DETAILS OF OCCURENCE. Is this an: ☐ Isolated Incident ☐ Ongoing Problem (Check One) I/We the undersigned, believe that I was/we were given an assignment that was excessive or inconsistent with quality patient care and/or created an unsafe working environment for the following reasons. (Provide brief description of problem/work assignment below, including what happened, how the assignment was inconsistent with quality patient care and/or created an unsafe work environment, where the incident happened.:
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Samples: Part Time, Collective Agreement, Full Time