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At Napa State, some nurses double wages with OT pay
Friday, October 23, 2009
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Some Napa State Hospital nurses earned more in overtime pay then they were slated to make in salary during the 2007-08 fiscal year, according to the California’s state auditor.

Nineteen of Napa State’s 489 registered nurses took home an average of $99,000 in overtime pay on top of their $78,000 salaries during the 2007-08 fiscal year, a recent auditor’s report states.
The report cited a similar situation at Sonoma Developmental Center, where 6 percent of the agency’s psychiatric technician assistants earned more in overtime pay than their $33,000 average annual salary.

Beyond the fiscal implications, the report states that “individuals working excessive amounts of overtime may compromise their own and their patients’” safety. Moreover, the state auditor reports that Napa State “did not always follow (its) overtime policies and procedures.”
Finally, the report stated that some state mental health agencies “allowed leave hours to be counted as time worked in calculating overtime.” A change in state law now prohibits this, but also allows for exceptions for union contracts finalized “subsequent to the law’s effective date.”

The document offers data about wages, staffing and other issues in connection with several state-run entities, including the Department of Mental Health — of which Napa State is a member — the Department of Corrections and Rehabilitation, California Highway Patrol, Department of Forestry and Fire Protection, Department of Veterans Affairs and the Department of Developmental Services.
Nancy Kincaid, spokeswoman for the Department of Mental Health, said her agency is in compliance with state mandates about staff-to-patient ratios and how much overtime one individual can work.

Information in the report indicated that some Napa State nurses worked extensive overtime hours while others at the agency worked none. For example, one Napa State nurse who earned $733,000 in overtime pay over a five-year period logged as many as 51 overtime hours in a week, the report stated.

“There are people who can do that. They have measures in place that assess that individual,” Kincaid said, adding that direct supervisors at Department of Mental Health facilities make assessments about staffers’ ability to handle overtime.

Kincaid said the department has “not had a problem to date at Napa or at any of our hospitals” and “no issues” reported in terms of patient safety problems related to staff working extensive overtime.

As a result of California’s fiscal crisis, Department of Mental Health workers — as well as those at other state agencies — currently take three furlough days monthly. Kincaid said because state hospitals must provide 24-hour care while maintaining mandated staff-patient ratios, Department of Mental Health employees have an extra two years to take all their furlough days. For other state agencies, furloughs are expected to end in June of 2010, she said.

Kincaid was unable to say how much the department is saving as a result of the furloughs.

Staffing at the hospital was a topic during the late September criminal trial in which Napa State patient George Aaron Carver was charged with killing another patient, David Wengell. Carver was charged with manslaughter for attacking and killing Wengell with the end of a hair brush fashioned into a point. A jury found the killing was in self-defense and acquitted Carver.

Napa County Deputy Public Defender Joseph Solga said in an interview Thursday that on the day of Wengell’s death, at least one of several people on duty in the T-3 unit where the men were staying at Napa State were working double shifts.

“The budget has impact on people’s safety,” said Solga. “As a society, we have an obligation to care for the people there.”

In the wake of the state auditor’s report, Aaron McLear, press secretary for Gov. Arnold Schwarzenegger, said the governor’s office is instructing the Department of Personnel Administration — which negotiates contracts with state workers — to include provisions in union contracts to “investigate and halt any overtime abuses.”

The report also stated, however, that “the cost of hiring a new nurse at Napa and a new psychiatric technician assistant at Sonoma, including base salary and benefits as well as the cost of recruiting and training these new employees” is similar to shelling out overtime pay to “the highest-paid nurse and psychiatric technician assistant at the respective facilities.”

Kincaid said the Department of Mental Health has measures in place to make sure “overtime fraud” and problems with patient and staff safety don’t occur.

Kincaid said she couldn’t elaborate about current union negotiations regarding overtime issues.

“When an organization is in its open contract period, a large number of issues can be addressed, and this could be one of them,” she said.
29 comment(s)

reason-ator wrote on Oct 23, 2009 12:59 AM:

" This is typical when bureaucrats try to save money by not hiring enough people.

I'm not saying there's no abuse, but you can't make the patients go away because you don't want to pay enough staff. "

vocal-de-local wrote on Oct 23, 2009 1:42 AM:

" Wouldn't it be better, in this economy, to share some of the work with others who are seeking jobs? Does the State give a hoot about unemployment? The overtime hours of one individual could have paid an entire salary of another employee.

And quite frankly, an income of $177,000. is far too high for a nurse with a two or four year degree. It's excessive.

