California Rules About Violence Against Health Workers Could Become a Model
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FM","link":"/"}},"stateofhealth_253562":{"type":"posts","id":"stateofhealth_253562","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"253562","score":null,"sort":[1477673135000]},"guestAuthors":[],"slug":"california-rules-about-violence-against-health-workers-could-become-a-model","title":"California Rules About Violence Against Health Workers Could Become a Model","publishDate":1477673135,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Workers in California's hospitals and doctors' offices may be less likely to get hit, kicked, bitten or grabbed under workplace standards adopted by a state workplace safety board.\u003c/p>\n\u003cp>Regulators within the California Division of Occupational Safety and Health approved \u003ca href=\"http://www.dir.ca.gov/oshsb/documents/Workplace-Violence-Prevention-in-Health-Care-txtbdconsider.pdf\">a rule\u003c/a> last Thursday that would require hospitals and other employers of health professionals to develop violence prevention protocols and involve workers in the process. The standard now will be reviewed by the Office of Administrative Law, which proponents expect will approve the new rules. The earliest they could take effect would be January 2017.\u003c/p>\n\u003cp>\"This is a landmark day for the entire country,\" said Bonnie Castillo, a registered nurse who is director of health and safety for the California Nurses Association/National Nurses United, which represents 185,000 registered nurses across the U.S.\u003c/p>\n\u003cp>But some states, including California, New York, Illinois and New Jersey require public employers to take preventive measures, according to the \u003ca href=\"http://nursingworld.org/workplaceviolence\" target=\"_blank\">American Nurses Association\u003c/a>.\u003c/p>\n\u003cp>The Cal/OSHA rules apply to private health care facilities in the state and are more robust than existing workplace protection rules, union officials say. Site-specific assessments will be done to identify violence risks, and the resulting plans to prevent injuries will address concerns identified by workers.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"California has now set the bar with the strongest workplace violence regulation in the nation,\" wrote Castillo in a statement.\u003c/p>\n\u003cp>Two unions, the California Nurses Association and the Service Employees International Union, have been pushing for more comprehensive protections because of what they see as an alarming rate of health care workplace assaults, such as the \u003ca href=\"http://www.npr.org/sections/health-shots/2015/10/20/449200736/5-years-after-a-murder-calif-hospital-still-struggles-with-violence\">2010 strangling death of a nurse\u003c/a> at a state-run psychiatric hospital in Napa.\u003c/p>\n\u003cp>\"Unfortunately, [violence] is sort of a daily occurrence,\" said Kathy Hughes, a registered nurse and spokesperson for the SEIU Nurse Alliance of California. She said her union formed a campaign and talked to hundreds of health care professionals, many of whom had accepted the idea that assaults happen at work. But \"violence shouldn't be part of the job,\" said Hughes.\u003c/p>\n\u003cp>The California Nurses Association sponsored the 2014 bill that required the board to adopt the violence prevention rules this year.\u003c/p>\n\u003cp>National \u003ca href=\"http://www.gao.gov/assets/680/675858.pdf\" target=\"_blank\">research\u003c/a> shows that health care workers are at a \"substantially higher\" risk of workplace violence than the average worker. In 2013, for example, private-sector hospital workers were five times more likely to take time off from work because of an injury caused by violence than a typical private sector worker.\u003c/p>\n\u003cp>Workplace safety standards already exist in California, but the Cal/OSHA rules are specifically designed to prevent violence.\u003c/p>\n\u003cp>\"It can't be a cookie-cutter approach,\" said Hughes, adding that emergency departments and pediatric care units pose different dangers to workers, so safety protocols can't simply be a canned plan found on the Internet.\u003c/p>\n\u003cp>Both the California Nurses Association and SEIU say they hope the new California standards will become a national model.\u003c/p>\n\u003cp>Testimony at hearings leading up to the approval of the rules to prevent violence suggest that worker assaults vary in severity.\u003c/p>\n\u003cp>As a student nurse at a San Francisco hospital, Amy Erb \u003ca href=\"http://www.dir.ca.gov/dosh/DoshReg/Workplace-Violence-in-Healthcare/Meeting-minutes.2015-04-01.pdf\" target=\"_blank\">remembered\u003c/a> being kicked in the head by an agitated, confused patient with a traumatic brain injury.\u003c/p>\n\u003cp>Other health care workers told stories about patients throwing lamps, lifting caregivers up by their necks or stuffing dirt into the mouths of their colleagues.\u003c/p>\n\u003cp>Under the new rules, California employers wouldn't be liable for every act of violence against a worker, such as a mass shooting, but they could be cited by Cal/OSHA for not following protocols, Hughes said. The standard applies to hospital-affiliated facilities and clinics, including home health care settings and drug treatment programs.\u003c/p>\n\u003cp>Hospitals and physicians were at the table when regulators hammered out the workplace rules. The California Hospital Association didn't provide comment for this story, but it had been opposed to creating new standards when lawmakers looked at the issue in 2014. Hospitals also wanted \"workplace violence\" to be \u003ca href=\"http://www.dir.ca.gov/dosh/doshreg/Workplace-Violence-in-Healthcare/Comments/Cal-OSHA-Workplace-Violence-Letter-Nov14.pdf\" target=\"_blank\">better defined\u003c/a>.\u003c/p>\n\u003cp>The hospital trade association said several recent trends may contribute to violence at health care facilities. Cuts to mental health care services lead to more psychiatric patients in hospitals. The aging patient population may include more Alzheimer's patients, some with aggressive tendencies. And hospitals caring for current or recently released prisoners face a higher risk of violence.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003c/em>\u003ca href=\"http://khn.org/\">Kaiser Health News\u003c/a>,\u003cem> which publishes \u003c/em>\u003ca href=\"http://californiahealthline.org/\">California Healthline\u003c/a>,\u003cem> an editorially independent service of the California Health Care Foundation.