The Council of Healthcare Workers has announced it will hold a strike vote after negotiations with government have stalled.
The council represents 6,500 workers across four unions - the NSGEU, CUPE, Unifor and the nurses union. The strike vote comes after over a year of negotiations.
"Their mood is 'finally, we're doing something'," said NSGEU President Jason MacLean to Global News.
MacLean said it appears discussions aren't being taken seriously by the employer.
But when asked by Global, Premier Stephen McNeil sounded confident a strike won't happen.
"You always go back and forth in those negotiations," said McNeil. "We have what we believe is essential, we believe we reflect the views of Nova Scotians."
McNeil also pointing to the Essential Services Act. That legislation means before a strike could happen, unions would have to come to an agreement with government on who will provide necessary care for Nova Scotians during job action.
The council has not said when the strike vote will happen, but has said it will be making the results public.