Left out of the COVID-19 pay bump, Manitoba ER nurses say they feel abandoned by province, union

An emergency room nurse at Winnipeg's St. Boniface Hospital is struggling to provide care to three patients with COVID-19.

Two of them are screaming at her. They want to leave the ER. They're homeless.She's scrambling to find them a place in Winnipeg where they can self-isolate.

Meanwhile, an elderly woman has been rushed in from a personal care home unable to breathe. Her COVID-19 symptoms are so severe, the nurse has been told the woman will die.

"You just look at it and go like, 'I can't. I'm one person,'" the nurse told CBC News later,through tears. "How do you decide where to go? How do you decide who to look after?"

She knewif she didn't stop the first twopatients who were homeless from leaving the ER, they could spread COVID-19 in the community. She hadno choice but to leave the elderly patient, she said.

"To know that there was someone dying alone in a room, and there was no helpno one was with her. I've never had a day like that before," the nurse said.

"It still bothers me," she said. "I just keep thinking if that was a family member of mine."

CBC News interviewed 10 emergency room nurses who work in Winnipeg and surrounding areasandsay they feel abandoned by Manitoba's Department of Health and their own union. CBC hasagreed to withhold their names because they fear they could lose their jobs for speaking out

In December, the province signed a dealwith the Manitoba Nurses Union to provide a temporary pay bump to nurses working inintensive care, COVID-19 wards, and personal care homes. The emergency room nurses were left out of the deal.

"The [agreement] completely disregarded emergency," one nurse said. "Our union didn't even acknowledge that that had happened."

After that, more than 200 ER nurses signed a letter to the province and their union looking for more support. The nurses CBC News spoke to said thoseconcerns have been ignored.

They have now taken their concerns to politicians with Manitoba'sOpposition NDP as well as CBC, hoping the public will demand the provincedo more to support them.

'This place sucks the soul out of you'

The nurses CBC interviewed for this story work at emergency rooms in Winnipeg'sSt. Boniface Hospital, Health Sciences Centre and Grace Hospital, as well as the Selkirk Regional Health Centre just north of the city. They say they face serious risks in the pandemic the public might not beaware of.

Most patients enter the hospital through the emergency department.That means ER nurses often screen, test, and treatpeople for COVID-19 before they are triaged elsewhere.

Andunlike those working in intensive care units (ICUs)or COVID wards, ER nurses don't know whether someone being rushed into their care has the virus or not.

They'll do CPR not knowing whether the person they are trying to save is infectious, they said.

"They've got their faces down doing compressions on a patient. You're probably six inches away from their face while you're doing this. So you're high, high risk," one nurse said.

Some ER nurses with more than adozen years of experience say they've never dealt with this many severely ill patients at a time orthis much death.

When someone dies, the nurses said they don't have time to comfort families they have torun to the next emergency.

"It is heart-wrenching to hear people grieve I'm embarrassed with the way we care for these people's families," one nurse said.

"This place sucks the soul out of you," another added.

I'm embarrassed with the way we care for these people's families.- Winnipeg emergency room nurse

Many are now required to work16-hour shifts to make sure the emergency department is staffed.

"Do you want to come to emergency and know that 90 per cent of the nurses there are on their 15th hour of work? I wouldn't," one said.

"It's not safe for the patients."

$6 extra an hour

The last time Manitoba's nurses were given a pay raise wasfour years agolong before they were fighting apandemic.

The Manitoba Nurses Union has been without a contract with the Department of Health since March 2017.

When theunion signed the temporary pay increasefor some nurses in December, it allowed the province to change those nurses' assignments, shifts, and work locations to deal with the pandemic.

"As emergency departments are not currently an area where staff are being redeployed, they were not included in the [agreement]," a spokesperson for the province wrote in an email.

Emergency room nurses say the deal amounts to $6 an hour extra a hike they are happy to see their colleagues in other departments get, but one they say all frontline nurses deserve.

The union said it tried to get the ER nurses included in the wage increase, but the province told them they only had a certain amount of funding.

ER nurses quitting

Emergency room nurses say they are now making difficult decisions about a job they love.

"There are a lot of days now for myself that I question, do I want to be an emergency nurse still?That is really hard," one nurse said.

"We have lost so many of our very good senior staff members to take other jobs, [because] they need to not feel like they're failing as a nurse in this profession, when it's really because we just don't have the resources," another said.

The NDP's Health critic said this could leave a lasting mark on Manitoba's health-care system as the pandemic drags onand for years to come.

"These are folks who have a tremendous amount of training and education and commitment to doing this work. Soit's a huge loss if and when they walk away. And I know the nurses have walked away," Uzoma Asagwara said. "They've reached their breaking point."

The province said its making efforts throughout the system to make sure nurses are supported, but did not elaborate on what those are.

"Nurses across the health-care system are making valuable contributions to our COVID-19 fight and we thank them for their professionalism and commitment to providing outstanding care during this unprecedented time," a provincialspokesperson wrote in an email to CBC.

The 10 ER nursessaid it's hurtful to hear the Manitoba government praise them in writing, but not hear their concerns or provide a clear plan to support them.

"We're really not superheroes, actually," one nurse said. "We're really just humans, just like everyone else. And we do have a threshold. And there's only so much that one person can do."

We're really not superheroes, actually. We're really just humans.- Winnipeg emergency room nurse

Struggling nurses say they feel abandoned by government, union

4 years ago

Duration 2:42

Ten ER nurses from four different hospitals aren't happy theyre not included in a recent deal for higher pay, despite the hazards they face during the pandemic.