As Nurses and Health Care Professionals we are obligated to speak up for our patients and our practice. The Concern for Safe Staffing form is notice to FAHC that in your assessment, based on your professional experience and knowledge, the staffing complement that you are being asked to work within is unsafe. This form is used in the systematic evaluation of staffing, it is VITAL that prior to submitting this form you communicate your concern to your management team and/or their representative AND collaborate with them to develop a plan to ensure the safety of your patients, coworkers, and yourself.
If your issue doesn't fit well in the form details below, please use this space to describe your concerns, so we can make the workplace safer for all.
By submitting this form you are providing notice to FAHC of your dispute for the staffing complement you are being asking to work within. When you submit this form it is submitted to the FAHC director of Nursing (or their designee) and to The Vermont Federation of Nurses and Health Professionals. Thank you for advocating for yourself, your co-workers, and the patients we care for.