On behalf of the Registered Nurses of Western State Hospital, we regretfully submit this vote of no con?dence in Karen Pitman, Chief Nursing Of?cer and her current Deputies. We have lost all trust, faith, and con?dence in the current Western State Hospital Nursing Administration to advocate for nursing. Rather than adhere to the labor contract between and DSHS, WSH Nursing Administration held nursing meetings on 10/16/18 stating am implementing? vast changes in working conditions ?very soon" without the input and processes required through the mandatory subject?s clause of the labor contract: 0 Closure of Ward E6 (A specialty total care ward) which directly impacts wards E7 and E8 and base staffing levels by absorbing half of that closing wards total care patients. This closure process was implemented PRIOR to negotiation, an unfair labor practice. Patient care was not considered, staff and patients were recklessly endangered. Staff were required to transfer under duress. The impending role change of RN's away from current duties and procedures was discussed at the 10/16/18 nursing meeting, modifying job descriptions and possibly impacting the classifications themselves resulting in unnegotiated EXTENSIVE changes in work conditions endangering patients. 0 Announcing intended role change of RN3's to be excluded from committee participation, leadership meetings, and supervisory resource team meetings by making them ?charge nurses.? 0 By excluding RN3's from providing direct input to committees, WSH Nursing Administration is firmly committing itself to the group think of administrative personnel (only) that do not perform direct patient care and have no recent direct understanding of ward clinical operations and dynamics. Employees within Washington Management Service and Administrative classi?cations are not represented employees, thus can be terminated for not being team players. In short, direct care input is prevented and those that could voice disagreement are eliminated. Additionally, WSH Nursing Administration has not insisted on taking measures which would ensure the safety of nursing personnel. Severe assaults have now become commonplace. During their tenure at Western State Hospital, Nursing Administration has allowed an NGRI forensics patient to be moved to civil wards and failed to act when concerns were presented. Additionally, Nursing Administration has allowed dangerous patients as well as dangerous mixes of patients to be transferred to wards without listening to nursing personnel concerns or taking remedial action on the behalf of nursing. When nursing meetings are held, the meetings pertain to dictating to nursing personnel what has been decided by Nursing Administration. When disagreement with Nursing Administration decisions is voiced, there is often retaliation in the form of reassignment pending investigation, these matters are now being investigated by the Human Rights Commission, Department of Health, and pending civil court cases. We are also aware that when the CNO of Western State Hospital was appointed, she lacked qualifications for her position, speci?cally she lacked any direct nursing experience. She has never worked in direct patient care, therefore does not have the knowledge required to make far reaching decisions impacting all the Registered Nurses of Western State Hospital and their safety. It was under the current Nursing Administration that Western State Hospital failed to meet our Systems Improvement Agreement and lost Federal Funding through CMS. This issue alone should have resulted in their replacement as their failure to listen to direct care providers played a large role in the failure. For the stated reasons, we the undersigned cast our vote of no confidence in the current Western State Hospital Nursing Administration and request that DSHS consider their replacement. We ?nd this change to be necessary for Western State Hospital to once again become a fully accredited and safe facility. Signatures are on back of this no confidence form. Print Name Signature Date MM 5 Maggy /0 gamma ?mm ?262? may/71%? ln?- MIN (1 Jimenti {0.2.4 Mean ?lm {24 Nat]! LP a mlth? ?j?m venom 9mm 04W 3 (WV ng m- - Expat,? Lecj r? mew: mama?s 10.25.]6 Miwm MW [0 *29?55/ g4w/?JA ?zggv [0.25% $4],an Lam/Jo Irv/15118 4m 4m, MW /0 ?Cam My ?adage/gimme, kyx?y/ On behalf of the Registered Nurses of Western State Hospital, we regretfully submit this vote of no con?dence in Karen Pitman, Chief Nursing Officer and her current Deputies. We have lost all trust, faith, and con?dence in the current Western State Hospital Nursing Administration to advocate for nursing. Rather than adhere to the labor contract between and DSHS, WSH Nursing Administration held nursing meetings on 10/16/18 stating am implementing? vast changes in working conditions ?very soon" without the input and processes required through the mandatory subject's clause of the labor contract: 0 Closure of Ward E6 (A specialty total care ward) which directly impacts wards E7 and E8 and base staf?ng levels by absorbing half of that closing wards total care patients. This closure process was implemented PRIOR to negotiation, an unfair labor practice. Patient care was not considered, staff and patients were recklessly endangered. Staff were required to transfer under duress. The impending role change of away from current duties and procedures was discussed at the 10/16/18 nursing meeting, modifying job descriptions and possibly impacting the classi?cations themselves resulting in unnegotiated EXTENSIVE changes in work conditions endangering patients. 0 Announcing intended role change of to be excluded from committee participation, leadership meetings, and supervisory resource team meetings by making them ?charge nurses." 0 By excluding from providing direct input to committees, WSH Nursing Administration is ?rmly committing itself to the group think of administrative personnel (only) that do not perform direct patient care and have no recent direct understanding of ward clinical operations and dynamics. Employees within Washington Management Service and Administrative classi?cations are not represented employees, thus can be terminated for not being team players. In short, direct care input is prevented and those that voice disagreement are eliminated. Additionally, WSH Nursing Administration has not insisted on taking measures which would ensure the safety of nursing personnel. Severe assaults have now become commonplace. During their tenure at Western State Hospital, Nursing Administration has allowed an NGRI forensics patient to be moved to civil wards and failed to act when concerns were presented. Additionally, Nursing Administration has allowed dangerous patients as well as dangerous mixes of patients to be transferred to wards without listening to nursing personnel concerns or taking remedial action on the behalf of nursing. When nursing meetings are held, the meetings pertain to dictating to nursing personnel what has been decided by Nursing Administration. When disagreement with Nursing Administration decisions is voiced, there is often retaliation in the form of reassignment pending investigation, these matters are now being investigated by the Human Rights Commission, Department of Health, and pending civil court cases. We are also aware that when the CNO of Western State Hospital was appointed, she lacked quali?cations for her position, speci?cally she lacked any direct nursing experience. She has never worked in direct patient care, therefore does not have the knowledge required to make far reaching decisions impacting all the Registered Nurses of Western State Hospital and their safety. It was under the current Nursing Administration that Western State Hospital failed to meet our Systems Improvement Agreement and lost Federal Funding through CMS. This issue alone should have resulted in their replacement as their failure to listen to direct care providers played a large role in the failure. For the stated reasons, we the undersigned cast our vote of no con?dence in the current Western State Hospital Nursing Administration and request that DSHS consider their replacement. We ?nd this change to be necessary for Western State Hospital to once again become a fully accredited and safe facility. Signatures are on back of this no con?dence form. Print Name Signature Date 1.6/6; 6.4190 g/M sa?wr/ ?