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. Question Title * 1. Name Question Title * 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 Question Title * 3. Unit Question Title * 4. Job title Question Title * 5. Email Question Title * 6. Cell Phone Question Title * 7. Name of the facility in which you work: Question Title * 8. In which of the following are you based: Hospital Clinic Outpatient behavioral health facility Other (please specify) Question Title * 9. What is your department/unit? Question Title * 10. Do you work at a facility that has cared for patients with known or suspected COVID-19? Yes No Unsure Question Title * 11. Have you provided direct care to a patient with known or suspected COVID-19? Yes No Unsure Question Title * 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. Question Title * 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) Question Title * 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) Question Title * 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 Question Title * 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 Question Title * 17. Currently, do you feel prepared to provide care for a patient with known or suspected COVID-19? Yes No Unsure Question Title * 18. Does your facility have a plan in place to care for those with known or suspected COVID-19? Yes No Unsure Question Title * 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 Question Title * 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 Question Title * 21. Has your facility adopted additional cleaning/sanitizing of public areas and waiting rooms? Yes No Unsure Question Title * 22. Has your facility communicated to you about additional cleaning/sanitizing and what specifically has been added to common practice? Yes No Unsure Question Title * 23. If your facility has communicated to you about this, please describe the additional cleaning/sanitizing services being practiced. Question Title * 24. Does your facility have contractors that provide environmental or janitorial services? Yes No Unsure Question Title * 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 Question Title * 26. If you have been told you are responsible for additional cleaning/sanitizing, who informed you and when in relation to your shift? Question Title * 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) Question Title * 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) Question Title * 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 Question Title * 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 Question Title * 31. Does the facility have negative air pressure rooms? Yes No Unsure Question Title * 32. Do you know where they are located? Yes No Unsure Question Title * 33. Does the facility have N-95 respirators available? Yes No Unsure Question Title * 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) Question Title * 35. Does your facility have PAPRs or reusable respirators? Yes No Unsure Question Title * 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 Question Title * 37. Has management assigned/asked for staff volunteers dedicated to care for patients with COVID-19? Yes No Unsure Question Title * 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 Question Title * 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 Question Title * 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 Question Title * 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. Question Title * 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) Question Title * 43. Are you afraid to come to work? No Yes If yes, please explain. Question Title * 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 Question Title * 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) Question Title * 46. What additional information do you need to feel safe and informed (e.g., effectiveness of employer response, resources, personal support)? Question Title * 47. Additional comments or things you would like to make sure are known: Question Title * 48. Would you like an organizer to follow up with you about your survey response? Yes No Unsure Done