcare with safer staffing.” -Iliana Ramirez, Medical Assistant, Lourdes Medical Center
“Safe staffing cannot wait. We are going back to the legislature more united than ever for safe staffing standards for all healthcare workers. We’re asking everyone for their support, and to be ready to talk to their legislators, friends, and family. We are moving forward, now join us!” -Ade Adeyemo, Certified Nursing Assistant, UW Medicine - Northwest Hospital
The staffing problem at Providence Everett continues to worsen. This past month it culminated with a sentinel event in the emergency department. This event, along with others can be avoided with proper staffing!
Time and time again in nurse staffing committee, nurses have made staffing suggestions to the Hospital administration. Instead of taking into consideration our recommendations, they have ignored us, cancelled additional meetings needed to review the many CSIs submitted, and are now planning to restructure the Staffing Steering Committees which will favor the Hospital.
Enough is enough! Providence needs to be held accountable and answer our questions about staffing. We have submitted a detailed information request to the Hospital to better understand the factors which lead to the sentinel event in the emergency department.
Providence has failed to resolve our staffing problems and is failing the community and patients.
We call on Providence Everett to be transparent and collaborate with nurses in staffing committee! Our patients deserve better! We need safe staffing conditions now!
We will be following up with next actions in the next two weeks. In the meantime, our most effective tool is to file a CSI form or file a DOH complaint. We highly encourage you to use these avenues to report staffing issues.
FOR RELEASE: Oct. 19, 2021
SEATTLE -- With increasing volume, hospital administrators across Washington have joined health care workers and the unions that represent them in calling attention to the unprecedented staffing crisis. But today, nurses and other frontline workers are calling on hospitals to use the tools and resources they have available to finally begin mitigating this crisis for workers and patients.
“We’ve heard near-unanimous agreement around the problem,” said Julia Barcott, a critical care nurse in Toppenish and WSNA union leader. “That’s great. But only one voice in this conversation has the ability to immediately begin fixing this problem, and that’s the hospitals. It’s past time we saw meaningful action and policy changes from them, for the sake of our frontline workers and for patients and families across the state.”
There are a number of policies hospital administrations could immediately enact that would help begin to alleviate some of the burnout on nurses and improve conditions for workers and patients, including:
Ending mandatory overtime policies and ensuring workers can safely take rest breaks to return to compliance with already-existing state law
Retention bonuses for frontline workers who have stayed on the job, which would ostensibly help offset hospitals’ apparent need for massive signing bonuses for new staff
Incentive pay for burned-out workers who take on additional shifts
Incentive pay and appropriate orientation for workers who take on extra work or shifts in a department they don’t work in
Posting enough positions in all job categories to achieve safe staffing levels
Actively working to fill all open positions
“We’re asking for just compensation and recognition for the work we’ve all been doing and the fact we’ve stayed on the job,” said Tracy Mullen, a nurse in the emergency department at Harborview Medical Center in Seattle and member of SEIU Healthcare 1199NW. “Imagine spending the entirety of this pandemic at the bedside, and the person next to you is a traveling nurse making upwards of three- to four-times as much while the hospital apparently can’t find resources for retention bonuses or incentive pay.”
To understand the magnitude of the current staffing crisis, it’s critical to understand that a staffing shortage in Washington hospitals persisted long before the pandemic. For years, health care workers and their unions have warned our state’s hospitals about short-staffing and the potentially dire consequences. Had hospitals taken action to address adequate staffing years ago, we wouldn’t be facing such an extreme shortage now while we battle this pandemic. COVID exacerbated this already strained infrastructure, and hospitals’ response to the pandemic — including slowly filling open positions, falling back on mandatory overtime, and spending resources on signing bonuses and traveling positions rather than existing staff retention — has only worsened this preexisting shortage and led to massive burnout among workers.
“Large signing bonuses, filling positions with traveling staff, asking the federal government for emergency staff capacity — all of these are stopgap measures,” said Faye Guenther, president of UFCW 21. “You won’t reduce the need for these expensive, short-term fixes until you address the underlying problems causing burned-out health care workers to leave the bedside. In the long run the only way we’re going to see this crisis start to get better for workers and patients is for hospitals to step up and apply even a portion of that energy and those resources towards making the day-to-day working conditions of their nurses and other staff manageable.”
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About SEIU Healthcare 1199NW
SEIU Healthcare 1199NW is a union of nurses and healthcare workers with over 30,000 caregivers throughout hospitals, clinics, mental health, skilled home health and hospice programs in Washington state and Montana. SEIU Healthcare 1199NW’s mission is to advocate for quality care and good jobs for all.
About WSNA
WSNA is the leading voice and advocate for nurses in Washington state, providing representation, education and resources that allow nurses to reach their full professional potential and focus on caring for patients. WSNA represents more than 19,000 registered nurses for collective bargaining who provide care in hospitals, clinics, schools and community and public health settings across the state.
