Nursing Nursing Workload/Staffing Workload/Staffing

ReportReport

Guidelines For Guidelines For

UseUse

PurposePurpose• Tool developed by Tool developed by

Union/Management to facilitate Union/Management to facilitate discussion and promote a problem discussion and promote a problem solving approach.solving approach.

• These tools are cost shared by both These tools are cost shared by both organizations.organizations.

• To identify areas of staffing concerns.To identify areas of staffing concerns.

• Retrospective look.Retrospective look.

Filling in the FormFilling in the Form• At the time the workload issue occurs, At the time the workload issue occurs,

discuss the matter with the Team discuss the matter with the Team Manager/NRC to develop strategies to Manager/NRC to develop strategies to meet client care needs using current meet client care needs using current resources. resources.

• If necessary, using established lines of If necessary, using established lines of communication, seek immediate communication, seek immediate assistance from an individual identified by assistance from an individual identified by the Employer e.g. Team manager/NRC who the Employer e.g. Team manager/NRC who has responsibility for timely resolution of has responsibility for timely resolution of workload issues.workload issues.

• The management decision may The management decision may include:include:

– Calling additional appropriate staff to meet Calling additional appropriate staff to meet the needs of the clients.the needs of the clients.

– In the event additional staff are not In the event additional staff are not available a decision to reassign clients available a decision to reassign clients may be needed. It is necessary to locate a may be needed. It is necessary to locate a Team Manager for consultation.Team Manager for consultation.

1. When and where the 1. When and where the situation occurred:situation occurred:

•Tell us the time of the Tell us the time of the situation being as specific as situation being as specific as possible, as well as how long possible, as well as how long the situation lasted.the situation lasted.

•Allows union/management to Allows union/management to

track trends (reoccurring track trends (reoccurring patterns)patterns)

2. Details of 2. Details of the Situationthe Situation

• Tell us what was Tell us what was happening from happening from your perspectiveyour perspective

3. Client Care and 3. Client Care and other Contributing other Contributing Factors to the Factors to the SituationSituation

• Complete as indicated using a Complete as indicated using a check mark.check mark.

4. Working Conditions4. Working Conditions

• Complete as indicated. Try to provide Complete as indicated. Try to provide as much detail as possible so that we as much detail as possible so that we can “see” what the situation was at can “see” what the situation was at the time. the time.

5. Remedy5. Remedy

• This section is utilized to This section is utilized to retrospectively review if the retrospectively review if the additional resources helped to additional resources helped to alleviate the situation.alleviate the situation.

• This is to be completed even when it This is to be completed even when it is a “good thing”. A positive is a “good thing”. A positive reflection.reflection.

6. Recommendations6. Recommendations

• This is a subjective view, based on This is a subjective view, based on the situation.the situation.

7. Signatures.7. Signatures.

• Self explanatory. This section is for Self explanatory. This section is for MNU members to sign, only. MNU members to sign, only.

• Please do not get members from Please do not get members from other collective bargaining units to other collective bargaining units to sign.sign.

8. Is This Issue Being Referred 8. Is This Issue Being Referred to NAC at this time?to NAC at this time?

• AllAll workload forms will be trended workload forms will be trended for discussion at the local NAC for discussion at the local NAC meetings.meetings.

• If issue remains unresolved, from the If issue remains unresolved, from the perspective of the nurse (s), it may perspective of the nurse (s), it may be referred to an Independent be referred to an Independent Assessment Committee (IAC)Assessment Committee (IAC)

9. Response9. Response

• This area needs to be used in a This area needs to be used in a constructive manner.constructive manner.

• Management should not personalize Management should not personalize the responsethe response

i.e.. As a result of a bad day from the i.e.. As a result of a bad day from the

nurses perspective, this does not nurses perspective, this does not reflect on management’s supervisory reflect on management’s supervisory skills.skills.

Completion of the formCompletion of the form

The nurse (s) file NWSR with their The nurse (s) file NWSR with their Team Manager who then forwards Team Manager who then forwards the completed form to:the completed form to:

Anita Moore’s office for PUBLIC Anita Moore’s office for PUBLIC HEALTHHEALTH

Debra Vanance’s office for HOME Debra Vanance’s office for HOME CARECARE

QUESTIONS????QUESTIONS????