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National Nurses Organizing Committee (NNOC)


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The National Nurses Organizing Committee (NNOC) is a national union and professional organization for Registered Nurses, Advance Practice Nurses, and RN organizations throughout the country who want to pursue a more powerful agenda of patient advocacy that promotes the interests of patients, direct care nurses, and RN professional practice. NNOC was founded by the California Nurses Association in the spring of 2004 with the support of a growing number of nurse organizations that are seeking more effective representation and wish to join the movement being led by CNA. Through the NNOC, RN organizations and non-organized RNs around the country are able to work together to achieve dramatic progress for direct care nurses and patients in their facilities, their communities, their states and at the national level.

The NNOC Program - Direct Care Nurse Control

  • An elected, all direct care nurse board of directors will set policy for the NNOC.
  • Each NNOC organization will have proportional representation on the NNOC Board of Directors.
  • CNA will share its resources, experience and expertise to help expand the national movement and support new members. Collective Bargaining and Effective Professional Representation
  • Improved contracts with better salaries, enhanced patient care conditions, retirement security, protection and expansion of health benefits, and an end to workplace abuses such as mandatory overtime and unsafe floating.

Become a Member of the National Nurses Organizing Committee

Download the CNA/NNOC 101 - A Guide for Organizing With Us

The National Nurses Organizing Committee was launched by CNA in response to an overwhelming demand by direct care nurses across the U.S. for a national vehicle to address the crisis faced by RNs and to achieve improvements modeled on the successful accomplishments of CNA.

As a member of NNOC, you will join a national network of direct care RNs, supported by CNA experience and expertise to:

  • Improve RN workplace standards through collective bargaining to assure RNs have compensation that recognizes professional skills and a retirement that provides dignity for our families after a lifetime of caring for others.
  • Secure passage of state and national legislation for RN staffing ratios and other basic protections for RNs and patients, and meaningful healthcare reform based on a single standard of care for all.
  • Block hospital industry efforts to undermine RN professional practice in legislatures, regulatory agencies, boards of nursing and at the bedside.
  • Receive assistance to organize your colleagues at your hospital and other acute-care hospitals in your area to help protect the profession, and make a difference for yourselves and your patients. In addition, as a NNOC member you will receive:
  • Our national magazine, Revolution, the Journal for RNs and Patient Advocacy, every other month.
  • Regular e-mail alerts on critical issues facing RNs and patient care.


NNOC Founder CNA Experiences Decade of Growth

In 1995, CNA members voted to end ties with the ANA. Under direct care nurse leadership, CNA adopted a program to reallocate resources to unionize RNs, strengthen contracts, confront the hospital industry attack on RN jobs and RN practice, and enact new legislative and workplace protections.

Legislative Breakthroughs for RNs and Patients include:

  • First mandated RN-to-patient ratio legislation in the nation.
  • Whistleblower protection for caregivers who expose unsafe conditions.
  • Millions of dollars in increased funds for nursing education.
  • Prohibition on outsourcing telephone call centers.
  • Ban on unlicensed staff providing phone medical advice.

Dramatic Contract Gains for RNs include:

  • Salaries up to $125,000 a year for career RNs.
  • Paid service credit for RN experience in or outside the United States.
  • Retirement security with guaranteed pension plans and retiree health benefits.
  • Pay differentials for charge nurses and preceptors.
  • No cancellation or call-off policies.
  • Bans on mandatory overtime and unsafe floating.
  • Direct care RN and NP patient care monitors, paid by the employer and selected by CNA.
  • Charge nurses call in additional RNs to resolve short staffing.
  • Unified thousands of RNs into statewide master contract agreements increasing collective power for RNs to advocate for themselves and their patients