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St. Vincent Hospital Nurses and the MNA File Fifth in Series of Complaints with State and Federal Agencies About Dangerous Patient Care Conditions That Continue to Compromise the Care and Safety of Patients Admitted to the Worcester-Based Facility

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New complaints highlight alarming increase in patients experiencing preventable hospital-acquired pressure ulcers (bed sores) due to lack of staff to monitor and reposition patients, the assignment of managerial staff unqualified to fill those roles, and a listing of patient reviews showing most patients are dissatisfied with care

Conditions are so bad, the nurses appeal to DPH for the assignment of investigators at the hospital on a daily basis to ensure the safety of patients

WORCESTER, Mass., May 29, 2024 /PRNewswire/ — As patient care conditions continue to deteriorate at St. Vincent Hospital, the registered nurses and the Massachusetts Nurses Association (MNA) have filed yet another round of complaints to state and federal agencies seeking immediate intervention to protect patients and staff, a situation so dire the complaints include a direct appeal to the Department of Public Health to assign onsite inspectors on a daily basis to ensure hospital administration is providing the resources needed to ensure the safety of all concerned.

In fact, the nurses report that DPH has recently been at the hospital investigating yet another serious patient safety incident.

In December, January, March, April and last week, the SVH nurses and MNA filed a number of official complaints with the Department of Public Health Division of Healthcare Quality, Joint Commission (which accredits acute care hospitals), the Center for Medicare and Medicaid Services and the Mass. Board of Registration in Nursing in response to a growing and dire crisis in the safety of care for patients admitted to the Worcester-based facility.

Among the issues raised in this, the fifth round of complaints, is an alarming increase in patients experiencing preventable, hospital-acquired pressure ulcers (debilitating bed sores), which studies show and SVH nurses attribute to unsafe staffing conditions at the hospital. Below is a statement from the complaint detailing the issue:

The lack of staff, both licensed and unlicensed has allowed too many patients to go unmonitored and left unattended without the ability of staff to reposition patients as required under accepted patient care standards, which has resulted in an alarming number of patients suffering from documented hospital acquired pressure ulcers, including 25 in April alone. As you are aware, pressure ulcers are mandated by the Joint Commission and the DPH as serious reportable events that signal problems in care management that need to be addressed. Instead of addressing the systemic issue that prohibits the nurses from repositioning at-risk patients and minimizing the risk for soft tissue injury, nurses have been told that nursing leadership has threatened to fire every nurse who has cared for a particular patient whose ulcer advanced to a Stage IV wound while admitted to the hospital.

“In my over three decades working at St. Vincent Hospital, I can’t remember a time when dozens of patients were afflicted with pressure ulcers in a single month,” explained Marlena Pellegrino, RN, a long time nurses at the hospital and co-chair of the MNA local bargaining unit at the hospital. “As a nurse, like all the nurses at St. Vincent Hospital, I take pride in providing the best care possible, but I am sad to report that under these current staffing conditions, conditions we have been duty bound to report to appropriate authorities, we are unable to fulfill our professional responsibilities. If anyone is to be disciplined or terminated for this situation, it is not the dedicated RNs and nurses aides at the hospital, it is our senior hospital and nursing administrators who are professionally and morally accountable for the unnecessary pain and preventable suffering their decisions have caused for our patients.”

According to a 2020 report on a number of studies regarding hospital-acquired bedsores, “pressure ulcers are the third most costly disease after cancers and cardiovascular diseases. The mortality rates from this disease are 2 to 6 times as much as from other diseases, with 60,000 deaths annually due to this complication. In the USA, about $11 billion is spent annually by the healthcare system for the prevention and treatment of pressure ulcers. Another study makes clear that “The prevention of pressure injury is of great importance in providing quality care to patients, as it has been reported that approximately 95% of all pressure injury are preventable. Nurses working in clinical settings play a key role in identifying patients at risk and administering preventative care.”

The MNA complaints detail staffing cuts to nearly every floor and unit in the hospital over the last several months that have resulted in more than 900 official reports of patient care conditions that jeopardized the safety of their patients. Many of those complaints cite patients being left unattended and unmonitored for several hours, due to the lack of RN and support staff. Dozens of those report detail instances where patients were left for hours lying in their own urine and feces – these are just the conditions that serve as a breeding ground for the pressure ulcers the nurses are now documenting for state and federal officials. 

