General Information
This Work Situation Report was developed jointly by Representatives of the PEI Nurses’ Union and The Employer. The Work Situation Report Form represents a Provincial standard, and will be utilized by all worksites/work units where PEI Nurses’ Union members are employed, (as indicated in Article 16.7 of the present Collective Agreement) and, therefore, it is not to be changed by any one individual, or organization.
Guidelines for Use
The Work Situation Report is a form to be used to document concerns about patient / client care in the workplace. It does not replace the worksite/work unit’s Incident Report Form.
The purpose of the Work Situation Report is to:
- Provide an avenue whereby the staff members can document and bring concerns to the Employer’s attention for appropriate action; and
- Provide a formal record of concerns about specific problems for future verification, if necessary.
Things to Remember
- Complete the form legibly.
- The form is to be completed by the person(s) involved. DO NOT complete a report for someone else.
- DO NOT identify patients/clients or professional involved in the incident being described.
- The report form should be completed and submitted within 24 hours of the situation.
- As much as possible, report only the facts about which you have first-hand knowledge. If more space is required, please add additional page(s).
- The staff member completing the form must ensure that the report reached Nursing Administration, who in turn, will forward a copy to the Local President or designate.
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