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July 5, 2022
  • THE MAGAZINE OF THE NSW NURSES AND MIDWIVES’ ASSOCIATION
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Reasonable Workloads Committee

Wyong nurses prevent cuts to shifts

June 1, 2021 by Rayan Calimlim Leave a Comment

Management has dropped a plan to cut nursing hours – but the NSWNMA Wyong branch warns the fight is not over.

Nurses at Wyong Hospital have blocked an attempt to cut nursing hours, despite already working excessive hours and carrying dangerous workloads.

Management has dropped the proposal, but given no guarantee they won’t try to cut hours again.

The hospital’s NSWNMA branch warns the fight is not over.

Wyong is a Group B hospital and has been running at 6.0 NHPPD (nursing hours per patient day) since 2016.

To cut costs, management of Central Coast Local Health District said they intended to permanently reduce all Wyong NHPPD wards to 5.5 NHPPD, which is the award minimum.

Affected wards included M1, M3, R1 and GRU.

NSWNMA delegate at Wyong, Kelly Falconer, said cutting half an hour’s nursing per patient could potentially eliminate two nursing shifts per day on a 32-bed ward.

“Staff are already struggling to handle the workload with 6.0 NHPPD,” said Kelly, who is an ED nurse. “To suffer that proposed cut would have been devastating and extremely dangerous to our patients.”

She said the proposed cut would have denied patients the care they need.

“Nurses are already working as hard as they can, often missing meal breaks and having to stay behind after their shifts.

“Patients mostly get great care, but it shouldn’t be at the cost of nurses having to do a 10-hour night shift without getting any breaks.”

To fight the cuts, the branch identified member leaders on each affected ward, started a WhatsApp communication group for members, and met with Wyong MP David Harris, the Labor Party spokesperson for the Central Coast.

NSWNMA General Secretary, Brett Holmes, said cutting nursing hours could lead to a breach of Clause 53 (iii) (f) of the Award, which provides that nurses and midwives “will not be allocated an unreasonable or excessive nursing workload”.

In a letter to the hospital’s Director of Nursing (DON), Nadine Bridgett, Brett said the proposed cuts were at odds with the consensus view of the hospital’s Reasonable Workloads Committee, made up of both NSWNMA members and nursing management.

Branch officials and member representatives from each ward attended a “grievance meeting” with management reps, including hospital General Manager, Chris Bone, and DON, Nadine Bridgett.

Kelly said nurses gave specific examples of the unreasonable workloads, which contributed to nurses being assaulted and missed patient cares.

“We talked from the heart and let it rip,” she said. “We said ‘This is disgusting, you can’t do this’.”

“A couple of nurses told of not having time to take geriatric patients to the toilet because nurses were looking after extremely confused patients who were wandering and at risk of falling.

“They have to tell them to ‘Go into your nappy and we’ll clean you as soon as we can’.”

Following the grievance meeting, management confirmed in writing that the status quo of 6.0 NHPPD would remain, but gave no commitment to NHPPD once the hospital redevelopment is finished.

Nurses are due to move into the redeveloped facility in July.

Chronic understaffing at Wollongong maternity services

September 29, 2017 by Rayan Calimlim

Midwives take action, including a ban on bed washing and claiming overtime for missed breaks.

For several years, midwifery representatives on Wollongong Hospital’s Reasonable Workloads Committee tried to tell manage-ment the maternity service was seriously short staffed.

“We would have up to 80 vacancies on a 30-day roster but management kept telling us we had our full number of FTE (full time equivalent) staff. They produced various figures to try to bamboozle us,” said branch president Denis Wann, a clinical midwifery educator.

“It was very frustrating and we felt as if we were hitting our heads against a brick wall.”

The introduction of the Birthrate Plus tool to determine midwifery staffing led to a staffing review in March 2016. It revealed the maternity service was short by 19.5 FTE midwives.

“Management kept preaching to us about core values such as respect but they showed us no respect by not listening to us.

“We had midwives crying on wards because they were so stressed from overwork. But management wouldn’t even acknowledge we were critically short staffed.”

Management agreed to advertise for more midwives but new recruits did not start to appear on the wards until late August this year.

Still short 10 FTE

During that 14-month wait the maternity ward typically accommodated up to 26 women with 15-20 babies cared for by one midwife, one student midwife a few weeks into her training, an RN and an AiN.

Denis said that as clinical midwifery educator he took on half the ward with help from the AiN. The student midwife and RN looked after the other half.

“At the end of the shift I had to write 14 adult notes and 14 baby notes, which took me more than two hours.”

The maternity service is still short by about
10 FTE midwives and there is also a shortage of cleaners and clerks.

This has forced midwives and nurses to clean and make beds and do a range of clerical jobs such as filing, scheduling and making appointments – all of which cut down the time available for patient care.

In September, the NSWNMA branch decided that midwives and nurses would no longer wash beds. This has resulted in beds being washed by the nurse unit manager and facilities manager.

“We are so overworked that we often can’t get babies checked by paediatricians until late at night. That means we sometimes can’t discharge mothers and babies before midnight.

“There are no cleaning staff on at night so the midwives are expected to do it.”

Management hamstrung by lack of funding

The branch also agreed that staff would claim overtime for missed tea and lunch breaks.

“Midwives aren’t taking breaks or claiming for overtime when they miss breaks, as they are entitled to do under the award,” Denis said.

“Management said we must take breaks but you just can’t just put down tools when a lady is having a postpartum heamorrhage followed by another lady in labour and a neonatal baby who needs to be resuscitated.”

Midwives from each area of the maternity service met with management in September to outline their staffing requirements. Most requests were for clerical and cleaning support.

Denis said most midwives left the meeting feeling frustrated because they believed management was hamstrung by lack of funding.

“Some managers including our new director of nursing are trying their best to help us but they appear to be fairly powerless.

“Also, there continues to be a disconnect between the understanding of top level management and the reality on the floor.”

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The Lamp is the magazine of the NSW Nurses and Midwives’ Association. It is published bi-monthly and mailed to every member of the Association.

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