/4576? 20%x?e8va6 mm \e\23\\8 Yep/n6 Wm mas/:2 Dm?mm Kama @431th mm): 69:24:62; 4W AWWB :o?441:5/ Whom MW 44 Wm :64] /0/23 05? wags/c6: Few/6w;- 44-:9 Wm @lem UZUA @4644 ?Earl; Mm) (05 TM :4 :44 40444:: WMQ 4:24:4/ Ram/4:46 (lam/4:4 'Wrmw 10/2?6/6 3/ 5/74/61 C(ymad?n 615:: 35:66:46?: 73%6/4/444 1 by 19/1: 24/ 49 LR Id?? ,{M?mep?r? a 6mm: 62/4 jun: Qm'mb f?g? 0/94165/ ?ge/ 4% 4444/ Q/mag?/?/cr ?72:96 (jg?gm? 47244644: (?fw?m baa/ELY :E?nson ?0 4 J44 AWW are; Ill/Lg NV On behalf of the Registered Nurses of Western State Hospital, we regretfully submit this vote of no confidence in Karen Pitman, Chief Nursing Officer and her current Deputies. We have lost all trust, faith, and confidence in the current Western State Hospital Nursing Administration to advocate for nursing. Rather than adhere to the labor contract between and DSHS, WSH Nursing Administration held nursing meetings on 10/16/18 stating am implementing" vast changes in working conditions ?very soon? without the input and processes required through the mandatory subject?s clause of the labor contract: 0 Closure of Ward E6 (A specialty total care ward) which directly impacts wards E7 and E8 and base staffing levels by absorbing half of that closing wards total care patients. This closure process was implemented PRIOR to negotiation, an unfair labor practice. Patient care was not considered, staff and patients were recklessly endangered. Staff were required to transfer under duress. The impending role change of away from current duties and procedures was discussed at the 10/16/18 nursing meeting, modifying job descriptions and possibly impacting the classifications themselves resulting in unnegotiated EXTENSIVE changes in work conditions endangering patients. 0 Announcing intended role change of to be excluded from committee participation, leadership meetings, and supervisory resource team meetings by making them ?charge nurses." 0 By excluding from providing direct input to committees, WSH Nursing Administration is ?rmly committing itself to the group think of administrative personnel (only) that do not perform direct patient care and have no recent direct understanding of ward clinical operations and dynamics. Employees within Washington Management Service and Administrative classifications are not represented employees, thus can be terminated for not being team players. In short, direct care input is prevented and those that could voice disagreement are eliminated. Additionally, WSH Nursing Administration has not insisted on taking measures which would ensure the safety of nursing personnel. Severe assaults have now become commonplace. During their tenure at Western State Hospital, Nursing Administration has allowed an NGRI forensics patient to be moved to civil wards and failed to act when concerns were presented. Additionally, Nursing Administration has allowed dangerous patients as well as dangerous mixes of patients to be transferred to wards without listening to nursing personnel concerns or taking remedial action on the behalf of nursing. When nursing meetings are held, the meetings pertain to dictating to nursing personnel what has been decided by Nursing Administration. When disagreement with Nursing Administration decisions is voiced, there is often retaliation in the form of reassignment pending investigation, these matters are now being investigated by the Human Rights Commission, Department of Health, and pending civil court cases. We are also aware that when the CNO of Western State Hospital was appointed, she lacked qualifications for her position, speci?cally she lacked any direct nursing experience. She has never worked in direct patient care, therefore does not have the knowledge required to make far reaching decisions impacting all the Registered Nurses of Western State Hospital and their safety. It was under the current Nursing Administration that Western State Hospital failed to meet our Systems Improvement Agreement and lost Federal Funding through CMS. This issue alone should have resulted in their replacement as their failure to listen to direct care providers played a large role in the failure. For the stated reasons, we the undersigned cast our vote of no confidence in the current Western State Hospital Nursing Administration and request that DSHS consider their replacement. We ?nd this change to be necessary for Western State Hospital to once again become a fully accredited and safe facility. Signatures are on back of this no confidence form. AWW ?2ng gala "Bfex I, (jaw '%zmr War/z v3 Dwgen 0am; I 57-257/9 MW DIV v/j? a Ira/Ls? (I) . ?ne! WWI mm; mama GlsamnI 05cm iD/ag/ Meet (2&me @ka Lek-3M; W1 Lop?Wm ?eswg?g?vs. I18) Lox?C BOWMW W/e/l/ ?w QM Wm @WnneIl/mm I00 mwMIevwst ESSA Aces {Zaraa Myff/M? ?at/amp Wax/w? gory/c [Zw?gh? mgr/W I215 ?g/w {PW??um agar-hem?; Wag] MJ I?n Sham BMW IO Izah?/ mewo WI 24 m6 bead ?e 8/ 6/27/ 7/5 On behalf of the Registered Nurses of Western State Hospital, we regretfully submit this vote of no confidence in Karen Pitman, Chief Nursing Officer and her current Deputies. We have lost all trust, faith, and confidence in the current Western State Hospital Nursing Administration to advocate for nursing. Rather than adhere to the labor contract between and DSHS, WSH Nursing Administration held nursing meetings on 10/16/18 stating am implementing? vast changes in working conditions ?very soon" without the input and processes required through the mandatory subject's clause of the labor contract: 0 Closure of Ward E6 (A specialty total care ward) which directly impacts wards E7 and E8 and base staf?ng levels by absorbing half of that closing wards total care patients. This closure process was implemented PRIOR to negotiation, an unfair labor practice. Patient care was not considered, staff and patients were recklessly endangered. Staff were required to transfer under duress. The impending role change of RN's away from current duties and procedures was discussed at the 10/16/18 nursing meeting, modifying job descriptions and possibly impacting the classi?cations themselves resulting in unnegotiated EXTENSIVE changes in work conditions endangering patients. 0 Announcing intended role change of to be excluded from committee participation, leadership meetings, and supervisory resource team meetings by making them "charge nurses." 