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Critical Care RN Needs Assessment 2010
1. Identify the area you work on.
Response
Percent
Response
Count
SSDU 17.2% 10
NSDU 3.4% 2
NSCU 13.8% 8
BICU 8.6% 5
SICU 31.0% 18
MICU 12.1% 7
CCU 13.8% 8
answered question 58
skipped question 0
2. Identify the patient population you care for
Response
Percent
Response
Count
Adult 87.9% 51
Pediatric 0.0% 0
Adult & Pediatric 12.1% 7
answered question 58
skipped question 0
OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf
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3. I prefer lectures give in:
Response
Percent
Response
Count
2 hour sessions 19.0% 11
4 hour sessions 51.7% 30
8 hour sessions 24.1% 14
other 5.2% 3
Other (please specify)
3
answered question 58
skipped question 0
4. I would like lectures given by:
Response
Percent
Response
Count
MD's/Residents 58.2% 32
NP's 47.3% 26
CNS/Educators 78.2% 43
Staff from UCIMC 56.4% 31
Staff from outside UCIMC 47.3% 26
Published Speakers 52.7% 29
National recognized speakers 54.5% 30
Other 1.8% 1
Other (please specify)
4
answered question 55
skipped question 3
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5. I prefer to attend classes on:
Response
Percent
Response
Count
Monday 29.3% 17
Tuesday 25.9% 15
Wednesday 20.7% 12
Thursday 6.9% 4
Friday 17.2% 10
answered question 58
skipped question 0
OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf
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6. I would be interested in taking the following verification review courses in the next year:
Response
Percent
Response
Count
CCRN (Critical Care Registered
Nurse)63.0% 34
PCCN (Progressive Care
Registered Nurse)13.0% 7
CMC (Cardiac Medicine
Certification)16.7% 9
CSC (Cardiac Surgery
Certification)14.8% 8
CNRN (Neuro) 11.1% 6
CGRN (Gerontology) 7.4% 4
OCN (orthopedics) 1.9% 1
Certified Rehabilitation 1.9% 1
Certified Oncology Nurse 1.9% 1
Certified Diabetic Educator 13.0% 7
Certified Wound Care Nurse 24.1% 13
Other 5.6% 3
Other (please specify)
4
answered question 54
skipped question 4
OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf
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7. The purpose of the annual needs assessment is to determine educational needs for the unit during
the next year.
No
knowledge
or skills
Little
knowledge,
skills and
experience
Knowledgeable,
but lack skill
and experience
Knowledgeable,
but with little
skill and
experience
Knowledgeable
and competent
with skills and
experience
Planning of Care for Critically Ill
Patients and Families0.0% (0) 3.4% (2) 5.2% (3) 24.1% (14) 67.2% (39)
Planning of Care for the Pediatric
Patient35.1% (20) 29.8% (17) 17.5% (10) 12.3% (7) 5.3% (3)
