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Section 8(g) of the National Labor Relations Act, added in the 1974 amendments to the Act, requires a labor organization to give an employer in the health-care field ten days' notice of an intended strike or picketing. The purpose is to allow the health-care employer time to make arrangements to ensure the continuation of health-care services to critically ill patients. Failure of a union to give this notice constitutes a violation of the Act, and individuals who engaged in the activity may, as a result, lose their status as employees under the Act. In the following article, the authors examine the requirements of section 8(g) and the case law interpreting this statute. They suggest likely future interpretations of this law and make practical suggestions for responding to strikes in the health-care setting.  相似文献   
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Background: Urinary drug screens are routinely administered for patients returning from leave from forensic psychiatric wards, and are required to be negative for patients to continue to use their allocated leave. Case: A 35-year-old woman took leave from her low-secure psychiatric unit. On return, her urine screened positively for 3,4-Methylenedioxymethamphetamine (MDMA). She strongly denied she had taken it; however, all her leave was cancelled. Her clinical state greatly deteriorated, and she attempted to hang herself the following day. After stabilisation of the patient and continued denial of taking MDMA, the urine was sent for toxicology analysis. In the weeks that followed, she started self-harming and deteriorated to the point of needing electroconvulsive therapy. The toxicological report came back as a false-positive due to recently started Mebeverine. Conclusion: Clinicians must be mindful that urinary drug screens are not diagnostic, but also that not being believed can be devastating, especially for long-stay forensic inpatients.  相似文献   
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