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=California+Rules+About+Violence+Against+Health+Workers+Could+Become+A+Model&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"New workplace health rules in California would go beyond existing safety standards.","status":"publish","parent":0,"modified":1477691163,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":757},"headData":{"title":"California Rules About Violence Against Health Workers Could Become a Model | KQED","description":"New workplace health rules in California would go beyond existing safety standards.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"253562 http://ww2.kqed.org/stateofhealth/?p=253562","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/10/28/california-rules-about-violence-against-health-workers-could-become-a-model/","disqusTitle":"California Rules About Violence Against Health Workers Could Become a Model","nprImageCredit":"Dana Neely","nprByline":"\u003cstrong>Pauline Bartolone \u003cbr>Kaiser Health News\u003c/strong>","nprImageAgency":"Getty Images","nprStoryId":"499299408","nprApiLink":"http://api.npr.org/query?id=499299408&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2016/10/26/499299408/california-rules-about-violence-against-health-workers-could-become-a-model?ft=nprml&f=499299408","nprRetrievedStory":"1","nprPubDate":"Thu, 27 Oct 2016 14:14:00 -0400","nprStoryDate":"Wed, 26 Oct 2016 17:42:00 -0400","nprLastModifiedDate":"Thu, 27 Oct 2016 14:14:24 -0400","path":"/stateofhealth/253562/california-rules-about-violence-against-health-workers-could-become-a-model","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Workers in California's hospitals and doctors' offices may be less likely to get hit, kicked, bitten or grabbed under workplace standards adopted by a state workplace safety board.\u003c/p>\n\u003cp>Regulators within the California Division of Occupational Safety and Health approved \u003ca href=\"http://www.dir.ca.gov/oshsb/documents/Workplace-Violence-Prevention-in-Health-Care-txtbdconsider.pdf\">a rule\u003c/a> last Thursday that would require hospitals and other employers of health professionals to develop violence prevention protocols and involve workers in the process. The standard now will be reviewed by the Office of Administrative Law, which proponents expect will approve the new rules. The earliest they could take effect would be January 2017.\u003c/p>\n\u003cp>\"This is a landmark day for the entire country,\" said Bonnie Castillo, a registered nurse who is director of health and safety for the California Nurses Association/National Nurses United, which represents 185,000 registered nurses across the U.S.\u003c/p>\n\u003cp>But some states, including California, New York, Illinois and New Jersey require public employers to take preventive measures, according to the \u003ca href=\"http://nursingworld.org/workplaceviolence\" target=\"_blank\">American Nurses Association\u003c/a>.\u003c/p>\n\u003cp>The Cal/OSHA rules apply to private health care facilities in the state and are more robust than existing workplace protection rules, union officials say. Site-specific assessments will be done to identify violence risks, and the resulting plans to prevent injuries will address concerns identified by workers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"California has now set the bar with the strongest workplace violence regulation in the nation,\" wrote Castillo in a statement.\u003c/p>\n\u003cp>Two unions, the California Nurses Association and the Service Employees International Union, have been pushing for more comprehensive protections because of what they see as an alarming rate of health care workplace assaults, such as the \u003ca href=\"http://www.npr.org/sections/health-shots/2015/10/20/449200736/5-years-after-a-murder-calif-hospital-still-struggles-with-violence\">2010 strangling death of a nurse\u003c/a> at a state-run psychiatric hospital in Napa.\u003c/p>\n\u003cp>\"Unfortunately, [violence] is sort of a daily occurrence,\" said Kathy Hughes, a registered nurse and spokesperson for the SEIU Nurse Alliance of California. She said her union formed a campaign and talked to hundreds of health care professionals, many of whom had accepted the idea that assaults happen at work. But \"violence shouldn't be part of the job,\" said Hughes.\u003c/p>\n\u003cp>The California Nurses Association sponsored the 2014 bill that required the board to adopt the violence prevention rules this year.\u003c/p>\n\u003cp>National \u003ca href=\"http://www.gao.gov/assets/680/675858.pdf\" target=\"_blank\">research\u003c/a> shows that health care workers are at a \"substantially higher\" risk of workplace violence than the average worker. In 2013, for example, private-sector hospital workers were five times more likely to take time off from work because of an injury caused by violence than a typical private sector worker.\u003c/p>\n\u003cp>Workplace safety standards already exist in California, but the Cal/OSHA rules are specifically designed to prevent violence.\u003c/p>\n\u003cp>\"It can't be a cookie-cutter approach,\" said Hughes, adding that emergency departments and pediatric care units pose different dangers to workers, so safety protocols can't simply be a canned plan found on the Internet.\u003c/p>\n\u003cp>Both the California Nurses Association and SEIU say they hope the new California standards will become a national model.\u003c/p>\n\u003cp>Testimony at hearings leading up to the approval of the rules to prevent violence suggest that worker assaults vary in severity.\u003c/p>\n\u003cp>As a student nurse at a San Francisco hospital, Amy Erb \u003ca href=\"http://www.dir.ca.gov/dosh/DoshReg/Workplace-Violence-in-Healthcare/Meeting-minutes.2015-04-01.pdf\" target=\"_blank\">remembered\u003c/a> being kicked in the head by an agitated, confused patient with a traumatic brain injury.\u003c/p>\n\u003cp>Other health care workers told stories about patients throwing lamps, lifting caregivers up by their necks or stuffing dirt into the mouths of their colleagues.\u003c/p>\n\u003cp>Under the new rules, California employers wouldn't be liable for every act of violence against a worker, such as a mass shooting, but they could be cited by Cal/OSHA for not following protocols, Hughes said. The standard applies to hospital-affiliated facilities and clinics, including home health care settings and drug treatment programs.\u003c/p>\n\u003cp>Hospitals and physicians were at the table when regulators hammered out the workplace rules. The California Hospital Association didn't provide comment for this story, but it had been opposed to creating new standards when lawmakers looked at the issue in 2014. Hospitals also wanted \"workplace violence\" to be \u003ca href=\"http://www.dir.ca.gov/dosh/doshreg/Workplace-Violence-in-Healthcare/Comments/Cal-OSHA-Workplace-Violence-Letter-Nov14.pdf\" target=\"_blank\">better defined\u003c/a>.