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* 1. How many years have you worked for PVNA?

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* 2. How many days do you work per pay period?

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* 3. PVNA involvement/responsibilities: Mark all that apply

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* 4. Do the above job titles and special interest teams impact your productivity and OT?

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* 5. In the past two years, has your manager or management spoken to you about OT?

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* 6. If the answer to question 5 was yes, list suggestions given to you by management to help you successfully reduce OT

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* 7. If the answer to question 5 was no, list the ways you prevent OT

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* 8. How do you perceive management’s approach to your OT? Mark all that apply

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* 9. Do you fear repercussions, progressive counseling, or termination by management if you claim too much OT?

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* 10. Does the quality of your work decline in order for you to reduce OT?

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* 11. Does it take you more than 8 hours to meet productivity expectations of 4-5 contacts? (Including documentation, SOCs, and OASIS time points)

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* 12. Do you complete OT work on your day/s off and report them as regular hours?

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* 13. Do you work during your unpaid lunch break? (Example; documentation, telephone calls, scheduling, etc)

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* 14. Do you work through your two paid 15 min breaks?

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* 15. Do you keep a daily journal to log productivity and OT?

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* 16. Has management’s goal to remain the lowest OT users in all Providence homecare agencies affected the quality or your care and customer service?

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* 17. Do you believe management’s recent budget increase in productivity expectation and PVNA having the lowest OT in all Providence Homecare Agencies in Washington and California is due to PVNA RNs working off the clock?

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