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Safe Staffing Form - Highpointe

Highpointe Staffing Report

1199SEIU members, please use this link to fill out a Staffing Complaint Form: https://bit.ly/ReportShortStaffing
4. Shift for which you are reporting staffing: *This question is required.
This question requires a valid number format.
Number of Pediatric Pavilion Staff on Duty:
(Please exclude staff that are currently being oriented, trained or who are unable to take a full assignment) *This question is required.
Number of Delaware Park Staff on Duty:
(Please exclude staff that are currently being oriented or trained or who are unable to take a full assignment) *This question is required.
Number of Hamlin Park Staff on Duty:
(Please exclude staff that are currently being oriented or trained or who are unable to take a full assignment) *This question is required.
Number of Elmwood Village Staff on Duty:
(Please exclude staff that are currently being oriented or trained or who are unable to take a full assignment) *This question is required.
Number of Cold Springs Staff on Duty:
(Please exclude staff that are currently being oriented or trained or who are unable to take a full assignment) *This question is required.
Number of Allentown Staff on Duty:
(Please exclude staff that are currently being oriented or trained or who are unable to take a full assignment) *This question is required.
Number of Kensington Heights Staff on Duty
(Please exclude staff that are currently being oriented or trained or who are unable to take a full assignment) *This question is required.
Number of Kaisertown Staff on Duty:
(Please exclude staff that are currently being oriented or trained or who are unable to take a full assignment) *This question is required.
Number of University Heights Staff on Duty:
(Please exclude staff that are currently being oriented or trained or who are unable to take a full assignment) *This question is required.
Number of Staff on Duty: *This question is required.
Space Cell Job Title# of Staff on Duty