Do you believe that? I don't.
For most of my nursing career I have been a staunch supporter of my nursing union. Since the late 90's the union has worked hard at improving the working conditions for RN's. They have worked tirelessly on addressing workload issues and the impact it has on patient care. They negotiated the largest wage increase nurses have seen in decades. I was proud to call myself a memember of the British Columbia Nurses Union(BCNU). Today, I question the direction they have taken.
Over the past few years BCNU has been attempting to bring Licened Practical Nurses(LPN) into our union. The union says LPN's wanted to join our union. There has been a lot of controversy over how the LPN's were approached about joining BCNU, so much so that the Labour Board got involved and legal battles insued.
HEU believes that BCNU "raided" their union. Raiding is the practice whereby a union tries to organize workers who are already represented by another union. In union terms that is an absolute NO NO and does nothing for union solidarity. As a result of BCNU actions they have been shunned by The Canadian Labour Congress and the Canadian Federation of Nurses frowned heavily on BCNU's actions.
I started my post out saying that I used to be a staunch BCNU supporter. What I think I should have said is that I am a strong unionist. In union terms what BCNU did in my opinion is fundementally wrong . I recently read on the HEU website a review of BCNU position on LPN's. Since 1996 BCNU took a strong stance against LPN's. The folowing is taken from the HEU website:
Back in 1996 BCNU president was quoted as saying "“There’s no room in the health care system for LPNs anymore. Existing LPNs should be re-training as RNs”
2000: BCNU lobbies Health Professions Council to stop LPNs from calling themselves nurses. “The BCNU disagrees with the HPC’s recommendation that the title ‘nurse’ be granted to licensed practical nurses and thus shared with registered nurses and registered psychiatric nurses.”
2004: “We’ve been told they (LPNs) do 70% of our work. That may be true. The 30% that they don’t do, however, is the intellectual work which makes all the difference between a registered nurse and a practical nurse.” BCNU president’s remarks to BCNU convention.
2006: “In most industries, what is happening in health care today would be seen as a dumbing down of the workforce. However, somehow for health care, having overlapping scopes of practice, quote unquote, is seen to be acceptable. As one person put it, when we were out of surgeons, they didn’t call for butchers.” BCNU president’s address to a public meeting on health care reform. (watch the video)
2007: BCNU makes a deal with the Vancouver Jail to replace LPNs with RNs, as positions become vacant.
2009: BCNU successfully fights Fraser Health’s decision to utilize LPNs trained to help carry out immunizations in the community, leading to LPN layoffs.
2010: BCNU publicly blasts Fraser Health’s plan to increase direct hours of care to long-term care residents by utilizing more LPNs. (The Province, September 30, 2010/Abbotsford Times, October 1, 2010 and HEU's response as published in Surrey Now)
And now only 2 years later BCNU is singing a different tune and welcoming LPN's to our union. What changed? Why is BCNU welcoming LPN's with open arms?
You know that saying " If it looks like a skunk, smells like a skunk, and acts like a skunk, chances are it's a skunk" Well I smell a skunk. BCNU's position is that LPN's wanted to join, and state that the LPN's felt they would get better representation at the BC Nurses' Union. On the BCNU website you will find the following statement "At BCNU another nurse will always be at your side to represent you." Note the generic use of the word "nurse"
So what changed from 2000 when BCNU was lobbying the Health Professions Council to stop LPN's from calling themselves nurses? BCNU was of the opinion that the designation of "Nurse" should only apply to RN's and RPN's. I can remember specifically our union campaigning to have all RN's wear buttons identifying themselves as RN's and to always introduce themselves to the patient as RN. I recall thinking how silly that was, surely my patient knows I am an RN. This unfortunately is not the case. I personally have observed LPN's identifying themselves as nurse in the generic ...rather than I'm your LPN. I can see now how patients get confused about who is providing their care.
I am of the opion that the reason BCNU wanted LPN's in our union was to have them closer at hand. BCNU is of the opinion that if employers are going to be using LPN's to fill the shortage of RN's then BCNU want to have more control as to how that happens. I think it's a money grab from our union. Increased membership = increased dollars to the union. Increased memembership= increased bargaining strength.
BCNU has just negotiated a tentative agreement with our employer. It's a 2 year contract where nurses will find themselves with a 3% increase in the Spring of 2013, workload language, and an increase in the number of nurses by March 31st, 2016. I'm not quite sure where our union or employer believe we are going to find another 2100 nurses by 2016 especially when a lot of the baby boomers will be retiring within the next few years. Although BCNU states that it will be RN/RPN positions that will be increased, I am not sure what stop gaps will be in place to prevent LPN's from filling the need. I fear there might be a little conflict of interest on BCNU's part.
Now I see that BCNU has opened nominations for LPNs to elect LPN Bargaining Committee/Council Representatives. So what does that mean to me? Well, next time we are voting for a president for our union it might be an LPN voted in. Not sure how I feel about that. I'm still not sure how LPN's feel that by joining BCNU they will be better represented. The LPN's only had a 69% provincial YES vote, to join BCNU personally I don't think that is a very high percentage.
Please don't get me wrong there is a place for LPN's, but under no circumstances do I believe that LPN's should be replacing RN's. I certainly think it is imperative that RN's start identifying themselves as such to their patients.
I am still not sure if BCNU is the right union for LPN's. It will be interesting to see if LPN's feel same way in a few years and if they truly believe their voice is better heard.
I have never believed a nurse is a nurse is a nurse. Isn't that why there are so many avenues for RN's to practise? I have met some amazing and well educated medical nurses but they are not trained to do what I do. Although my nursing career has been varied I am not trained to be a neonatal nurse, or maternity nurse, or an OR nurse or to do outpost nursing just to name a few. So no, I would say a nurse is not a nurse. An RN is an RN, LPN is an LPN and we should use our titles accordingly and proudly.