Yes, nurse leaders were responsible for driving the change. This is one of the many examples of why two-way communication without having to go through an outside party is so critical to creating a work environment that our nurses enjoy working in. The progress we’ve made across MedStar Health toward consistent staffing rendered the pilot program unnecessary, and it was discontinued in 2024; however, we will continue to explore innovative workflows and new technologies to enhance our patient care and support our nurse associates. These decisions are driven by our teams on the front lines. You understand the challenges and needs of our patients best, and your leaders are in the best position to turn your feedback and ideas into action. It’s a common tactic for unions to take credit for actions and decisions that turn out to be popular with nurses, even when they had no hand in making them.
You ask, we answer! Submit your question here.
May 16, 2025
If I want to learn more about unionization, what questions should I ask?
We encourage associates to carefully research how unionization might affect their work and personal life. That includes asking questions of any union organizer and of your hospital leaders. That includes questions like “can a union guarantee better pay or benefits?” and “would I have to pay dues to keep my job?”
By law, unions are allowed to make promises to associates about what they might get from negotiations if they vote in a union. While it is legal for a union to make these kinds of statements and promise employees anything, a union cannot guarantee these promises.
We suggest asking detailed questions and requesting that the union put its promises in writing.
What are the new councils at MGUH?
We have established a Sustainability Council dedicated to making our hospital greener and reducing waste by promoting eco-friendly practices. Additionally, we have a Nurse Wellbeing Council focused on supporting the mental, physical, and emotional wellbeing of our staff.
Are these topics of interest to you? We would love to hear your thoughts! Please share your feedback through our Ask Us form.
What is the Patient Safety and Visitor Code of Conduct?
The Patient Safety and Visitor Code of Conduct is a set of guidelines designed to ensure that all patients and visitors behave appropriately and maintain a safe environment within our hospital. Patients or visitors who violate our code of conduct must sign this document, confirming their commitment to adhere to the outlined rules. Any breaches of this code will result in severe consequences. For more information, please visit our Nurse Safety page.
Where does MGUH place among U.S. News & World Report’s hospital rankings?
We take pride in our history of accreditation and the awards we have earned over the years. Recently, U.S. News & World Report ranked us among the top 50 Ear, Nose, and Throat specialty programs for 2024 and 2025. Additionally, we have been recognized as a high-performing institution in five specialty services and for seven specific procedures by U.S. News & World Report, including:
- Cancer
- Gastroenterology & GI Surgery
- Geriatrics
- Orthopedics
- Urology
- Colon Cancer Surgery
- Heart Failure
- Kidney Failure
- Leukemia, Lymphoma, & Myeloma
- Lung Cancer Surgery
- Pneumonia
- Prostate Cancer Surgery
Why did MedStar Health’s nursing program recently win a wellbeing award?
Because we are a leading hospital when it comes to supporting our nurses, this month, our nursing program received the first WellBeing Excellence™ credential awarded by the prestigious American Nurses Credentialing Center (ANCC). We are proud to be the only acute care health system in the Mid-Atlantic region to receive this credential and one of only five organizations globally recognized for this new distinction. This credential underscores our commitment to enhancing the wellbeing of nurses and other healthcare professionals.
May was the perfect time to receive this award, as it is Mental Health Awareness Month. At our hospital, we are vigilant in our support for mental health and wellness. Nursing is undoubtedly a rewarding profession, but the role of a caregiver can also be a challenging one. That’s why we’re constantly communicating with you about your health and wellbeing, as well as the services we offer to support your overall mental health. We encourage you to utilize the Eileen Ferrell Wellness and Relaxation Center, thoughtfully designed to support your health and wellbeing.
May 9, 2025
How does MGUH recognize nurses throughout the year beyond Nurses Week?
Nurses Week is a great time to celebrate the contributions of our nurses, but we prioritize showing our appreciation throughout the year. Here are a few ways we honor nurses: the Daisy Award, Kathleen Clifford Beard Award, Magnet Nurse of the Year Award, other recognitions and shout outs, the Eileen Ferrell Nurse Wellness and Relaxation Center, and monetary recognition for your certification, knowledge, and skills through our Clinical Advancement Program. All of these are ways we say Thank You and recognize the hard work you do caring for our patients every day.
Can we propose an idea for next year’s Nurses Week celebrations?
Absolutely! We’d love to hear from you about what you enjoyed most about this year’s celebration, and any ideas you may have for next year. Please submit your feedback or suggestions through our Ask Us form. We can’t wait to hear from you!
When did the United States first observe National Nurses Week?
