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2010s: Feeling our power

WSNA partnered with major labor groups, addressed rest breaks, safe staffing, and workplace violence, and made a historic agreement with unions from the 1980s raids.

This story appears in We’ve had your back since 1908.

History banner 2010

WSNA joined forces with even bigger labor partners — the Washington State Labor Council and AFT. WSNA also took major action on rest and meal breaks, safe staffing, and workplace violence. And the association made a historic agreement with unions involved in the 1980s raids.


2010-2019 timeline

In 2012, WSNA affiliated with the Washington State Labor Council (WSLC), representing more than 600 unions and councils in the state and 550,000 members. WSNA Executive Director Judy Huntington served as a WSLC vice president and Executive Board member, 
a seat that WSNA continues to hold.


In February 2013, WSNA’s national labor partner, the National Federation of Nurses, voted to affiliate with AFT, a large and powerful union representing professionals in education, healthcare, and public service.


WSNA filed multiple lawsuits against MultiCare Tacoma General in 2010 for violations of rest breaks, negotiated a settlement agreement with MultiCare in 2013, and went to arbitration in 2015 to enforce the settlement agreement. In 2016, an arbitrator determined that “break buddies” — if they didn’t fully relieve a nurse on break of their patients — were not an acceptable means to provide breaks.

In 2016, WSNA reached a groundbreaking settlement in a meal and rest break lawsuit against Franciscan Health System, the parent company of St. Joseph Medical Center in Tacoma. St. Joseph paid $5 million in back pay to nurses for missed meal and rest breaks and committed to hiring 26 additional break relief nurses.


A 2016 survey of members regarding the culture of safety at hospitals revealed a decline. Five years earlier, 47 percent of WSNA nurses had rated their facilities as “excellent” or “very good” for patient safety; by 2016, only 38 percent gave their facilities those grades.


WSNA played a leadership role in the Public Health is Essential campaign to educate lawmakers and the public on public health’s critical role. The campaign helped secure $60 million for public health in the state’s 2017-19 budget.

With the help of WSNA members and the WSNA Legislative and Health Policy Council, staffing bill HB 1714 was signed into law by Gov. Inslee on May 8, 2017. The new law increased transparency and accountability for nurse staffing plans and hospital nurse staffing committees.


In 2018, WSNA nurses at Tacoma General negotiated nurse-to-patient ratios in their contract. Tacoma General remains the only hospital in Washington state with nurse staffing ratios included in its contract.


The passage of Substitute House Bill 1155 was a major victory in the 2019 legislative session, requiring hospitals to provide uninterrupted rest and meal breaks and comply with enhanced mandatory overtime protections.

WSNA collaborated with health care stake-holders on a bill to address workplace violence. Substitute House Bill 1931 passed the legislature in 2019, going into effect Jan. 1, 2020. The law provided more specificity about what hospitals must include in their required workplace violence prevention plans and mandated that these plans be updated every three years. It also required all hospitals provide quality, hands-on training.


Barbara Frye, director of WSNA’s labor program from 1995 to 2015, passed away in 2019. Her final contribution was a book on WSNA’s role in advancing collective bargaining for nurses in Washington. One Strong Voice: The Story of the Labor Movement for Registered Nurses in Washington State, was completed shortly before her death.


In December 2019, in a historic moment, WSNA, UFCW 21, and SEIU Healthcare 1199NW leadership pledged to coordinate efforts at Providence Health System to improve patient care and safety.

Acing it in Olympia

The Washington Nurse, Fall 2019

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Governor Jay Inslee signs HB 1155, the Rest Breaks and Overtime Protections bill, into law. (2019)

WSNA members, joined by members of UFCW21 and SEIU 1199, aced it in Olympia this year, gaining passage of a bill we’ve been working on for a decade.

Nurses sent thousands of emails to legislators, held one-on-one meetings with their elected representatives and rallied on the steps of the Capitol Building the very day the Rest Breaks and Overtime Protections bill passed the House and Senate. On May 8, Governor Jay Inslee signed the bill into law.

An unfortunate remark from one State Senator that nurses in rural hospitals “probably play cards for a considerable amount of the day” made international news after a WSNA blog post went viral. WSNA and our members were able to channel that outrage into an effective online and on-the-ground advocacy campaign that put nurses and other health care workers center stage.