\u003c/p>\n\u003cp>The hospital trade association said several recent trends may contribute to violence at health care facilities. Cuts to mental health care services lead to more psychiatric patients in hospitals. The aging patient population may include more Alzheimer's patients, some with aggressive tendencies. And hospitals caring for current or recently released prisoners face a higher risk of violence.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003c/em>\u003ca href=\"http://khn.org/\">Kaiser Health News\u003c/a>,\u003cem> which publishes \u003c/em>\u003ca href=\"http://californiahealthline.org/\">California Healthline\u003c/a>,\u003cem> an editorially independent service of the California Health Care Foundation.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=California+Rules+About+Violence+Against+Health+Workers+Could+Become+A+Model&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/253562/california-rules-about-violence-against-health-workers-could-become-a-model","authors":["byline_stateofhealth_253562"],"categories":["stateofhealth_14","stateofhealth_1"],"tags":["stateofhealth_2808","stateofhealth_278","stateofhealth_2519","stateofhealth_2815"],"featImg":"stateofhealth_253563","label":"stateofhealth"},"stateofhealth_23353":{"type":"posts","id":"stateofhealth_23353","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"23353","score":null,"sort":[1420592486000]},"guestAuthors":[],"slug":"its-union-vs-union-in-proposed-hospital-sale","title":"It's Union vs. Union in Proposed Hospital Sale","publishDate":1420592486,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_23360\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/OConnor_Hospital_Exterior_2-e1420591762331.jpg\">\u003cimg class=\"size-large wp-image-23360\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/OConnor_Hospital_Exterior_2-640x334.jpg\" alt=\"O'Connor Hospital in San Jose is one of the six hospitals operated by Daughters of Charity that is being sold. (Courtesy: O'Connor Hospital)\" width=\"640\" height=\"334\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">O'Connor Hospital in San Jose is one of the six hospitals operated by Daughters of Charity that is being sold. (Courtesy: O'Connor Hospital)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan class=\"Apple-style-span\">\u003cstrong>By April Dembosky\u003c/strong>\u003c/span>\u003c/p>\n\u003cp>Unions are sparring every day this week over the fate of six safety-net hospitals in California, showcasing how splintered the health care labor movement has become.\u003c/p>\n\u003cp>At issue is the same of the financially-distressed hospitals currently owned by the nonprofit Daughters of Charity. The leading buyer is for-profit Prime Healthcare.\u003c/p>\n\u003cp>The state attorney general's office is hearing testimony at each of the six hospitals this week before it approved or denies the sale. Because the hospitals are owned by a non-profit, the state is tasked with making sure the sale to a for-profit company benefits the public interest.\u003c/p>\n\u003cp>Unions are divided over whether Prime is the right candidate for the job.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>SEIU United Healthcare Workers West began waging a campaign against Prime Healthcare eight months ago. They rallied a long list of California lawmakers and advocates to oppose the sale.\u003c/p>\n\u003cp>“There has never been the breadth or the depth of opposition to any hospital transaction in the history of California,” says Dave Regan, union president.\u003c/p>\n\u003cp>SEIU’s main concern with Prime taking over is the threat of bankruptcy. Prime has indicated it is willing to restructure to bring order to the hospitals’ finances. This could put union members’ pensions at risk of being slashed.\u003c/p>\n\u003cp>“The workforce, in terms of retirement benefits, would be totally unprotected,” Regan says.\u003c/p>\n\u003cp>Then, after months of publicly fighting the sale, SEIU confronted a new opponent last fall: another union.\u003c/p>\n\u003cp>The California Nurses Association declared its support of the sale to Prime in October. The union struck its own deal with Prime that includes a promise to maintain current staffing levels and to fully fund nurses’ pensions and retiree health benefits.\u003c/p>\n\u003cp>“Retirees don’t want to worry about having to go to Walmart to get a job,” says Jacqualine Gammage-Rogers, a nurse at St. Vincent Medical Center in Los Angeles, one of the hospitals included in the sale. She’s planning to retire in the next five years.\u003c/p>\n\u003cp>“I want to be able to walk away with my pension to maintain my life and my style of living,” she says. “Yes, I’m going to make some changes, but I want to make sure that I don’t have to eat cat food once I retire.”\u003c/p>\n\u003cp>The California Nurses' Association and SEIU have a tumultuous history. The two unions have clashed over how to negotiate with hospitals.\u003c/p>\n\u003cp>“They have been known to ally with each other,” says Joanne Spetz, UC San Francisco professor of economics. “Lately, it seems like they've been working against each other more frequently.”\u003c/p>\n\u003cp>Tensions have risen when the two unions have bargained separately in the same hospital, with CNA representing nurses and SEIU-UHW representing technicians and other vocational health care workers. Each is willing to make very different kinds of trade-offs.\u003c/p>\n\u003cp>SEIU has made deals recently to secure its right to organize within hospitals, usually by making certain concessions to management.\u003c/p>\n\u003cp>“SEIU will come to an agreement of what will be on the bargaining table and what won’t -- then agree there will be representation without elections,” Spetz says. “CNA has not been willing to negotiate that way.”\u003c/p>\n\u003cp>Several other unions have taken a position on the sale, with nurses from SEIU Local 121 RN in favor, and nurses from the United Nurses Associations of California/Union of Health Care Professionals opposed.\u003c/p>\n\u003cp>Spetz says the attorney general's office – and consumers – need to be cautious about the union politics and rhetoric in their review of the sale. The attorney general must confirm or reject the deal before February 12.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The hospitals included in the sale are: Seton Medical Center in Daly City; Seton Coastside in Moss Beach; O’Connor Hospital in San Jose; Saint Louise Regional Hospital in Gilroy; St. Vincent Medical Center in Los Angeles; and St. Francis Medical Center in Lynwood.