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More than 8,000 nurses and health care workers went on strike Monday outside 18 Sutter Health facilities across Northern California, including a dozen in the Bay Area.

Union representatives say Sutter Health has refused to address concerns about safe staffing and health and safety protections.

The one-day strike was authorized by a nearly unanimous vote in March and advance notice was given to Sutter Health for the strike, according to the California Nurses Association and the Caregivers and Healthcare Employees Union.

The nurses and health care workers have been in negotiations since June 2021 for a new contract, with little to no movement on key issues, according to a statement from the union.

Sutter officials, however, said Sunday that the nurses’ strike comes despite the resumption of negotiations that involve a federal mediator.

Susan McIntosh, right, and her daughter Nicole Harrington participate in Monday’s strike at Sutter Delta Medical Center in Antioch. McIntosh has been at Sutter Delta for 33 years. Harrington was born at the hospital and has worked there for 6 years. (Photo by Ray Saint Germain/Bay City News)

“Work stoppages at 18 of our sites — even for a single day — require complex and costly preparation, and obligate us to make plans that our teams, patients and communities can rely on,” Sutter said in a statement.

Contracted replacement workers were scheduled to staff the facilities during the strike, according to Sutter.

The nurses are calling on management to invest in nursing staff and agree to a contract that provides safe staffing that allows nurses to provide safe and therapeutic care. The nurses and health care workers also want the hospitals to invest in personal protective equipment stockpiles and comply with California’s PPE stockpile law.

“We are striking because Sutter is not transparent about the stockpile of PPE supplies and contact tracing,” said Renee Waters, an intensive care RN with 26 years of experience. “They resist having nurses directly involved in planning and implementation of policies that affect all of us during a pandemic.”

The pickets Monday affected Sutter Health facilities in the Bay Area including Berkeley, Oakland, Vallejo, Santa Rosa, San Francisco, Santa Cruz, Castro Valley, Antioch, Burlingame and Novato.