WATERBURY – Connecticut Health Care Associates District 1199 Waterbury Hospital held a no-confidence vote Friday with 133 nurses – or 96% – calling for the dismissal of the hospital’s Chief Nursing Officer Michelle Diaz due to staff shortages and what they referred to as ineffective leadership.
Two nurses described the situation in the hospital as dire, expressing deep concerns about patient care, large Emergency Department patient caseloads, and the lack of working equipment available for them to do their jobs.
Diaz could not be reached for comment.
Lauren LaRoche, a nurse at the hospital for two years, read from a statement she and several nurses wrote on the conditions at the hospital.
“We are more often than not short-staffed and we are left to figure it out and compromise patients safety,” she said. “We have been told countless times that Michelle Diaz would not approve doubles to allow for safer ratios and even at times not answer her phone to give us an answer.”
The term doubles means the hospital allows a registered nurse to stay on longer than their 12-hour shift, LaRoche said.
She said Diaz also disapproved of stabilizing and transferring patients out and instead, the patients stay at the hospital, increasing the volume.
LaRoche said Diaz has violated the state’s hospital staffing law countless times which has led to a mistrust among her staff. The new law requires specific nursing-to-patient ratios and assistive staffing-to-patient ratios.
Gov. Ned Lamont signed the bill into law in June 2023, and it went into effect on Jan. 1. It requires hospitals to submit nurse staffing plans that both nurses and hospital administrators have supported and to implement those nurse-to-patient ratios with the goal of quality care.
“We are being told to clock out for breaks which we are unable to take because it puts our patients at risk,” she said. “There is no one to cover and watch our residents. We all want to work in a safe environment and provide the very best safe patient care possible. We have pride in the community we serve.”
But LaRoche described the staffing situation as bleak.
“We have been stripped down to a skeleton crew,” she said. “So many have left because of how we have been treated as ICU nurses. We have the sickest of patients so overseeing three or four patients at a time instead of two puts us in an anxious state, an anxious overworked state. Being staffed like that allows for mistakes and important things that are being missed putting lives on the line and with all of this we are left without working equipment and short supplies.”
Lauresha Xhihani, director of communications and marketing for Waterbury Health, expressed confidence in Diaz in an email, describing her as “committed to providing exceptional care.”
“They are working on continuous process improvement aimed at providing the best patient experience,” she said. “It is unfortunate that CHCA’s leadership, at the local and regional level, continues to distract our team and our community with disruptive actions such as a vote of no confidence targeting one person. Our hospital thrives on collaboration and partnership.”
Xhihani said she invited the union to work collaboratively with the hospital’s leadership team.
The vote of no confidence also included results that showed that 131 or 95% of nurses taking part in the vote considered leaving Waterbury Hospital in the last six months.
Dawn Mott-Rositani, another nurse at Waterbury Hospital, also shared concerns about staffing and patient safety. The morale is low, she said.
Mott-Rositani said since May six nurses have left the Emergency Department and that the hospital has not replaced them and three more are preparing to leave. She said because they are short-staffed they are unable to move patients out of the ED and into patient rooms, with patient volume increasing and many waiting 12 to 13 hours.
And with a shortage of staff also comes concerns about patient safety.
“There are things missed. Giving medications. Every day things are delayed. Everything gets delayed. Taking patients to their rooms.” She said the equipment is not reliable.
“The computers hardly ever work,” she said. “They break down every day. Most of them are from 2006.” She added that vital sign machines do not work and that half of the thermometers do not work.
“We are using Dollar Tree thermometers and we should be able to use vital sign machines constantly,” she said. “The cuffs do not inflate right. You have to steal a cuff from another room.”
And with a shortage of workers who are tasked with stocking supplies there are times when nothing is stocked. “Every single day you have to go find things that should be stocked,” she said. “It makes everything take longer.”
Mott-Rositani added that the staff has kept her going during the difficulties in the hospital.
Waterbury Hospital’s fate remains in the balance. Yale New Haven Health’s offer to purchase the hospital from Prospect Medical Holdings collapsed and has stalled in legal wrangling.
Lamont said Thursday that Yale New Haven Health and Prospect Medical Group could be close to a breakthrough on the sale of Waterbury Hospital and two other Prospect-owned hospitals.
Lamont confirmed that he and representatives of Yale and Prospect met again last week in the governor’s office to discuss how the two health systems could resolve their differences over the proposed sale price and the state litigation between them.
Lamont stated that Yale and Prospect exchanged financial information that each side is taking back to their respective boards to review. While hopeful of a resolution, he also remained wary.
Yale and Prospect signed an agreement in October 2022 that set a $435 million sales price for Waterbury Hospital, Manchester Memorial Hospital Rockville General Hospital, and a medical group. Yale filed a state lawsuit in early May seeking a declaratory judgment that it is not obligated to close the sale because Prospect allegedly violated the purchase agreement.
Prospect brought a counterclaim against Yale for allegedly breaking the agreement by refusing to pay the negotiated $435 million sales price. The consolidated suits are currently scheduled to go to trial on Dec. 9 in Hartford Superior Court. Yale asked Prospect to lower the price to $150 million in a Jan. 31 proposal, and Prospect declined in a Feb. 15 response, according to court filings.
Ed Gadomski, the internal organizer for Connecticut Health Care Associates District 1199 Waterbury Hospital and Tech Unions, has said that most departments are understaffed, expressing concerns about medical errors occurring because he says the hospital is not compliant with the Hospital Staffing Committee Law.
At the end of August, nearly a month after Waterbury Hospital’s staffing committee agreed on a staffing plan that would increase staffing and provide adequate nursing-to-patient ratios, several nurses with the hospital’s two unions have filed almost daily complaints with the state Department of Public Health that the hospital is failing to meet the plan’s staffing requirements, saying it puts patient care at risk and violates state law.
The two hospital unions filed a complaint in July with the U.S. Inspector General’s Office alleging the hospital failed to meet the requirements of a new law that requires specific nursing-to-patient ratios and assistive staffing-to-patient ratios.
Gadomski also filed a complaint on the same grounds to the state Department of Public Health in January and said in July he received notice that DPH was investigating his complaint. He is still awaiting the outcome of that investigation.
– Paul Hughes contributed to this report.
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