"Empowering Patients - Advancing the Profession"
MUMN’s vision is to primarily safeguard the healthcare professionals at their workplace. Our vision is to always be loyal to our members and towards the professions. MUMN offers excellent service to its members and is effective in improving working conditions. We ensure that members will always be represented with integrity and the respect they deserve. MUMN operates in an open, democratic and respectful manner. We will always stand for the members' rights, well being and interests of workers in the workplace. MUMN promsies to continuously work to enhance the quality of working conditions. We will strive to work towards sustaining and promoting healthcare professionals' continuous professional development.
Court limits MUMN’s industrial action
The Court has limited the industrial action by the Malta Union of Midwives and Nurses, ordering to withdraw directives which were deemed detrimental to the patient’s wellbeing. On Friday, the court ruled that the industrial action ordered by the union can go ahead except for directives which could place patients’ health at risk. Mr Justice Robert Mangion presiding over the First Hall of the Civil Court also disallowed any action that was to be taken by nurses working at St Vincent De Paul and Karin Grech Rehabilitation Hospital.
Nurses insist on right for industrial action to press for better pay
The Malta Union of Midwives and Nurses on Wednesday defended in court a decision to order industrial action, with union chief Paul Pace insisting that nurses should be paid at the same rates as other healthcare professionals.
Is-Sena Internazzjonali tal-Infermiera u l-Qwiebel 2020 Tnedija tal-kanzunetta Lilna Issib – 17 ta’ Novembru, 2020.
L-infermiera u l-qwiebel għandhom ir-rwol vitali fil-provvediment tas-servizzi tas-saħħa. Dawn huma nies li jiddedikaw ħajjithom jieħdu ħsieb ommijiet u tfal: jagħtu tilqim li jsalva l-ħajjiet, u pariri dwar is-saħħa; jieħdu ħsieb l-anzjani, u b’mod ġenerali jieħdu ħsieb il-ħtiġijiet essenzjali tas-saħħa li jinqalgħu kuljum. Ta’ spiss huma l-ewwel punt ta’ referenza għall-kura fil-kommunitajiet tagħhom.
Pope presented with Tunic worn by Nurses and Midwives in Malta
To celebrate the 25th anniversary of the setting up of the MUMN, the executive committee and a number of members this morning visited the Vatican City State.
The delegation, led by its President Paul Pace, this morning participated in the general audience by His Holiness Pope Francis at the Vatican’s Piazza San Damaso.
Our administration committee
Florence Nightingale Benevolent Fund
Once you are an MUMN member you may choose to be part of the Florence Nightingale Benevolent Fund. This fund is set up to help healthcare professionals that are passing through a difficult time and need financial assistance.
MUMN Benefits for Members
When joining MUMN, our members will be able to enjoy several benefits that are exclusive to our members.
The Learning Institute for Healthcare Professionals
In 2017, The Learning Institute for Healthcare Professionals was launched within the MUMN. The Committee organizes monthly seminars for our members as well as workshops, seminars and conferences.
Senior Members Group
Once you reach retirement age, you can join our senior member group, the entails one paying a one time fee of 12 euros. You will then me a lifetime member. Members will be updated on MUMN’s latest news. The Senior Group Committee organizes quarterly outings around Malta and Gozo.
