Strained to the Breaking Point
Among the handful of neurologically impaired patients in Judy Danella’s care one day last week were three so ill that they struggled just to swallow.
She fed each of them in turn, delivering spoonful after spoonful of pureed food, patiently nourishing them toward better health even as she herself was stretched thinner by the minute in a facility that’s chronically shorthanded.
Danella and her union co-workers at Robert Wood Johnson University Hospital in New Brunswick, N.J., wrestle every day with the understaffing crisis straining America’s health care system to the breaking point.
Health care employers across the country long refused to hire adequate numbers of nurses, certified nursing assistants, dietary workers and other essential staff, preferring to push skeleton crews to the bone and put profits over patients.
But now, the same health care workers who battled COVID-19 are fighting for the safe staffing levels needed to protect their communities on a daily basis and prevent the already-fragile care system from collapsing in the next pandemic.
U.S. Sen. Sherrod Brown of Ohio and Rep. Jan Schakowsky of Illinois just introduced legislation in Congress to establish mandatory minimum staffing levels for nurses at hospitals nationwide. But in the meantime, citing the ever-greater urgency, union workers continue advocating for similar measures on a state-by-state basis.
Danella and fellow members of the United Steelworkers (USW), for example, will rally with workers from other unions at the New Jersey statehouse May 11 to demand passage of bills establishing minimum staffing levels for registered nurses in hospitals, ambulatory surgery centers and state psychiatric facilities.
“You want to give the patient the best care you can,” explained Danella, a registered nurse and president of USW Local 4-200, which represents about 1,650 registered nurses at the Robert Wood Johnson facility, a Level 1 trauma center.
The legislation, already introduced in the state Senate and General Assembly, would require one registered nurse for every four patients in an emergency department, one for every two patients in intensive care, and one for every five patients in a medical/surgical unit, among other provisions.
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