We first celebrated National Nurses Week from October 11–16, 1954! This special week marked the 100th anniversary of Florence Nightingale’s inspiring mission to Crimea, where she revolutionized battlefield healthcare and laid the foundation for modern nursing.
What makes May 12 a special day for nurses?
May 12 is a day filled with gratitude and appreciation, as it’s celebrated as International Nurses Day! Declared by the International Council of Nurses (ICN) in 1974, this day coincides with the birthday of Florence Nightingale, the founder of modern nursing. It’s the perfect occasion to recognize and celebrate the dedication and compassion of our nurses.
How did National Nurses Week celebrations become a tradition in U.S. hospitals?
National Nurses Week blossomed into a beloved tradition thanks to the tireless efforts of nurses and advocates! In 1990, the American Nurses Association (ANA) designated May 6–12 as an annual celebration. It all began with President Reagan declaring May 6 as National Nurses Week in 1982. Now, we have a whole week to celebrate and appreciate the fantastic work that all nurses do! We hope this week’s celebrations sincerely conveyed how much we value you, our nurses, every day!
May 2, 2025
Why is MGUH transitioning to Epic?
This is a real “we heard you” moment. Our nurses and our providers have regularly noted the clinical advantages of Epic compared to Cerner. We have been studying the options and planning for the financial investments needed for the transition, and we are so pleased to be able to begin this work now. In the coming months, there will be opportunities for many of you to participate in our transition planning and training with Epic. We love your energy and look forward to your help in making Epic the best it can be for all of us.
Is our hospital doing anything to celebrate Nurses Week?
Yes! We have a variety of special events, themes, and treats planned to celebrate Nurses Week next week, running all week long.
One of the most exciting events is the grand opening of the Eileen Ferrell Nurse Wellness and Relaxation Center on Tuesday, May 6, at 3 p.m. This one-of-a-kind center is just for our nurses and is the perfect way to honor both Eileen Ferrell’s long legacy at MGUH and all of our dedicated and hard-working nurses. We are excited for you to see this special space created for you to relax, meditate, and socialize with your team. You can also enjoy time on the Peloton or doing yoga.
Of course, as described in the text message we sent you yesterday, there will also be recognition activities every day next week, including an ice cream social on Monday. On Tuesday, pastries in the morning, a wellness activity around noon, and the grand opening of our wellness center at 3 p.m. On Wednesday, we will treat associates to a breakfast burrito station. Thursday will feature a special breakfast, an opportunity to relax with a virtual reality experience, and puppy therapy in the afternoon. On Friday, we will close out our week with a morning boost bar!
If you have questions, please discuss the event details and timing with your leader or check out this link: Nurses Week 2025 Events Flyer (PDF)
I heard about the union workers in Los Angeles who were on strike this week. Did they get a contract? Did the workers get paid while striking? If not, were they eligible for unemployment?
No, the strike did not help the parties reach an agreement. The unionized workers in Los Angeles did not receive pay during their strike and were not eligible for unemployment benefits.
When a union calls a strike, there is a lot of pressure to participate, even when it might cause a financial hardship for individual union members. This is why it’s especially important for unionized employees to have savings to help pay their bills and support their families on these occasions. Joining the union can bring these kinds of uncertainties and make financial management unpredictable.
Has MGUH considered childcare subsidies or on-campus childcare options to help nurses balance growing families with full-time staff requirements?
Yes. MGUH began offering childcare and adult family member support benefits during COVID and has continued to offer that care today. Details for those benefits can be found at: medstartotalrewards.ehr.com.
We continuously look for ways to support our nurses. Each year, we review our benefits and strive to improve them to meet the needs of our associates. Your feedback is crucial in guiding these decisions, and we encourage you to share your needs in our MyVoice Survey every six months.
I’ve heard that unions are politically active. If they support a certain political candidate or someone currently in office, can I prohibit them from using my monthly dues for this?
Unions often engage heavily in political activities, even when members may not support the same candidates or issues as the union. Some unions use dues revenue to make political contributions to particular candidates and causes. Others impose special assessments in addition to dues for these purposes. Unions do not require individual member consent for this, and they expect members to fund these activities. It’s important to know that many unions might not give you an option to opt out of these contributions or a vote in deciding how your money is spent.
April 25, 2025
Does MGUH offer healthy food options, and are there plans to expand these options?