Concepts of Developement
Milestones for Pediatric Patients30.4% (17) 35.7% (20) 14.3% (8) 16.1% (9) 3.6% (2)
Pediatric Safety Interventions 29.8% (17) 31.6% (18) 17.5% (10) 14.0% (8) 7.0% (4)
Pain, Sedation, and Neuromuscular
Blockade Management0.0% (0) 5.3% (3) 5.3% (3) 42.1% (24) 47.4% (27)
Critical Care Pharmacology 0.0% (0) 5.3% (3) 8.8% (5) 36.8% (21) 49.1% (28)
Ethical and Legal Issues in Critical
Care0.0% (0) 6.9% (4) 13.8% (8) 37.9% (22) 41.4% (24)
End-of-Life Issues 0.0% (0) 5.3% (3) 12.3% (7) 36.8% (21) 45.6% (26)
Synergy Model 20.0% (11) 18.2% (10) 14.5% (8) 40.0% (22) 7.3% (4)
High-Risk and Critical Care in
Obstetric Issues12.3% (7) 38.6% (22) 31.6% (18) 14.0% (8) 3.5% (2)
Gerontologic Alterations and
Management3.5% (2) 3.5% (2) 15.8% (9) 50.9% (29) 26.3% (15)
Advanced Cardiac Life Support 0.0% (0) 0.0% (0) 7.0% (4) 33.3% (19) 59.6% (34)
Pediatric Advanced Life Support 43.9% (25) 21.1% (12) 15.8% (9) 10.5% (6) 8.8% (5)
Prevention of Nosocomial
Infections0.0% (0) 0.0% (0) 3.5% (2) 10.5% (6) 86.0% (49)
Medication Safety 0.0% (0) 0.0% (0) 3.4% (2) 6.9% (4) 89.7% (52)
Medication Calculations 0.0% (0) 0.0% (0) 3.6% (2) 23.2% (13) 73.2% (41)
Stress and Critical Illness for Adult
Patient0.0% (0) 0.0% (0) 5.2% (3) 34.5% (20) 60.3% (35)
OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf
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Child Abuse 14.0% (8) 26.3% (15) 22.8% (13) 28.1% (16) 8.8% (5)
Healthy Work Environment 0.0% (0) 5.3% (3) 17.5% (10) 22.8% (13) 54.4% (31)
Cardiovascular Anatomy and
Physiology0.0% (0) 0.0% (0) 8.8% (5) 36.8% (21) 54.4% (31)
Cardiovascular Clinical
Assessment and Diagnostic
Procedures
0.0% (0) 1.8% (1) 10.5% (6) 35.1% (20) 52.6% (30)
Cardiovascular Disorders and
Therapeutic Management0.0% (0) 0.0% (0) 13.8% (8) 41.4% (24) 44.8% (26)
Hemodynamic Monitoring 0.0% (0) 1.7% (1) 12.1% (7) 32.8% (19) 53.4% (31)
Interpretation and Management of
Basic Cardiac Rhythms0.0% (0) 0.0% (0) 3.5% (2) 26.3% (15) 70.2% (40)
Pacemakers 0.0% (0) 3.4% (2) 17.2% (10) 48.3% (28) 31.0% (18)
Management of Acute Myocardial
Infarctions0.0% (0) 0.0% (0) 17.2% (10) 34.5% (20) 48.3% (28)
Care and Management of the
Cardiac Surgery Patients3.4% (2) 12.1% (7) 15.5% (9) 39.7% (23) 29.3% (17)
Use and Effects of Vasopressors
and Inotropes0.0% (0) 0.0% (0) 8.6% (5) 34.5% (20) 56.9% (33)
Deep Vein Thrombosis Prophylaxis 0.0% (0) 0.0% (0) 1.7% (1) 25.9% (15) 72.4% (42)
Pulmonary Anatomy and
Physiology0.0% (0) 0.0% (0) 6.9% (4) 32.8% (19) 60.3% (35)
Pulmonary Clinical Assessment
and Diagnostic Procedures0.0% (0) 0.0% (0) 10.3% (6) 39.7% (23) 50.0% (29)
Pulmonary Disorders and
Therapeutic Management0.0% (0) 0.0% (0) 12.1% (7) 46.6% (27) 41.4% (24)