The nurses are not alone in raising the alarm about unsafe conditions at the hospital. Nurses aides, technicians and other valuable support staff who are represented by UFCW 1445 had been conducting informational picketing outside the hospital in an effort to win provisions in their contract to ensure they can provide appropriate patient care. Like the nurses, they have seen their staffing levels cut by Tenet, which forced them to care for too many patients, limits their ability to help reposition patients or help to ensure a clean patient care environment, which contribute to the increase in bedsores. One aide reported being responsible for more than 20 patients on a single shift. 

“In years past, we had a robust program to prevent pressure ulcers, including wound care swat teams, with specialized training for staff on how to prevent them,” Pellegrino explained. “But all that has been dismantled under our current administration, and instead of supporting us in preventing these outcomes, they are threatening to punish us for the result of their mismanagement.”

As a result of hospital managements’ mistreatment of staff and their failure to provide staff with the resources they need to deliver safe care, hundreds of experienced nurses have left the hospital for facilities that offer better conditions. On one unit, a medical surgical floor that was once predominantly staffed with seasoned nurses, is now being run almost exclusively by newly graduated nurses, representing a loss of experience, particularly on aspects of nursing care dealing with wound care and pressure ulcer prevention. 

Nurse Cite Hiring of Manager Unqualified for Their Role in Care Delivery. 

The new complaint also calls attention to Tenet Healthcare’s hiring of managerial staff into roles for which they are not qualified. For example, the complaint states, “The role of the Bed Manager who is “responsible for the coordination and management of personnel and assumes responsibility for hospital administration” for the off shifts, requires a registered nurse with “3-5 years of demonstrated leadership ability in an acute care setting” by the hospital’s own job description. The hospital has violated its own policy and hired a Bed Manager who graduated from community college and has an LPN license that was issued on 9/29/2023, just months prior to being hired in the role. The relief Bed Manager is not clinically trained, but rather the Director of Transportation. Neither of these employees meet the basic requirements of the hospital’s own identified qualifications for skills and education to manage the flow of patients through the hospital and onto appropriate units, which has resulted in patients receiving inadequate care.

Patient Reviews Indicate Dissatisfaction with Care While Agencies Cite Tenet for Deficiencies

The new complaint includes a document sharing recently published patients reviews that reveal widespread dissatisfaction with care provided at the hospital. As stated in the complaint, “Of the 73 reviews posted in the first quarter of the year, more than half (53%) are negative; 12% are neutral and 10% are mixed. Less than one quarter of the posted reviews indicate a positive experience at the hospital. This provides some indication of the patient experience under the current care conditions.”

Two agencies have already validated the concerns raised by nurses following submission of previous complaints. In March, the Joint Commission, which conducted an investigation into the nurses complaints found the hospital to be “non-compliant with applicable Centers for Medicaid and Medicare Services (CMS) Conditions”.

And in April, as reported by MassLive, in response to reports by the nurses, the Department of Public Health conducted an investigation and interviewed several nurses, ultimately citing the hospital for its failure to provide appropriate telemetry boxes, essential devices that are used to monitor patients who have been admitted for serious cardiac conditions. 

According to the DPH findings, “Based on interviews and medical record review, the hospital failed to provide care in a safe setting. This nurse stated that the situation comes up often where a patient arrives to the telemetry unit with telemetry orders and the nurse has to either wait for an available tele-box or go hunting for a tele-box.” When patients go without appropriate monitoring their lives are placed at risk, as an ensuing cardiac arrest could go undetected until too late. “The patient has the right to receive care in a safe setting,” the report reads. “This standard is not met as evidenced by interviews and medical records.”

The nurses continue to report serious problems with the hospital’s outdated telemetry and other cardiac monitoring equipment that are impacting the care of cardiac patients. 

Despite Previous Investigations by State and Federal Agencies, More Needs to be Done

While the nurses appreciate efforts by some agencies to investigate Tenet in response to their complaints, they believe much more needs to be done to protect the patients under their care. 

“As we have stated in previous complaints, every patient and every nurse on every shift is subjected to abnormally dangerous conditions, with both patients and nurses at risk for imminent harm at the hands of an administration that fails to meet the most basic standards of patient care delivery. We have already reported to your agency and all other applicable agencies specific deficiencies in staffing, hospital policies, allocation of technology, and a deliberately punitive management culture that is resulting in dangerous delays in the administration of needed medications and treatments, preventable patient falls and other complications, including preventable sentinel events. Despite onsite investigation and monitoring by state and national agencies, the conditions have not improved and have in fact, gotten worse,” the complaint states.

