What type of nurse are you?
RN
NP
APRN
LVN/LPN
other
What type of nurse are you?
RN
NP
APRN
LVN/LPN
Other/Comment
Postion:
staff (benefitted)
per diem (no benefits)
traveler or contracted
self employed
other
Shift:
Days
Eves
NOC
other
(check all that apply)
100% virtual (remote)
hybrid (some virtual)
outpatient
inpatient (admitted/stay overnight)
other
Years of experience as a nurse?
If you chose "other", what is your position?
What is your specialty/department?
Please Select
Aesthetics
Anesthesia
Ambulatory Surgical Center (ASC)
Cardiology
Case Management
Correctional
Education
Emergency Department (ED)
Fertility
Gastroenterology
Gynecology
Hematology
Home Health
Hospice
Infusion
Intensive Care Unit (ICU)
Labor and delivery (L&D)
Lactation
Management
Medical Surgical
Neonatal intensive care unit (NICU)
Neurology
Oncology
Operating room (OR)
Orthopedics
Pain Management
Pediatrics
Peritoneal dialysis
Pharmaceuticals
Post Partum
Post-anesthesia care unit nurse (PACU)
Primary Care
Psych
Rehabilitation
Research (Clinical Trials)
Research (other, please specify in sub specialty question)
Skilled nursing facility (SNF)
Step-down
Telemetry
Transplant
Urology
Wound
Other
If you chose "other", what is your specialty/department?
Optional: sub-specialty
How are you paid?
Hourly
Salary
Contract
other
What is your base hourly wage (without differential)?
(If not in U.S. dollars, please specify currency)
What is your shift differential (if any).
(If not in U.S. dollars, please specify currency)
What is your annual salary?
How much is your contract pay?
Ex: $65/hour or $3,500 week for 36 hours a week
How many hours per week is considered full time for you?
40
36
other
What city/state do you work in?
Location of workplace (state)
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
IllinoisIndiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
MontanaNebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
PennsylvaniaRhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other (not in U.S.)
Location of workplace (city)
*
Please enter name of city "des moines" or enter zip code
Name of your workplace?
Ex: "Rush University Medical Center"
Enter email if you would like monthly updates (your email will never be shared)
example@example.com
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What benefits does your employer offer to nurses?
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Name of your hospital or workplace?
*
same as above
other work place name
Name of your hospital or workplace?
*
Ex: "Rush University Medical Center"
Financial Benefits (check all that apply)
401k or 403b
lump sum payout retirement
traditional pension
FSA (flexible spending account)
student loan repayment
bonuses
I'm not sure what's offered
other/leave comment
What % is matched by employer?
Ex: "Employer matches 10% of what you put in, up to 6% of total earnings" or "I'm not sure"
How many years until vested?
Ex: "After 3 years of service" or "not sure"
How much does your employer contribute to FSA?
Ex: "They match up to $500/yr" or "not sure"
How much are your bonuses? How often?
Health & Wellness Benefits (check all that apply)
medical insurance
dental insurance
vision insurance
employee assistance program (EAP)
psychological first aid program
sick time
vacation time
PTO
gym reimbursement
maternity leave
paternity leave
breast milk pumping room
fertility assistance
other/leave comment
About how much does medical insurance cost you?
Ex: "Around $60/month for myself and my partner" or "I'm not sure"
How much sick time a year?
Ex: "5 days a year" or "not sure"
How much vacation time a year?
Ex: "5 weeks a year" or "not sure"
How much PTO a year?
Ex: "5 weeks a year" or "not sure"
How often do you get the vacation/PTO you want?
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
How is vacation requested/granted?
Ex: "1 year in advance, by seniority"
How much maternity leave? Is it paid fully, partially or not at all?
How much paternity leave? Is it paid fully, partially or not at all?
Transportation Benefits (check all that apply)
free parking
pay for parking
secure bike parking
nearby public transportation
other/leave comment
How much does parking cost?
Professional Development (check all that apply)
paid education hours
certifications reimbursement
tuition reimbursement program
available & helpful nurse educator
new grad training program
other/leave comment
How much $ for tuition reimbursement? And what is the commitment?
How would you score the quality of the new grad program? (either from experience or observation of others)
1
2
3
4
5
Out of pocket costs to nurses (check all that apply)
uniforms/scrubs
union fees
other/leave comment
Specific to your unit or department
Please Select
Aesthetics
Ambulatory Surgical Center (ASC)
Cardiology
Case Management
Correctional
Education
Emergency Department (ED)
Fertility
Gastroenterology
Gynecology
Hematology
Home Health
Hospice
Infusion
Intensive Care Unit (ICU)
Labor and delivery (L&D)
Lactation
Management
Medical Surgical
Neonatal intensive care unit (NICU)
Neurology
Oncology
Operating room (OR)
Orthopedics
Pain Management
Pediatrics
Peritoneal dialysis
Pharmaceuticals
Post Partum
Post-anesthesia care unit nurse (PACU)
Primary Care
Psych
Rehabilitation
Research (Clinical Trials)
Research (other, please specify in sub specialty question)
Skilled nursing facility (SNF)
Step-down
Telemetry
Transplant
Urology
Wound
Other
If you selected "other", what is your specialty, unit or department?
Specific to your unit or department (check all that apply)
there is mandatory overtime
mandatory on-call
nurses are floated
there is a "break nurse"
there are nurse to patient ratios
nurses ARE able to take (real) breaks
nurses can never take breaks
nurses work weekends
nurses work holidays
penalizations for calling out
nurses can be "canceled"
other/leave comment
How often are nurses floated?
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
How often do nurses take real breaks?
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
Are ratios upheld?
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
How often do nurses work weekends?
What happens when you call out?
Ex: "you don't get paid if you call out on holiday" or "you need doctor's note"
What's the cancelation policy?
Ex: "volunteers first then travelers then per diem then by seniority"
nurses get holiday pay for the following holidays
New Year's Day
Martin Luther King, Jr. Day (third Mon. in Jan)
Presidents’ Day (third Mon. in Feb)
Cesar Chavez Day (last Fri in March)
Memorial Day (last Mon. in May)
Juneteenth (June 19th)
Fourth of July
Labor Day (first Mon. in Sep)
Veterans Day
Thanksgiving Day (American)
Christmas Day (Dec 25th)
add others/leave comment
How much is holiday pay?
1.5 x (time and a half)
other/leave comment
Are you required to use PTO for holidays not worked?
yes - it's ridiculous
no - as it should be!
other/leave comment
Nurse insights on unit/dept culture:
Do you feel valued & supported by your colleagues?
Always
Often
Sometimes
Rarely
Never
Do you feel valued & supported by management?
Always
Often
Sometimes
Rarely
Never
Do you feel your daily workload is fair and manageable?
Always
Often
Sometimes
Rarely
Never
Are you ever concerned for patient safety because of a lack of staff, equipment or other resources?
Always
Often
Sometimes
Rarely
Never
Overall, would you recommend this workplace?
Def no
1
2
3
4
Absolutely!
5
1 is Def no, 5 is Absolutely!
Anything else you'd like to include or comment on?
Enter email if you would like monthly updates (your email will never be shared)
example@example.com
Submit
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