Get Nba Professional Responsibility Form

Filling out the NBA Professional Responsibility Form is an important step in addressing concerns related to patient care and nursing practice. This guide offers a step-by-step approach to ensure you complete the form effectively and accurately.

Follow the steps to fill out the form online successfully.

1. Press the ‘Get Form’ button to obtain the form and open it in a suitable document viewer.
2. Begin by providing general information. Enter your name(s), email or phone number, date of the incident, program or service, ward or unit, facility or agency, and the union you belong to (BCNU, HSA, UPN, or Other).
3. In the Summary of Concern(s) and Contributing Factors section, clearly describe the concern(s) you are addressing. Specify any nursing care that could not be performed and explain any actual or potential hazards resulting from these concerns. Use concise point form and avoid acronyms.
4. Document any Attempted Remedy. Specify corrective actions taken and by whom (e.g., yourself, Clinical Nurse Leader, etc.).
5. In the Employee Recommendation(s) section, summarize your suggestions for resolving the issues or preventing future occurrences. Prioritize your recommendations from most to least important.
6. Review the entire form to ensure all fields are completed accurately. If necessary, attach additional pages for further clarification.
7. Once completed, save your changes, print a copy for your records, and send copies of the form to your excluded manager, union steward, and the chair of your local PRF committee.

Start filling out your NBA Professional Responsibility Form online today to address your concerns effectively.