Our most recent directives
- Directive to all nurses working in Covid wards mainly M2, M3 and SAU2 MUMN has been informed that bed discrepancies are occurring between the covid wards. The choice to which covid ward, covid patients are being admitted lies on the doctors and not on bed management. Such issue is compounded further on SAU2 were for every surgical covid admission patient, a medical patient has to be transferred to a covid medical ward to maintain the capping of the patients in SAU2. This is causing several hardship on the patient and the staff due to transferring of patients at time in the middle of the night. These transfers of patients does not hold ground since in any GMA ward, surgical wards have medical patients and vice-versa. Also it is not right that one particular war is overwhelmed with covid patients while another covid ward would have half of the beds empty. Therefore MUMN is issuing two directives to address the hardships of the patients and at the same time obtain the same level of bed state amongst the three mention wards. With immediate effect: 1) M2, M3 and SAU3 are to check the CPAS and if there are significant discrepancies’ in bed state among the three wards, the ward can refuse the admission so that the covid patient can be admitted to the ward with the least bed state. 2) M2, M3 and SAU2 can admit both surgical and medical patients according to the equal distribution of the bed state of the ward. 3) M2, M3 and SAU2 have to maintain the capping of not more than 18 patients. Such directives are with immediate. Paul Pace President 18th December 2020
- MUMN was informed that doctors in the E/A department are imposing that all blood letting and canulation is to be done by the nurses working in the E/A. This goes beyond the duties of the nurses in the E/A department since cannulation and blood letting is only to be done in the pre-hospital care when Hypoglycaemia case (or in other urgent medical conditions) is being detected. Such imposition unfortunately takes place in Gozo due that certain nurses appease doctors with the consequences that such practise than is expected to become the normal practise in the E/A. On a different note another imposition by the doctors in the E/A department is that all nurses are expected to put a gown for every patient who is going to have his parameters checked. Such practise is not in agreement with MUMN. Therefore MUMN is issuing two directives to the nurses working in the E/A department. The first directive is that bloodletting and canulation are to be performed only in pre-hospital care (in ambulance) and never in the E/A department. Also nurses are to refuse that any patient has to be gowned when parameters or bloodletting are to be take place. Such directives are with immediate effect. Paul Pace President MUMN 5th December 2020
- MUMN is aware that admissions of infective patients are being done by certain doctors without the authorization of infection control, nor MCH nursing management, nor MCH management. Such admissions are being done at the detriment of the Health and safety of the patients of the ward and most importantly of nursing staff on the wards. Since the management of MCH nor the medical profession at MCH are NOT considering the huge implications of such infective cases on the staff, nor making an adequate risk assessment of the situation on the wards in MCH, MUMN is issuing directives with immediate effect: 1) That all nurses are to refuse infective cases if not approved by Infection Control with MCH nursing management. 2) If such admission still take place all nurses are to abandon the ward, leaving only one nurse on the ward for CPR duties ONLY. MUMN is registering such a dispute since it is clear that the admission criteria for MCH is not agreed with MUMN and that such admissions are also bypassing the nursing management, infection control and MCH management. Colin Galea Gen. Sec. 9th December 2020
- Further Directives to Nurses working in Radiotherapy Department 1. Nurses not to use MOSAIQ software 2. Nurses not to do any follow-up appointments 3. External calls not to be answered; on landline, pager and even transferred calls. 4. Not to call patients from landline or pager 5. Nurses not to leave out-patients premises 6. No walk-ins to be seen 7. Nurses not to do clerical duties 8. Nurses not to use CPAS software. Such directives are with immediate effect starting from tomorrow. Paul Pace President 15th November 2020