In fact, conditions are so bad, the nurses’ complaint includes a direct appeal to DPH for the assignment of investigators at the hospital on a daily basis to ensure the safety of patients in keeping with a similar approach taken by DPH in the wake of the Steward crisis. The complaint concludes:

As an organization, the MNA represents nurses and health care professionals working in 70 percent of the state’s acute care hospitals, including the hospitals currently owned by Steward Healthcare, and we can state without equivocation or hyperbole that the conditions at St. Vincent Hospital are the worst among all those providers – by far. As such, we believe the DPH, as they have done in the case of the Steward facilities, should immediately assign DPH inspectors on site on a daily basis to ensure that this administration fulfills its responsibility to provide the care these patients and this community deserves. As an agency responsible for holding providers accountable for the care they provide, we reiterate our call for your immediate intervention, as without proper oversight, we fully expect many more patients to be harmed, and tragically, a number of our patients will die. 

MassNurses.org/Facebook.com/MassNursesTwitter.com/MassNurses

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SOURCE Massachusetts Nurses Association

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Minister Champagne wraps up visit to Silicon Valley

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November 16, 2024

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PALO ALTO, CA, Nov. 16, 2024 /CNW/ – Today, the Honourable François-Philippe Champagne, Minister of Innovation, Science and Industry, concluded a visit to Palo Alto, California, where he met with business and tech leaders.

The Minister met with the CEO and Founder of Plug and Play, one of the world’s most active startup accelerators. He also met with the CEO and Founder of Groq, a company specializing in artificial intelligence (AI) chip technology.

Minister Champagne also met with key members of the C100, a not-for-profit association of over 400 Canadian expatriates advancing tech entrepreneurship in the Silicon Valley area.

While in Silicon Valley, Minister Champagne took the opportunity to visit the U.S. Department of Defense’s Defense Innovation Unit, which is designed to accelerate the adoption of cutting-edge commercial technologies by the U.S. military.

The Minister was also a guest speaker at the Trilateral Commission’s North American Group meeting where he was interviewed on a panel by Michael Duffy, Opinions editor at large of The Washington Post.

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“Coming on the heels of the launch of the Canadian AI Safety Institute, this visit to Silicon Valley was a great opportunity to engage with tech leaders and entrepreneurs. As AI and other emerging technologies reshape national security, the economy and society at large, Canada will continue to play a central role in strengthening North America’s long-term competitiveness.”
– The Honourable François-Philippe Champagne, Minister of Innovation, Science and Industry

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Canada launches Canadian Artificial Intelligence Safety InstituteThe Trilateral Commission

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The Mortgage Calculator Delivers Real-Time VA Loan Rates with Advanced Application Tools

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3 hours ago

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November 16, 2024

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The Mortgage Calculator introduces innovative VA loan calculators and tools featuring live mortgage rates updated by the minute. These tools empower veterans and active-duty military personnel with accurate, real-time insights into VA loan programs.

MIAMI, Nov. 16, 2024 /PRNewswire-PRWeb/ — The Mortgage Calculator, a licensed lender, has launched an advanced VA mortgage calculator platform with real-time mortgage rate integration for all VA loan programs from over 100 banks and lenders. Veterans and active-duty military personnel can now access live VA mortgage rates, updated by the minute, to make precise financial decisions. This technology ensures unmatched accuracy and transparency in VA loan planning.

Offering live mortgage rates is a pivotal enhancement for borrowers. This unique feature allows veterans and active-duty personnel to make well-informed decisions, whether purchasing a home or refinancing with an IRRRL.

The platform also offers tools to calculate VA mortgage loan payments and explore refinancing options like IRRRL loans (Interest Rate Reduction Refinance Loans). These tools simplify the loan application process and provide a complete understanding of financing options available to eligible borrowers.

Key Features of the Real-Time VA Loan Platform:

Live VA Loan Rates: Borrowers can view rates updated every minute, offering precise, real-time market data for all VA loan programs from multiple banks and lenders.Interactive VA Loan Calculator: Helps users estimate monthly payments based on current live rates, including refinancing options like IRRRL.Customizable Financial Tools: Provides tailored insights into VA loan affordability, terms, and eligibility requirements.Seamless Integration Across VA Loan Programs: Supports home purchases and refinancing with clarity and transparency.