Certainly the well being of patients is not being fully considered. I don't care HOW they evaluate a person's ability to handle such overtime, a person is going to lose motivation after being in a workplace for such a long time. Fatigue will set in. Mistakes will be made.

Employees should not be allowed to exploit the situation. I'm beginning to lose faith in our government's ability to remain organized and in control. "

ambonizay wrote on Oct 23, 2009 5:39 AM:

" Anything for a buck. Just another example of out of control government salaries and lack of fiscal control. I worked at Napa State as a Therapist and OT is available anytime you want it. You call the shots without management control. "

Rocketman wrote on Oct 23, 2009 6:51 AM:

" Wait till Michael Haley finds out about this!!!! "

informed wrote on Oct 23, 2009 7:02 AM:

" These Napa State Tech's, are the least appreciated and hardest working people around. The criminally insane patients, patients make these people EARN every cent they are paid. Better them than me. You couldn't pay me enough to work there. That's why they are understaffed and are forced to work so much overtime. My suggestion to people that complain about their pay is to get a job there and try it themselves. "

JustAnotherManicMonday wrote on Oct 23, 2009 7:36 AM:

" Didn't Harry Martin bring this issue up years and years ago in the Sentinel? He had reports of employees reporting forced overtime, where at the end of their shifts, they were forced to work another shift? And the State wouldn't hire more employees? "

fedupinnapa wrote on Oct 23, 2009 8:26 AM:

" I like how they glaze over the furlough days as a cost saving measure. With the volume of mandated support when one employee takes a furlough another has to cover only increasing overtime. The furloughs are a joke and a total political scam in the end they are costing us money through greater overtime and lost collection of fee’s and taxes from revenue positive departments. It’s like a company telling its sales force to take the day off to save money. Just plain stupid! "

crooked6pence wrote on Oct 23, 2009 8:33 AM:

" It is sometimes cheaper to pay one person overtime that equals their annual wages, than to hire a second, who is now going to cost you: subsidized health care, 401k, vacation time, workers compensation, 7.6% SSI, maternity leave, training costs, etc., etc. "

Debbie wrote on Oct 23, 2009 8:39 AM:

" Generally speaking, paying OT to employees willing to do it is much cheaper than hiring a full staff---to whom you have to supply benefits. This is a common method of cost containment; whether at hospitals, prisons, fire departments, or law enforcement. It isn't a surprise. I wouldn't call it out of control government salaries, those people work hard to earn that money. This is an administrative flaw, and it comes down to $$$$. You'll find if they hire enough staff so they no longer have to ask people to work overtime, the budget will increase---and no one wants that either. "

Wine nurse wrote on Oct 23, 2009 8:41 AM:

" I have been in there a few times ( not as a patient ) what I saw was chaos, you couldnt pay me 177.000 a year to work there, so kudos to those that do..

On the other hand maybe part of the chaos is that the nurses are so burned out they don't care ( can't care ).

Personally I believe that working in a high stress position more than 40 hours a week isn't good for anyone. Shame on Napa State Hospital for not promoting a work life balance and the importance for it. "

kkjp wrote on Oct 23, 2009 9:31 AM:

" Debbie - Exactly right. "

Raven wrote on Oct 23, 2009 10:17 AM:

" so you have a choice..pay for the extra employees or pay for the overtime...or liev with the reduce service or decline in care....and this phenom is not limited to the hopsital..other state agencies are facing the same issue. "

ANapaMom wrote on Oct 23, 2009 10:28 AM:

" YES "Kudos" to the lady who works at Sonoma State Developmental who pulled a double shift, fell asleep at the wheel at 3 in the afternoon and hit me "head-on" on hwy 121. she isn't forced to wokr O/T, she's sending money back home to her brother in another country. She is going on with her life while mine has been turned upside down. "

toratora wrote on Oct 23, 2009 10:49 AM:

" This is just a peak under the circus tent at how wasteful and inept government is. Most government workers are nothing more then trough feeding parasites that we in the public sector have to work are butt's off to keep afloat.
As for me and im sure many legions of others are sick and tired of supporting the whole broken apparatus we call government! "

shareathought wrote on Oct 23, 2009 11:28 AM:

" This begins with noting 19 "of Napa State’s 489" (so mathematically, one out of every 25 or 26?).

"you can't make the patients go away because you don't want to pay enough staff."

"These Napa State Tech's, are the least appreciated and hardest working people around."

"employees ...[were] forced [to work] overtime... at the end of their shifts, they were forced to work another shift"

"I believe that working in a high stress position more than 40 hours a week isn't good for anyone."