The All Day Café, which opened in February, was developed based on feedback from associates in the myVoice Survey, in which many requested more food options, especially during evenings and overnight shifts. The All Day Café is a self-service facility that is open 24/7. We now have new specialty salads and sandwiches, along with frozen meals and snacks. Our offerings include fresh fruit, fruit cups, yogurt cups, protein bars, nuts, jerky, and more. We are always open to product suggestions, and all associates are encouraged to reach out to Jody or me with their ideas.
If a union is voted in at MGUH, can I opt out, or will I be required to join?
No. Washington, D.C., is not a right-to-work jurisdiction. If associates decide to unionize, you may be required to join and pay dues or other fees. Additionally, members must adhere to the union’s constitution and bylaws and may be subject to fines or penalties imposed by the union. If these strict rules are not followed, the union reserves the right to terminate your employment.
It seems like nurses are taking on many additional duties. What support is being provided to help them?
We recognize the hard work and challenges faced by our nurses. To better support you, we’ve established a rapid response team for immediate assistance during emergencies. We have also expanded our clinical administrator team to provide additional coverage during shifts and weekends and created part-time per diem positions. Furthermore, we have improved training and orientation programs for specialty patient populations and significantly increased the size of our float pool for extra support. Our goal is to enhance coordination and foster a collaborative team culture.
Does MGUH offer incentives for nurses?
Yes. We are dedicated to supporting our nurses through various incentives and bonuses. Currently, we offer competitive pay along with a comprehensive benefits package. We have also expanded our financial assistance options for certification-related expenses to help with your education and professional growth.
Additionally, we provide referral bonuses for nurses who successfully recommend candidates who are hired. We also offer an enhanced Clinical Advancement Program (CAP) with significant financial incentives. A Clinical Nurse III receives a 5% increase in their hourly pay, while a Clinical Nurse IV benefits from an 11% increase in their hourly base wage.
We are constantly seeking new ways to incentivize and support our nurses, and these recent adjustments reflect our commitment to providing financial support for our nurses.
I’ve heard about nurses wanting to decertify from their union. What does this mean?
Decertification is a process in which employees seek to eliminate their union representation. Unionized nurses may attempt decertification, suggesting they may be dissatisfied with their union. This dissatisfaction could stem from unmet promises, a loss of flexibility, or the obligation to pay dues since becoming unionized. It’s important to understand that the decertification process is not easy; it takes time and involves specific legal steps that the nurses must follow to move forward.
April 18, 2025
The information about our rights during organizing was helpful. What should we do if union organizers won’t stop calling us?
We are aware that union organizers can be extremely persistent. We support Federal law that provides our associates with the right not to talk to, be bothered by, or harassed by union organizers. If an organizer continues to contact you, firmly express that you would like them to stop. If they persist during work hours, contact your manager or hospital security.
I know a lot of us are really worried about a union here. Can we wear shirts that express our desire not to be in a union?
Our dress code policy requires appropriate attire for patient care—but does not restrict what you wear to and from work. While some MedStar-branded T-shirts are permitted as part of the uniform, other promotional clothing and accessories related to unions or personal opinions are not allowed while working. This includes clothing, buttons, and other wearables. However, you have other options if you wish to express your opinion about not wanting a union. This includes talking with your coworkers, campaigning against the union, telling union organizers that you are uninterested, and not signing union materials.
I’ve heard the union says it could make MedStar hire more staff. Is that true?
No. Unions talk a lot about staffing, but they have no ability to set staffing, hire nurses or assign other caregivers to help. Without question, MGUH supports safe staffing and values the voice of our nurses—your voice— in ensuring quality patient care. At the end of the day, though, the responsibility for ensuring safe staffing across our hospital is the sole responsibility of the Hospital. This is a Joint Commission and DC Health requirement.
Those of us on the units and working with patients must maintain the discretion to deploy our nurses where and when they are most needed. We are proud that our nurses have a voice in this process through regular staffing huddles and governance councils. We always do better together.
Significantly, although the union often says it can cause hospitals to hire more nurses, this is simply not true at MWHC, where the union has represented nurses for more than a decade. In fact, in the collective bargaining agreement that governs unionized nurses at MWHC, the contract reserves the right to determine staffing solely to management. The union can ask MWHC to consider bargaining about staffing, but management has no legal obligation to do so.
The numbers support that this model is successful. Our overall vacancy rate continues to decline to 11%, a significant improvement. We continue to focus on float pool resources, recruitment events coordinated with our new Talent Acquisition partnership, and agency resources as needed. Staffing challenges in healthcare are not new, and not exclusive to us here at MGUH. But what does set us apart is the culture we create that attracts, supports and retains skilled and compassionate nurses who care deeply about our patients. Read more.
