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COVID- 19 Healthy Workplace Survey

WSNA continues to fight for the safety and welfare of nurses through the COVID-19 crisis. As the number of cases and deaths mount, we need to know what you’re facing today. The time you take to complete this survey will help us advocate for you, in your facilities and at the state and national levels. Your collective responses will be shared with those who can help increase the flow of resources into our state and support a safe and healthy workplace. 
1.Name of the facility in which you work
2.What type of department/unit do you work in?
3.Have you been providing direct care to diagnosed COVID 19 patient(s)?
4.Did you receive hospital provided/laundered scrubs when proving direct care to diagnosed COVID 19 patient(s)?
5.Have you provided care to suspected COVID 19 patient(s)?
6.Did you receive hospital provided/laundered scrubs when providing care to suspected COVID 19 patient(s)?
7.When caring for suspected/diagnosed COVID 19 patient(s), how often did you have access to the following personal protective equipment?
100% of the time
More than 50% of time
Less than 50% of time
No access
N95 respirator
PAPR
CAPR
Medical facemask
Eye protection
Disposable gown
Gloves
8.Have you been required to use the same respirator or facemask to care for more than one patient?
9.Have you been required to use the same respirator or facemask for an entire shift?
10.Are replacement respirators or facemasks available if they become wet or soiled?
11.Does your facility have PPE that they are currently stockpiling (e.g., N-95 masks that were collected and locked up rather than being provided to staff)?
12.Have you been called in and/or reassigned to a different unit than your home unit?
13.Did you receive orientation/support when you worked in an area other than your home unit?
14.If exposed to COVID 19 patients, were you notified of the exposure by your employer?
15.Have you requested to be tested for COVID 19?
16.When requesting to be tested for COVID 19, did you have timely access to a COVID 19 test?
17.Have you been tested for COVID 19?
18.If yes, did you test positive?
19.Have you been furloughed/quarantined by your employer during this time? 
20.If yes, for how many days?
21.How were you paid for furloughed/quarantined time?
22.Have you been low censused due to unit/area closures related to COVID 19?
23.If you are in an at-risk group, (e.g., pregnant, ≥ age 60, etc.) have you sought accommodation from your employer?
24.If yes, were you granted accommodation?
25.Do you have someone in one of the vulnerable categories living with you?
26.If yes, check those that apply
27.How concerned are you about transmitting COVID-19 to family members when you return home after your shift?
28.If alternate housing was made available to front line workers, how likely would you be to access this resource?
29.What is your perceived level of stress during this COVID-19 crisis?
30.Do you feel supported by leadership/administration at your facility?
31.Do you feel that your union is fighting/advocating for you during this COVID 19 crisis?
32.Of the work that WSNA is engaged in related to the COVID 19 crisis, what has been most helpful and/or effective? (Check all that apply)
33.Has your employer directed you not to discuss COVID-19 issues with the media and/or outside of the workplace?
34.What questions or suggestions do you have at this time?
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