MMXPR3??LA AXd@b.3333ff$d(\33$$  d$dT{T{]UU3$$[zF2Pw4?NuKts$Wاqbe٭ 頑Vq<_Pj9d j*jI3/-c8iPӽ2:'o[$VeP<3ws+Ke5=}p% ;K"hT(:[MvnJJW%'k1xHH@Rg(HH@d'Z `Apple LaserWriter Select 360 # Minion Bold Minion-Bold:zCLB Helvetica Condensed BlackHelvetica-Condensed-Black#MinionMinion-Regular9BC Folio Bold CondensedFolio-BoldCondensed9XB Folio ExtraBoldFolio-ExtraBoldXB Futura ExtraBoldFutura-ExtraBoldFuturi Condensed BoldFuturiCondensedSW-Bold mFuturi Condensed LightFuturiCondensedSW-Light:vCB Helvetica Condensed BoldHelvetica-Condensed-Bold Helvetica Helvetica#Minion-BoldItalic:zHelvetica-Condensed-BlackObl#VMinion-Semibold Minion-ItalicMinion-SemiboldItalic9n9Futura-ExtraBoldObliqueFuturiCondensedSW-BoldOblique mFuturiCondensedSW-LightOblique:vHHelvetica-Condensed-BoldOblHelvetica-BoldHelvetica-ObliqueHelvetica-BoldObliquej -Black-Blue-\ƈHƈCyan-UUGreen-&Magenta L<JJCC]ᩉPANTONE Blue 072 CV-Red- Registration-White-*Yellow:` ` Normal:`ٚ =Standa rd %$ @J # :z$L:zL# # 9H 9H 9x 9x 9x 9x 9H 9(q(*     5 g Pc 0.25 g Pc 0 g Pc Bb 2 (Black & White) -4177 4399 0 0 1 0 0 1 0 0 Bg 0 BB Pc 0.25 0 0 0 k Pc 0.5 0 0 0 k Pc 0.75 0 0 0 k Pc 1 0 0 0 k Pc 0.25 0.25 0 0 k Pc 0.5 0.5 0 x 9x :z:z:z$:z0&fr Pc 0 0 0.25 0 k Pc 0 0 0.5 0 k Pc 0 0 0.75 0 k Pc 0 0 1 0 k Pc 0.25 0 0.25 0 k Pc 0.5 0 0.5 0 k Pc 0.75 0 0.75 0 k Pc 1 0 1 0 k Pc (Yellow Stripe) 0 0 1 1 0 0 0 0 0 [1 0 0 1 0 0] p Pc 0.25 0.125 0 0 k Pc 0.5 0.25 # #  #!L!L@P@P0 0 0 400HH&KT *ff33̙ ff 33 @ff33ffffffffffff33ff33333333ff333333 !ff"33#$%&'ff(33)*+,̙-ff.33/0̙1̙2̙3̙ff4̙335̙6ff7ff8ff9ffff:ff33;ff<33=33>33?33ff@3333A33BCDEffF33GHIJKffL33MNOP̙QffR33STUVWffX33YZff[ff\ff]ffff^ff33_ff`33a33b33c33ffd3333e33fghiffj33klffmffnffoffffpff33qffrffsfftff̙uffffvff33wffxffyffzff{ffff|ff33}ff~ffffffffffffffffffffff33ffffff33ff33ff33ff33ffff3333ff33ffffffffffff33ff33333333ff333333333333̙33ff33333333333333ff33333333ff33ff33ff33ffff33ff3333ff3333333333333333ff333333333333333333ff333333ff33̙ff33ff33ffffffffffff33ff33333333ff333333ff33```@@@ ؐؐؐpppPPP000媠着```ЉЉ@@@|||v v v oooiiibpbpbp[[[UPUPUPNNNH0H0H0AAA;;;444---'`'`'` @@@ 00     06>v xysv00HH&KT *ff33̙ ff 33 ff33ffffffffffff33ff33333333ff333333 !ff"33#$%&'ff(33)*+,̙-ff.33/0̙1̙2̙3̙ff4̙335̙6ff7ff8ff9ffff:ff33;ff<33=33>33?33ff@3333A33BCDEffF33GHIJKffL33MNOP̙QffR33STUVWffX33YZff[ff\ff]ffff^ff33_ff`33a33b33c33ffd3333e33fghiffj33klffmffnffoffffpff33qffrffsfftff̙uffffvff33wffxffyffzff{ffff|ff33}ff~ffffffffffffffffffffff33ffffff33ff33ff33ff33ffff3333ff33ffffffffffff33ff33333333ff333333333333̙33ff33333333333333ff33333333ff33ff33ff33ffff33ff3333ff3333333333333333ff333333333333333333ff333333ff33̙ff33ff33ffffffffffff33ff33333333ff333333ff33```@@@ ؐؐؐpppPPP000媠着```ЉЉ@@@|||v v v oooiiibpbpbp[[[UPUPUPNNNH0H0H0AAA;;;444---'`'`'` @@@ 00$     ! """"""*./../..327767;;66<:;9=??CHJJMLGJGJMMNNNMLKIHGGDDCB@?><<:887665422,+**'&&#  06>v xysv @$d<3333ff !TUfYghdin]jeklm6f!~v^}|sHave you ever wanted to tell the world about what you do and see everyday in the Hospital? The stories we could tell! Unfortunately, we cannot all be Echo Heron, the RN author who has written compelling accounts of heeeeee written compelling accounts of he!L!L#   m :v#:v# :v #&` very. The dynamics of the hospital settings which she narrates have become overshadowed by the struggle of all direct care providersincluding RNs and physicians and othersto maintain the integrity and autonomy of clinical decision-making and their profes `'  `ff ` ally chaotic processes. Thats why we have established fund raising plans, committees, goals and deadlines bring order, structure and accountability to that process. Fund raising success depends on our collective abilities to implement an orderly programmm ` $0S`ff z`ff z#`ff  `t `d come into the hospital sicker, leave quicker and all-too-often, and return all-too-soon. Its our story and only we can tell ittospital sicker, leave quicker and all-too-often and return all-too-soon. Its our story and only we can tell it we can tell itty, then take responsibility for your unit or shift. We need to solicit all nurses in every facility. While the campaign will be sending mail to CNA members and non-members, the most successful fund raising will occur through personal contact. Personaaar experiences as an emergency room RN. (Echo Heron has also endorsed Prop 216.) Her stories of lives saved and lost have taken an unfortunate turn since corporate managed care, for-profit HMOs, and hospital restructuring have