Please take the time to complete & submit this 2008 negotiations survey. The current contract expires 9/30/2008. Your SNA Negotiatoins team needs your feedback & ideas in order to establish proposals for contract changes. This survey is one of the crucial steps taken by the SNA team to properly represent you. We welcome your comments, there is space provided at the end of the survey.

Please complete by April 30, 2008

1) Wage increase during term of new contract?

10%	15%	25%
12%	20%	%

2) The following is a list of many potential contract issues. Please rate the following issues that you want the SNA Team to address during negotiations in order of importance to you.

Choose only 10 and rate them 1= most important to 10= least important

If the item doesn’t appear, please type it in. Then, please briefly state what change you’d recommend in the space for comments.

Absenteeism Policy 0 1 2 3 4 5 6 7 8 9 10

Incentives/ Bonuses 0 1 2 3 4 5 6 7 8 9 10

Retiree Health 0 1 2 3 4 5 6 7 8 9 10

Acuity/Grasp 0 1 2 3 4 5 6 7 8 9 10

Long-term disability 0 1 2 3 4 5 6 7 8 9 10

Retirement Plan 0 1 2 3 4 5 6 7 8 9 10

AUP process 0 1 2 3 4 5 6 7 8 9 10

Lead Nurse diff. 0 1 2 3 4 5 6 7 8 9 10

Seniority   0 1 2 3 4 5 6 7 8 9 10

Casual Pool 0 1 2 3 4 5 6 7 8 9 10

Lead Nurse Role/Job Descrip. 0 1 2 3 4 5 6 7 8 9 10

Scheduling  0 1 2 3 4 5 6 7 8 9 10

CES 0 1 2 3 4 5 6 7 8 9 10

Leaves of absence 0 1 2 3 4 5 6 7 8 9 10

Sick Leave  0 1 2 3 4 5 6 7 8 9 10

Childcare  0 1 2 3 4 5 6 7 8 9 10

Mandatory Cert./ Recert. 0 1 2 3 4 5 6 7 8 9 10

Shift diffs. (PMs 9%, Nocs 25%) 0 1 2 3 4 5 6 7 8 9 10

Clinical Ladder   0 1 2 3 4 5 6 7 8 9 10

National Certification 0 1 2 3 4 5 6 7 8 9 10

Staffing/Ratios/Matrix 0 1 2 3 4 5 6 7 8 9 10

Compassionate leave    0 1 2 3 4 5 6 7 8 9 10

On-Call/ Call back 0 1 2 3 4 5 6 7 8 9 10

Supervision of the LVN/CP/ Tech 0 1 2 3 4 5 6 7 8 9 10

ETO  0 1 2 3 4 5 6 7 8 9 10

Other Insurance (Life/Cancer) 0 1 2 3 4 5 6 7 8 9 10

Tenure steps (e.g. step 6 at 5%)    0 1 2 3 4 5 6 7 8 9 10

Education leave  0 1 2 3 4 5 6 7 8 9 10

Overtime 0 1 2 3 4 5 6 7 8 9 10

12 hour shifts 0 1 2 3 4 5 6 7 8 9 10

15 yr. Hawaii Trip 0 1 2 3 4 5 6 7 8 9 10

Preceptor diff. 0 1 2 3 4 5 6 7 8 9 10

Variable shifts 0 1 2 3 4 5 6 7 8 9 10

Floating/Float Diff 0 1 2 3 4 5 6 7 8 9 10

Reduction of hours 0 1 2 3 4 5 6 7 8 9 10

Wages 0 1 2 3 4 5 6 7 8 9 10

Health Plan (including) LDM 0 1 2 3 4 5 6 7 8 9 10

Relief Avail./Scheduling 0 1 2 3 4 5 6 7 8 9 10

Weekend differential   0 1 2 3 4 5 6 7 8 9 10

Holidays 0 1 2 3 4 5 6 7 8 9 10

Relief Diff.   0 1 2 3 4 5 6 7 8 9 10

Other

Comments:

3) Retention– What kinds of things cause you to continue your career at SRMH or would make the difference in your decision to continue your career at SRMH?
Please choose & rate 1-5, (1=Most important) to (5=least important).

Ability to provide pt. care with less lifting & potential for injury 0 1 2 3 4 5

Higher wages 0 1 2 3 4 5

Retirement Benefits 0 1 2 3 4 5

Availability of alternative shifts 0 1 2 3 4 5

Satisfying relationships w/ managers & peers 0 1 2 3 4 5

Better Staffing 0 1 2 3 4 5

Schedule that meets your needs 0 1 2 3 4 5

Childcare 0 1 2 3 4 5

Time off 0 1 2 3 4 5

Educational opportunities 0 1 2 3 4 5

Tuition reimbursement (Relief Nurses included or other 0 1 2 3 4 5

Flexibility in work category (e.g. the ability to work 1,2,3,4 days/wk with prorated benefits.) 0 1 2 3 4 5

Other
0 1 2 3 4 5

 4) My home unit is:

1E

Angio

ER

Radiology

2E

ASC

OPP

RPHS

2CE

Case Mgmt

OR

Step down

3E

CCD

PACU

Fulton Urgent Care

3W

Ease

Pall. Care

3N

Endo

PCS

4W

EP Lab

Peds

5) My current work status is:
Full-time	Relief Category:
RPT4	A
RPT3	B
RPT2	C
Casual pool	D
Casual Pool: B

6) My shift is:
Days	12 hr.
PM’s	10 hr.
Nights	8 hr.
	Variable
7) Years at SRMH:
Less than 3 yrs.	15-20 yrs.
3-5 yrs.	20-25 yrs.
5-10 yrs.	25-30 yrs.
10-15 yrs.	Over 30 yrs.
8) How many extra shifts/pay period do you work?
9) Are you: SN I SN II SN III SN IV
10) Do you have a National Certification? Yes No How Much did your test cost? How many years is your Certification good for? What is the cost to renew?
11) I belong to a council/ committee/ task force: yes no If yes, which one?

12) Are you interested in being a SNA rep for your department?

yes no

If yes, which department?

13) Please check the way in which you will support the negotiation process:

Attendance at negotiation sessions
Attendance @ SNA meetings
Chocolate!!!
Phone Calling

14) How are we doing?

Do you feel that SNA accurately and adequately represents your interests at SRMH?

yes no

If no, please explain

If you checked any of the above listed activities, please tell us who you are, so we may contact you!

Name:

Phone#

Best time to call

E-mail:

Comments and Suggestion for changes:

Please submit this form via the internet by April 30th

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