HCC Workload Review Form

Form Instructions

First welcome and thank you for taking the time to help improve resident care, safety and professional nursing practice by completing this form. Together we can all contribute to the best possible experience for those we care for and for those who provide that professional care.

For SEIU members, please complete the professional practice workload review form and include your contact information, phone number & email.

Make sure to click on each section to fill out all the information before you submit the form.

At the time the workload issue occurred, I/we discussed the issue within unit to resolve the concern using current resources.

Failing resolution at the time of occurrence, using established lines of communication, I/we sought immediate assistance from an individual(s) identified by the Employer (who could be within the bargaining unit) who has responsibility for timely resolution of workload issues.

Brief Description of Workload Concern:

Recommendation to Resolve:

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