0 By excluding from providing direct input to committees, WSH Nursing Administration is ?rmly committing itself to the group think of administrative personnel (only) that do not perform direct patient care and have no recent direct understanding of ward clinical operations and dynamics. Employees within Washington Management Service and Administrative classi?cations are not represented employees, thus can be terminated for not being team playeis. In short, direct care input is prevented and those that voice disagreement are eliminated. Additionally, WSH Nursing Administration has not insisted on taking measures which would ensure the safety of nursing personnel. Severe assaults have now become commonplace. During their tenure at Western State Hospital, Nursing Administration has allowed an NGRI forensics patient to be moved to civil wards and failed to act when concerns were presented. Additionally, Nursing Administration has allowed dangerous patients as well as dangerous mixes of patients to be transferred to wards without listening to nursing personnel concerns or taking remedial action on the behalf of nursing. When nursing meetings are held, the meetings pertain to dictating to nursing personnel what has been decided by Nursing Administration. When disagreement with Nursing Administration decisions is voiced, there is often retaliation in the form of reassignment pending investigation, these matters are now being investigated by the Human Rights Commission, Department of Health, and pending civil court cases. We are also aware that when the CNO of Western State Hospital was appointed, she lacked qualifications for her position, speci?cally she lacked any direct nursing experience. She has never worked in direct patient care, therefore does not have the knowledge required to make far reaching decisions impacting all the Registered Nurses of Western State Hospital and their safety. It was under the current Nursing Administration that Western State Hospital failed to meet our Systems Improvement Agreement and lost Federal Funding through CMS. This issue alone should have resulted in their replacement as their failure to listen to direct care providers played a large role in the failure. For the stated reasons, we the undersigned cast our vote of no confidence in the current Western State Hospital Nursing Administration and request that DSHS consider their replacement. We ?nd this change to be necessary for Western State Hospital to once again become a fully accredited and safe facility. Signatures are on back of this no confidence form. Print Name A Signature Date PC1041 VJ ,a - mg <35th @434? quwx?v ?WV/um mm (52m 513w (0/23 8 (30,42) ?accid/k \Zi/v) ?yfmw WW M/zmg ad?kww Earn hawt? MR (0/23/17 XML 01m to" ?/13 I v\ ?hm . . ?A/ezv/u?' ammo 5) ?/ga/Af, Lorcmo Q'jmwA Ma 19/23/13/ 4% OJ /a3/57 ?Jx A r\ A \3 Mo. Md??kv [10/ KIM) Sam-o D?fz?m? V0 10/199715/ 1mm VMqu '0 bag/I3 MN) MW mw zo/csw/xa 7W Man DY /o/a 67/1 WARD Rmfom Hyena/2 On behalf of the Registered Nurses of Western State Hospital, we regretfully submit this vote of no con?dence in Karen Pitman, Chief Nursing Officer and her current Deputies. We have lost all trust, faith, and con?dence in the current Western State Hospital Nursing Administration to advocate for nursing. Rather than adhere to the labor contract between and DSHS, WSH Nursing Administration held nursing meetings on 10/16/18 stating am implementing" vast changes in working conditions ?very soon" without the input and processes required through the mandatory subject?s clause of the labor contract: 0 Closure of Ward E6 (A specialty total care ward) which directly impacts wards E7 and E8 and base staf?ng levels by absorbing half of that closing wards total care patients. This closure process was implemented PRIOR to negotiation, an unfair labor practice. Patient care was not considered, staff and patients were recklessly endangered. Staff were required to transfer under duress. The impending role change of RN's away from current duties and procedures was discussed at the 10/16/18 nursing meeting, modifying job descriptions and possibly impacting the classi?cations themselves resulting in unnegotiated EXTENSIVE changes in work conditions endangering patients. 0 Announcing intended role change of to be excluded from committee participation, leadership meetings, and supervisory resource team meetings by making them ?charge nurses.? 0 By excluding from providing direct input to committees, WSH Nursing Administration is ?rmly committing itself to the group think of administrative personnel (only) that do not perform direct patient care and have no recent direct understanding of ward clinical operations and dynamics. Employees within Washington Management Service and Administrative classi?cations are not represented employees, thus can be terminated for not being team players. In short, direct care input is prevented and those that Mg voice disagreement are eliminated. Additionally, WSH Nursing Administration has not insisted on taking measures which would ensure the safety of nursing personnel. Severe assaults have now become commonplace. During their tenure at Western State Hospital, Nursing Administration has allowed an NGRI forensics patient to be moved to civil wards and failed to act when concerns were presented. Additionally, Nursing Administration has allowed dangerous patients as well as dangerous mixes of patients to be transferred to wards without listening to nursing personnel concerns or taking remedial action on the behalf of nursing. When nursing meetings are held, the meetings pertain to dictating to nursing personnel what has been decided by Nursing Administration. When disagreement with Nursing Administration decisions is voiced, there is often retaliation in the form of reassignment pending investigation, these matters are now being investigated by the Human Rights Commission, Department of Health, and pending civil court cases. We are also aware that when the CNO of Western State Hospital was appointed, she lacked quali?cations for her position, speci?cally she lacked any direct nursing experience. She has never worked in direct patient care, therefore does not have the knowledge required to make far reaching decisions impacting all the Registered Nurses of Western State Hospital and their safety. It was under the current Nursing Administration that Western State Hospital failed to meet our Systems Improvement Agreement and lost Federal Funding through CMS. This issue alone should have resulted in their replacement as their failure to listen to direct care providers played a large role in the failure. For the stated reasons, we the undersigned cast our vote of no con?dence in the current Western State Hospital Nursing Administration and request that DSHS consider their replacement. We ?nd this change to be necessary for Western State Hospital to once again become a fully accredited and safe facility. Signatures are on back of this no confidence form. Print Name Signature Date (Imam/4 JUWID bag/Ea, lo/aS//8 Wg A2349 ko/vw?w 95 0008 f?uamo 712mm M/Zz/a/ mm I II I IW Mama, Camu?a WM mama - Tam (MW/mil/7.x.? Q3 32w (k00W JW/Ibww 6264/ /o/2 y/cy Wm. Mew? Shana Mav ?0&6qu (/24 \28 Wow 10?qusz ?1?ng ?9/2 Namm imam/m war On behalf of the Registered Nurses of Western State Hospital, we regretfully submit this vote of no confidence in Karen Pitman, Chief Nursing Officer and her current Deputies. We have lost all trust, faith, and confidence in the current Western State Hospital Nursing Administration to advocate for nursing. Rather than adhere to the labor contract between and DSHS, WSH Nursing Administration held nursing meetings on 10/16/18 stating am implementing? vast changes in working conditions ?very soon" without the input and processes required through the mandatory subject?s clause of the labor contract: 0 Closure of Ward E6 (A specialty total care ward) which directly impacts wards E7 and E8 and base staf?ng levels by absorbing half of that closing wards total care patients. This closure process was implemented PRIOR to negotiation, an unfair labor practice. Patient care was not considered, staff and patients were recklessly endangered. Staff were required to transfer under duress. The impending role change of away from current duties and procedures was discussed at the 10/ 16/18 nursing meeting, modifying job descriptions and possibly impacting the classi?cations themselves resulting in unnegotiated EXTENSIVE changes in work conditions endangering patients. 