A rally outside Northwestern Medical Center calling for nurses at the hospital to create a union. Photo by Colin Meyn/VTDigger
[S]T. ALBANS โ€” Northwestern Medical Center nurses will decide Wednesday whether or not to form a union, a proposal opposed by the hospitalโ€™s administration — and some of the nurses.

Two groups of nurses rallied outside the St. Albans hospital on Friday, one with signs reading โ€œNo $ for Union Bustingโ€ and โ€œWe support our nursesโ€ and a smaller gathering about 100 feet away with signs saying โ€œNo Unionโ€ and โ€œOur NMC Union Free.โ€

Nurses announced their intention last month to hold a vote of about 160 nurses at the hospital to decide on forming a union that proponents say would give nurses a stronger say in staffing decisions and bring stability to their jobs by negotiating a contract, something they do not currently have.

The administration says they are already working to address understaffing and other issues raised by the nurses, and that a union would not help matters. A representative of the hospital also denied claims from nurses that administrators have attempted to intimidate proponents of a union ahead of the vote.

About two dozen pro-union nurses coordinating with the Vermont Workers Association were joined by Attorney General TJ Donovan, a Democrat, and Lt. Gov. David Zuckerman, a Progressive and Democrat, in their calls Friday to vote โ€œyesโ€ for a union.

Debby Choquette, a registered nurse at Northwest Medical Center, supports unionizing. Photo by Colin Meyn/VTDigger
โ€œYouโ€™re really the frontline of the medical community on a day to day basis,โ€œ Zuckerman said. โ€œWhat today is about is having that frontline, that day to day knowledge thatโ€™s with patients every single day, having a voice in the process and making sure that youโ€™re respected in terms of all that you give in the patients in the hospital.โ€

Debby Choquette, a registered nurse at the hospital, said her colleagues had been โ€œbullied and beratedโ€ by members of the administration in recent weeks. โ€œWe should not have to fear the loss of our jobs, or a change in our schedules or other recourse because we support our union,โ€ she said.

Choquette claimed that Jill Berry Bowen, CEO of the hospital, had pulled one nurse into a room for 45 minutes to question her about union building activities, while the human resources director had taken another nurse away from patient care to issue a warning about improper communications related to union planning.

Choquette and other nurses said they had attempted to have their grievances heard through existing communication channels at the hospital, but that too often the result was inaction.

Kasey Thompson-Lowell, a registered nurse at NMC, said that since the administration became aware of the union plans, they have been more receptive to demands such as giving nurses the supplies they need and reducing the nurse-to-patient ratio for 1:5 to 1:4, but that a union-negotiated contract was needed to make sure those changes were carried out, and stayed in place.

โ€œWe stay and the administration comes and goes,โ€ she said in an interview after the event. โ€œWe want something black and white, consistent month to month.โ€

Thompson-Lowell said she was confident that nurses would vote to form a union, based on conversations among colleagues in recent weeks.

Unlike the nurses union at UVM Medical Center who conducted a public campaign earlier this year that climaxed in a two-day strike in July, the NMC nurses are not calling for higher pay. Instead, they say that nurses are burning out because of overwork and unreasonable expectations fueled mostly by understaffing.

โ€œNow I feel weโ€™re pushing our people because their expected to be at a certain pace, people feel overwhelmed by that,โ€ said Thompson-Lowell. โ€œNurses if theyโ€™re at that point are not retained, theyโ€™ll go to another facility where they have a union and can be supported by nurses who can speak up on their behalf.โ€

Samantha McCarthy, another nurse in favor of unionizing, said that at a relatively small community hospital like NMC it was particularly important to retain the limited pool of nurses who lived in the area.

โ€œWe are this community. We are working hard for our people,โ€ she said during the rally. โ€œSo what keeps us here? Having the ability to advance, having the ability to feel safe at our job, having the ability to work together.โ€

The Workers Association also collected more than 400 signatures from community members saying that the hospital should stop spending money on lawyers to fight the union and instead put that money toward hospital care.

Jonathan Billings, vice president of community relations for Northwestern Medical Center. Photo by Colin Meyn/VTDigger
Jonathan Billings, vice president of community relations for the hospital, said the administration had hired a labor relations lawyer to consult on the process, and another attorney to โ€œeducateโ€ nurses about how labor law works, and what they can expect from a union.

โ€œI think if youโ€™re in a formal legal matter, which the filing of a petition to consider an election is, the prudent use of resources is to make sure you stay within the parameters of the law,โ€ he said.

Billings categorically denied โ€œanyone having been threatened or intimidated throughout the process,โ€ which he noted would be a violation of the National Labor Relations Act.

โ€œI would be comfortable saying, โ€˜I don’t believe the union is the right match for this organization,โ€™โ€ he said. โ€œI think we are best served if our administration and management and nurses and medical staff are all working well together.โ€

Billings said he was not convinced that collective bargaining would deliver on what nurses were asking for, such as a stronger voice in decisions being made at the hospital. โ€œIโ€™m not sure the union provides that in a way that people might be looking for,โ€ he said.

He said the hospital was dedicated to improving staff retention through bonuses for nurses who help recruit qualified colleagues, attractive benefits packages, school tuition reimbursement and loan repayment programs.

Whatever the result of Wednesdayโ€™s vote, he said โ€œit becomes a new day for us, that this process has happened I think everyone involved has learned from it and we will figure out how to go forward.โ€

Daren Villemaire was among the nurses who rallied against a union on Friday. He said in a phone interview Friday evening that he did not believe a union would help solve the problems being talked about.

โ€œThe union cannot create nurses for us, they cannot staff us, if the union could help with those kind of things I may be speaking from a different position today,โ€ he said. โ€œThe union is able at this juncture to make promises that they canโ€™t follow through on.โ€

Villemaire said the administration had been receptive to his complaints in the past and in his experience kept an open-door policy for feedback from staff. He said he worried that a union would change the culture at the hospital for the worse.

โ€œWe have this hometown feel that I think would be forever changed with a union here,โ€ he said. โ€œIt creates an adversarial relationship with administration that everything has to be negotiated.โ€

Villemaire predicted that the โ€œnoโ€ vote would win the day on Wednesday. โ€œBut I would be lying if I said I didnโ€™t think itโ€™s going to be a close vote,โ€ he added.

Northwestern Medical Center. Photo by Colin Meyn/VTDigger

Colin Meyn is VTDigger's managing editor. He spent most of his career in Cambodia, where he was a reporter and editor at English-language newspapers The Cambodia Daily and The Phnom Penh Post, and most...