What to Know
- The largest nurses strike in New York City history is underway, with nurses at three major hospitals walking off the job in a battle over safety, staffing and pay
- The strike affects The Mount Sinai Hospital and two of its satellite campuses, with picket lines forming. Also affected: NewYork-Presbyterian and Montefiore Medical Center in the Bronx.
- It comes during one of NYC’s worst flu seasons ever. The hospitals involved have been hiring temporary nurses to try and fill the labor gap during the walkout, and said in a statement during negotiations that they would “do whatever is necessary to minimize disruptions.”
- The nurses’ demands vary by hospital, but the major issues include staffing levels and workplace safety. The union says hospitals have given nurses unmanageable workloads.
- Nurses also want better security measures in the workplace, citing incidents like an incident last week, when a man with a sharp object barricaded himself in a Brooklyn hospital room and was then killed by police.
Thousands of nurses in three hospital systems in New York City went on strike Monday after negotiations through the weekend failed to yield breakthroughs in their contract disputes.
The strike was taking place at The Mount Sinai Hospital and two of its satellite campuses, with picket lines forming. The other affected hospitals are NewYork-Presbyterian and Montefiore Medical Center in the Bronx.
About 15,000 nurses are involved in the strike, according to New York State Nurses Association (NYSNA). See the main sticking points here.
The strike, which comes during a severe flu season, could potentially force the hospitals to transfer patients, cancel procedures or divert ambulances. It could also put a strain on city hospitals not involved in the contract dispute, as patients avoid the medical centers hit by the strike.
The hospitals involved have been hiring temporary nurses to try and fill the labor gap during the walkout, and said in a statement during negotiations that they would “do whatever is necessary to minimize disruptions.” Montefiore posted a message assuring patients that appointments would be kept.
The work stoppage is occurring at multiple hospitals simultaneously, but each medical center is negotiating with the union independently. Several other hospitals across the city and in its suburbs reached deals in recent days to avert a possible strike.
The nurses’ demands vary by hospital, but the major issues include staffing levels and workplace safety. The union says hospitals have given nurses unmanageable workloads.
Nurses also want better security measures in the workplace, citing incidents like an incident last week, when a man with a sharp object barricaded himself in a Brooklyn hospital room and was then killed by police.
The union also wants limitations on hospitals’ use of artificial intelligence.
The nonprofit hospitals involved in the negotiations say they’ve been working to improve staffing levels, but say the union’s demands overall are too costly.
Nurses voted to authorize the strike last month.
Both New York Gov. Kathy Hochul and Mayor Zohran Mamdani had expressed concern about the possibility of the strike. As the strike deadline neared, Mamdani urged both sides to keep negotiating and reach a deal that “both honors our nurses and keeps our hospitals open.”
“Our nurses kept this city alive through its hardest moments. Their value is not negotiable,” Mamdani said.
The last major nursing strike in the city was only three years ago, in 2023. That work stoppage, at Mount Sinai and Montefiore, was short, lasting three days. It resulted in a deal raising pay 19% over three years at those hospitals.
It also led to promised staffing improvements, though the union and hospitals now disagree about how much progress has been made, or whether the hospitals are retreating from staffing guarantees.
The same union mounted a three-day strike at the Mount Sinai flagship facility and Montefiore in 2023, when nurses emphasized their sacrifices during the exhausting, frightening height of the COVID-19 pandemic and the national nurse staffing crisis that followed.
The walkout prompted those hospitals to postpone non-emergency surgeries, tell many ambulances to go elsewhere and transfer some intensive-care infants and other patients. Temporary nurses and even administrators with clinical backgrounds were tapped to fill in, but some patients noticed longer waits and more sparsely staffed wards.
The strike ended with an agreement on raises totaling 19% over three years and staffing improvements, including the possibility of extra pay if nurses had to work short-handed.
Now, the union says, the hospitals are retreating from those guarantees and falling short on other promises.
Montefiore, for example, agreed to “make all reasonable efforts” to stop keeping some emergency room patients in hallways while they wait for space to open up in other wards. Yet three years later, nurses still scramble to treat “hallway patients,” Montefiore intensive care nurse Michelle Gonzalez said Friday.
Montefiore has suggested it has made some progress: The hospital told elected officials in a letter in October that there has been a 35% reduction in the time it takes from emergency admission to a clinical unit bed.
Overall, the hospitals say they have greatly reduced nursing job vacancy rates in the last three years, and Mount Sinai and NewYork-Presbyterian/Columbia Irving University Medical Center say they also have added hundreds of nursing positions.
In recent days, several smaller hospitals — including multiple Northwell Health facilities on Long Island — averted potential walkouts by striking deals or making what the union viewed as adequate progress.