0 Announcing intended role change of to be excluded from committee participation, leadership meetings, and supervisory resource team meetings by making them "charge nurses." 0 By excluding from providing direct input to committees, WSH Nursing Administration is ?rmly committing itself to the group think of administrative personnel (only) that do not perform direct patient care and have no recent direct understanding of ward clinical operations and dynamics. Employees within Washington Management Service and Administrative classifications are not represented employees, thus can be terminated for not being team players. In short, direct care input is prevented and those that voice disagreement are eliminated. Additionally, WSH Nursing Administration has not insisted on taking measures which would ensure the safety of nursing personnel. Severe assaults have now become commonplace. During their tenure at Western State Hospital, Nursing Administration has allowed an NGRI forensics patient to be moved to civil wards and failed to act when concerns were presented. Additionally, Nursing Administration has allowed dangerous patients as well as dangerous mixes of patients to be transferred to wards without listening to nursing personnel concerns or taking remedial action on the behalf of nursing. When nursing meetings are held, the meetings pertain to dictating to nursing personnel what has been decided by Nursing Administration. When disagreement with Nursing Administration decisions is voiced, there is often retaliation in the form of reassignment pending investigation, these matters are now being investigated by the Human Rights Commission, Department of Health, and pending civil court cases. We are also aware that when the CNO of Western State Hospital was appointed, she lacked quali?cations for her position, speci?cally she lacked any direct nursing experience. She has never worked in direct patient care, therefore does not have the knowledge required to make far reaching decisions impacting all the Registered Nurses of Western State Hospital and their safety. It was under the current Nursing Administration that Western State Hospital failed to meet our Systems Improvement Agreement and lost Federal Funding through CMS. This issue alone should have resulted in their replacement as their failure to listen to direct care providers played a large role in the failure. For the stated reasons, we the undersigned cast our vote of no confidence in the current Western State Hospital Nursing Administration and request that DSHS consider their replacement. We ?nd this change to be necessary for Western State Hospital to once again become a fully accredited and safe facility. Signatures are on back of this no con?dence form. Print Name Signature Date NMIQJ. SW51 Mi? 6% WM @442?- Jozm Sweef Kym/W Iowa-'5 On behalf of the Registered Nurses of Western State Hospital, we regretfully submit this vote of no con?dence in Karen Pitman, Chief Nursing Of?cer and her current Deputies. We have lost all trust, faith, and confidence in the current Western State Hospital Nursing Administration to advocate for nursing. Rather than adhere to the labor contract between and DSHS, WSH Nursing Administration held nursing meetings on 10/16/18 stating am implementing" vast changes in working conditions "very soon" without the input and processes required through the mandatory subject's clause of the labor contract: 0 Closure of Ward E6 (A specialty total care ward) which directly impacts wards E7 and E8 and base staffing levels by absorbing half of that closing wards total care patients. This closure process was implemented PRIOR to negotiation, an unfair labor practice. Patient care was not considered, staff and patients were recklessly endangered. Staff were required to transfer under duress. The impending role change of away from current duties and procedures was discussed at the 10/16/18 nursing meeting, modifying job descriptions and possibly impacting the classi?cations themselves resulting in unnegotiated EXTENSIVE changes in work conditions endangering patients. 0 Announcing intended role change of to be excluded from committee participation, leadership meetings, and supervisory resource team meetings by making them ?charge nurses." 0 By excluding from providing direct input to committees, WSH Nursing Administration is ?rmly committing itself to the group think of administrative personnel (only) that do not perform direct patient care and have no recent direct understanding of ward clinical operations and dynamics. Employees within Washington Management Service and Administrative classi?cations are not represented employees, thus can be terminated for not being team players. In short, direct care input is prevented and those that voice disagreement are eliminated. Additionally, WSH Nursing Administration has not insisted on taking measures which would ensure the safety of nursing personnel. Severe assaults have now become commonplace. During their tenure at Western State Hospital, Nursing Administration has allowed an forensics patient to be moved to civil wards and failed to act when concerns were presented. Additionally, Nursing Administration has allowed dangerous patients as well as dangerous mixes of patients to be transferred to wards without listening to nursing personnel concerns or taking remedial action on the behalf of nursing. When nursing meetings are held, the meetings pertain to dictating to nursing personnel what has been decided by Nursing Administration. When disagreement with Nursing Administration decisions is voiced, there is often retaliation in the form of reassignment pending investigation, these matters are now being investigated by the Human Rights Commission, Department of Health, and pending civil court cases. We are also aware that when the CNO of Western State Hospital was appointed, she lacked qualifications for her position, speci?cally she lacked any direct nursing experience. She has never worked in direct patient care, therefore does not have the knowledge required to make far reaching decisions impacting all the Registered Nurses of Western State Hospital and their safety. It was under the current Nursing Administration that Western State Hospital failed to meet our Systems Improvement Agreement and lost Federal Funding through CMS. This issue alone should have resulted in their replacement as their failure to