- Important Notice to All MUMN Members New Directives to be Implemented in Various Places of Work. MUMN had just terminated the meeting with the Health Division on several issues:- 1. It was confirmed that the Sunday and Feasts Allowances during Quarantine Leave (related to work) has been finalizied and is now being implemented by Human resources in all Hospitals and other Health Institutions so that they will not be deductions as from 1st July 2020 on such allowances; All MUMN members are to benefit on this measure. 2. Meal Allowances to MCH/ Community Services, KGH, GGH, MDH, Elderly Homes, Comm Care, SAMOC and SVP had been agreed and will be provided to all members of MUMN. The part timers and reduced will also benefit from such an agreement; 3. The recruitment of nurses to address the shortage of all nurses in all Hospitals & other places of work has been addressed since in today’s meeting it was agreed that the 267 TCNs (third Country Nationals) are to be recruited; 4. The meal allowances for the Primary Health Care Department was NOT approved. 5. The 12 hours extra VL was retrieved by the Health Division and therefore all Healthcare Workers working over 8 hour shifts are to remain discriminated. 6. The €400 per month allocated for those Healthcare Workers with children under 10 years was going to be provided with severe restrictions which will be impossible for our members to achieve such allowances. On this issue regarding the permanent/partial closure of schools MUMN is issuing a Directive to all its members that parents (members of MUMN) can remain at home with their children for any unlimited time with the only loss being the Sunday and Feasts Allowance. Parents with children with special needs are also to make use of this Directive. Such Directive is not just to members of MUMN with children under 10 years but to parent - members of MUMN with children of all ages attending the primary/secondary schools or special schools. Rest assured that MUMN will be monitoring this situation and will be safeguarding those members who will remain duty by downsizing the workload as necessary in all department including the Main Operation Theatre. Another Directive is being issued regarding the 12 hours deprived to MUMN members and the lack of approval for the increase meal allowances in the Primary Health Care. 1. All nurses in all Hospitals, Homes and Health Centres are not to administer any influenza vaccine. This is also valid for nurses working on overtime basis. Due to the lack of approval of the meal allowance to the Health Centres, All nurses are not to do any bloodletting as from 24th September 2020 from 7.00 am onwards. INR or APTT test are still to be taken. MUMN would like to bring to the attention of the staff who were considered vulnerable way back in March that those members who their vulnerability does not fall under the current criteria are to contact MUMN officials. Paul Pace President 22nd September 2020
- MUMN is informing its members that the only directives suspended are the directives introduced recently due to the financial package. All directives in force are on the MUMN website. All previous directives are therefore still in force. In the meantime, a new directive is being issued. The first directive that no nurse is to attend any ambulance for transportation purposes. That is not a nursing job. Second Directive: All shrouding on the wards is to be stopped immediately. Shrouding can be done by the Undertaker. Paul Pace MUMN 2nd December 2020
- Directive to all Nurses in all grades working at SAMOC MUMN was notified by its members that with all the hype in the media by the Health Division that 125 nurses were recruited this year, none of these nurses were sent to SAMOC to address the huge shortage of nurses on the wards. This was compounded by the lack of action from the Health Department where no replacements were sent to SAMOC as nurses were being deployed elsewhere. Currently there are 30 vacancies in a small hospital such as SAMOC. MUMN has no input in the nursing deployment since even a consultation from the Health Department on such a matter was deprived from MUMN. MUMN is dissatisfied on the approach and manner by the DNS on how calls are being issued and nurses deployed. The DNS is not verifying the demands of each and every hospital. In fact, while MUMN never resorts to industrial action in a sensitive area such as SAMOC, there are instances such as the current issue, where MUMN has to take action. It is clear for MUMN that oncology care is not a high priority in the Government agenda or the Health Division did not make an impact assessment on the Human Resources In SAMOC. Therefore, unless the current nursing issues are resolved with an increase of 30 nurses in SAMOC, MUMN is issuing the following directives starting from next Thursday 8th October 2020 from 7am onwards - Adult Oncology Ward 1/ Adult Oncology Ward 2:- 1. External calls not to be answered; 2. Nurses not to leave the Wards; 3. No shrouding; 4. No ambulation of patients; 5. No clerical work in the absence of a clerk; 6. Not more than 2 Haematology patients to be admitted. Palliative Care Unit:- 1. No shrouding; 2. No ambulation; 3. No washing of patients; 4. External calls not to be answered; 5. No errands by nurses outside the ward. Day Ward:- 1. No checking of files on day of review; 2. External calls not to be answered; 3. Not to dispense any medicine. Haematology:- 1. Capping on Admission of patients at 15 patients; 2. No washing of patients. Radiotherapy - O/P:- 1. External calls not to be answered; 2. Nurses not to call patients; 3. Nurses not to act as chaperones; 4. No ambulation of patients; 5. Nurses not to leave O/P’s premises; 6. Not to give Influenza Vaccines; 7. No Walk-ins to be seen; 8. No clerical duties in the absence of a clerk. Paul Pace President MUMN 5th October 2020