About UFCW 21
UFCW 21 is working to build a powerful union that fights for economic, political and social justice in our workplaces and our communities. We represent over 45,000 workers in retail, grocery stores, health care, and other industries in Washington state.
FOR RELEASE: Sept. 13, 2021
SEATTLE -- The reality cannot be overstated: Washington hospitals are on the brink of a crisis, and without immediate and impactful action to retain and attract critical workers the state’s health care system could face an unprecedented collapse in capacity and care.
Hospitals across the state have warned of massive staffing shortfalls and collapses in capacity. Now the Washington State Nurses Association, SEIU Healthcare 1199NW, and UFCW 21 — who collectively represent 71,000 nurses and other healthcare workers — are urging hospitals to use the tools they have available to mitigate this crisis by retaining and adequately compensating current staff and filling under-staffed departments to ensure patient safety and access to care.
“Amid a fifth wave of COVID, spurred on by the Delta variant, and hospitals overflowing with patients who need critical care, our state health care workers continue to heroically perform their jobs a year-and-a-half into this pandemic,” said Julia Barcott, chair of the WSNA Cabinet and an ICU nurse at Astria Toppenish Hospital. “But nurses and other frontline workers are people, too. We’re losing overworked nurses to overwhelming burnout, the distress of working short-staffed, better-paying traveler nurse jobs and even for signing bonuses of up to $20,000 to move to a different hospital. We’re worried for our patients and the impact of the staffing crisis on the care they receive.”
This isn’t just a crisis for frontline workers, it’s also a public health crisis. Because hospitals were already understaffed well before the coronavirus pandemic hit, we are now seeing a new story every day about a regional hospital at maximum capacity. Without immediately addressing the shortage of staff and untenable workloads for frontline workers, there could be dire consequences to Washington’s health care infrastructure.
“Chronic understaffing is a disaster for patient care. Health care workers don’t want to see patients stuck in overflowing ICUs or being treated in ER hallways, or be forced to turn away ambulances at the door, but that’s the reality of health care right now,” said Faye Guenther, UFCW 21 president. “Hospitals need to immediately respond to this patient care crisis. That means focusing on meaningful, sustainable solutions that will recruit and retain qualified caregivers in every department.”
As many anti-vaccination activists falsely conflate the staffing crisis with looming vaccine deadlines for health care workers, it's important to understand that health care staffing shortages predate the coronavirus pandemic. As a result of years’ of staffing and management decisions, many hospitals already didn’t meet adequate staffing for average patient levels. COVID exacerbated this already strained infrastructure, and hospitals’ response to the pandemic has only worsened this preexisting crisis.
“What’s really driving this crisis is that hospitals have spent the last two decades balancing their budgets on the backs of health care workers and patients,” said Jane Hopkins, RN, executive vice president of SEIU Healthcare 1199NW. “COVID has been a stress test on our health care system, and we are seeing the system fail that test due to management’s choice to understaff. Retention bonuses for frontline workers who have stayed on the job, adequate pay for extra hours worked, and aggressive hiring to staff at full capacity would go a long way right now.”
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About SEIU Healthcare 1199NW
SEIU Healthcare 1199NW is a union of nurses and healthcare workers with over 30,000 caregivers throughout hospitals, clinics, mental health, skilled home health and hospice programs in Washington state and Montana. SEIU Healthcare 1199NW’s mission is to advocate for quality care and good jobs for all.
About WSNA
WSNA is the leading voice and advocate for nurses in Washington state, providing representation, education and resources that allow nurses to reach their full professional potential and focus on caring for patients. WSNA represents more than 19,000 registered nurses for collective bargaining who provide care in hospitals, clinics, schools and community and public health settings across the state.
About UFCW 21
UFCW 21 is working to build a powerful union that fights for economic, political and social justice in our workplaces and our communities. We represent over 45,000 workers in retail, grocery stores, health care, and other industries in Washington state.
For immediate release: Monday November 23, 2020
Contact: Tom Geiger. 206-604-3421
Grocery store workers here in Washington and around the nation continue to go to work every day, risking exposure to the deadliest virus in over one hundred years. Despite these risks and the dramatic increase in sales and profits that grocery stores have recorded since the beginning of the pandemic, the hazard pay that had been put in place in March was cut by early summer. Workers are also feeling a lack of sufficient staffing at a time when the need for sanitizing and breaks are paramount. Unionized workers have continued to press for the hazard pay and improved safety procedures. With the recent new spikes of exposure, positive cases and deaths, workers are re-doubling efforts for safety, staffing and hazard pay.