listen to direct care providers played a large role in the failure. For the stated reasons, we the undersigned cast our vote of no con?dence in the current Western State Hospital Nursing Administration and request that DSHS consider their replacement. We ?nd this change to be necessary for Western State Hospital to once again become a fully accredited and safe facility. Signatures are on back of this no con?dence form. Print Name Signature Date Deeae 6wba2 bikwm Pam 600%ng 65W mew/3 C/ms @mm A ?2/914 H. w?o?s/e ma?a? oo/w/m ?D?s/mo Sew/W tom/xx Ann Main? A ggly LW 15/164/ n? ?Tam m1 wm\ A lU-w?zg/ . m/B?l/zf? Claire Maeehews Lx?haon Rama .5 Oinmgr 335w? Maw?? On behalf of the Registered Nurses of Western State Hospital, we regretfully submit this vote of no confidence in Karen Pitman, Chief Nursing Officer and her current Deputies. We have lost all trust, faith, and confidence in the current Western State Hospital Nursing Administration to advocate for nursing. Rather than adhere to the labor contract between and DSHS, WSH Nursing Administration held nursing meetings on 10/16/18 stating am implementing? vast changes in working conditions ?very soon? without the input and processes required through the mandatory subject?s clause of the labor contract: 0 Closure of Ward E6 (A specialty total care ward) which directly impacts wards E7 and E8 and base staffing levels by absorbing half of that closing wards total care patients. This closure process was implemented PRIOR to negotiation, an unfair labor practice. Patient care was not considered, staff and patients were recklessly endangered. Staff were required to transfer under duress. The impending role change of RN's away from current duties and procedures was discussed at the 10/16/18 nursing meeting, modifying job descriptions and possibly impacting the classi?cations themselves resulting in unnegotiated EXTENSIVE changes in work conditions endangering patients. 0 Announcing intended role change of RN3's to be excluded from committee participation, leadership meetings, and supervisory resource team meetings by making them ?charge nurses." 0 By excluding RN3's from providing direct input to committees, WSH Nursing Administration is ?rmly committing itself to the group think of administrative personnel (only) that do not perform direct patient care and have no recent direct understanding of ward clinical operations and dynamics. Employees within Washington Management Service and Administrative classifications are not represented employees, thus can be terminated for not being team players. In short, direct care input is prevented and those that could voice disagreement are eliminated. Additionally, WSH Nursing Administration has not insisted on taking measures which would ensure the safety of nursing personnel. Severe assaults have now become commonplace. During their tenure at Western State Hospital, Nursing Administration has allowed an NGRI forensics patient to be moved to civil wards and failed to act when concerns were presented. Additionally, Nursing Administration has allowed dangerous patients as well as dangerous mixes of patients to be transferred to wards without listening to nursing personnel concerns or taking remedial action on the behalf of nursing. When nursing meetings are held, the meetings pertain to dictating to nursing personnel what has been decided by Nursing Administration. When disagreement with Nursing Administration decisions is voiced, there is often retaliation in the form of reassignment pending investigation, these matters are now being investigated by the Human Rights Commission, Department of Health, and pending civil court cases. We are also aware that when the CNO of Western State Hospital was appointed, she lacked qualifications for her position, speci?cally she lacked any direct nursing experience. She has never worked in direct patient care, therefore does not have the knowledge required to make far reaching decisions impacting all the Registered Nurses of Western State Hospital and their safety. It was under the current Nursing Administration that Western State Hospital failed to meet our Systems Improvement Agreement and lost Federal Funding through CMS. This issue alone should have resulted in their replacement as their failure to listen to direct care providers played a large role in the failure. For the stated reasons, we the undersigned cast our vote of no con?dence in the current Western State Hospital Nursing Administration and request that DSHS consider their replacement. We ?nd this change to be necessary for Western State Hospital to once again become a fully accredited and safe facility. Signatures are on back of this no confidence form. Print Name Signature Date g?rv?ao/ /0/02 57/2? Poem 0' ma?a? Ffong/ruo/VLA ?bis/? 5/ Mai Bea/w WM ?Ag?f I 9 I>osoo74 <3an On behalf of the Registered Nurses of Western State Hospital, we regretfully submit this vote of no confidence in Karen Pitman, Chief Nursing Of?cer and her current Deputies. We have lost all trust, faith, and con?dence in the current Western State Hospital Nursing Administration to advocate for nursing. Rather than adhere to the labor contract between and DSHS, WSH Nursing Administration held nursing meetings on 10/16/18 stating am implementing" vast changes in working conditions ?very soon" without the input and processes required through the mandatory subject's clause of the labor contract: 0 Closure of Ward E6 (A specialty total care ward) which directly impacts wards E7 and E8 and base staffing levels by absorbing half of that closing wards total care patients. This closure process was implemented PRIOR to negotiation, an unfair labor practice. Patient care was not considered, staff and patients were recklessly endangered. Staff were required to transfer under duress. The impending role change of away from current duties and procedures was discussed at the 10/16/18 nursing meeting, modifying job descriptions and possibly impacting the classi?cations themselves resulting in unnegotiated EXTENSIVE changes in work conditions endangering patients. 0 Announcing intended role change of to be excluded from committee participation, leadership meetings, and supervisory resource team meetings by making them ?charge nurses.? 0 By excluding from providing direct input to committees, WSH Nursing Administration is ?rmly committing itself to the group think of administrative personnel (only) that do not perform direct patient care and have no recent direct understanding of ward clinical operations and dynamics. Employees within Washington Management Service and Administrative classifications are not represented employees, thus can be terminated for not being team players. In short, direct care input is prevented and those that voice disagreement are eliminated. Additionally, WSH Nursing Administration has not insisted on taking measures which would ensure the safety of nursing personnel. Severe assaults have now become commonplace. During their tenure at Western State Hospital, Nursing Administration has allowed an NGRI forensics patient to be moved to civil wards and failed to act when concerns were presented. Additionally, Nursing Administration has allowed dangerous patients as well as dangerous mixes of patients to be transferred to wards without listening to nursing personnel concerns or taking remedial action on the behalf of nursing. When nursing meetings are