Step 1: Nurses or Health Care Professionals (HCPs) meet to discuss issues and begin to form a union organizing committee
Step 2: Pro-Union nurses or HCPs talk to their co-workers about the issues and the need for a union. Expand organizing committee to include every unit, shift, and department.
Step 3: Card Signing Day Organizing committee signs up co-workers on union cards authorizing MNA/NENA to represent them for collective bargaining. Goal-65-75% sign-up.
Step 4: MNA/NENA Organizing committee requests voluntary recognition from the employer. If recognition is denied by employer, MNA files petition with the National Labor Relations Board (NLRB) for a secret ballot election.
Step 5: NLRB Hearing - seven days later, the NLRB holds a formal hearing on the petition. Once the appropriate bargaining unit is determined, the election date, times, and voting location in the facility are set. Election is usually within 4-6 weeks from NLRB hearing decision. Union must win the election by 50% plus one of those voting.
Step 6: NLRB Certification: Seven (7) days after the election, the NLRB certifies the election results. Directs the hospital to bargain with the nurses or HCPs over wages, hours and working conditions.