- Industrial Directives to Nurses in all Grades at the New Extension at SVP. Directives Are Being Suspended Until Further Notice Dear Colleague, We would like to inform you that the Industrial Directives to all Nurses in all Grades at the New Extension at SVP are being amended in Bold - 1. Do not offer any care for those residents that continuously abuse the staff in their attitude, comments, and actions. These residents do not deserve your care. Only treatment should be administered to these patients. Otherwise do not go near these patients who have history for abusing the staff every ward they have resided. 2. Those Nurses who are not certified to withdraw blood should not do this practice as they may be involved in medicolegal issues. 3a. Those wards which occupy 36 patients and less should have as compliment - CN/DCN and 3 Nurses during the day plus SIX supporting staff. 3b. Those wards which occupy 37 patients or more should have as compliment - CN/DCN and 4 Nurses during the day and 2 Nurses during the night plus SIX supporting staff. Those wards who do not have this compliment, the Nurses are not to wash patients but focus only on administration of treatment, change of dressings, nursing report and parameters. 4. No further new admissions or internal transfers in any ward are to take place. This Directive is to be only removed until MUMN has an agreement with all stake holders regarding the staff compliment. 5. When a constant watch is ordered, patient is to be restrained until an additional staff arrives to the ward for constant watch purposes. Regards, Colin Galea General Secretary MUMN 2nd October 2020
- To all members of MUMN working at PHC Influenza directive still In force MUMN is sending this clarification regarding the influenza vaccine directive. Influenza vaccine is NOT to be administered in ALL circumstances such as: 1) When on duty on normal roster. 2) When working on Overtime. 3) Do not accept any change of roster to administer any vaccine. 4) Do not let the management intimating you. Report to MUMN an intimidation by management. 5) Until further notice from MUMN (and not from management), MUMN will inform you through email, website, Facebook, on any updates. 6) Influenza vaccine is NOT to be administered in any scenario. 7) Contrary to what is being told by the Nursing management to certain nurses, there is no agreement with the Health Division. Paul Pace President 10th October 2020
- MUMN Council regrets to inform you that the latest agreement reached with the Health Division will not be implemented by the Permanent Secretary. This implies that Nurses, Midwives, Physiotherapists and other members of MUMN will still have deductions in their payroll when sent on quarantine and the 12 hours of VL due to the Public Holidays will not be granted. Also the Health Division failed to employ the 260 TCNs much needed in all hospitals. Not to mention that the 400 euro per month has not be forwarded to Human Resources (of every hospital/primary care etc.) as to be implemented in case schools do not open in September as planned. The reason given is that there is yet no financial clearance from the Ministry of Finance. This is an insult to the Prime Minister as such agreement was approved also by his Office. Hospitals, both for patients and staff have become a liability due to the shortage of nurses and other health care workers. The Health Division is now even allowing that level one constant watch in Mt. Carmel Hospital to be performed by the contractor with “unqualified” carers when such level one requires a nurse as per hospital protocol. While wards in MDH, MCH, KGH and GGH still lack the proper compliment of nurses and midwives, but then the Health Division allows nurses waiting for employment for months on end. This shows that the frontliners in all hospitals are being treated as second class with the Health Division even abandoning and ignoring the agreement which the Prime Minister was involved. Therefore as from the 2nd September 2020, the following directives to all MUMN members working in MDH, GGH, MCH, KGH and Primary Care will come into effect: All Nurses, Midwives working in SVP, MDH, GGH, KGH, Elderly Homes & MCH are:- 1 Not to wash any patients. 