I’m hearing some people do not want a union. Why is this?
Everyone should feel welcome to express their own opinion and experiences – for or against a union. We can all learn from different points of view. Sometimes, people who thought a union was a good idea have gained experiences that have changed their minds. The reasons that motivate someone to consider unionization don’t always align with the realities of being in a union. That’s why you might hear from coworkers who have worked at MWHC or others who have been unionized in the past that they wouldn’t want to do it again. We encourage you to talk with friends and family to learn more about how promises that a union organizer might make don’t always come to fruition. Many of the recent concerns we’ve heard from our nurses are not topics that could be “fixed” by a union, but they can be addressed by associates working directly with our leaders. At MGUH, we are always on the side of our nurses, and that doesn’t change.
Is participating in conferences and training part of EDU pay? Can it be used outside of scheduled work hours or on a day off?
Yes! We support our nurses’ career development in a variety of ways, including paying for some professional education. This includes time to attend certification courses and external and internal conferences. Time is granted on a case-by-case basis, based on the assessment of unit needs by the associate’s supervisor. Nurses are eligible for eight hours per conference day with a limit of 24 hours per conference. Hours may be extended if the podium or poster presentation exceeds 24 hours or with approval of associate’s supervisor. If you have more questions about this benefit, please talk with your manager.
April 11, 2025
I am not interested in having a union at MGUH. What can I do?
You have rights when it comes to union organizing, and it’s important to us that you understand those rights. We respect our associates’ rights to make free and informed decisions when it comes to unionization. If you are among the many nurses who aren’t sure a union is the best thing for MGUH, you are not alone.
Under the National Labor Relations Act (NLRA), you have the right to:
- Sign or not sign a union card, petition, or online form.
- Not to be bothered by union supporters while working or in patient care areas.
- Talk or not talk to a union representative if you are contacted at home.
- Tell union organizers you are not interested.
- Campaign for, or against, the union.
- Say “No.”
Can you help us with parking tickets? This has been a source of stress for many nurses.
We understand that the parking situation can be stressful for some associates. That’s why we eliminated parking fees for associates after one of our recent associate surveys. However, this means that if you park in an area not designated for MGUH associates, you may be subject to a ticket from an entity other than the hospital. Many of you have reported receiving tickets for forgetting to display your hangtag or fines for accidentally parking in reserved spots.
We want you to know that we are listening to you and continue to explore ways to improve the parking experience for all of our associates.
Please remember, to avoid parking tickets:
- Ensure your hangtag is always visible
- Park only in designated spots
- Park only in your assigned area
If you have any questions or need further clarification, please get in touch with our Parking Administrator Lawrence McCray at 202-444-1482 or Lawrence.B.McCray@gunet.georgetown.edu.
There are rumors that the recent pay increases are a result of the recent union activity here. Is this true?
No. MGUH consistently monitors the pay ranges at comparable regional hospitals in D.C., Maryland, and Northern Virginia to make sure we’re paying you a competitive rate. And, if we discover that we aren’t, we make adjustments. That’s why some of our nurses are getting another increase now, after the annual merit increase added just a few months ago. Our hospital has been proactively planning these adjustments for some time. In fact, we initiated discussions about the need for market adjustments after conducting a survey of associates last fall. Market adjustments are part of our compensation philosophy, which is to pay all associates fairly by maintaining a competitive salary structure for all positions.
I think some colleagues may not respond to surveys because they doubt anything will change. Do leaders receive the feedback we give?
We understand that if you don’t see immediate change, it may feel like feedback is not taken seriously. That’s not the case. Associate surveys are an investment in our workforce, and we would not prioritize this effort if our leaders didn’t pay attention to every response.
We want you to know that we carefully read all your feedback and listen to your concerns, and often this action is taken behind the scenes. Creating the new wellness center and the elimination of associate parking fees are two tangible examples of our commitment to listening to our nurses and taking action. At MGUH, we are committed to fostering real change, with our nurses’ voices being the driving factor.
These surveys also help us determine where our resources should be focused. By analyzing data from thousands of nurse responses, we identified our associates’ key concerns, including safety, health and wellbeing, burnout, and compensation. We are committed to addressing each of these concerns.
Why do we not have a cafeteria at MGUH?
Affordable, healthy food options are essential for our associates’ wellbeing. We have approached our use of hospital space strategically, balancing the need for patient care areas with associate and visitor areas. While our facility has never been upfitted for a full cafeteria, we have creatively added retail food options over the years within the confines of our space.