\u003c/p>\n\n","blocks":[],"excerpt":"The powerful California Nurses Association and the SEIU are on opposite sides of the proposed sale of 6 safety-net hospitals.","status":"publish","parent":0,"modified":1420845099,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":704},"headData":{"title":"It's Union vs. Union in Proposed Hospital Sale | KQED","description":"The powerful California Nurses Association and the SEIU are on opposite sides of the proposed sale of 6 safety-net hospitals.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"23353 http://blogs.kqed.org/stateofhealth/?p=23353","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/01/06/its-union-vs-union-in-proposed-hospital-sale/","disqusTitle":"It's Union vs. Union in Proposed Hospital Sale","path":"/stateofhealth/23353/its-union-vs-union-in-proposed-hospital-sale","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23360\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/OConnor_Hospital_Exterior_2-e1420591762331.jpg\">\u003cimg class=\"size-large wp-image-23360\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/OConnor_Hospital_Exterior_2-640x334.jpg\" alt=\"O'Connor Hospital in San Jose is one of the six hospitals operated by Daughters of Charity that is being sold. (Courtesy: O'Connor Hospital)\" width=\"640\" height=\"334\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">O'Connor Hospital in San Jose is one of the six hospitals operated by Daughters of Charity that is being sold. (Courtesy: O'Connor Hospital)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan class=\"Apple-style-span\">\u003cstrong>By April Dembosky\u003c/strong>\u003c/span>\u003c/p>\n\u003cp>Unions are sparring every day this week over the fate of six safety-net hospitals in California, showcasing how splintered the health care labor movement has become.\u003c/p>\n\u003cp>At issue is the same of the financially-distressed hospitals currently owned by the nonprofit Daughters of Charity. The leading buyer is for-profit Prime Healthcare.\u003c/p>\n\u003cp>The state attorney general's office is hearing testimony at each of the six hospitals this week before it approved or denies the sale. Because the hospitals are owned by a non-profit, the state is tasked with making sure the sale to a for-profit company benefits the public interest.\u003c/p>\n\u003cp>Unions are divided over whether Prime is the right candidate for the job.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>SEIU United Healthcare Workers West began waging a campaign against Prime Healthcare eight months ago. They rallied a long list of California lawmakers and advocates to oppose the sale.\u003c/p>\n\u003cp>“There has never been the breadth or the depth of opposition to any hospital transaction in the history of California,” says Dave Regan, union president.\u003c/p>\n\u003cp>SEIU’s main concern with Prime taking over is the threat of bankruptcy. Prime has indicated it is willing to restructure to bring order to the hospitals’ finances. This could put union members’ pensions at risk of being slashed.\u003c/p>\n\u003cp>“The workforce, in terms of retirement benefits, would be totally unprotected,” Regan says.\u003c/p>\n\u003cp>Then, after months of publicly fighting the sale, SEIU confronted a new opponent last fall: another union.\u003c/p>\n\u003cp>The California Nurses Association declared its support of the sale to Prime in October. The union struck its own deal with Prime that includes a promise to maintain current staffing levels and to fully fund nurses’ pensions and retiree health benefits.\u003c/p>\n\u003cp>“Retirees don’t want to worry about having to go to Walmart to get a job,” says Jacqualine Gammage-Rogers, a nurse at St. Vincent Medical Center in Los Angeles, one of the hospitals included in the sale. She’s planning to retire in the next five years.\u003c/p>\n\u003cp>“I want to be able to walk away with my pension to maintain my life and my style of living,” she says. “Yes, I’m going to make some changes, but I want to make sure that I don’t have to eat cat food once I retire.”\u003c/p>\n\u003cp>The California Nurses' Association and SEIU have a tumultuous history. The two unions have clashed over how to negotiate with hospitals.\u003c/p>\n\u003cp>“They have been known to ally with each other,” says Joanne Spetz, UC San Francisco professor of economics. “Lately, it seems like they've been working against each other more frequently.”\u003c/p>\n\u003cp>Tensions have risen when the two unions have bargained separately in the same hospital, with CNA representing nurses and SEIU-UHW representing technicians and other vocational health care workers. Each is willing to make very different kinds of trade-offs.\u003c/p>\n\u003cp>SEIU has made deals recently to secure its right to organize within hospitals, usually by making certain concessions to management.\u003c/p>\n\u003cp>“SEIU will come to an agreement of what will be on the bargaining table and what won’t -- then agree there will be representation without elections,” Spetz says. “CNA has not been willing to negotiate that way.”\u003c/p>\n\u003cp>Several other unions have taken a position on the sale, with nurses from SEIU Local 121 RN in favor, and nurses from the United Nurses Associations of California/Union of Health Care Professionals opposed.\u003c/p>\n\u003cp>Spetz says the attorney general's office – and consumers – need to be cautious about the union politics and rhetoric in their review of the sale. The attorney general must confirm or reject the deal before February 12.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The hospitals included in the sale are: Seton Medical Center in Daly City; Seton Coastside in Moss Beach; O’Connor Hospital in San Jose; Saint Louise Regional Hospital in Gilroy; St. Vincent Medical Center in Los Angeles; and St. Francis Medical Center in Lynwood.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/23353/its-union-vs-union-in-proposed-hospital-sale","authors":["8344"],"categories":["stateofhealth_11"],"tags":["stateofhealth_278","stateofhealth_73"],"featImg":"stateofhealth_23360","label":"stateofhealth"},"stateofhealth_19459":{"type":"posts","id":"stateofhealth_19459","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"19459","score":null,"sort":[1402384418000]},"guestAuthors":[],"slug":"resident-physicians-at-childrens-oakland-rally-over-contract-stalemate","title":"Resident Physicians at Children's Oakland Rally Over Contract Stalemate","publishDate":1402384418,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_19461\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf.jpg\">\u003cimg class=\"size-full wp-image-19461\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf.jpg\" alt=\"Medical workers stage a protest in front of UCSF Benioff Children's Hospital Oakland. (Mark Andrew Boyer/KQED)\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf-320x214.