Member outreach is a key element of internal organizing, whether nurses have been unionized for a few years or for decades. “Visibility is our tool,” says Kristine Kittleson, RN and member of the Professional Practice Committee at Ascension Seton Medical Center Austin in Austin, Texas. “Texas is a right-to-work state. The union is us. We have to be visible to keep our membership up, to keep up with recruitment.”