She took a lead role in organizing over 800 nurses in 2013, leading to a successful election and a strong RN union at CPMC, despite an ugly anti-union campaign waged by a multi-million dollar healthcare corporation. Amy was also elected as the Chief Nurse Representative, joining the bargaining team in negotiations, resulting in a strong first union contract for CPMC Pacific, ratified in March of 2016. She has been involved many labor activities, campaigns and events in San Francisco and the Bay Area through her involvement with the SF Labor Council, Jobs with Justice and the California Nurses Association.