“Offering live mortgage rates is a pivotal enhancement for borrowers,” said Jose Gonzalez, CSO of The Mortgage Calculator. “This unique feature allows veterans and active-duty personnel to make well-informed decisions, whether purchasing a home or refinancing with an IRRRL.”

To experience these tools and view live VA mortgage rates, visit the dedicated VA loan calculator page. Borrowers can also calculate savings on VA refinance options with the IRRRL calculator or explore broader resources like the VA mortgage loans guide. For additional information on other mortgage products, such as construction loans, visit the homepage.

About The Mortgage Calculator

The Mortgage Calculator is a licensed Mortgage Lender (NMLS #2377459) that specializes in using technology to enable borrowers to access both Conventional and Non-QM mortgage loan programs with over 100 banks and partners. Using The Mortgage Calculator proprietary technology, borrowers can instantly price and quote thousands of mortgage loan programs in just a few clicks. Our team of over 500 licensed Mortgage Loan Originators can assist our customers with Conventional, FHA, VA and USDA mortgages as well as access thousands of mortgage programs using Alternative Income Documentation such as Bank Statement Mortgages, P&L Mortgages, Asset Based Mortgage Programs, No Ratio CDFI Loan Programs, DSCR Investor Mortgages, Commercial Mortgages, Fix and Flip Mortgages and thousands more! To apply for a mortgage please visit https://themortgagecalculator.com

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Kyle Hiersche, The Mortgage Calcualtor, 1 7867331993, pr@themortgagecalculator.com, https://themortgagecalculator.com

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Norck Expands Custom Manufacturing Services with Enhanced Precision CNC Machining, Engineering Support, and Curated Network of Select Manufacturing Partners

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4 hours ago

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November 16, 2024

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Norck, a global leader in on demand manufacturing, has expanded its services to include precision CNC machining, custom component manufacturing, and on-demand solutions. The company’s curated network of trusted manufacturing partners and personalized one-on-one engineering support set it apart from automated platforms. Serving industries such as aerospace, defense, robotics, and medical, Norck delivers high-quality, precision-engineered components tailored to specific needs. With capabilities in CNC machining, 3D printing, and hybrid manufacturing, Norck empowers businesses to innovate and scale efficiently. Visit www.norck.com for more information.

IRVINE, Calif. and MANNHEIM, Germany, Nov. 16, 2024 /PRNewswire-PRWeb/ — Norck, a global leader in advanced manufacturing and custom component production, is proud to announce a major expansion of its services, focusing on precision CNC machining, custom component manufacturing, and on-demand CNC machining. A key highlight of this growth is the enhancement of Norck’s curated network of select manufacturing partners, ensuring clients benefit from the highest quality standards and consistent reliability.

By partnering with only the best manufacturers, we ensure that every project meets our clients’ exacting standards. Combined with our one-to-one engineering support, this approach guarantees a superior manufacturing experience.

Complementing its growing capabilities, Norck reaffirms its commitment to personalized, one-to-one engineering and design support, setting it apart from competitors with automated platforms. With a strategic combination of expert guidance and a carefully vetted partner network, Norck is revolutionizing the way businesses approach custom parts manufacturing.

Norck’s Motto: “Prototype. Manufacture. Scale Up. On Demand.”

This guiding principle reflects Norck’s dedication to delivering seamless, end-to-end solutions that meet the dynamic needs of modern industries. From initial prototyping to full-scale production, Norck empowers businesses to innovate and grow with speed and precision.

Expanding a Curated Network of Trusted Manufacturing Partners

Norck’s curated network of select manufacturing partners brings together top-tier facilities specializing in CNC machining, injection molding, and metal 3D printing. Each partner is carefully vetted for quality, reliability, and expertise, ensuring seamless collaboration and superior results.

Key Benefits of Norck’s Manufacturing Partner Network:

Consistent Quality Standards: Partners are selected based on strict adherence to global certifications such as ISO 9001 and AS9100.Diverse Capabilities: Access to advanced manufacturing technologies, including custom CNC machining, custom component manufacturing, and on-demand sheet metal fabrication.Streamlined Project Management: Norck acts as a single point of contact, managing every aspect of production and ensuring seamless coordination across its network.

“Our curated network is an integral part of delivering exceptional results to our clients,” said Faruk Guney, CEO of Norck. “By partnering with only the best manufacturers, we ensure that every project meets our clients’ exacting standards. Combined with our one-to-one engineering support, this approach guarantees a superior manufacturing experience.”