held, the meetings pertain to dictating to nursing personnel what has been decided by Nursing Administration. When disagreement with Nursing Administration decisions is voiced, there is often retaliation in the form of reassignment pending investigation, these matters are now being investigated by the Human Rights Commission, Department of Health, and pending civil court cases. We are also aware that when the CNO of Western State Hospital was appointed, she lacked quali?cations for her position, speci?cally she lacked any direct nursing experience. She has never worked in direct patient care, therefore does not have the knowledge required to make far reaching decisions impacting all the Registered Nurses of Western State Hospital and their safety. It was under the current Nursing Administration that Western State Hospital failed to meet our Systems Improvement Agreement and lost Federal Funding through CMS. This issue alone should have resulted in their replacement as their failure to listen to direct care providers played a large role in the failure. For the stated reasons, we the undersigned cast our vote of no confidence in the current Western State Hospital Nursing Administration and request that DSHS consider their replacement. We ?nd this change to be necessary for Western State Hospital to once again become a fully accredited and safe facility. Signatures are on back of this no confidence form. Print Name Signature Date VWLA MANAIQ H03 59?; cows) 2N3 am, 24:3th J6 Eva/newt 2?5 094?Lb On behalf of the Registered Nurses of Western State Hospital, we regretfully submit this vote of no confidence in Karen Pitman, Chief Nursing Officer and her current Deputies. We have lost all trust, faith, and con?dence in the current Western State Hospital Nursing Administration to advocate for nursing. Rather than adhere to the labor contract between and DSHS, WSH Nursing Administration held nursing meetings on 10/16/18 stating am implementing? vast changes in working conditions ?very soon? without the input and processes required through the mandatory subject's clause of the labor contract: 0 Closure of Ward E6 (A specialty total care ward) which directly impacts wards E7 and E8 and base staf?ng levels by absorbing half of that closing wards total care patients. This closure process was implemented PRIOR to negotiation, an unfair labor practice. Patient care was not considered, staff and patients were recklessly endangered. Staff were required to transfer under duress. The impending role change of RN's away from current duties and procedures was discussed at the 10/ 16/18 nursing meeting, modifying job descriptions and possibly impacting the classi?cations themselves resulting in unnegotiated EXTENSIVE changes in work conditions endangering patients. 0 Announcing intended role change of to be excluded from committee participation, leadership meetings, and supervisory resource team meetings by making them ?charge nurses." 0 By excluding RN3's from providing direct input to committees, WSH Nursing Administration is ?rmly committing itself to the group think of administrative personnel (only) that do not perform direct patient care and have no recent direct understanding of ward clinical operations and dynamics. Employees within Washington Management Service and Administrative classi?cations are not represented employees, thus can be terminated for not being team players. In short, direct care input is prevented and those that voice disagreement are eliminated. Additionally, WSH Nursing Administration has not insisted on taking measures which would ensure the safety of nursing personnel. Severe assaults have now become commonplace. During their tenure at Western State Hospital, Nursing Administration has allowed an NGRI forensics patient to be moved to civil wards and failed to act when concerns were presented. Additionally, Nursing Administration has allowed dangerous patients as well as dangerous mixes of patients to be transferred to wards without listening to nursing personnel concerns or taking remedial action on the behalf of nursing. When nursing meetings are held, the meetings pertain to dictating to nursing personnel what has been decided by Nursing Administration. When disagreement with Nursing Administration decisions is voiced, there is often retaliation in the form of reassignment pending investigation, these matters are now being investigated by the Human Rights Commission, Department of Health, and pending civil court cases. We are also aware that when the CNO of Western State Hospital was appointed, she lacked qualifications for her position, speci?cally she lacked any direct nursing experience. She has never worked in direct patient care, therefore does not have the knowledge required to make far reaching decisions impacting all the Registered Nurses of Western State Hospital and their safety. It was under the current Nursing Administration that Western State Hospital failed to meet our Systems improvement Agreement and lost Federal Funding through CMS. This issue alone should have resulted in their replacement as their failure to listen to direct care providers played a large role in the failure. For the stated reasons, we the undersigned cast our vote of no con?dence in the current Western State Hospital Nursing Administration and request that DSHS consider their replacement. We ?nd this change to be necessary for Western State Hospital to once again become a fully accredited and safe facility. Signatures are on back of this no con?dence form. Print Name Signature Date umylm Mgr/6 On behalf of the Registered Nurses of Western State Hospital, we regretfully submit this vote of no con?dence in Karen Pitman, Chief Nursing Officer and her current Deputies. We have lost all trust, faith, and con?dence in the current Western State Hospital Nursing Administration to advocate for nursing. Rather than adhere to the labor contract between and DSHS, WSH Nursing Administration held nursing meetings on 10/16/18 stating am implementing? vast changes in working conditions "very soon? without the input and processes required through the mandatory subject?s clause of the labor contract: 0 Closure of Ward E6 (A specialty total care ward) which directly impacts wards E7 and E8 and base staf?ng levels by absorbing half of that closing wards total care patients. This closure process was implemented PRIOR to negotiation, an unfair labor practice. Patient care was not considered, staff and patients were recklessly endangered. Staff were required to transfer under duress. The impending role change of RN's away from current duties and procedures was discussed at the 10/16/18 nursing meeting, modifying job descriptions and possibly impacting the classifications themselves resulting in unnegotiated EXTENSIVE changes in work conditions endangering patients. 0 Announcing intended role change of RN3's to be excluded from committee participation, leadership meetings, and supervisory resource team meetings by making them ?charge nurses.? 