taken over health care deliiisional standards. Thats a story we could tell over and over again. And heres our opportunity to do just that. The campaign to pass Proposition 216 gives Californias nurses a chance to tell our stories to literally millions of people. Its the story of RNs RIFd in order to save costs and destroy professional standards, while hospital administrators ignore the danger signs. Its the story of patients who nowower, while hospital administrators ignore the danger signs. Its the story of patients who now. And consumers and patients want to hear it. If we get our story on the airwaves, in the newspapers and to our friends, neighbors and colleagues, we will pass Prop 216 the Patient Protection Act. But that takes money lots of money. In fact, we neee which provides people with specific responsibilities in asking certain people for specific contributions in a given period of time. If there is no Proposition 216 fund raising chair in your hospital, volunteer to do it. If you cant do the entire faciliil face-to-face solicitations are the most effective means of raising money. Given the magnitude of the task in front of us, following a specific fund raising plan is vital. Some might think we will not be able to organize nurses, that they will refuse tooo participate or that they will not have time for this effort. Whatever the case, the question all nurses must be asked is can you afford to not be involved? This campaign is either about making history or being history. You never get more than you assssk for. Ask again, ask once more and ask a final time.   `f` f`` `f`  yquep\\ p@)T*Q` p@`Yd to raise $4 million for our media campaign. If every CNA member gives $216 for Prop 216 we can reach that goal. That means nurses talking to nurses. We have the most at stake, we must give first. Political campaigns and political fund raising are normm$p$`        N(=33=33Put the Caring back in Health Care&Magenta-Red- Registration-Put the Caring back in Health Care  `roroororZ|e,Le,LeL,Proposition 216: Our opportunity and ResponsibilityFIIIIII I IJJ&J~JPPQQSS&S~STTTT T TWWWWWW&W~WXXXXYYYYbbbbbbbbU  T|$d<XU3333ff$<,ޠ3333ff `n `ff ` `.  { y $ $a:&'Macintosh HD:216camp:CNA (216 logo.b/w)j 33& %Prop 216:Y ASKED QUESTIONS AND ANSWERS<<< XQAATEXTK1;Macintosh HD:216camp:REGION 8.1 `.  ixERRB@9F(7 `.  /`.  /`.  / `.  /`.  /`.  `.  `.  s`.  d The PPA will also prohibit incentives to deny care, gag orders (which prevent full disclosure of care options) and limiting denials of care will improve a patients access to care. If a care giver recommends treatments, an HMO cannot deny those treatmentsQ: How many nursing jobs have HMOs eliminated over the last two years? A: HMOs and hospitals have eliminated 15% of RN jobs over the last two years. Q: How many nursing jobs will HMOs and hospitals eliminate over the next two years? A: As HMOs and hosHMOs and hospitals will undertake their cutting of patient care in the name of profits at an increased pace and with greater venom and vigor then we have seen. In effect, defeat of Proposition 216 will give the HMOs and hospitals a green light to do whatepitals continue to restructure and shift their focus from patient care to profits, corporate restructuring consultants (like the Hay Group) promote redesign schemes that promise to reduce RN FTEs by 50%. Q: How has the nursing environment changed over the last few years? A: The nursing environment has changed because the profit motive has replaced medical ethics and compassion as the chief concern of hospital administrators. CEOs exert enormous cost-cutting pressure exert enormous cost-cutting pressure on nursing. Clinical redesigns sole purpose is to introduce cheaper bedside laborunlicensed assistive personnelat the expense of quality of care and RN work life. Increased patient loads, speed-ups, new job duties, working with less skilled support sstaff, and admitting and discharging patients at record speeds all contribute to intense stress. Decreased patient access to RNs at the bedside undermines quality. When the quality of care suffers, RNs suffer. Q: How would passage of the PPA return a bettter work environment? A: The PPA will prevent the elimination of RNs, Prop 216 mandates safer staffing standards, tackling the most serious problem of staff nursing today. Opponents of Prop 216 say that the PPA would reduce or eliminate the use of unlicensed assistive