"...they glaze over the furlough days as a cost saving measure. ...when one employee takes a furlough another has to cover only increasing overtime. The furloughs are a joke and a total political scam..."

"It is sometimes cheaper to pay one person overtime that equals their annual wages..."

"Generally speaking, paying OT to employees... is much cheaper than hiring a full staff---to whom you have to supply benefits. This is a common method of cost containment"

Putting the above things together gives a more rounded view of the whole.
Forced overtime has been used for decades, implementation of the "furlough" is relatively new (statistics are probably not yet available on the overtime needed to meet legal requirements).

Injury to those working within the mental health system has always been high yet, the pay is not equivalent to those in other such hazardous jobs (such as, prison guards, fire departments, or law enforcement_ those jobs with seemingly less education but a higher percentage of men in the workforce). "

John Richards wrote on Oct 23, 2009 12:00 PM:

" This is what happens when you put the government in charge of healthcare. The Dems want more of this! "

John Richards wrote on Oct 23, 2009 12:05 PM:

" "Generally speaking, paying OT to employees willing to do it is much cheaper than hiring a full staff."

I don't see how. Benefits cost should not exceed 30% of wages, yet overtime is paid at a premium of 50% above regular pay. Also, the new people they hire will be paid less than those who have much seniority. "

John Richards wrote on Oct 23, 2009 12:07 PM:

" "That's why they are understaffed and are forced to work so much overtime."

No, that's not it. There are plenty of applicants when an opening is advertised. The problem is that the state arbitrarily limits the number of employees. "

napablogger wrote on Oct 23, 2009 12:43 PM:

" John, you got it. What this says is that benefit and pension costs are out of control. Those costs are over 50% of compensation in many government offices, some times a lot more.

The other problem here that anyone who hasn't worked in this field wouldn't know (my first real job as a young man was psych tech) is that those jobs used to be sort of like "extra help" for the patients, not unlike a nurses assistant.

It was a job like mailroom is for a lot of young workers, a stepping stone job that didn't pay a lot but got you some experience on your way to bigger and better things.

Since the unions came in they turned it into a professional career, raised the wages and benefits way up, and now people do these jobs for life and have all kinds of salary expectations.

These should not be career jobs nor pay like them.

Most employers have jobs like this, the kid who does clean up part time on the construction site, data entry help in accounting, filing in human resources.

Now the state licenses them, they are accorded high salaries and benefits, etc. They may do some more than they used to, but that was never the intention of that position.

You need at least a Master's level professional to do psychotherapeutic services, or some medical/nursing degree to do medical. Psych techs should never have been raised above extra help into faux career positions. "

NapaFF wrote on Oct 23, 2009 1:01 PM:

" crooked6pence ... you are right that all those extra costs mount up, but it should still be less expensive to hire another employee than to pay a 50% premium on overtime.

Check it out ... if you use a HYPOTHETICAL employee that earns a HYPOTHETICAL $25/hr., they earn 52,000/yr.

Employer's portion of FICA is 7.65%, or $3978/yr. A 10% matching 401-k contribution (in reality, it's probably less) would cost $5200/yr. Three weeks vacation pay = $3000/yr. Assuming subsidized health care at $400/mo., you get $4800/yr.

When you add these costs up you get $16,978 (3978+5200+3000+4800) per year, which = 32.65% of the original $52,000/yr. salary ... LESS than the overtime would cost. Not to mention that the state would be responsible for putting one additional person, currently enemployed, BACK TO WORK! "

shareathought wrote on Oct 23, 2009 2:47 PM:

" toratora (10/23, 10:49AM) with a comment such as:

"Most... are nothing more then trough feeding parasites"

You must not have noticed this:

What gets your comment deleted?
• Derogatory remarks
• Name-calling of any sort "

mykdgirl54 wrote on Oct 23, 2009 2:58 PM:

" I think its really aweful that the main focus of this article was about nurses/staff at Napa state "making too much" money. We should not be so quick to judge - for all we know their doing the best they can given the financial mess the state has put ALL of us in. We're lucky to have people WILLING to do the work - otherwise where would all these SEVERELY mentally ill people go?

