We want you to know that we hear the concerns about the high amount of low census, low morale and working condi­tions at the urgent care clinics. We want you to know that WSNA is advocating for you and is working to ensure that changes are made that will make Urgent Care a unit in which Children’s nurses will want to stay and work. In recent weeks, WSNA has taken the following actions as part of this work:

  • On Dec. 4, 2017, WSNA reported concerns of harass­ment and retal­i­a­tion of urgent care RNs to CNO Mady Murrey. WSNA also requested that Mady Murrey touch base with urgent care RNs. 
  • On Dec. 13, 2017, WSNA filed a griev­ance on behalf of one of the many urgent care RNs who have reached out to WSNA concerning the staffing/​scheduling crisis in urgent care. WSNA is sched­uled to meet with hospital manage­ment on Jan. 18, 2108 to discuss this griev­ance at Step 1 of the griev­ance process. 
  • On Jan. 2, 2018, WSNA met with repre­sen­ta­tives from hospital manage­ment and discussed the inclu­sion of urgent care in the No Pay Protec­tion Plan in the contract. By the end of the meeting, WSNA reached an agree­ment with hospital manage­ment to extend the No Pay Protec­tion Plan to RNs on a trial basis from Jan. 1, 2018 through Dec. 31, 2018. We hope this will be a positive step toward reducing the exces­sive loss of wages and time off due to low census. Addition­ally, in this meeting, manage­ment committed to allowing RNs time to work on projects in lieu of low census. 
  • Also on Jan. 2, 2018, WSNA discussed urgent care with hospital manage­ment at our Nurse Confer­ence Committee meeting. WSNA expressed concern with the amount of turnover in Urgent Care. WSNA also expressed concern with the function­ality of the Urgent Care Unit Based Staffing Committee. WSNA encour­aged hospital manage­ment to give the UBSC the data that it needs and empower the UBSC to explore staffing and how the desig­nated amount of FTE are allocated. Manage­ment agreed that urgent care managers should attend UBSC meetings as a guest and not a voting party. Manage­ment also stated that managers should be bringing forth data to the UBSC and set principles. 

WSNA is committed to doing the work with you to improve the working condi­tions and morale in urgent care. In the coming weeks, Seattle Children’s Hospital will be visited by a Magnet Site Surveyor as a part of Children’s effort to achieve Magnet status again. WSNA is currently working with the American Nurses Creden­tialing Center to set up a meeting with the site surveyor and urgent care nurses. We will let you know when we have confirmed a meeting time and location. In the past manage­ment has agreed that RNs will be allowed time to check their emails as long as the time spent checking emails does not send RNs into overtime. If you feel you are being harassed for not leaving when the last patient leaves and there is project work to be done or emails that you need to check, please contact a WSNA repre­sen­ta­tive. Please continue to fill out ADO forms, your feedback is important! 

If you have any questions, comments or would like to share infor­ma­tion that may prove to be helpful, please contact me at telmore@wsna.org or call me at 206 – 575-7979, ext. 3117. 

In unity,

Travis L. Elmore, RN, BSN, RN-BC 
Nurse Representative 
Washington State Nurses Association
206 – 575-7979 x3117 
telmore@wsna.org