SEIU Healthcare 1199NW Experiences with COVID-19 in the Workplace
Answers will be aggregated and identifying information will be removed from the final survey results. Updating your contact information allows an organizer to follow up to discuss what’s happening in your facility and how to address concerns identified by you and your coworkers.
1.
Name
2.
Employer
Astria Toppenish Hospital
Behavioral Health Resources
Cascade Behavioral Hospital
Catholic Community Services
Community Health Care
Compass Health
Deaconess Hospital
Department of Social and Health Services/Department of Health
DESC
EvergreenHealth
EvergreenHealth Monroe
Harborview Medical Center
Highline Medical Center
Island Hospital
Kadlec Regional Medical Center
Kaiser Permanente of Washington
Kindred Hospital
Klickitat Valley Health
Lifelong AIDS Alliance
Lincoln Hospital
MultiCare Auburn Medical Center
MultiCare Good Samaritan Hospital
MultiCare Puyallup Urgent Care Center
Navos Mental Health Solutions
Newport Hospital & Health Services
Northwest Hospital & Medical Center
Olympic Medical Center
PeaceHealth St. Joseph Medical Center
PMH Medical Center
Providence Sound Home Care and Hospice
Providence St. Peter Hospital
Regional Hospital for Respiratory and Complex Care
St. Clare Hospital
St. Elizabeth Hospital
St. Joseph Medical Center
Swedish Medical Center
Swedish Medical Center - Edmonds
Trios Health
UW Neighborhood Clinics
Valley Hospital
Valley Medical Center
Virginia Mason Memorial Hospital
Yakima Health District
Neighborcare Health
3.
Unit
4.
Job title
5.
Email
6.
Cell Phone
7.
Name of the facility in which you work:
8.
In which of the following are you based:
Hospital
Clinic
Outpatient behavioral health facility
Other (please specify)
9.
What is your department/unit?
10.
Do you work at a facility that has cared for patients with known or suspected COVID-19?
Yes
No
Unsure
11.
Have you provided direct care to a patient with known or suspected COVID-19?
Yes
No
Unsure
12.
If you did provide direct care to a known or suspected COVID-19 patient, how were you informed that you would be caring for them? Include who informed you and when, in relation to your shift.
13.
If you did provide direct care to a known or suspected COVID-19 patient, has management communicated actions to take if you believe you have been exposed or if you exhibit symptoms (e.g., fever, cough, shortness of breath)? (check all that apply)
Manager notified me
Employee health notified me
I learned from the media
Nobody notified me
Not Applicable
Other (please specify)
14.
If management did communicate actions you should take due to exposure or exhibiting symptoms, what steps did the employer recommend?
Follow CDC Guidelines
Follow advice from employee health
I still have unanswered questions
Not Applicable
Other (please specify)
15.
Were you instructed to stay home from work for being exposed to a known or suspected COVID-19 patient or being symptomatic? (check all that apply)
I was furloughed
I was told to stay home by my manager
I was told to stay home by employee health
I chose to stay home
Not applicable
16.
If you were instructed to stay home from work, is the employer paying you or did the employer instruct you to use sick time/PTO/EIB, unpaid leave, or file for worker’s compensation?
My employer is paying me
I am using my PTO or EIB or sick time
I am using unpaid leave
I don’t know
Not Applicable
17.
Currently, do you feel prepared to provide care for a patient with known or suspected COVID-19?
Yes
No
Unsure
18.
Does your facility have a plan in place to care for those with known or suspected COVID-19?
Yes
No
Unsure
19.
Is there a place in your facility to screen and triage patients who come into the facility to make sure that patients with possible COVID-19 are isolated?
Yes
No
Unsure
20.
Is your facility having patients who exhibit COVID-19 symptoms wear masks when they enter the facility, including while they are in a waiting room?
Yes
No
Unsure
21.
Has your facility adopted additional cleaning/sanitizing of public areas and waiting rooms?
Yes
No
Unsure
22.
Has your facility communicated to you about additional cleaning/sanitizing and what specifically has been added to common practice?
Yes
No
Unsure
23.
If your facility has communicated to you about this, please describe the additional cleaning/sanitizing services being practiced.
24.
Does your facility have contractors that provide environmental or janitorial services?
Yes
No
Unsure
25.
Have you been told that you are responsible for additional cleaning/sanitizing?