We currently offer several retail food options, including Cafe Espresso on 1 Main, the Grab n Go Market on Ground Main, and the recently opened All Day Cafe on 2 CCC. The All Day Cafe particularly reflects our commitment to our associates, providing ample seating in the former surgical waiting area and creating a welcoming environment for them to enjoy their meals. We are dedicated to doing everything we can to enhance the experience of our associates within the constraints of our hospital’s footprint.
April 3, 2025
If we submit a question or concern on the new website’s Ask Us form, is it really anonymous?
Yes – the Ask Us form is completely anonymous. We have not included any fields for personal information on the Ask Us form. Information submitted on this form is not tracked to any individual. The contents of the form are shared with our nurse leaders to create new FAQs and other communications to ensure we are being responsive to your feedback. You may choose to include your name or department if you would like a personal follow-up.
Some nurses are more concerned about avoiding burnout than any other issue. What is MGUH doing to make sure we get more support?
According to our 2024 wellbeing survey, our associates report improved wellbeing outcomes. This showcases the ongoing value of our investment in our nurses’ wellbeing. We are also pleased to see that over the past year, our nurses have reported improved professional fulfillment and lower burnout levels.
This shows the progress we’ve made. But we know we can do more, that’s why we are thrilled to be just weeks away from the opening of our Eileen Ferrell Nurse Wellness and Relaxation Center, which was designed in collaboration with our nurses. Read more about our support of nurses.
Would joining a union give my voice more power?
No. It would actually do the opposite. When someone joins a union, the bargaining unit is represented collectively, which dilutes individual voices. When someone joins a union, they forfeit their right to directly represent themselves with their supervisor on matters related to work, pay, benefits, and terms and conditions of employment. Similarly, even if someone has a positive relationship with their leader, a third party may make it harder for leaders to resolve issues together with an associate or advocate on their behalf. The union contract would address the collective needs of the bargaining unit as a whole, rather than individual concerns or preferences. A contract may restrict things that matter most to nurses.
I don’t really want a union, but I heard we can sign a card just to threaten the hospital, is that true?
No. Signing an authorization card does not elevate your concerns with those who can act on them; it only gives the union your contact information and voice. At MGUH, you don’t need to trick us into listening—we routinely ask for your feedback and act on what we hear. Associates can submit anonymous feedback and questions via our Ask Us feedback form. We regularly host wellbeing and pulse-check surveys, allowing our nurses to provide open and honest feedback about what they like about MGUH and where they think change is needed. Finally, we offer nurses opportunities to interact with and ask questions to leaders with frequent leadership rounding, open forums such as Java with Jo Ellen, and quarterly town halls.
We are concerned about workplace violence. What measures is MGUH taking to ensure that associates are safe?
We’re concerned, too. The recent situations involving violence in healthcare settings is troubling to all of us, especially those on the front lines. We are prioritizing this issue through numerous new and enhanced support for our nurses. This includes raising awareness of potential situations through security tips, sharing materials on personal and vehicle safety, and leading workplace violence prevention and de-escalation training. Importantly, we formed our Workplace Violence Prevention Committee as a direct result of nurses’ feedback, and committee members have helped identify specific actions to support nurse safety—like wanding protocols, additional panic buttons, and a list of barred individuals with a history of workplace violence. Read more about our safety measures.
March 28, 2025
Would joining a union guarantee a pay increase?
What is MGUH’s plan for pay increases for highly experienced nurses?
Many of our nurses have been with us for decades – this is a testament to the relationships we’ve built, the career advancement we provide, and our supportive hospital culture. We understand that to retain skilled and compassionate nurses, we must provide competitive salaries and career advancement opportunities. This is why we offer annual across-the-board merit increases and off-cycle market adjustments to ensure we’re compensating our nurses fairly. Plus, our Clinical Advancement Program provides a career ladder and significant pay increases – 5% for Clinical Nurse III and 11% for Clinical Nurse IV.
Can the union guarantee more effective security measures than we currently have?
No. First and foremost, the safety and well-being of our employees, patients, and visitors is our highest priority. No union cares more about our people than we do. That’s why over the last year we have empowered our Workplace Violence Prevention Committee to implement significant improvements to protect our nurses. These improvements include installation of the Evolv Weapon Detection system and added security personnel in our ED, new wanding protocols, and regular workplace violence drills. As leaders on the ground, we believe that we’re best positioned to work directly with our associates to identify needs and develop solutions to improve our security measures.
Why are some of my colleagues who previously worked at a unionized hospital concerned about seeing union organizers here at MGUH?
