Highpointe Social share icons We've detected that Javascript is not enabled. It is required for an optimal survey taking experience.Please check your browser's settings and make sure Javascript is turned on. Learn how to enable Javascript.Skip survey header Safe Staffing Form - Highpointe Highpointe Staffing Report1.Unit/Department:*This question is required. -- Please Select --Pediatric PavilionDelaware ParkHamlin ParkElmwood VillageCold SpringsAllentownKensington HeightsKaisertownUniversity HeightsSNF ActivitiesSNF Clinical EducationSNF DietarySNF General NursingSNF Nutritional ServicesSNF OT RehabSNF PT RehabSNF Respiratory TherapySNF Social WorkSNF Speech Pathology RehabSNF Utilization ReviewMy unit/department is not listed.2.What is your unit/department? 3.Date for which you are reporting staffing:*This question is required. 4.Time for which you are reporting staffing:Use 24-hour (military time) format, for example 02:30 for 2:30am.*This question is required. 5.Shift for which you are reporting staffing:*This question is required.DayEveningNight6.Total Number of Patients on Unit:*This question is required.This question requires a valid number format.7.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.RNCNAClericalRespiratory Therapist8.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.RNCNAClericalRespiratory Therapist9.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.RNLPNCNAClericalRespiratory Therapist10.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.RNLPNCNAClericalRespiratory Therapist11.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.RNLPNCNAClericalRespiratory Therapist12.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.RNLPNCNAClericalRespiratory Therapist13.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.RNLPNCNAClericalRespiratory Therapist14.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.RNLPNCNAClericalRespiratory Therapist15.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.RNLPNCNAClericalRespiratory Therapist16. I need to report information for a job title that is not listed17.Number of Staff on Duty:*This question is required.Space CellJob Title# of Staff on Duty : Job Title : # of Staff on Duty : Job Title : # of Staff on Duty : Job Title : # of Staff on Duty : Job Title : # of Staff on Duty : Job Title : # of Staff on Duty