0 By excluding from providing direct input to committees, WSH Nursing Administration is firmly committing itself to the group think of administrative personnel (only) that do not perform direct patient care and have no recent direct understanding of ward clinical operations and dynamics. Employees within Washington Management Service and Administrative classi?cations are not represented employees, thus can be terminated for not being team players. In short, direct care input is prevented and those that voice disagreement are eliminated. Additionally, WSH Nursing Administration has not insisted on taking measures which would ensure the safety of nursing personnel. Severe assaults have now become commonplace. During their tenure at Western State Hospital, Nursing Administration has allowed an NGRI forensics patient to be moved to civil wards and failed to act when concerns were presented. Additionally, Nursing Administration has allowed dangerous patients as well as dangerous mixes of patients to be transferred to wards without listening to nursing personnel concerns or taking remedial action on the behalf of nursing. When nursing meetings are held, the meetings pertain to dictating to nursing personnel what has been decided by Nursing Administration. When disagreement with Nursing Administration decisions is voiced, there is often retaliation in the form of reassignment pending investigation, these matters are now being investigated the Human Rights Commission, Department of Health, and pending civil court cases. We are also aware that when the CNO of Western State Hospital was appointed, she lacked quali?cations for her position, specifically she lacked any direct nursing experience. She has never worked in direct patient care, therefore does not have the knowledge required to make far reaching decisions impacting all the Registered Nurses of Western State Hospital and their safety. It was under the current Nursing Administration that Western State Hospital failed to meet our Systems Improvement Agreement and lost Federal Funding though CMS. This issue alone should have resulted in their replacement as their failure to listen to direct care providers played a large role in the failure. For the stated reasons, we the undersigned cast our vote of no con?dence in the current Western State Hospital Nursing Administration and request that DSHS consider their replacement. We ?nd this change to be necessary for Western State Hospital to once again become a fully accredited and safe facility. Signatures are on back of this no confidence form. Print Name Signature Date DIM mum Zj/J?m?) ?maf 9- am A ?aw/w {aw #achamo/ ?45: WW x] 18/11 Milk/?ew 567/9 63 7/ V?edeZhNov? Lo/Z?f/Is/ C) W85 [/9/av/r g/ On behalf of the Registered Nurses of Western State Hospital, we regretfully submit this vote of no con?dence in Karen Pitman, Chief Nursing Officer and her current Deputies. We have lost all trust, faith, and con?dence in the current Western State Hospital Nursing Administration to advocate for nursing. Rather than adhere to the labor contract between and DSHS, WSH Nursing Administration held nursing meetings on 10/16/18 stating am implementing? vast changes in working conditions ?very soon? without the input and processes required through the mandatory subject?s clause of the labor contract: 0 Closure of Ward E6 (A specialty total care ward) which directly impacts wards E7 and E8 and base staf?ng levels by absorbing half of that closing wards total care patients. This closure process was implemented PRIOR to negotiation, an unfair labor practice. Patient care was not considered, staff and patients were recklessly endangered. Staff were required to transfer under duress. The impending role change of RN's away from current duties and procedures was discussed at the 10/16/18 nursing meeting, modifying job descriptions and possibly impacting the classi?cations themselves resulting in unnegotiated EXTENSIVE changes in work conditions endangering patients. 0 Announcing intended role change of to be excluded from committee participation, leadership meetings, and supervisory resource team meetings by making them ?charge nurses.? 0 By excluding from providing direct input to committees, WSH Nursing Administration is ?rmly committing itself to the group think of administrative personnel (only) that do not perform direct patient care and have no recent direct understanding of ward clinical operations and dynamics. Employees within Washington Management Service and Administrative classifications are not represented employees, thus can be terminated for not being team players. In short, direct care input is prevented and those that voice disagreement are eliminated. Additionally, WSH Nursing Administration has not insisted on taking measures which would ensure the safety of nursing personnel. Severe assaults have now become commonplace. During their tenure at Western State Hospital, Nursing Administration has allowed an NGRI forensics patient to be moved to civil wards and failed to act when concerns were presented. Additionally, Nursing Administration has allowed dangerous patients as well as dangerous mixes of patients to be transferred to wards without listening to nursing personnel concerns or taking remedial action on the behalf of nursing. When nursing meetings are held, the meetings pertain to dictating to nursing personnel what has been decided by Nursing Administration. When disagreement with Nursing Administration decisions is voiced, there is often retaliation in the form of reassignment pending investigation, these matters are now being investigated by the Human Rights Commission, Department of Health, and pending civil court cases. We are also aware that when the CNO of Western State Hospital was appointed, she lacked quali?cations for her position, speci?cally she lacked any direct nursing experience. She has never worked in direct patient care, therefore does not have the knowledge required to make far reaching decisions impacting all the Registered Nurses of Western State Hospital and their safety. It was under the current Nursing Administration that Western State Hospital failed to meet our Systems Improvement Agreement and lost Federal Funding through CMS. This issue alone should have resulted in their replacement as their failure to listen to direct care providers played a large role in the failure. For the stated reasons, we the undersigned cast our vote of no con?dence in the current Western State Hospital Nursing Administration and request that DSHS consider their replacement. We ?nd this change to be necessary for Western State Hospital to once again become a fully accredited and safe facility. Signatures are on back of this no confidence form. Print Name Signature Date \?wzg ?I-olcwl tozmlbutg @acieb?i? . Om? KN mm, WW H4193. W3 10/24de - 002}. am 8mm L, MW ghee/m? MW afar/4. (0 39mm. .555; My /f/d ej/aa MM ?4 Tia/v, am M5 On behalf of the Registered Nurses of Western State Hospital, we regretfully submit this vote of no con?dence in Karen Pitman, Chief Nursing Of?cer and her current Deputies. We have lost all trust, faith, and confidence in the current Western State Hospital Nursing Administration to advocate for nursing. Rather than adhere to the labor contract between and DSHS, WSH Nursing Administration held nursing meetings on 10/16/18 stating am implementing? vast changes in working conditions ?very soon" without the input and processes required through the mandatory subject?s clause of the labor contract: 0 Closure of Ward E6 (A specialty total care ward) which directly impacts wards E7 and E8 and base staffing levels by absorbing half of that closing wards total care patients. This closure process was implemented PRIOR to negotiation, an unfair labor practice. Patient care was not considered, staff and patients were recklessly endangered. Staff were required to transfer under duress. The impending role change of away from current duties and procedures was discussed at the 10/16/18 nursing meeting, modifying job descriptions and possibly impacting the classi?cations themselves resulting in unnegotiated EXTENSIVE changes in work conditions endangering patients. 