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Medical residents stage a protest in front of UCSF Benioff Children's Hospital Oakland. (Mark Andrew Boyer/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Resident physicians at UCSF Benioff Children’s Hospital Oakland say their salaries aren’t keeping up with the cost of living in the Bay Area. Theirs is one of the latest health care union battles to heat up in California between workers and hospital administration, and is drawing a new generation of members to union organizing.\u003c/p>\n\u003cp>“A lot of people think being a doctor is super glamorous and you make tons of money and everyone loves you,” said Alana Arnold, a second-year resident. “But in fact, residency is difficult. We’re here to learn and train. And we have to protect ourselves just like any other workforce.”\u003c/p>\n\u003cp>She and other pediatric medicine residents in Oakland have joined with SEIU’s Committee of Interns and Residents to fight for higher compensation, and a special fund for patients to cover bus tokens and other costs to help them get to appointments and maintain care. \u003c!--more-->\u003c/p>\n\u003cp>Residents are paid $52,000 a year and work up to 80 hours a week. The residents say they want a small $2,000 bonus over their three-year residency to help offset housing costs. But after more than a year of negotiating, there is no resolution. The latest talks with a federal mediator broke down.\u003c/p>\n\u003cp>“This contract bargaining has now become an issue of respect,” Arnold said at a demonstration outside the hospital last Friday. “The hospital administrators must see us as equal contributors and as professionals who provide critical medical services to patients of Children’s Hospital.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The hospital says it values the residents, but it also faces high costs of doing business in the Bay Area. Spokesperson Melinda Krigel says the hospital has to balance the residency program with a lot of competing needs, including patient care, research and community benefits.\u003c/p>\n\u003cp>“We have to look at all our costs and programs and decide where we have to put the money to sustain our mission,” Krigel said.\u003c/p>\n\u003cp>She said the residents’ demands come at the same time that federal grants for graduate medical training have been slashed 30 percent. The hospital plans to accept 28 residents in the next incoming class, compared to 30 in each of the last few years.\u003c/p>\n\u003cp>“Without that federal funding, our hands are tied,” Ms. Krigel said, adding that the residents do get various financial perks — including a stipend for books, and free food.\u003c/p>\n\u003cp>The residents say the hospital should tap into the $50 million philanthropic gift it recently received from Marc and Lynne Benioff, following the Oakland hospital’s affiliation with the UCSF Benioff Children’s Hospital earlier this year. The hospital says it hasn’t yet decided how it will spend the money.\u003c/p>\n\u003cp>The residents were joined by at least one member of another union at their march on Friday. Susan Segal is a nurse in the intensive care nursery at Children’s Hospital Oakland and a member of the California Nurses Association, a union that has often been at odds with SEIU, the union backing the residents.\u003c/p>\n\u003cp>“There are huge divides. And there have been historically huge feuds and coming together of SEIU and CNA,” Segal said. “But when it comes to this hospital, we stand together. Personally as a nurse and union member I’m committed to supporting every other union and their fights.”\u003c/p>\n\u003cp>Arnold says it’s important for people at all levels of the health care field, and of all ages, to get involved with their union.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Being a doctor is a privilege and an honor,” Arnold said. “But it is something that should not be abused by your employer. And that’s what’s going on with the hospital administration. So it’s just out of necessity that we need to organize and make sure that our working conditions are appropriate and necessary to carry out our duty, which is to provide the best care possible.”\u003c/p>\n\n","blocks":[],"excerpt":"Residents at Children's Hospital Oakland work 80 hours a week and are paid $52,000 a year. ","status":"publish","parent":0,"modified":1402441018,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":701},"headData":{"title":"Resident Physicians at Children's Oakland Rally Over Contract Stalemate | KQED","description":"Residents at Children's Hospital Oakland work 80 hours a week and are paid $52,000 a year. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"19459 http://blogs.kqed.org/stateofhealth/?p=19459","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/06/10/resident-physicians-at-childrens-oakland-rally-over-contract-stalemate/","disqusTitle":"Resident Physicians at Children's Oakland Rally Over Contract Stalemate","path":"/stateofhealth/19459/resident-physicians-at-childrens-oakland-rally-over-contract-stalemate","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_19461\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf.jpg\">\u003cimg class=\"size-full wp-image-19461\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf.jpg\" alt=\"Medical workers stage a protest in front of UCSF Benioff Children's Hospital Oakland. (Mark Andrew Boyer/KQED)\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf-320x214.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Medical residents stage a protest in front of UCSF Benioff Children's Hospital Oakland. (Mark Andrew Boyer/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Resident physicians at UCSF Benioff Children’s Hospital Oakland say their salaries aren’t keeping up with the cost of living in the Bay Area. Theirs is one of the latest health care union battles to heat up in California between workers and hospital administration, and is drawing a new generation of members to union organizing.\u003c/p>\n\u003cp>“A lot of people think being a doctor is super glamorous and you make tons of money and everyone loves you,” said Alana Arnold, a second-year resident. “But in fact, residency is difficult. We’re here to learn and train. And we have to protect ourselves just like any other workforce.”\u003c/p>\n\u003cp>She and other pediatric medicine residents in Oakland have joined with SEIU’s Committee of Interns and Residents to fight for higher compensation, and a special fund for patients to cover bus tokens and other costs to help them get to appointments and maintain care. \u003c!