2 Not to ambulate patients to and from a bed and vice versa. 3 Not to accompany patients to and from X-rays, theatres, out-patients etc; 4 The only forms to be filled by the nurses & midwives are the nursing report, treatment charts, output/input charting, blood glucose monitoring, TPR and Sp02 monitoring; No other forms are to be filled up. 5. Only four theatres are to be used being emergency or elective. All nurses are to remain in theatre and for no reason such nurses are to leave theatre. All elective surgery is to be stopped. Intensive Care Unit (ITU) 1. No shrouding in ITU. Primary Health Care: All bloodletting is to be stopped. INR is to be taken as from 3rd September 2020. Mt. Carmel Hospital Besides the directives listed above, No forms regarding bed state/transfers are to be filled. No information regarding bed state is to be given to management over the phone For the Physiotherapist working in SLH, Comm Care/Homes, GGH, SVP, CDAU, MCH, PHC, MDH and KGH:- MDH Inpatients : Orthopedic wards : No electives surgery patients to be seen. All other Wards: Only chest patients to be seen. MDH outpatients: only 3 patients daily to be seen face to face by each physio. KGH inpatients: No new patients to be seen and that includes patients transferred between wards; No home visits. KGH out patients: No more than 3 patients daily to be seen face to face by each physio. CDAU No more than 3 patients daily to be seen face to face by each physio. SVPR Wards: Only chest patients to be seen. No ward rounds. No home visits. Outpatients: not more than 3 face to face patients daily to be seen by each physio. MCH: Wards: Only chest patients to be seen. No wards rounds. No home visits. No classes. Out patients : Not more than 3 face to face patients daily to be seen by each physio. Primary Care: No more than 3 face to face patients daily to be seen by each physio. GGH wards: No new patients to be seen. GGH Outpatients: no more than 3 face to face patients daily to be seen by each physio. Commcare and Homes No more than 3 face to face patients daily to be seen by each physio. To all ECG Technician working in all hospitals excluding SAMOC: - 1 Not to take ECGs which are sent and ordered through the outpatient’s departments. 2 Not to take any ECGs requested as a review between 5.00 a.m. and 7.00 a.m. SAMOC, E/A, ITU, Renal Unit, Neonatal Paediatric Intensive Care Unit, Central Delivery Suite and Pediatric Wards are all being exempted till now from these directives. Paul Pace President MUMN 31st August 2020
- The situation regarding the warfarin has been left unresolved even though MUMN has tried to resolve the issue through an agreement. The legal aspect must be followed and therefore SVP has to follow the practices used in MDH and in all hospitals regarding the administration of treatment. A directive which is to come into effect from tomorrow the 10th August to all nurses (irrespective of the grade) is as follows. 1. Once the result of the INR is issued, all nurses are to phone the doctor on call to come to the ward to adjust the dose of the Warfarin. 2. This is to be documented into the nursing report. 3. In case the doctor does not come to the ward to adjust the dose of the warfarin, all nurses are not to administer any warfarin. 4. This is important to follow since there is a legal aspect. The dose of the warfarin written in the treatment chart does not reflect the latest result issued. So, the protocol is that to administer any warfarin, the doctor has to come to the ward to prescribed on the treatment chart the new dose of warfarin. 5. Nurses are to refrain from going out of their ward for this purpose or sending any carers with the treatment chart to any specified area indicated by the doctor. Doctors like in all hospitals in Malta and Gozo have a duty to come up to the ward and adjust the dose of warfarin. It is important that all nurses adhere to such directive since the treatment carries a huge legal aspect especially when nurses do not adhere to standard protocol listed above Paul Pace President MUMN 9th August 2020
- Mr. Paul Buttigieg Chief Nursing Manager Mater Dei Hospital Dear Mr. Buttigieg, Allow me to write regarding a sensitive matter occurring at MOT which can easily result in legal repercussions. MOT Nurses are being requested to fill up forms to certify if equipment is functioning well or not. With all due respect this task makes part of a technician's duty and surely not that of a nurse with all the legal implications that this request carries on. In this regard I would like to inform you that MUMN will be issuing an Industrial Directive to all MOT Nurses with immediate effect for not to fill any forms that are related to confirming if any equipment is functioning or not. Regards, Colin Galea General Secretary MUMN 14th August 2020