Yes, and I am an Environmental Services employee
Yes, and I am NOT an Environmental Services employee
No
Unsure
26.
If you have been told you are responsible for additional cleaning/sanitizing, who informed you and when in relation to your shift?
27.
If additional cleaning/sanitizing practices are happening at your facility, do you feel comfortable that the practices you or others are doing are creating a safer environment for patients and co-workers?
Yes
No
Unsure
Other (please specify)
28.
Have changes been made to the way food is being delivered to patients with known or suspected COVID-19? (check all that apply)
Dietary workers are provided protective gear
Disposable trays are used for food
No changes have been made
I don’t know
Other (please specify)
29.
If you work in a unit with known or suspected COVID-19 patients (including the Emergency Department), has your facility improved/increased Environmental Services staffing on your unit?
Yes
No
Unsure
Not applicable
30.
Is your patient load being adjusted if you are assigned to care for a known or suspected COVID-19 patient?
Yes
No
Not Applicable
31.
Does the facility have negative air pressure rooms?
Yes
No
Unsure
32.
Do you know where they are located?
Yes
No
Unsure
33.
Does the facility have N-95 respirators available?
Yes
No
Unsure
34.
Is yearly N-95 respirator fit testing been provided?
Yes
No
Unsure
My unit uses another type of respirator that does not require fit testing (i.e. CAPR)
35.
Does your facility have PAPRs or reusable respirators?
Yes
No
Unsure
36.
Do you have access to adequate supplies of personal protective equipment (PPE) (respirators, eye protection, face shield, gloves) to do your work?
Yes
No
Unsure
37.
Has management assigned/asked for staff volunteers dedicated to care for patients with COVID-19?
Yes
No
Unsure
38.
What type of preparation and training has your facility conducted? (check all that apply)
Adding questions to intake screening
Posting of CDC checklist for patients with known or suspected COVID-19 on your unit
Posting phone number of state Department of Health
Plan for patient transport from clinic/community to ED
Plan for patient transport from ED to inpatient setting
Setting up separate screening areas for potential patients
Setting up isolation areas specific for patients with known or suspected COVID-19
CDC-recommended personal protective equipment (PPE) is immediately available to staff
CDC-recommended PPE kits ready for use and practice for clinic, public health, ambulatory setting
CDC recommended PPE kits ready for use and practice for ED or Urgent Care setting
Training staff on current infection control protocols
Employer-provided training on when to use PPE, donning, and doffing.
Discussed safety and patient care delivery in daily huddle
Clinical protocols for aerosol-generating procedures (bronchoscopy, intubation, CPR, respiratory suctioning, etc.)
Appropriate cleaning materials
I do not know
39.
If training is being conducted, what methods of instruction are being used?
General meetings/forums
Literature provided
Videos
Webinars
Inservices/huddles
Review of updated PPE procedures
Repetitive hands-on drills appropriate to your role including donning and doffing PPE
40.
Does the PPE you are using to treat suspected or confirmed COVID-19 patients require the assistance of a co-worker to remove?
Yes
No
Not Applicable
41.
If the PPE does require the assistance of a co-worker to help remove it, has your staffing been adjusted to allow for that extra support?
Yes
No
Not Applicable
If "Yes," please explain.
42.
How is your unit/department/facility filling open shifts? (check all that apply)
Float Pool
Per Diems
Overtime
Double time/incentive shift pay
Agency
We are not filling open shifts
Other (please specify)
43.
Are you afraid to come to work?
No
Yes
If yes, please explain.
44.
On a scale of 1-5, how would you rate your facility’s communication to you and your coworkers regarding PPE and safety measures that are being taken throughout the hospital?
1 Poor; we do not get information in a timely manner that answers our questions/concerns
2
3 Moderate; we get some information but it’s often delayed and/or only answers some of our questions/concerns
4
5 Excellent; we get timely information that answers our questions/concerns
45.
How is your facility communicating with you and your coworkers? (check all that apply)
Facility-wide emails
Department huddles with manager
Department huddles with administrators (such as Chief Nursing Officer/Vice President of Nursing, Chief Medical Officer, Infection Control, etc.)
Phone calls
None of the above-- we are not getting any communication
Other (please specify)
46.
What additional information do you need to feel safe and informed (e.g., effectiveness of employer response, resources, personal support)?
47.
Additional comments or things you would like to make sure are known:
48.
Would you like an organizer to follow up with you about your survey response?
Yes
No
Unsure