--more-->\u003c/p>\n\u003cp>Residents are paid $52,000 a year and work up to 80 hours a week. The residents say they want a small $2,000 bonus over their three-year residency to help offset housing costs. But after more than a year of negotiating, there is no resolution. The latest talks with a federal mediator broke down.\u003c/p>\n\u003cp>“This contract bargaining has now become an issue of respect,” Arnold said at a demonstration outside the hospital last Friday. “The hospital administrators must see us as equal contributors and as professionals who provide critical medical services to patients of Children’s Hospital.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The hospital says it values the residents, but it also faces high costs of doing business in the Bay Area. Spokesperson Melinda Krigel says the hospital has to balance the residency program with a lot of competing needs, including patient care, research and community benefits.\u003c/p>\n\u003cp>“We have to look at all our costs and programs and decide where we have to put the money to sustain our mission,” Krigel said.\u003c/p>\n\u003cp>She said the residents’ demands come at the same time that federal grants for graduate medical training have been slashed 30 percent. The hospital plans to accept 28 residents in the next incoming class, compared to 30 in each of the last few years.\u003c/p>\n\u003cp>“Without that federal funding, our hands are tied,” Ms. Krigel said, adding that the residents do get various financial perks — including a stipend for books, and free food.\u003c/p>\n\u003cp>The residents say the hospital should tap into the $50 million philanthropic gift it recently received from Marc and Lynne Benioff, following the Oakland hospital’s affiliation with the UCSF Benioff Children’s Hospital earlier this year. The hospital says it hasn’t yet decided how it will spend the money.\u003c/p>\n\u003cp>The residents were joined by at least one member of another union at their march on Friday. Susan Segal is a nurse in the intensive care nursery at Children’s Hospital Oakland and a member of the California Nurses Association, a union that has often been at odds with SEIU, the union backing the residents.\u003c/p>\n\u003cp>“There are huge divides. And there have been historically huge feuds and coming together of SEIU and CNA,” Segal said. “But when it comes to this hospital, we stand together. Personally as a nurse and union member I’m committed to supporting every other union and their fights.”\u003c/p>\n\u003cp>Arnold says it’s important for people at all levels of the health care field, and of all ages, to get involved with their union.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Being a doctor is a privilege and an honor,” Arnold said. “But it is something that should not be abused by your employer. And that’s what’s going on with the hospital administration. So it’s just out of necessity that we need to organize and make sure that our working conditions are appropriate and necessary to carry out our duty, which is to provide the best care possible.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/19459/resident-physicians-at-childrens-oakland-rally-over-contract-stalemate","authors":["3205"],"categories":["stateofhealth_14"],"tags":["stateofhealth_278","stateofhealth_791"],"featImg":"stateofhealth_19461","label":"stateofhealth"},"stateofhealth_6137":{"type":"posts","id":"stateofhealth_6137","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"6137","score":null,"sort":[1338395115000]},"guestAuthors":[],"slug":"new-health-care-jobs-how-healthy","title":"New Health Care Jobs: How Healthy?","publishDate":1338395115,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_6155\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/PatientMoved_05252012_MilitaryHealth_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-6155\" title=\"(US Navy: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/PatientMoved_05252012_MilitaryHealth_Flickr-300x232.jpg\" alt=\"(US Navy: Flickr)\" width=\"300\" height=\"232\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Hospital team moves patient from one bed to another. (U.S. Navy: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>California stands to reap tens of thousands of jobs because of the federal health care overhaul -- according to a new \u003ca title=\"BACEI Report\" href=\"http://www.bayareaeconomy.org/media/files/pdf/AffordableCareActWeb.pdf\" target=\"_blank\">report \u003c/a>[PDF] by the\u003ca title=\"http://www.bayareaeconomy.org/\" href=\"http://www.bayareaeconomy.org/\" target=\"_blank\"> Bay Area Council Economic Institute \u003c/a>(BACEI).\u003c/p>\n\u003cp>Researchers compared the state’s 2010 workforce to what it might have been if the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act\u003c/a> had been fully implemented in that year. They concluded that once the ACA is fully in place in 2014 almost 99,000 new jobs will be created as a result of the law, most of them in Southern California. The Sacramento Valley will see the largest increase rate: a 1.3 percent boost in job opportunities.\u003c/p>\n\u003cp>But ironically, health care jobs are not always healthy for the worker. Odd hours, ergonomics, and environmental factors contribute to specific risks for hospital and clinic workers.\u003c/p>\n\u003cp>By its nature health care is a 24-hour enterprise. \u003ca title=\"http://hospitalmedicine.ucsf.edu/facstaff/catherinelau.html\" href=\"http://hospitalmedicine.ucsf.edu/facstaff/catherinelau.html\" target=\"_blank\">Dr. Catherine Lau\u003c/a> works nights almost exclusively as director of Nighttime Hospitalist Service at the UC San Francisco Medical Center. In an interview Lau said that while she appreciates the quiet, it can be \"a little disorienting\" to work at night in a windowless space. Shift-working nurses show higher rates of \u003ca title=\"breast cancer risk\" href=\"http://www.ncbi.nlm.nih.gov/pubmed/22473669\" target=\"_blank\">breast cancer,\u003c/a> obesity and \u003ca title=\"type 2 diabetes risk\" href=\"http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001141\" target=\"_blank\">type 2 diabetes\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>Nurses, physical therapists, and other health care workers push, pull, reach, bend, lift, and carry – and too often from positions and postures that challenge good body mechanics. Nursing aides, orderlies, and attendants are \u003ca title=\"injury risk\" href=\"http://hchcw.org/9-reasons-to-care/the-most-dangerous-job-in-the-nation\" target=\"_blank\">four times more likely\u003c/a> to be injured on the job than the average worker in the United States. The \u003ca title=\"http://www.aroundthecapitol.com/Bills/AB_1136/20112012/\" href=\"http://www.aroundthecapitol.com/Bills/AB_1136/20112012/\" target=\"_blank\">California Safe Patient Handling Act\u003c/a> regulates the lifting and transfer of hospital patients, however, it has been in effect less than year – not long enough to measure improvements.