Deciding whether or not to join a union is a big decision that affects all aspects of your job, including pay, benefits, culture, and flexibility. Many of our nurses who have worked in unionized hospitals have voiced their concerns about how it affected their work and personal life. They have shared their experiences of paying dues and receiving little benefit in return. And some have shared concerns about the general negativity they experienced in a unionized environment. If you have concerns about unionization, you’re not alone. Your opinion matters, and you have the right to talk with your coworkers and leaders about how you feel about unionization and why.
A lot of us do not want a union here. Why doesn’t the hospital just tell them to leave?
March 21, 2025
I haven’t seen any organizers or heard much about a union. Why are we talking about unionization?
The flyer that a union organizer handed me said that all MedStar nurses were uniting with NNU. Is that true?
No. Union organizers often target organizations and make it seem like the employees asked them to be there. In reality, what we’ve heard from most of our nurses is that they aren’t even aware of what NNU is, or that they wish the union organizers would leave them alone. All associates have the right to talk to – or not talk to – any union organizer. MedStar leadership’s commitment is to share facts to support our nurses and answer honestly any questions you have.
Why is an authorization card, or that online form, such a big deal?
A union authorization card or petition is a legal document. By signing, you are potentially giving the union the sole and exclusive right to speak and act on your behalf when it comes to matters regarding wages, benefits, working conditions and other terms of employment. If the union gets signatures from at least 30% of the employees it’s seeking to represent, it can file a petition with the NLRB for a secret ballot election. And, with enough signatures (more than 50%), the union may be able to become your exclusive representative without an election.
What are my rights if I do or don’t want a union at MedStar?
There’s a lot to consider when it comes to unionization. If organizers are asking you to sign an authorization card, that is a big decision, and one that’s yours alone to make. MedStar Health respects everyone’s right to choose what’s best for them when it comes to unionization. Whether or not you support the union has no impact on your employment here.
Making an informed decision starts with understanding your legal rights when it comes to engaging—or not engaging—with the union. Under the National Labor Relations Act (NLRA), you have the right to:
- Sign, or not sign, a union authorization card or petition
- Participate in, or refuse to participate in, union activity
- Campaign for, or against, the union
What has the union actually done for nurses in the past?
March 14, 2025
What can we do if I or the nurses on my unit don’t want a union?
We’ve heard from some of our nurses who have previously worked in unionized hospitals that they would not want to go back to being in a union. You’re not alone. You have rights when it comes to interacting with union organizers and supporters. You have the right to: tell organizers you are not interested and ask them to leave you alone; to call security if feel unsafe being approached by an organizer; to refuse to participate in a call, visit, or meeting; or to campaign against the union with your coworkers. Your voice matters, and you have the right to talk with your coworkers and leaders about how you feel about unionization and why.
If I signed the online form from the union (the union authorization card) and didn’t realize what it was or have now changed my mind, can I get it back?
If you sign a card and then later change your mind, you have every right to ask for the card back and to tell the union you are taking back your authorization of union representation. You can do this by sending a letter via certified mail to the union’s local office. It is also a good idea to send a copy to the National Labor Relations Board regional office as well, so that they know that you have rescinded the authorization and requested that the card be revoked. Keep a copy for yourself, as well, as NNU may not acknowledge receipt.
NNU Local Office:
8455 Colesville Rd, Suite 1100
Silver Spring, MD 20910
(240) 235-2000
NLRB Regional Office:
Resident Office 05 – Washington, DC1015 Half Street SE
WASHINGTON, DC 20570-0001
Tel: (202) 208-3000
Fax: (202) 208-3013
I don’t want a union, but I’m concerned about staffing. What is MGUH doing to make sure we have enough nurses?
Ensuring we have enough nurses to care for our patients remains a top priority for our hospital. We have made significant progress in reducing turnover and are committed to proactively recruiting top talent. We have added associates focused on recruitment and onboarding for nurses, enhanced use of digital marketing to recruit new associates, and developed new or enhanced existing partnerships with Georgetown University, Catholic University School of Nursing, and the University of Maryland. These efforts are paying off: we increased our total staffing by 179 nurses since July, and just last week, we welcomed 25 new nurses to our team.
We’re also focused on making sure we create a workplace where nurses want to stay through annual pay increases, market increases, referral bonuses, and financial incentives in the Clinical Advancement Program. This spring, we will open a new wellness and relaxation center that was co-designed by many of our nurses. We will continue to prioritize hiring and retaining our skilled associates so that every nursing unit across the hospital is properly and evenly staffed.