Personalized Engineering and Design Support

Unlike platforms that rely heavily on automation, Norck emphasizes a one-on-one collaboration model with clients. This personalized approach ensures that designs are optimized for manufacturability, cost-efficiency, and performance before production begins.

Key Features of Norck’s Engineering and Design Support:

Dedicated Design Consultants: Clients work with experienced engineers who understand their unique requirements and industry challenges.

Seamless Iteration: From concept refinement to rapid prototyping, Norck supports clients at every step to perfect their designs.

Material Selection Guidance: Expert advice to choose the best materials for durability, performance, and cost-effectiveness.

Feasibility Analysis: Comprehensive evaluations to ensure manufacturability and optimal production outcomes.

Precision CNC Machining and Custom Component Manufacturing

Norck’s precision CNC machining services are at the forefront of its manufacturing offerings. With a focus on high-quality production and design optimization, Norck delivers custom CNC parts and components that meet even the most complex specifications.

Key Highlights:

On-Demand CNC Machining: Rapid, efficient production tailored to client needs, from prototypes to large-scale production.

Wire EDM Services: Precision machining for intricate designs requiring tight tolerances.

Custom CNC Machining Near Me: Localized support through Norck’s extensive partner network for faster turnaround times and convenience.

Advanced Metal 3D Printing Services

Norck has also enhanced its metal 3D printing services, providing innovative solutions for lightweight and complex custom metal parts. These services are integrated with Norck’s engineering support to ensure clients achieve the perfect balance of creativity and manufacturability.

Key Features:

Custom Metal 3D Printing: Production of intricate and durable components for aerospace, automotive, and medical applications.Hybrid Manufacturing Solutions: Combining CNC machining and 3D printing for advanced design possibilities.Injection Molding and On-Demand Sheet Metal FabricationNorck’s comprehensive offerings include injection molding and on-demand sheet metal fabrication, enabling clients to produce high-quality custom parts at scale. By leveraging its curated network, Norck delivers consistent results across all manufacturing disciplines.

Industries Served

Norck proudly serves a diverse range of industries, providing tailored solutions to meet specific sector requirements:

Norck offers specialized manufacturing solutions across various industries, delivering precision-engineered components and services tailored to each sector’s unique requirements.

Aerospace: Norck provides high-precision components that meet stringent aerospace standards, ensuring safety and reliability in critical applications.

Defense: Supplying robust and reliable parts, Norck supports mission-critical defense systems and equipment, adhering to rigorous quality and performance criteria.

Robotics: Norck creates intricate components essential for the efficient operation of robotic systems and automation technologies, enhancing performance and precision.

Automotive: Manufacturing custom parts, Norck enhances vehicle performance, durability, and safety across various automotive applications.

Medical: Producing biocompatible and precision-engineered components, Norck supports medical devices, surgical tools, and healthcare technologies, ensuring safety and efficacy.

Consumer Products: Producing high-quality, durable components, Norck serves a wide range of consumer goods, from electronics to appliances, ensuring product longevity and reliability.

Industrial: Providing durable and reliable parts, Norck supports machinery, tools, and industrial systems, ensuring operational efficiency and longevity.

Hardware: Crafting precision hardware components, Norck caters to construction, infrastructure, and various manufacturing applications, meeting specific project needs.

Electronics: Delivering custom components, Norck supports electronic devices, ensuring compatibility and performance in advanced systems.

Energy: Supplying high-performance parts, Norck serves renewable energy, oil and gas, and power generation applications, contributing to efficient energy solutions.

Norck’s tailored solutions ensure each industry’s unique requirements are met with precision and reliability, reinforcing its commitment to quality and innovation.

About Norck

Norck is a global leader in advanced manufacturing, specializing in precision CNC machining, custom component manufacturing, metal 3D printing, and injection molding. With a strong commitment to innovation, quality, and customer satisfaction, Norck delivers tailored manufacturing solutions to businesses worldwide. By combining personalized engineering support, cutting-edge technologies, and a curated network of trusted manufacturing partners, Norck empowers industries to achieve their most ambitious goals.

For more information about Norck’s services and solutions, visit www.norck.com

Media Contact

Dennis Weiss, NORCK INC – NORCK GMBH, 1 949-232-0251, ed@norck.com, www.norck.com

Ed Braun, NORCK INC – NORCK GMBH, www.norck.com

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