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Hospital air exposes patients and staff to potentially hundreds of toxins including formaldehyde from out-gassing building materials, medical waste and cleaning products. In a 2009 survey by the \u003ca title=\"Center for Health Design\" href=\"http://www.healthdesign.org/\" target=\"_blank\">Center for Health Design\u003c/a>, two-thirds of providers in both hospitals and ambulatory care centers called indoor air quality “a major problem.” In fact, it was singled out as the most urgent design problem. Hospitals will always have bad smells, but Lau said in her current hospital \"the air quality in general is pretty good\" though some floors are better than others.\u003c/p>\n\u003cp>Employee \u003ca title=\"SEIU\" href=\"http://www.seiu.org/a/members/safety-and-health.php\" target=\"_blank\">unions\u003c/a>, healthcare systems and regional organizations are working toward healthier health care environments across the state. California-based Dignity Health and Kaiser Permanente are part of the \u003ca title=\"HHI\" href=\"http://healthierhospitals.org/about-hhi/who-we-are\" target=\"_blank\">Healthier Hospitals Initiative\u003c/a>, a project sponsored in part by \u003ca title=\"Health Care Without Harm\" href=\"http://www.noharm.org/\" target=\"_blank\">Health Care Without Harm\u003c/a>, an international advocacy organization promoting sustainable healthcare.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>With the state unemployment rate hovering around 11 percent, the Employment Development Department has projected that healthcare jobs will grow 24 percent by 2018. The Affordable Care Act was not designed to be an economic stimulus bill, but the BACEI report calls the ACA an “economic boon” -- albeit with some known risks to workers -- for California.\u003c/p>\n\n","blocks":[],"excerpt":"California stands to reap tens of thousands of jobs because of the federal health care overhaul -- according to a new report [PDF] by the Bay Area Council Economic Institute (BACEI).\r\n\r\nResearchers compared the state’s 2010 workforce to what it might have been if the Affordable Care Act had been fully implemented in that year. They concluded that once the ACA is fully in place in 2014 almost 99,000 new jobs will be created as a result of the law, most of them in Southern California. The Sacramento Valley will see the largest increase rate: a 1.3 percent boost in job opportunities.","status":"publish","parent":0,"modified":1338580145,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":10,"wordCount":498},"headData":{"title":"New Health Care Jobs: How Healthy? | KQED","description":"California stands to reap tens of thousands of jobs because of the federal health care overhaul -- according to a new report by the Bay Area Council Economic Institute (BACEI).\r\n\r\nResearchers compared the state’s 2010 workforce to what it might have been if the Affordable Care Act had been fully implemented in that year. They concluded that once the ACA is fully in place in 2014 almost 99,000 new jobs will be created as a result of the law, most of them in Southern California. The Sacramento Valley will see the largest increase rate: a 1.3 percent boost in job opportunities.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"6137 http://blogs.kqed.org/stateofhealth/?p=6137","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/05/30/new-health-care-jobs-how-healthy/","disqusTitle":"New Health Care Jobs: How Healthy?","path":"/stateofhealth/6137/new-health-care-jobs-how-healthy","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_6155\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/PatientMoved_05252012_MilitaryHealth_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-6155\" title=\"(US Navy: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/PatientMoved_05252012_MilitaryHealth_Flickr-300x232.jpg\" alt=\"(US Navy: Flickr)\" width=\"300\" height=\"232\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Hospital team moves patient from one bed to another. (U.S. Navy: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>California stands to reap tens of thousands of jobs because of the federal health care overhaul -- according to a new \u003ca title=\"BACEI Report\" href=\"http://www.bayareaeconomy.org/media/files/pdf/AffordableCareActWeb.pdf\" target=\"_blank\">report \u003c/a>[PDF] by the\u003ca title=\"http://www.bayareaeconomy.org/\" href=\"http://www.bayareaeconomy.org/\" target=\"_blank\"> Bay Area Council Economic Institute \u003c/a>(BACEI).\u003c/p>\n\u003cp>Researchers compared the state’s 2010 workforce to what it might have been if the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act\u003c/a> had been fully implemented in that year. They concluded that once the ACA is fully in place in 2014 almost 99,000 new jobs will be created as a result of the law, most of them in Southern California. The Sacramento Valley will see the largest increase rate: a 1.3 percent boost in job opportunities.\u003c/p>\n\u003cp>But ironically, health care jobs are not always healthy for the worker. Odd hours, ergonomics, and environmental factors contribute to specific risks for hospital and clinic workers.\u003c/p>\n\u003cp>By its nature health care is a 24-hour enterprise. \u003ca title=\"http://hospitalmedicine.ucsf.edu/facstaff/catherinelau.html\" href=\"http://hospitalmedicine.ucsf.edu/facstaff/catherinelau.html\" target=\"_blank\">Dr. Catherine Lau\u003c/a> works nights almost exclusively as director of Nighttime Hospitalist Service at the UC San Francisco Medical Center. In an interview Lau said that while she appreciates the quiet, it can be \"a little disorienting\" to work at night in a windowless space. Shift-working nurses show higher rates of \u003ca title=\"breast cancer risk\" href=\"http://www.ncbi.nlm.nih.gov/pubmed/22473669\" target=\"_blank\">breast cancer,\u003c/a> obesity and \u003ca title=\"type 2 diabetes risk\" href=\"http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001141\" target=\"_blank\">type 2 diabetes\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>Nurses, physical therapists, and other health care workers push, pull, reach, bend, lift, and carry – and too often from positions and postures that challenge good body mechanics. Nursing aides, orderlies, and attendants are \u003ca title=\"injury risk\" href=\"http://hchcw.org/9-reasons-to-care/the-most-dangerous-job-in-the-nation\" target=\"_blank\">four times more likely\u003c/a> to be injured on the job than the average worker in the United States. The \u003ca title=\"http://www.aroundthecapitol.com/Bills/AB_1136/20112012/\" href=\"http://www.aroundthecapitol.com/Bills/AB_1136/20112012/\" target=\"_blank\">California Safe Patient Handling Act\u003c/a> regulates the lifting and transfer of hospital patients, however, it has been in effect less than year – not long enough to measure improvements.