I don’t want the union to take my money. Would the union make us pay to join?
Unions come at a cost, requiring a chunk of their members’ paychecks to fund their operations, including overhead, travel, and political donations that serve their own agenda. Union members are obligated to pay monthly dues, usually automatically deducted from your check like an extra tax, and members can be subject to additional assessment fees and even fines if they fail to follow union rules. Even if you choose not to join the union, if your colleagues vote to unionize, you may still be required to pay an agency fee to keep your job. Agency fees are about the same as dues.
I heard that the union is saying they got MedStar to end the pilot program for RN:Tech + Virtual Nurse program at MWHC. Didn’t our nurse leaders have a role in that?
FAQs
Unions 101
What is a union?
Does having a union guarantee better pay and benefits, and other improvements?
Will I get in trouble for talking to union organizers, talking about the union, signing a card or voting for the union?
Am I required to speak with an NNU organizer, either at home or at work?
Do union organizers get paid?
How do I know whether or not to support the union?
If the union doesn’t work out for us, can we just get rid of it?
No, you can’t “try out” a union. Once the union is voted in, if you decide you’re not happy with the representation you’re getting, you can’t just get rid of it—you would have to go through the decertification process to remove it.
Decertification is a lengthy and complex process, and one that MedStar Health is not legally allowed to help with. Like the initial organizing effort, you would need signatures from 30% of represented employees in order to file a decertification petition.
Additionally, decertification can only happen at certain times. Employees have to wait one year from the date the election results are certified by the NLRB before they can legally file a petition to try and remove the union. And if a labor contract is reached, you would have to wait an additional three years before attempting to remove the union.
Would having a union affect MedStar Health’s Magnet Status?
When we work collaboratively to achieve Magnet Status, it’s something everyone at MedStar Health is proud of. It’s a reflection of who we are as an organization and a team of caregivers, and demonstrates our team’s commitment to safe, quality patient care and to fostering a collaborative, professional work environment that strives for clinical excellence at all times.
NNU does not support Magnet Status or our shared governance model. Instead, the union believes that models of care promoted by Magnet Status “negatively impact the registered nurse’s ability to exercise independent professional judgement and advocate in the exclusive interest of the patient.”
We don’t agree with that—in fact, we’ve experienced the opposite across our system. From their position, it’s clear that NNU does not share MedStar Health’s priorities, values, and mission, and we do not want a third party undoing what we’ve worked so hard to achieve.
Union Authorization Cards
What is a union authorization card?
A union authorization card or petition is a legal document. By signing, you are potentially giving the union the sole and exclusive right to speak and act on your behalf when it comes to matters regarding wages, benefits, working conditions and other terms of employment. If the union gets signatures from at least 30% of the employees it’s seeking to represent, it can file a petition with the NLRB for a secret ballot election. And, with enough signatures (more than 50%), the union may be able to become your exclusive representative without an election.
What does a union authorization card look like?
A union authorization card can take many forms. It may be just as its name suggests—a paper card. However, it can also look like a petition, sign-in sheet, or a digital form. In fact, “signing” a card can be as easy as clicking a button. The flyers shared by union organizers around MedStar recently are promoting use of an online form, which looks like a simple interest form—it is actually an authorization form.
I was told that I have to submit an online form in order to get more information. Is that true?
No. You do not have to sign anything in order to get more information from the union. Union organizers may tell you that you’re just filling out a quick submission form in order to receive information and updates, but in reality, you may be unknowingly signing an authorization card.
Do I have to sign a union authorization card?
No, you do not have to sign an authorization card. The decision to sign something is completely up to you. You do not have to sign anything in order to ask questions, attend a meeting, or vote in an election, if there is one. And signing an authorization card does not mean you’re obligated to support the union, or vote in favor of the union if there is an election.
I signed a union authorization card, but I changed my mind. Can I get it back?
If you sign a card, or submit the online form, and then later change your mind, you have every right to ask for the card back and to tell the union you are taking back your authorization of union representation. You can do this by sending a letter via certified mail to the union’s local office. It is also a good idea to send a copy to the National Labor Relations Board regional office as well, so that they know that you have rescinded the authorization and requested that the card be revoked. Keep a copy for yourself, as well, as NNU may not acknowledge receipt.
NNU Local Office:
8455 Colesville Rd, Suite 1100
Silver Spring, MD 20910
(240) 235-2000
NLRB Regional Office:
Resident Office 05 – Washington, DC1015 Half Street SE
WASHINGTON, DC 20570-0001
Tel: (202) 208-3000
Fax: (202) 208-3013
Collective Bargaining
What is collective bargaining?