Nitric Oxide 8.6% (5) 10.3% (6) 36.2% (21) 37.9% (22) 6.9% (4)
ETCO2 Monitoring 6.9% (4) 13.8% (8) 22.4% (13) 31.0% (18) 25.9% (15)
Mechanical Ventilation 0.0% (0) 1.8% (1) 17.5% (10) 22.8% (13) 57.9% (33)
Weaning Patients from Mechanical
Ventilation0.0% (0) 8.8% (5) 14.0% (8) 19.3% (11) 57.9% (33)
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Neurologic Anatomy and
Physiology0.0% (0) 1.7% (1) 20.7% (12) 37.9% (22) 39.7% (23)
Neurologic Clinical Assessment and
Diagnostic Procedures0.0% (0) 8.6% (5) 12.1% (7) 39.7% (23) 39.7% (23)
Parkinsons, ALS, Guillian Barre,
Myasthenia Gravis, Alzheimers,
Multiple Sclerosis, Cerebral Palsy
0.0% (0) 13.8% (8) 24.1% (14) 41.4% (24) 20.7% (12)
Eplilepsy & Seizures 1.7% (1) 6.9% (4) 24.1% (14) 36.2% (21) 31.0% (18)
Standards of Care for the
Traumatic Brain Injured Patient0.0% (0) 12.1% (7) 22.4% (13) 32.8% (19) 32.8% (19)
Identification and Treatment of
Vasospasm1.8% (1) 8.8% (5) 21.1% (12) 36.8% (21) 31.6% (18)
Intracranial Pressure Monitoring 1.7% (1) 10.3% (6) 20.7% (12) 27.6% (16) 39.7% (23)
Brain Tissue Oxygen Monitoring 8.6% (5) 5.2% (3) 24.1% (14) 37.9% (22) 24.1% (14)
Cerebral Perfusion Pressure
Management6.9% (4) 6.9% (4) 25.9% (15) 31.0% (18) 29.3% (17)
Care and Management of Stroke 0.0% (0) 5.2% (3) 10.3% (6) 50.0% (29) 34.5% (20)
Traumatic Brain Injuries 3.4% (2) 8.6% (5) 19.0% (11) 36.2% (21) 32.8% (19)
Brain Tumors 1.8% (1) 10.5% (6) 28.1% (16) 35.1% (20) 24.6% (14)
Therapeutic Hypothermia 7.0% (4) 7.0% (4) 26.3% (15) 35.1% (20) 24.6% (14)
Prevention of ICU Delirium/Use of
CAM-ICU6.9% (4) 5.2% (3) 22.4% (13) 29.3% (17) 36.2% (21)
Renal Anatomy and Physiology 0.0% (0) 0.0% (0) 8.6% (5) 44.8% (26) 46.6% (27)
Renal Assessment and Diagnostic
Procedures0.0% (0) 0.0% (0) 12.1% (7) 39.7% (23) 48.3% (28)
Renal Disorders and Therapeutic
Management0.0% (0) 3.4% (2) 8.6% (5) 39.7% (23) 48.3% (28)
Fluid and Electrolyte Balance 0.0% (0) 0.0% (0) 8.6% (5) 27.6% (16) 63.8% (37)
Acute Renal Failure 0.0% (0) 0.0% (0) 8.8% (5) 31.6% (18) 59.6% (34)
Renal Replacement Therapies 0.0% (0) 7.0% (4) 8.8% (5) 40.4% (23) 43.9% (25)
Gastrointestinal Anatomy and 0.0% (0) 0.0% (0) 5.3% (3) 33.3% (19) 61.4% (35)
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Physiology
Care of the Whipple Patient 3.4% (2) 5.2% (3) 13.8% (8) 43.1% (25) 34.5% (20)
Gastrointestinal Clinical
Assessment and Diagnostic
Procedures
0.0% (0) 3.4% (2) 10.3% (6) 29.3% (17) 56.9% (33)
Gastrointestinal Disorders and
Therapeutic Management0.0% (0) 3.4% (2) 12.1% (7) 27.6% (16) 56.9% (33)
Acute Gastrointestinal Bleeding 0.0% (0) 1.7% (1) 12.1% (7) 34.5% (20) 51.7% (30)
Acute Pancreatitis 0.0% (0) 0.0% (0) 15.8% (9) 33.3% (19) 50.9% (29)
Fulminant Hepatic Failure 3.4% (2) 5.2% (3) 17.2% (10) 41.4% (24) 32.8% (19)