Background:
Nine months into the pandemic front line workers like grocery store workers are still going to work every day, exposed to the virus and concerned with safety. Early on during the pandemic, many stores like Safeway, QFC and Fred Meyer began paying workers an additional $2 an hour in hazard pay. In addition, we won increased safety protocols grocery store workers had been demanding, such as frequent disinfecting, wiping down carts and check-out stands, installing plexiglass, limiting the number of people inside the store to be able to allow shoppers to socially distance, asking shoppers to wear masks and allowing workers to take frequent breaks to wash hands and maybe get some fresh air.
At the very beginning of March 2020 our nation had its second recorded death from Covid. By the end of that month, the death toll had surpassed 1,500. By the early summer, in all counts, the pandemic had already taken a massive toll, was still out of control, and there was no end in sight. However, while profits and sales at grocery stores soared, workers’ hazard pay was inexplicably cut. Workers who continued to do essential and hazardous work were apparently not worth the extra $2 an hour. Unionized workers’ protests delayed the pay cuts in some places for a month, but by mid-summer, it was all taken away.
Fast forward to today: our nation has recorded over a quarter million COVID deaths. The slow-down in daily rates of infection and deaths has now turned around, with spikes and new records set throughout the month of November. Workers continue to be exposed, but safety protocols in many stores seem to have become more lax, and reduced staffing has made it very difficult to take the time to do the extra work required to disinfect the store, check-out stations and carts, as well as making it hard to take more frequent rest breaks to wash hands and get fresh air. And the hazard pay that was cut from workers’ weekly checks has still never been reinstated.
Unionized grocery store workers in Washington and around the nation this week are calling out for improved safety, including safer staffing, and a reinstatement of hazard pay for hazardous work.
"As a grocery cashier, at least at my store, the best analogy I can give you is that every day is like that Snowmageddon period, where we had lines as far back as we could see, and we didn’t have enough cashiers. Customers are so used to it that they don’t even think about complaining, and the corporate heads think they can get by with it. It’s not because they can’t hire enough people; they’ve hired plenty of people. They just want to have a minimum crew and maximum profits. So we get worked to death because there’s fewer of us doing the work of many. - Wil Peterson, 17-year Kroger employee
"To my customers, I say you don’t need to be accepting these long lines. We have 13 check stands in my store. Today there were only 2 cash registers open. This is ridiculous. We’re speaking up about it. We’re working through our union to get a safer store. The way it is now means more strain on everybody — more work for us, customers in the store longer, backed up in the aisles, even though experts seem to say people should keep their shopping trips to 30 minutes. How can they do that if corporate isn’t listening to them and to us?" - Wil Peterson, 17-year Kroger employee
“I just also want the company to work to keep me safe, and not run me into the ground. Our work is a lot more stressful than it used to be. In our department, we’ve grown in size but we’ve grown even more in how many orders are coming in. Everyone is tired. Everyone is getting worn down. Sections of the store can get so crowded, it’s impossible to keep social distancing and still meet our timelines for fulfilling orders. And I’m very conscious of the risk I’m exposed to. My partner is a nurse, and we have a lot more potential exposure than the people we know who can work from home. That risk is something that I don’t get to leave behind when I leave work—I carry it home with me. My job takes up so much more space in my life now.
On top of all this, on top of them cutting the hazard pay we were getting at the beginning of the pandemic, we’re getting squeezed to be more productive. We push trolleys with the orders we’re preparing all around the store, and they just increased the capacity of those trolleys by 50%. Now they’re so big we can’t see past them around corners, and they’re 50% heavier to push around all day. Lately, the only things any of us are talking about is how tired and sore we are. People are saying they don’t know how much longer they can stay. We are working on these issues through our union, but if our employers can’t commit to keeping us safe, we’re going to lose people who are experienced, who know how to do this work and care about it.” - Amanda, QFC Clicklist
“Through all of this, wanting to give good service, keep our workplace safe for ourselves and our customers, we’re getting nothing from our employers. We got a small amount of hazard pay in the spring and then it was taken away, just like that. They just put $100 on our Advantage cards recently as a little bonus, and it feels like a slap in the face. “
Click here to file a safety report on your neighborhood store and help keep our Grocery Store Workers and our Communities safe.
“We’re back in the throes of it all. We’re here working on the front lines and we don’t feel appreciated. It’s not fair. I’m pissed off. I’m tired. My family’s health care depends on this job. I’m a cancer survivor and I’ve fought to maintain our great union health care for years, I’m proud to work here. I love my customers, but this is so hard. “
“We need hazard pay. We need fully staffed stores so we can keep ourselves and our customers safe. We need respect from our employers—we’re the ones running these stores every day. “ -Amy, QFC
We are the Union. The members of UFCW 3000 are over 50,000 members working in grocery, retail, health care, meat packing, cannabis, & other industries across Washington state, north-east Oregon, and northern Idaho. UFCW 3000 is a chartered member of UFCW International with over 1.4 million workers in North America.
To build a powerful Union that fights for economic, political and social justice in our workplaces and in our communities.
