Delaware County Daily Times, May 26, 2004

Delco's nurses immune to forced overtime

By PATTI MENGERS , pmengers@delctoimes.com 05/26/2004

Not since the so-called Storm of the Century in 1996 have nurses been forced to work overtime at Riddle Hospital in Middletown.
"The last time was when we had that 30-inch snow storm and there was no way we could get nurses in here, even with the help of the Army Reserve," said Riddle Hospital President Dan Kennedy.


The nurses who were finished their shifts, for the most part, couldn't get home, so they agreed to stay and work, he noted.

Riddle, like all Delaware County hospitals, does not have mandatory overtime for nurses.

However, mandatory overtime is a major problem at the 80 percent of Pennsylvania's hospitals that do not have nurses' unions noted Bill Cruice, executive director of the 5,000-member Pennsylvania Association of Staff Nurses and Allied Professionals or PASNAP.

Cruice was among those Monday who urged a State Senate Judiciary Committee to support a law banning mandatory overtime, which they say is a primary cause of a nursing shortage in Pennsylvania.

The committee is considering Senate Bill 722 sponsored by Sen. Christine Tartaglione, D-Philadelphia, that would limit the work schedules of nurses and other patient caregivers to 80 hours in a two-week period, except in emergencies.

Hospitals and other health care facilities would face fines of $100 to $500 each time they violate the act.

In Delaware County, the approximately 1,200 registered nurses at Crozer-Chester Medical Center, Upland and Mercy Fitzgerald Hospital, Darby, who are represented by PASNAP do not have mandatory overtime said Cruice.

"It's a significant problem, primarily one of patient safety," Cruice told the Daily Times Tuesday. "Nurses are prone to make medical errors if they are made to work long hours beyond their major shifts."

Crozer-Chester Medical Center is a part of Crozer-Keystone Health System which also includes Delaware County Memorial Hospital in the Drexel Hill section of Upper Darby where nurses are not unionized, and Springfield Hospital and Taylor Hospital, Ridley Park, which do have nurses' unions.

"We do not mandate overtime for nurses in any of our hospitals," said Crozer-Keystone spokesperson Kathy Scullin.

Cruice said the proposed bill includes an exception for declared emergencies and mass disasters but maintained that in those situations, plenty of nurses will usually volunteer to work overtime.

"If truck drivers and pilots have their time regulated because of concerns of safety we feel it is long past due for nurses who are dealing with very, very sick patients.

It is long past due that overtime be banned for nurses in Pennsylvania," said Cruice.

Several other states have enacted overtime bans through either legislation or regulation, including California, New Jersey, Maine, Maryland, and West Virginia, according to the Service Employees International Union.

But in Pennsylvania, nurses and hospital administrators disagree over whether imposing a statewide mandatory overtime ban will help alleviate the state's nursing shortage, which the federal government projects will reach 14 percent by 2010 and 30 percent by 2020.

Officials from the Hospital & Health System Association of Pennsylvania contend the use of mandatory overtime is not as widespread as nursing organizations suggest, and that imposing a ban would create an unfunded mandate.



"Until you solve the problem of getting enough nurses in the field, it will remain a difficult situation," said Kennedy.

The Associated Press contributed to this report.

He noted that there is interest in the nursing profession among high school students, but there are not enough instructors to teach them both in colleges and diploma programs.

Riddle Hospital Vice President of Nursing Peggy Sinott said the median age for nursing instructors is between 55 and 56.

"Salaries are tough in education. They are much lower in education than they are in service. They are not something a lot of nurses aspire to," said Sinott.

Nurses' unions argue that mandatory overtime contributes to medical errors and high turnover, and it is costly for health care providers.

Nurses are also lobbying for legislation limiting the number of patients per nurse. They say high ratios contribute to medical errors, some deadly, and to nurse burn-out.

©The Daily Times 2004