The target for scrutiny and focus of public upset should not be the nurses/staff who do the work - but the SYSTEM THAT ALLOWS FOR PEOPLE TO BE WORKED LIKE SLAVES! This is just a small peek at what "government run" healthcare will look like! Treating employees like slaves only hampers their quality of life, and quality of worked performed when you work them 70+ hours a week - wether your flipping burgers, working at a car wash, or in healthcare its just not right. "

steph wrote on Oct 23, 2009 4:43 PM:

" Are any of you aware of a severe nursing shortage in the country? We desperately need more nursing schools; there are many who want the education but who sit on waiting lists. Any time you have a shortage of professionals, you have competition for their services, and wages go up accordingly. Why would a nurse want to work with violent patients when they could get a job at the Queen or Kaiser for the same money? So there are unfilled positions, and someone has to cover them. Many nurses have families; it's not surprising to me that there are a few who will do the overtime and many who will not. "

steph wrote on Oct 23, 2009 4:44 PM:

" http://www.aacn.nche.edu/Media/FactSheets/NursingShortage.htm "

shareathought wrote on Oct 23, 2009 5:06 PM:

" Napablogger (10/23@12:43PM):
“The other problem here that anyone who hasn't worked in this field wouldn't know (my first real job as a young man was psych tech) is that those jobs used to be... like "extra help" for the patients, not unlike a nurses assistant.”

Some jobs "used to be" 35 to 40 years ago (prior, to patients-rights when, lobotomy, shock-treatment, heavy drugs may have been the norm and people were easily institutionalized), is different today. Psychiatric Technicians are educated and licensed.

“It was a job like…a stepping stone job that didn't pay a lot but got you some experience on your way to bigger and better things.”

What were those bigger and better things available then?

“raised the wages and benefits way up”

Are there statistics showing psychiatric-nursing-staff receive more than comparable positions at QVH, Angwin or the Veterans'?

“These should not be career jobs nor pay like them.”

Why? Shall we return to the ways the mentally ill were overly-medicated and warehoused while, staff were responsible for 25, 50 or more individuals?

“Now the state licenses them, they are accorded high salaries and benefits, etc.”

Women primarily hold mental-health positions without, the comparable hazard-pay of firemen or law enforcement persons.

“They may do some more than they used to, but that was never the intention of that position.”

And the intent was?

“You need at least a Master's level professional to do psychotherapeutic services, or some medical/nursing degree to do medical. Psych techs should never have been raised above extra help into faux career positions.”

Has the commentator achieved a Masters’ or professional position to develop policy?

Many comments are insulting to those who know and care for the physically and mentally handicapped. "

Rocketman wrote on Oct 23, 2009 6:09 PM:

" ..............and the winner is:

napablogger wrote on Oct 23, 2009 12:43 PM:

" John, you got it. What this says is that benefit and pension costs are out of control. "

marigold83 wrote on Oct 23, 2009 6:54 PM:

" My mom worked at the Napa State for twenty years. She was always forced to work overtime three to four days a week. She wasn't given a choice. She would tell me how co-worker's who were forced to work double shifts or longer had fallen asleep while driving home. My mom would always have someone come get her car, and someone else give her a ride home after working overtime.They would even call my mom to come in and work while she was on her vacation. "

umanyar wrote on Oct 23, 2009 7:29 PM:

" The real crime is there is a hiring freeze at NSH. The Governer's report that hiring new nurses is equally costly as just letting existing nurses pick up the slack with OT is completely ignoring SAFETY.
No way is hiring a new nurse equal to just letting an exisiting nurse work more hours with regard to SAFETY.
Obviously it is way more SAFE to hire more nurses than let existing nurses work doubles every day....it's a no brainer and Swarzenegger is derelict in his duty imho.

That being said those thst work there risk life and limb working there everyday. Comments by toratora really reflect dangerous ignorance.
toratora try writing your congressman or recalling the terminator...
Arnie has terminated SAFETY in State Hospitals, but dont blame those who are brave enough to work there...

Napablogger too, sadly is ignorant of the facts at NSH. The Fact is most units are run by Psychiatric or Senior Psychiatric Technicians. They are the unit supervisors in general because working with forensic mentally ill patients is a skill learned by experience. In a word Licensed Psychiatric Technicians are

Psychiatric Tecnicans also work for 1/3 less pay then registered nurses. Therefore the average psychiatric technician at NSH or other state hospitals has MORE forensic psychiatric experience and is paid 1/3 less than a registered nurse...Actually a good deal for the state.

imho the best registered nurses at NSH were psyciatric technicians first, or were nurese with extensive forensic psychiatric nursing experience

So napablogger I invite you to come and get a real LICENSED Psychiatric Tchnician degree and come work with us, we need the help and you will see we are not "faux career positions"....OOPS there's a hiring freeze "

misfit wrote on Oct 23, 2009 10:30 PM:

" It would seem that you could afford to hire a few more bodies for that kind of money and it would give some others jobs at the same time. This is pure abuse of the system and it doesn't help the public's perception of these workers. They give all "Goverment" employees a bad name. "

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