Thousands of Nurses in New York City Authorize Strike Action


Nurses at three hospital systems in New York City voted by an overwhelming margin of 97% to authorize a strike action. The vote, announced on March 7, is in response to months of inaction by hospitals on calls for improved staffing and other conditions in hospitals to ensure quality care for patients.

The strike will affect more than 10,000 nurses at the Mount Sinai, Montefiore, and Presbyterian hospital systems. The vote authorizing a strike does not mean that the nurses will strike. “It means that we now have the authority to call for one,” explained Judy Sheridan-Gonzalez, President of the New York State Nurses Association (NYSNA). Nurses can now give the hospitals 10 days’ notice of strike action at any time.

The run-up to the vote

The vote to strike follows on lack of any meaningful response by hospital management after the release of thousands of Protests of Assignment (POA), nurses testifying about staffing concerns, numerous negotiating sessions between the union and administration, and pickets by nurses across the city.

Reports were released in February of around 3,800 POA’s signed during 2018 by over 20,000 nurses from the above three hospital systems. POA forms are a legal and ethical requirement when nurses believe that patients are at risk because the responsibilities they’re required to assume, or the conditions in the workplace, are such that they are unable to provide quality nursing care.

The following are just two examples of conditions reported by nurses in POA’s:

  • Health & Safety; Insufficient # of Staff & High Acuity: Pediatric ED understaffed such that there is more than a 3.5 to 6 hour wait time to see a provider, more than 20 patients holding in triage area, no RN screener, patients pulling out IV, and multiple attempts to bite, kick, scratch, and punch staff. Census 68, only 6 RNs.
  • Insufficient # of Staff, High Acuity: Unit census was 21 at start of shift with 2 admissions to be received. Now census is 26 with an additional 2 patients en route. A total of 11 admissions will be received on this shift. No CNAs on floor. 1 ventilated patient, 2 with trach, 1 on restraints, 3 isolations, multiple incontinent patients, 3 pressure ulcers, 1 blood transfusion, all call bells ringing but nurses are busy with admissions, over 20 patients on fall risk.

Strike seen as last resort

The NYSNA emphasizes throughout that nurses didn’t want to strike but would if they had to for their patients, communities, and practice. “Nobody wins in a strike,” registered nurse Vontell Dozier told ABC news. “But sometimes you have to do what you have to do for the patient.”

After nurses had voted for the strike action, the NYC Hospital Alliance issued a press statement in which they accused the union leadership of political brinkmanship in trying to advance the political safe staffing agenda. Furthermore, they denied that staffing levels were unsafe.

You can support New York City nurses by signing the NYSNA web form.

Frieda Paton is a registered nurse with a Master’s degree in nursing education. Her passion for nursing education, nursing issues and advocacy for the profession were ignited while she worked as an education officer, and later editor, at a national nurses’ association. This passion, together with interest in health and wellness education since her student days, stayed with her throughout her further career as a nurse educator and occupational health nurse. Having reached retirement age, she continues to contribute to the profession as a full-time freelance writer. In the news and feature articles she writes for Nurseslabs, she hopes to inspire nursing students and nurses on the job to reflect on the trends and issues that affect their profession and communities - and play their part in advocacy wherever they find themselves.

1 thought on “Thousands of Nurses in New York City Authorize Strike Action”

  1. I completely understand the short staff and no CNA’s on the floor. As a nurse, becoming a patient, I was on the flip side for 8 days recently with a hospital stay. My heart went out to the nurses. It was difficult for me to get help, as a patient. I finally got up and took myself to the restroom. Then got chewed out for doing so. I cried for getting yelled at and my nurse cried for yelling at me. We cried together because I understood her circumstances. It is a crisis!


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