San Francisco Chronicle

Protest from pandemic’s front lines

- By Mallory Moench

Leslie Blanchard, a registered nurse, protests Wednesday with others outside Alta Bates Summit Medical Center in Oakland. Dozens of nurses participat­ed in the event, among more than 200 protests nationwide demanding more personal protective equipment and staffing to keep themselves and their patients safe.

Robin Watkins had spent a 12hour overnight shift caring for coronaviru­s patients at Kaiser Permanente Oakland Medical Center on Wednesday, but the nurse didn’t go straight home after work.

Instead, he rallied in the morning mist to demand more staffing and protective gear.

At least 40 nurses decked in red California Nurses Associatio­n shirts and masks marched in front of the hospital, hoisting signs that said “Save Lives” and chanting, “Mighty, mighty nurses, fighting for our patients.” The same cries echoed at two dozen Bay Area hospitals, part of a national movement of unionized workers protesting at 200 U.S. locations Wednesday.

“They tell us, ‘You’re

heroes,’ and then they don’t give us what we need to stay as safe as we can to take care of these patients,” said Katy Roemer, maternity ward nurse and the union’s chief nurse representa­tive for 1,400 nurses at Oakland Medical Center. “There’s tremendous stress associated with the risks of going into work. That is compounded by not having what we need.”

Health workers across the country demanded more personal protective equipment and staffing to keep themselves and their patients safe, the same concerns they’ve shared the past five months. They demanded that the government pass the Heroes Act for economic relief, and that President Trump invoke the Defense Production Act to force companies to make more N95 masks. And they called for the dismantlin­g of systemic racism that led to people of color suffering most during the pandemic.

In the Bay Area, nurses picketed two dozen hospitals, half run by Kaiser Permanente. At Kaiser’s Oakland Medical Center, Roemer protested that staff use the same N95 mask for a shift, following federal and state guidance loosened because of supply shortages, or reusing decontamin­ated ones.

A statement from Kaiser Permanente said that during worldwide shortages of personal protective equipment, the system made sure to have the appropriat­e gear in line with science, public health and workplace safety guidelines. The hospitals “prudently manage and extend” supplies and are decontamin­ating a small percentage using government­approved processes.

The hospital system encourages staff to raise concerns, the statement said.

“We are in this fight together, and we remain committed to protecting our valued care teams, including our nurses who are at the front line of care,” read the statement. “We understand this is a stressful time balancing the extraordin­ary responsibi­lities of caring for patients in this pandemic with the equally important responsibi­lities at home.”

At Oakland Medical Center, nurses in the emergency and intensive care department­s said they have enough gear, but that other units need more and training in how to use it. They also wanted more staff to handle the heavy load of coronaviru­s patients.

During the pandemic, California hospitals can apply for a waiver to change nurse topatient ratios required by law through the state public health department. Only one Bay Area facility — Petaluma Valley Hospital — received a waiver so far.

The pandemic has dealt a financial blow to some hospitals to the tune of millions or even billions as they lost income from canceled surgeries and spent money on coronaviru­s care. Hospitals have furloughed or cut pay for workers — making it harder to meet demands for even more staffing.

But even when ratios remain the same, such as at Oakland Medical Center, workers said they feel overwhelme­d. In the emergency room, patient numbers are still lower than before shelterinp­lace, but it takes more time to screen, test and gear up for coronaviru­s patients, said nurse Stacey Eddie. The current ratio was 4 patients to 1 nurse, but she wanted to see it lowered to 3 to 1 for COVID19.

“I know one day, my mom is going to be sick, my fiance is going to be sick — I would like for them to get their quality care they deserve because that nurse isn’t overextend­ed,” said Eddie.

Watkins said he doesn’t always have time to take a break during a 12hour shift.

“We get inundated,” he said. “It’s exhausting.”

A statement from Kaiser said the hospital recognized the importance of breaks for nurses and staff.

“In addition to staffing that meets state ratios for the level of care provided, we have augmented staffing levels with the hiring of additional temporary nurses to assist if needed,” the statement read.

At nearby Alta Bates Summit Medical Center in Oakland seven hours later, up to 50 nurses marched around the block and chanted “Not one more nurse has got to go!” Two weeks ago, they mourned the COVID19 death of a nurse who cared for infected and noninfecte­d patients in the same unit. Sutter Health has now created a separate coronaviru­s unit, staff said.

Some still said they need lower staffing ratios and more masks that are not reused or decontamin­ated.

“Nurses want to take care of their patients — they just want to do it in a safe manner,” said Michael Hill, an ICU nurse and chief nurse representa­tive for the union at the hospital. “You want to be protected with all the equipment you need until you’ve proven scientific­ally you don’t need it.”

A Sutter spokeswoma­n said the system is “wellprepar­ed to take care of both nonCOVID and COVID19pos­itive patients. Employees are provided appropriat­e (personal protective equipment) for the level of patient care they are providing.”

Protesting nurses said they are exhausted. For nearly half a year, Watkins has worked to keep coronaviru­s patients alive, getting to know them and their families for months in some cases before they pass away. He said there have been days where he returned to work to find three or four patients had died since his last shift.

“Subconscio­usly, it takes a toll,” he said.

Even when he took vacation, he felt guilty for leaving his colleagues with more work. The father of five set up a quarantine area in his garage in case he gets sick.

“I always pray, no matter how bad things get, I try to stay as hopeful as I can,” he said.

“Nurses want to take care of their patients — they just want to do it in a safe manner.”

Michael Hill, ICU nurse and union rep

 ?? Yalonda M. James / The Chronicle ??
Yalonda M. James / The Chronicle
 ?? Yalonda M. James / The Chronicle ?? Leslie Blanchard, a registered nurse, protests at Alta Bates Summit Medical Center in Oakland.
Yalonda M. James / The Chronicle Leslie Blanchard, a registered nurse, protests at Alta Bates Summit Medical Center in Oakland.
 ?? Yalonda M. James / The Chronicle ?? A skeleton in scrubs and a face covering stands guard at a nurses protest at Alta Bates Summit Medical Center in Oakland, part of a national day of demonstrat­ions.
Yalonda M. James / The Chronicle A skeleton in scrubs and a face covering stands guard at a nurses protest at Alta Bates Summit Medical Center in Oakland, part of a national day of demonstrat­ions.

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