Staff Redeployment Survey Question Title * 1. What is your first and last name? Question Title * 2. What is your employee ID? Question Title * 3. What is your job/position title with Health PEI? Question Title * 4. What is your home department(s) within Health PEI? Home Department Other Department(s) Question Title * 5. What is the facility you currently work at? Question Title * 6. Which facilities would you be willing to work at? Question Title * 7. Are you able to travel within PEI to work in other locations? Yes No Question Title * 8. If you answered yes above, please select the area(s) below that you are willing to travel to: Central East West All of the above N/A Question Title * 9. If you are willing to travel, do you require accommodations (e.g. hotel)? Yes No If yes, please specify: Question Title * 10. What clinical areas do you have current or past experience working in? Question Title * 11. What is your FTE? 1.0 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 Casual Question Title * 12. What is your usual FTE worked? ie. average per week 1.0 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 Question Title * 13. What is the amount of time you are available? (FTE) 1.0 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 Question Title * 14. When are you available to work? Day Evening Overnights Week days Weekends Anytime Question Title * 15. Are you willing to be trained in new clinical areas? Yes No If yes, which ones? (please specify) Question Title * 16. Do you have training in working with COVID positive patients? Yes No Question Title * 17. Are you willing to be trained to work with COVID positive patients? Yes No Question Title * 18. Do you have any current work restrictions or limitations? Yes No If yes, please identify: Question Title * 19. Are you currently in an active work accommodation? Yes No Question Title * 20. Clinical Certifications and/or Skills If you are a Regulated Health Professional, please indicate the additional certifications that you have from the list below. Check all that apply: ACLS Certification (which also requires your BCLS) Coronary Care 1 Certification Critical Care Certification LEAP Gerontology or Palliative Care Trauma Informed Care CBT DBT specifically trained in N/A Other (please specify) Question Title * 21. Advanced Clinical Skills/EducationIf you are a Regulated Health Professional, please indicate any additional advanced skills/education that you have from the list below. Check all that apply: Accessing Central Lines Arterial Line management this includes blood draws (Radial and Femoral) Mechanical Ventilation (airway protection, management) Titratable Medications (i.e. Pressors) Balloon Pump N/A Other (please specify) Question Title * 22. Clinical Systems ExperienceDo you have experience with any of the following: ISM Cerner N/A Other (please specify) Question Title * 23. Patient Support SkillsPlease indicate the clinical areas you feel you could provide patient support/assistance, in accordance with your regulatory association. Check all that apply: Patient Transport Assistance with Activities of Daily Living Companionship Patient Chart Retrieval Donning/Doffing PPE Practice/Education N/A Other (please specify) Question Title * 24. Additional Skills Please indicate any additional skills you would like us to consider in the event that redeployment is required. Check all that apply: Computer Skills Customer Service Clerical/Administrative Support Call Centre Wayfinding Food Handling Mail Delivery Screening Portering Project Management Logisitics Scheduling Other (please specify) Question Title * 25. If you wish to share any additional information, please do so here: Done
