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RPN Survey - Safe Staffing in Long-Term Care
1.
First Name
2.
Last Name
3.
Email
4.
Workplace
5.
How many beds does your home have? (numerical value only)
6.
How long have you worked at your current workplace?
Less than a year
1-3 years
4-9 years
10-15 years
More than 15 years
7.
How long have you worked in Long-term Care?
Less than a year
1-3 years
4-9 years
10-15 years
More than 15 years
8.
What is your job status?
Full time
Part time
Casual
9.
What shift do you typically work?
Day
Evening
Night
Rotating Schedule
10.
On a typical shift, how many residents are you responsible for providing care to?
11.
On a typical shift, how many RPNs are assigned to your unit/floor?
12.
How frequently are there fewer RPNs on shift than there are meant to be?
Multiple times a week
Every week
A couple times a month
Once a month
Almost never
13.
In your opinion, are there enough RPNs scheduled on a shift to meet residents’ care needs safely?
Always
Often
Sometimes
Rarely
Never
Always
Often
Sometimes
Rarely
Never
14.
In your opinion, are there enough PSWs scheduled on a shift to meet residents’ care needs safely?
Always
Often
Sometimes
Rarely
Never
Always
Often
Sometimes
Rarely
Never
15.
How often does your workload feel clinically unsafe?
Always
Often
Sometimes
Rarely
Never
Always
Often
Sometimes
Rarely
Never
16.
On a typical day shift, how many residents are you responsible for administering medications to?
1–15
16–25
26–35
36–45
46+
Other
17.
How often are you unable to complete all nursing duties during your shift because of staffing levels?
Every shift
Several times per week
About once per week
Less than once per week
Never
18.
Of the residents you medicate, how many require additional assistance (e.g., coaching, positioning, crushing medications, feeding assistance, behavioural support) during medication administration?
19.
Is there a Medication Assistant (PSW/Med-Assist) assigned to your floor who administers medications?
Yes
No
20.
How frequently is care for residents delayed due to staffing shortages?
Always
Often
Sometimes
Rarely
Never
Always
Often
Sometimes
Rarely
Never
21.
Which duties are most often delayed, rushed, or missed because of staffing levels? (Select all that apply)
Medication administration
Wound Care
Documentation
Resident assessments
Monitoring changes in resident condition
Communication with families
Communication with Physicians/MDs/Nurse Practitioners
Infection prevention tasks
Incident Reporting
Other (please describe)
22.
For each medication listed below, approximately how many minutes, on average, does it take you to administer it? Provide your best estimate. This survey will not accept .5s, so please round up to the nearest number. For example, 2.5 would be 3.
Acetaminophen
Morphine
Metoprolol
Ramipril
Digoxin
Insulin
Amoxicillin
Warfarin
Donepezil
Lorazepam
Risperidone
Ropinirole
Salbutamol (Ventolin)
Levothyroxine
Other (Please fill in)
23.
Compared to when you started working, do you find yourself
Working short a lot more often
Working short a little more often
Working short about the same amount
Working short a little less often
Working short a lot less often
24.
Does your home have a working short plan, or a “contingency plan”?
Yes
No
I don’t know
25.
When you’re working short, how likely is management to assist you on the floor?
Management always helps out on the floor if we’re working short
Management sometimes helps out on the floor if we’re working short
Management never helps out on the floor if we’re working short
26.
How frequently do you have to work a double shift because another worker is absent?
Multiple times a week
Every week
A couple times a month
Once a month
Almost never
27.
How often do you receive a call-in request to pick up a shift?
Multiple times a week
Once a week
A couple times a month
Once a month
Almost never
28.
In the past 6 months, have you experienced any of the following due to low staffing levels? (Select all that apply)
Burnout
Anxiety or stress
Moral distress
Missed breaks
Physical injury
Increased exposure to violence
Fear of professional liability
Considering leaving long-term care
29.
How concerned are you about professional accountability or liability because of unsafe staffing levels?
Extremely concerned
Very concerned
Moderately concerned
Slightly concerned
Not concerned
Extremely concerned
Very concerned
Moderately concerned
Slightly concerned
Not concerned
30.
What do you believe is a safe number of residents for one RPN to be responsible for on your usual shift? (Please insert a number for each shift)
Day shift
Evening shift
Night Shift
31.
If staffing was improved, what would make the biggest difference clinically? (select up to 3)
Safer medication administration
More timely wound care/treatments
Better monitoring of condition changes
Better documentation
Fewer errors or near misses
Reduced staff burnout
Other
32.
What is your age?
18-24
25-39
40-60
60+
33.
What is your gender?
Male
Female
Non-binary or two-spirit
Not listed, fill-in
34.
How would you describe your ethnic background? (check all that apply)
Black / African / Caribbean
South Asian
East Asian
Southeast Asian
Middle Eastern / North African
White / European
Latin American
Indigenous Canadian
Not listed, fill-in