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Hospital air exposes patients and staff to potentially hundreds of toxins including formaldehyde from out-gassing building materials, medical waste and cleaning products. In a 2009 survey by the \u003ca title=\"Center for Health Design\" href=\"http://www.healthdesign.org/\" target=\"_blank\">Center for Health Design\u003c/a>, two-thirds of providers in both hospitals and ambulatory care centers called indoor air quality “a major problem.” In fact, it was singled out as the most urgent design problem. Hospitals will always have bad smells, but Lau said in her current hospital \"the air quality in general is pretty good\" though some floors are better than others.\u003c/p>\n\u003cp>Employee \u003ca title=\"SEIU\" href=\"http://www.seiu.org/a/members/safety-and-health.php\" target=\"_blank\">unions\u003c/a>, healthcare systems and regional organizations are working toward healthier health care environments across the state. California-based Dignity Health and Kaiser Permanente are part of the \u003ca title=\"HHI\" href=\"http://healthierhospitals.org/about-hhi/who-we-are\" target=\"_blank\">Healthier Hospitals Initiative\u003c/a>, a project sponsored in part by \u003ca title=\"Health Care Without Harm\" href=\"http://www.noharm.org/\" target=\"_blank\">Health Care Without Harm\u003c/a>, an international advocacy organization promoting sustainable healthcare.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>With the state unemployment rate hovering around 11 percent, the Employment Development Department has projected that healthcare jobs will grow 24 percent by 2018. The Affordable Care Act was not designed to be an economic stimulus bill, but the BACEI report calls the ACA an “economic boon” -- albeit with some known risks to workers -- for California.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/6137/new-health-care-jobs-how-healthy","authors":["8372"],"categories":["stateofhealth_14"],"tags":["stateofhealth_278"],"featImg":"stateofhealth_6155","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. 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One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.","airtime":"MON-FRI 7pm-8pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/fresh-air/","meta":{"site":"radio","source":"npr"},"link":"/radio/program/fresh-air","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Fresh-Air-p17/","rss":"https://feeds.npr.org/381444908/podcast.xml"}},"here-and-now":{"id":"here-and-now","title":"Here & Now","info":"A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.","airtime":"MON-THU 11am-12pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"http://www.wbur.org/hereandnow","meta":{"site":"news","source":"npr"},"link":"/radio/program/here-and-now","subsdcribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661","tuneIn":"https://tunein.com/radio/Here--Now-p211/","rss":"https://feeds.npr.org/510051/podcast.xml"}},"how-i-built-this":{"id":"how-i-built-this","title":"How I Built This with Guy Raz","info":"Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png","officialWebsiteLink":"https://www.npr.org/podcasts/510313/how-i-built-this","airtime":"SUN 7:30pm-8pm","meta":{"site":"news","source":"npr"},"link":"/radio/program/how-i-built-this","subscribe":{"npr":"https://rpb3r.app.goo.gl/3zxy","apple":"https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2","tuneIn":"https://tunein.com/podcasts/Arts--Culture-Podcasts/How-I-Built-This-p910896/","rss":"https://feeds.npr.org/510313/podcast.xml"}},"inside-europe":{"id":"inside-europe","title":"Inside Europe","info":"Inside Europe, a one-hour weekly news magazine hosted by Helen Seeney and Keith Walker, explores the topical issues shaping the continent. No other part of the globe has experienced such dynamic political and social change in recent years.","airtime":"SAT 3am-4am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Inside-Europe-Podcast-Tile-300x300-1.jpg","meta":{"site":"news","source":"Deutsche Welle"},"link":"/radio/program/inside-europe","subscribe":{"apple":"https://itunes.apple.com/us/podcast/inside-europe/id80106806?mt=2","tuneIn":"https://tunein.com/radio/Inside-Europe-p731/","rss":"https://partner.dw.com/xml/podcast_inside-europe"}},"latino-usa":{"id":"latino-usa","title":"Latino USA","airtime":"MON 1am-2am, SUN 6pm-7pm","info":"Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg","officialWebsiteLink":"http://latinousa.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/latino-usa","subscribe":{"npr":"https://rpb3r.app.goo.gl/xtTd","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Latino-USA-p621/","rss":"https://feeds.npr.org/510016/podcast.xml"}},"live-from-here-highlights":{"id":"live-from-here-highlights","title":"Live from Here Highlights","info":"Chris Thile steps to the mic as the host of Live from Here (formerly A Prairie Home Companion), a live public radio variety show. 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Updated Monday through Friday at about 3:30 p.m. PT.","airtime":"MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.marketplace.org/","meta":{"site":"news","source":"American Public Media"},"link":"/radio/program/marketplace","subscribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201853034&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/APM-Marketplace-p88/","rss":"https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"}},"mindshift":{"id":"mindshift","title":"MindShift","tagline":"A podcast about the future of learning and how we raise our kids","info":"The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.","airtime":"MON-FRI 3am-9am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/morning-edition/","meta":{"site":"news","source":"npr"},"link":"/radio/program/morning-edition"},"onourwatch":{"id":"onourwatch","title":"On Our Watch","tagline":"Police secrets, unsealed","info":"For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. 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