Collective bargaining is the back-and-forth negotiation process between a union and employer to try and reach an agreement on a labor contract, also known as a collective bargaining agreement.
How long does collective bargaining take?
It takes an average of 528 days to reach a first-time labor contract in healthcare, according to a Bloomberg Law analysis. During this period, employers are required to maintain the status quo, meaning they cannot make unilateral changes to pay, benefits, or other terms and conditions of your employment.
What topics are negotiated during collective bargaining?
The only topics that must be bargained (referred to as mandatory subjects of bargaining) are pay, benefits and terms and conditions of employment, which are things like working hours, seniority, scheduling practices, promotions, transfers and grievances.
Things that are not mandatory subjects of bargaining include safety protocols, patient care procedures, equipment and supplies, number of employees hired, promoted or discharged, the right to manage and operate the business, or finances.
Can the union have a manager removed if associates think that manager is unfair?
No. Only MedStar Health has the authority to decide who its managers will be. It is important and expected that MedStar Health leaders display fairness at all times. If you feel a manager is being unfair, please contact Human Resources.
Can the union “fix” anything or “force” MedStar Health to do anything?
Once the union is voted in, the only thing the employer is required to do is bargain in good faith. This means that management must meet with the union at reasonable times and places to talk and attempt to reach an agreement about mandatory subjects of collective bargaining. It does not mean that an employer is required to agree to any specific union demands, or that the union can force the organization to give something it doesn’t have or isn’t able to give. Most labor contracts typically include a Management Rights clause that allows the organization to retain the right to run the operations of the business.
It sounds like things can only get better for us with a labor contract—is this true?
Collective bargaining is a gamble. Because it is a give-and-take negotiations process, it’s possible things can get better, worse or stay the same. Even the NLRB’s own case law states, “Collective bargaining is potentially hazardous for employees, and as a result of such negotiations, employees might possibly wind up with less benefits after unionization than before.” (228 NLRB 440) Despite any promises the union may make, nothing is guaranteed, and nobody knows what a final contract may look like.
Will all associates participate in collective bargaining?
No. Collective bargaining is between the union and employer. Each party may have a bargaining committee. It’s possible the union’s bargaining committee would consist of a few members of the bargaining unit, and those people can push to have the union focus on their priorities, even if they don’t align with yours.
If I don’t like the contract that’s negotiated, can I opt out of it?
No, once a union has been voted in and a labor contract has been negotiated, you cannot opt out of the contract, even if you don’t like the terms, never supported the union, voted “no” in the election, or no longer want the union here.
Will having a union guarantee my job?
No. The union may negotiate certain protections in a labor contract, but guaranteed job security is not something the union can provide. The NLRA gives employers the right to discharge, transfer, or lay off an employee for genuine economic reasons or for cause, such as severe misconduct.
Dues
What are union dues?
Union dues are regular payments that unions require members (employees) to pay in exchange for representation. The amount you pay in dues is decided by the union, which also has the legal right to increase how much it charges in dues at its own discretion.
Does everyone pay dues?
If you are in a position that is part of the bargaining unit, you would be subject to dues once a contract has been ratified. You are not able to opt out of union representation, nor can you opt out of a contract.
Who determines the amount of union dues we would have to pay?
A union determines the amount it charges members and has the right to increase dues at any time. Dues amounts are not negotiated—neither MedStar Health nor associates in the bargaining unit would have a say in how much the union charges in dues.
How much would associates have to pay in dues?
While we cannot say exactly how much you would have to pay in dues, here’s how much NNU typically charges its members in dues:
- For full-time RNs, dues are 2.2x your base hourly rate, up to $117 per month (or, up to $1,404 per year)
- For part-time/per diem RNs working 12 hours or less per week, per pay period, dues are 50% of the full-time RN dues amount, which could add up to as much as $702 per year
Keep in mind, if your base rate goes up, so would the amount you owe in union dues.
If the union is elected, when would we have to start paying dues?
Typically, when a union is newly elected, members are not required to pay dues until after a collective bargaining agreement is ratified.
How are union dues paid?
Dues are deducted after taxes are taken out of your paycheck, and they are not tax deductible. And, in non-right-to-work states, the union can make dues a condition of your employment, meaning you would have to pay dues to keep your job.
The union says things will only improve. Isn’t that worth the cost of dues?
There is no way the union can guarantee that things will only improve. You may end up paying dues whether or not you like the terms negotiated in the labor contract.