The Australian Nursing and Midwifery Federation Tasmanian Branch (ANMF) has developed this electronic workload form for members working at the Launceston General Hospital (LGH) 3R to record workload concerns. The information collected will be used to identify shortfalls in staffing.

The survey will remain open indefinitely allowing members to complete the electronic form at their own convenience following shifts worked that have not met safe staffing standards.

Question Title

* 1. If possible, please provide the date for the shift in question.

Date

Question Title

* 2. Was the shift?

T