Not My Michigan

Not My Michigan

A Michigan student-athlete turned Registered Nurse on the Michigan Medicine contract negotiations in 2018.

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It's May 1st, 2016. I'm bright-eyed, eager, and graduating from the University of Michigan as a Nursing Student and Student-Athlete.

I am ready to take on the world the way that Michigan taught me how: fearlessly, compassionately, and wholeheartedly. I bleed blue. I know what it means to be a Wolverine and to represent the Michigan Difference in everything I do. I wear the block M on my School of Nursing scrubs and my Michigan Dance Team uniform well aware that it represents goodness, tradition, and excellence. I am determined. I am inspired. I am ready.

It's Monday, September 17th, 2018. What does Michigan mean to me now? I used to be so sure. Now, I simply don't know. So, what's the deal? How did my view on an institution become so indifferent in recent months?

I chose U of M to start my nursing career because it had the widely known reputation of putting its patients first, respecting its nurses, and providing the best care to patients in the state (5th in the country, to be exact). In my first year, as I was clumsily learning how to push patient stretchers, titrate intravenous vasopressors, and to communicate with the medical team, I proudly participated in our hospital's effort to achieve Magnet status.

When Nursing earned Magnet Status, an award given by the American Nurses' Credentialing Center and indicator of the strength and quality of Nursing at Michigan, I felt that same pride as I did in May of 2016.

I knew in my heart that I picked the best institution to develop my nursing practice and to give high quality, patient-centered care to anyone who walked, rolled, or was carried through the doors of Adult Emergency Services. The hospital's goals were aligned with mine and those around me. We put patients first, and more specifically, we put patients over profits.

I am lucky enough to work at a hospital that has been unionized for more than four decades. When I started working, the concept of a union was foreign to me. For those who may need a refresher, unions promote and protect the interests of all employees. They collectively bargain with employers to secure written agreements for employees regarding pay, benefits, and working conditions.

Collective bargaining agreements are legally enforceable contracts holding employers and employees to mutually agreed-to workplace rules and process to provide a fair and just workplace. The University of Michigan Professional Nurse Council, an affiliate of the Michigan Nurses Association, has been working diligently since January to bargain with the University of Michigan to protect me, the 5,700 nurses who work within the institution, and our patients. I'd like to think they're the good guys in this story.

Here's where things get sticky: David Spahlinger, president of our prestigious U of M health system, has publicly stated that Michigan is "committed to maintaining current staffing levels," but will not make this commitment in writing. Common sense is reflected in the most high-quality research on the topic of nurse-patient ratios and its direct effect on patient care.

Appropriate staffing allows me and my coworkers to give the quality of care that I know we have the ability to provide. High staffing levels are associated with reduced mortality, falls, medication errors, ulcers, restraint use and infections. Unregulated staffing is a significant barrier to nurses' abilities to provide optimal patient care and prevents Nursing at Michigan from providing what we know to be the Michigan Difference in healthcare.

UMPNC held voting on a work stoppage for unfair labor practices last week. Out of 4,000 votes cast by nurses at the U, 94% authorized a work stoppage in protest of the University's unfair labor practices. No date is set, but our elected nurse bargaining team now has the authority to call for action.

Thank you to Katie Oppenheim, who chairs our union, for reiterating in an article to the Detroit Free Press that a work stoppage is not our goal. "Our goal is a fair agreement which respects nurses and guarantees safe staffing. The university can remedy this situation immediately by stopping their unfair labor practices and bargaining in good faith."

I am proud to be a nurse and I hope that our efforts to keep Michigan a patients-over-profits institution are recognized at the community, state, and national level. Anne McGinity, David Spahlinger, and those who have the power to make Michigan the magical place I once thought it was, make like Nike and just do it. For the love of patients, nurses, and our great University. I know we are better than this.

(Stay Tuned, folks).

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Your lose sense of time. You start counting down the days until break. No wonder finals week is dubbed by some as the slowest (and most painful) week of the year.

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It's ~almost~ winter break, but finals are our final obstacle on the way to freedom. For me, these last few weeks have dragged on and on, but the last week is at long last approaching. Although I do dread the multiple assessments and studying that comes with the end of the semester, I relish the fact that my suffering will be gone soon — at least for two weeks.

1. You spend an average of two or three hours on each exam.

Although that doesn't seem like a lot of time, once you've gone through four or five exams, your brain cells start to die and the clock seems to reverse itself.

2. You can't stop thinking about break...

During your exam, in between exams, studying for exams — every moment not stressing about exams is spent anticipating the upcoming break.

3. ...and it won't come fast enough. 

You're counting down the days until break. But they're passing so slowly...

4. Every day seems to span the time of three or four days.

It's only Monday? It already feels like weeks have passed.

5. You start hallucinating due to your lack of sleep.

I swear I've already taken this exam before. Am I dreaming?

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6. All your knowledge seems to clump together (and not in a good way). 

You know how your knowledge from each class is supposed to connect to other classes? Only in this case, you've been cramming so much that random facts for chemistry float in your mind when you're taking your history exam.

7. Instead of studying, you waste time online shopping.

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8. You spend the whole week depressed.

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11. You simultaneously want and don't want to know your scores, and that anticipation drags on the whole week.

I only want to know if it's good.

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