You told your stories about missed breaks and shifts that run over by four or more hours due to the loophole in the current mandatory overtime law. You helped the legislature understand that this isn’t safe for workers or patients — and you ensured that this historic patient safety legislation was passed with bipartisan votes in both chambers.

You also ensured that your legislators understand that health care workers are facing an epidemic of workplace violence — at rates 20% higher than other industries. The likelihood of health care workers being exposed to violence is higher than prison guards or police officers. You bravely shared your stories about enduring harassment and violent behavior while doing your best to ensure quality care and humane treatment of all patients. The legislature listened and, in a rare event, unanimously passed the workplace violence prevention legislation we put forward in the first session it was introduced.

Nurses have powerful voices. This session showed that in spades.

One Strong Voice

One Strong Voice by Barbara Frye, published in 2019, documents the turbulent history of WSNA during the 1980s raids that nearly dismantled the organization. Frye spent five years researching, reviewing documents, and interviewing participants to capture these pivotal events. The book covers the formation of WSNA, unionizing challenges, and the struggle during the raids when competing unions tried to displace WSNA. Frye aimed to preserve these significant lessons, offering both historical insight and guidance for the future. This period was key to WSNA’s resilience and labor advocacy.

One Strong Voice Page 001

Unanimous Victory at Washington State Supreme Court

The Washington Nurse, Fall 2012

In a huge victory for patient safety, the nine justices of the Washington State Supreme Court unanimously upheld nurses’ statutory rights to be paid overtime when their duties prevent them from taking a rest period. In 2007, WSNA brought the legal action on behalf of the 1,200 registered nurses at Providence Sacred Heart Medical Center in Spokane to recover unpaid wages for denied rest periods.

Research confirms that nurses working long hours have decreased alertness and vigilance which can lead to patient harm. WSNA has been working for several years to ensure that nurses receive full, uninterrupted breaks because that dedicated time to rest can play a critical role in preventing fatigue and fatigue-related errors.

The Court held that SHMC had extracted additional labor from the RNs when they missed rest periods. The unanimous decision provides a powerful incentive for hospitals to adequately staff for rest breaks.

Dangerous Cuts Looming for Public Health

The Washington Nurse, Summer 2014

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Nurses and community members rallied weekly at Auburn Public Health, attended city council meetings, gathered petition signatures, and engaged with the public at farmers markets during the successful campaign to save several public health clinics in the region. (2014)

With a looming budget shortfall, Public Health—Seattle-King County will be forced to slash their budget for 2015 and the results could be disastrous. Nurses at Seattle-King County are mobilizing and engaging the public to speak out now during the county’s budget process to ensure that Public Health is adequately funded and the health safety net in King County is maintained. WSNA has been working non-stop since learning about the department’s drastic cuts and proposed public health clinic closures.

The elimination of programs such as Maternity Support Services, Family Planning, WIC, and Nurse-Family Partnership will impact hundreds of thousands of people including our most vulnerable populations. WSNA is doing everything we can to prevent these shortsighted and dangerous cuts including meeting with government officials, participating in coalition activities to prevent the cuts, conveying timely information about the budget to the local unit, and creating outreach materials and advocacy tools like petitions and postcards. WSNA is proud of the Seattle King County nurses who are spending countless hours out at farmers’ markets, fairs, city council meetings and more in an effort to educate people about this looming crisis and we are supporting those efforts in every way possible.

“As nurses, we know that budget decisions like this can have life or death consequences for people in our community. While these evidence-based programs are proven to have a strong return on investment, the cost in quality of life and life itself is the most unacceptable outcome. It drives the passion we all share in this effort. WSNA is doing everything we can to prevent these shortsighted and dangerous cuts. Seattle-King County public health nurses have the support of our entire organization,” Judy Huntington, MN, RN, WSNA Executive Director.W

Several clinics were saved as a result of members’ advocacy and hard work.

Leadership

Executive Director

  • 1999-2017 Judy Huntington
  • 2017-2021 Sally Watkins

President

  • 2009-2013 Julia Weinberg
  • 2013-2015 Susan E. Jacobson
  • 2015-2019 Jan Bussert
  • 2019-2023 Lynnette Vehrs
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Sally Watkins

WSNA Executive Director Sally Watkins, PhD, RN, led the organization through the upheaval of the early days of the COVID-19 pandemic and acted as a spokesperson for nurses locally, nationally, and internationally.