Nurses voted Wednesday to authorize a second strike at 16 hospitals in the Twin Cities and Duluth areas, then shocked hospital leaders Thursday by immediately scheduling the walkout.
As many as 15,000 nurses will leave hospital bedsides Dec. 11, unless they can come to terms on pay, workplace violence prevention and staffing levels. The strikes would end Dec. 31 at most hospitals but continue indefinitely at St. Luke's hospitals in Duluth and Two Harbors.
Nurses drew a direct line between understaffing and hospitals being overwhelmed this flu season. Five nurses were caring for 39 patients one night on a cardiac unit in Essentia Health's St. Mary's Medical Center in Duluth, an 8-to-1 ratio that is excessive even on overnight shifts, said Essentia nurse Corrine Schraufnagel.
"We are stretched incredibly thin at the hospital," she said. "It is dangerous and scary some shifts — the care that some of the patients are receiving."
Hospital leaders agreed that staffing levels are low, particularly amid an unprecedented early season surge in influenza and a spike in RSV that has used up pediatric inpatient beds. Only six of 144 pediatric intensive care beds were open Monday statewide, and leaders at Children's Minnesota said capacity will take a severe hit if the strike occurs.
Children's has recruited 300 replacement nurses so far to take over during the strike for a usual complement of 1,000 at its hospitals in Minneapolis and St. Paul. Children's leaders said they already are planning to transfer critically ill children out of state, because its ICU capacity is expected to drop from 62 to 33 during the strike.
"This is the worst possible time for the union to call for a strike that would pull nurses away from the bedside," said Dr. Marc Gorelick, Children's chief executive. "If this work stoppage materializes, it's going to put kids in danger, and that's why we're putting out the alarm."
![Dr. Marc Gorelick, president and CEO of Children's Minnesota, speaks at a press conference addressing the Minnesota Nurses Association intent to strike Thursday, Dec.1, 2022 at Children's Minnesota in Minneapolis. ]](https://arc.stimg.co/startribunemedia/NET42YTCUT3MRGKLKP6T3O47GA.jpg?&w=712)
The result of the vote was anticlimactic; unions don't call for strike votes unless they have support — just as MNA did this fall when a similar vote led to a three-day strike of about 15,000 nurses. MNA had already surveyed members about next steps this winter.