0 Announcing intended role change of to be excluded from committee participation, leadership meetings, and supervisory resource team meetings by making them "charge nurses.? 0 By excluding from providing direct input to committees, WSH Nursing Administration is ?rmly committing itself to the group think of administrative personnel (only) that do not perform direct patient care and have no recent direct understanding of ward clinical operations and dynamics. Employees within Washington Management Service and Administrative classi?cations are not represented employees, thus can be terminated for not being team players. In short, direct care input is prevented and those that voice disagreement are eliminated. Additionally, WSH Nursing Administration has not insisted on taking measures which would ensure the safety of nursing personnel. Severe assaults have now become commonplace. During their tenure at Western State Hospital, Nursing Administration has allowed an NGRI forensics patient to be moved to civil wards and failed to act when concerns were presented. Additionally, Nursing Administration has allowed dangerous patients as well as dangerous mixes of patients to be transferred to wards without listening to nursing personnel concerns or taking remedial action on the behalf of nursing. When nursing meetings are held, the meetings pertain to dictating to nursing personnel what has been decided by Nursing Administration. When disagreement with Nursing Administration decisions is voiced, there is often retaliation in the form of reassignment pending investigation, these matters are now being investigated by the Human Rights Commission, Department of Health, and pending civil court cases. We are also aware that when the CNO of Western State Hospital was appointed, she lacked qualifications for her position, speci?cally she lacked any direct nursing experience. She has never worked in direct patient care, therefore does not have the knowledge required to make far reaching decisions impacting all the Registered Nurses of Western State Hospital and their safety. It was under the current Nursing Administration that Western State Hospital failed to meet our Systems Improvement Agreement and lost Federal Funding through CMS. This issue alone should have resulted in their replacement as their failure to listen to direct care providers played a large role in the failure. For the stated reasons, we the undersigned cast our vote of no con?dence in the current Western State Hospital Nursing Administration and request that DSHS consider their replacement. We ?nd this change to be necessary for Western State Hospital to once again become a fully accredited and safe facility. Signatures are on back of this no confidence form. Print Name Signature Date [Way/K jam) kam?MtY/r M4, 10/29 /%)mka gm; wgz-K ?Ionic Mid IX On behalf of the Registered Nurses of Western State Hospital, we regretfully submit this vote of no confidence in Karen Pitman, Chief Nursing Of?cer and her current Deputies. We have lost all trust, faith, and confidence in the current Western State Hospital Nursing Administration to advocate for nursing. Rather than adhere to the labor contract between and DSHS, WSH Nursing Administration held nursing meetings on 10/16/18 stating am implementing? vast changes in working conditions "very soon? without the input and processes required through the mandatory subject?s clause of the labor contract: 0 Closure of Ward E6 (A specialty total care ward) which directly impacts wards E7 and E8 and base staf?ng levels by absorbing half of that closing wards total care patients. This closure process was implemented PRIOR to negotiation, an unfair labor practice. Patient care was not considered, staff and patients were recklessly endangered. Staff were required to transfer under duress. The impending role change of away from current duties and procedures was discussed at the 10/16/18 nursing meeting, modifying job descriptions and possibly impacting the classi?cations themselves resulting in unnegotiated EXTENSIVE changes in work conditions endangering patients. 0 Announcing intended role change of to be excluded from committee participation, leadership meetings, and supervisory resource team meetings by making them ?charge nurses.? 0 By excluding from providing direct input to committees, WSH Nursing Administration is ?rmly committing itself to the group think of administrative personnel (only) that do not perform direct patient care and have no recent direct understanding of ward clinical operations and dynamics. Employees within Washington Management Service and Administrative classifications are not represented employees, thus can be terminated for not being team players. In short, direct care input is prevented and those that voice disagreement are eliminated. Additionally, WSH Nursing Administration has not insisted on taking measures which would ensure the safety of nursing personnel. Severe assaults have now become commonplace. During their tenure at Western State Hospital, Nursing Administration has allowed an NGRI forensics patient to be moved to civil wards and failed to act when concerns were presented. Additionally, Nursing Administration has allowed dangerous patients as well as dangerous mixes of patients to be transferred to wards without listening to nursing personnel concerns or taking remedial action on the behalf of nursing. When nursing meetings are held, the meetings pertain to dictating to nursing personnel what has been decided by Nursing Administration. When disagreement with Nursing Administration decisions is voiced, there is often retaliation in the form of reassignment pending investigation, these matters are now being investigated by the Human Rights Commission, Department of Health, and pending civil court cases. We are also aware that when the CNO of Western State Hospital was appointed, she lacked qualifications for her position, speci?cally she lacked any direct nursing experience. She has never worked in direct patient care, therefore does not have the knowledge required to make far reaching decisions impacting all the Registered Nurses of Western State Hospital and their safety. It was under the current Nursing Administration that Western State Hospital failed to meet our Systems Improvement Agreement and lost Federal Funding through CMS. This issue alone should have resulted in their replacement as their failure to listen to direct care providers played a large role in the failure. For the stated reasons, we the undersigned cast our vote of no confidence in the current Western State Hospital Nursing Administration and request that DSHS consider their replacement. We ?nd this change to be necessary for Western State Hospital to once again become a fully accredited and safe facility. Signatures are on back of this no con?dence form. Print Name Signature Date 2) MOW [Jemima/A Rinse/l ?aw m; lo/lv/I?? MAM: Ida/>4 Gade #6szch gan W: 34/ WW Mi 0"M~l? ?fm?ce mam WM .. go/w/ag Mmm?m WL IOIQH f//77x?f WW lof25l(5> "Lehman,