personnel, and potentially create numerical staffing ratios in all setting where patient care is provided. Better staffing standards would halt the erosion of skill mix, and improve patient loads. Further, the PPA make placing patientts tter staffing standards would halt the erosion of skill mix, and improve patient loads. Further, the PPA make placing patients tter staffing standards would halt the erosion of skill mix, and improve patient loads. Further, the PPA make placing patients in inappropriate units less likely, and potentially eliminate many incentives for premature discharges. Better staffing and skill mix would reduce stress and work place injuries associated with excessive patient loads and out-of-control work environment. Better quality patient care creates a better quality of work life for RNs. Q: How does passage of the PPA allow me to provide better patient care? A: Passage of the PPA will prevent the elimination of RNs, which in turn will provide better patient care.0000002riate units less likely, and potentially eliminate many incentives for premature discharges. Better staffing and skill mix would reduce stress and work place injuries associated with excessived improve patient loads. Further@!p], without a physical exam. RNs and Doctors can be better patient advocates. Improving a patients access to care, provides them expanded access to nursing care. Q: What happens if Proposition 216 loses? A: If Proposition 216 loses, then the then the ver they want. Q: Why should I contribute $216 to support passage of the PPA? A: If we dont stand-up and fight for ourselves and our patients, no one else will. If we expect others to join in support of Proposition 216 they need to see that we are doing our very best to ensure its passage. The polls show that we have a winning message and that if we can get it into the hands of our targeted voters we can win the election. We all spent a lot of money to become nurses, and we spend a lot of money to maaintain our professional standing. If Proposition 216 is defeated our investment in ourselves will be severely diminished. For those reasons, and a whole lot of other ones, we need to look at contributing to Proposition 216 as a career investment an investment to protect our past and ensure our future. Q: How does my campaign contribution differ from my CNA dues? A: Your CNA dues are what keeps CNA working, lobbying and representing nurses and patients before the legislature, before employers and in the public eye. The campaign to pass Proposition 216 is in addition to CNAs normal activities and expenditures. Q: What will my contribution be used for? A: Your contribution will be used less to refute the message of our opponents and more to get our withe message of our opponents and more to get our winning message out to our targeted voters. Because of the nature of campaigns, we will be sending our message out on television, radio and in mailboxes. 2XxF4F8G3G4=<( G PT  D  B i  H  * 5 ?  >  *  ll ` .  ` .  #` .  #` .  #` .  ` .  w`.  ` .  How the Patient Protection Act Keeps Nurses at the Bedside..Boldrof@#@9:zlinical decision#g Utili9tilig U9U#@9:zlinical decision#g Utili9  0!f!l!0@$d<ּ3333ff@$d<3333ff< &` WSend contributions to Yes on Proposition 216, payable to Consumers & Nurses for Patient Protection 12021 Wilshire Boulevard, Suite 542, Los Angeles, CA 90025. To volunteer, call the CNA office in your area. Contributions are not tax deductible. ID #960386m POST Y0pX WiiP~[i,[\-\iA99:A:izD T( zDT(.g T(`]U_ `  ` T>=!  0# #$#%##'" ú(8?~ % ` ` ` @$d<(3333ff|$d</U88  7 "" @9h %eTi'=33d  % RSVP 415-864-4141 x333 *Travel reimbursement available.Vonfrolio, RN, PhD, CCRN XLMdPXU4xIPdXIPKXPhYhiX XWPi XLMdPSS$" ")"" "")"HEPSF$a:&'Macintosh HD:216camp:CNA (216 logo.b/w)~Ȃ'tj 33&Special presentations by Ralph Nader & Laura Gasparis Vonfrolio, RN, PhD, CCRN Statewide CNA Campaign Meeting Prop 216 Mobilization Strategy Sunday, Sept. 8 10am-5pm ILWU Local 6 99 Hegenberger Rd. (at Pardee) Oakland RSVP 415-864-4141 x333 *Travel reimbursement available..lable.VP 415-864-4141 x333RN RSVP 415-864-4141 x333nW3333ff$<,'3333ff@$d<03333ff@$d<'3333ff<rKT>.,C m %0@<,r<,q#gYj %}6A$t `0;l %/(8?= %#'`me4'Ln155@F,(0@9h %W'=33d  %h'θ=33 K %VzI+d}33[0'p033HEPSF$a:&'Macintosh HD:216camp:CNA (216 logo.b/w)'tj 33& %Y'tk<33R %Xpr%'tkz}33 \0 %'h4.XQAATEXTK1;Macintosh HD:216camp:REGION 8.1@$d<'@3333ff hk':kx %(S',K9 %'Fy?jj$ %&:;