Nutrition Support for the Critically
Ill Patient0.0% (0) 1.7% (1) 12.1% (7) 34.5% (20) 51.7% (30)
Endocrine Anatomy and Physiology 0.0% (0) 1.7% (1) 13.8% (8) 43.1% (25) 41.4% (24)
Endocrine Assessment and
Diagnostic Procedures1.8% (1) 5.3% (3) 12.3% (7) 42.1% (24) 38.6% (22)
Endocrine Disorders and
Therapeutic Management0.0% (0) 3.6% (2) 14.3% (8) 44.6% (25) 37.5% (21)
Insulin Management 0.0% (0) 0.0% (0) 8.8% (5) 24.6% (14) 66.7% (38)
Management of the Diabetic Patient 0.0% (0) 0.0% (0) 7.1% (4) 19.6% (11) 73.2% (41)
Diabetic Ketoacidosis 0.0% (0) 0.0% (0) 19.3% (11) 26.3% (15) 54.4% (31)
Hyperglycemic Hyperosmolar
State0.0% (0) 5.5% (3) 16.4% (9) 30.9% (17) 47.3% (26)
Diabetes Insipidus 0.0% (0) 5.4% (3) 14.3% (8) 39.3% (22) 41.1% (23)
Syndrome of Inappropriate Diuretic
Hormone0.0% (0) 7.1% (4) 16.1% (9) 41.1% (23) 35.7% (20)
Care and Management of
Multisystem Problems0.0% (0) 3.5% (2) 10.5% (6) 43.9% (25) 42.1% (24)
Planning of Care for the Criticaly
Injured Trauma Patient1.8% (1) 8.8% (5) 10.5% (6) 33.3% (19) 45.6% (26)
Shock 0.0% (0) 3.5% (2) 12.3% (7) 29.8% (17) 54.4% (31)
Systemic Inflammatory Response
Syndrome and Multiple Organ 1.8% (1) 5.3% (3) 14.0% (8) 36.8% (21) 42.1% (24)
OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf
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Dysfunction Syndrome
Burns 3.6% (2) 14.3% (8) 41.1% (23) 28.6% (16) 12.5% (7)
Organ Donation and Transplantation 3.6% (2) 8.9% (5) 21.4% (12) 19.6% (11) 46.4% (26)
Hematologic Disorders and
Oncologic Emergencies1.8% (1) 3.5% (2) 33.3% (19) 40.4% (23) 21.1% (12)
BIS Monitor 7.0% (4) 7.0% (4) 12.3% (7) 26.3% (15) 47.4% (27)
Peripheral Nerve Stimulator 5.4% (3) 7.1% (4) 14.3% (8) 16.1% (9) 57.1% (32)
Curlin Pump 0.0% (0) 0.0% (0) 5.4% (3) 14.3% (8) 80.4% (45)
Collegue Guardian Pump 3.6% (2) 0.0% (0) 5.4% (3) 16.1% (9) 75.0% (42)
Wound V.A.C. 0.0% (0) 1.8% (1) 7.1% (4) 30.4% (17) 60.7% (34)
IABP 17.5% (10) 22.8% (13) 24.6% (14) 19.3% (11) 15.8% (9)
CRRT (Prisma) 14.0% (8) 14.0% (8) 19.3% (11) 28.1% (16) 24.6% (14)
CPS 23.2% (13) 23.2% (13) 28.6% (16) 17.9% (10) 7.1% (4)
Cortrak 14.3% (8) 8.9% (5) 25.0% (14) 21.4% (12) 30.4% (17)
Oscillating ventilator 19.6% (11) 10.7% (6) 21.4% (12) 32.1% (18) 16.1% (9)
Pressure Controlled ventilation 10.5% (6) 8.8% (5) 19.3% (11) 15.8% (9) 45.6% (26)
Care of the PICC lines/Central
Lines0.0% (0) 1.8% (1) 3.6% (2) 10.7% (6) 83.9% (47)
Endotracheal suctioning 0.0% (0) 0.0% (0) 7.1% (4) 7.1% (4) 85.7% (48)
Tracheostomy care 0.0% (0) 0.0% (0) 5.4% (3) 12.5% (7) 82.1% (46)
Chest tube care 0.0% (0) 0.0% (0) 8.9% (5) 14.3% (8) 76.8% (43)
Intraabdominal pressure monitoring 13.0% (7) 13.0% (7) 9.3% (5) 37.0% (20) 27.8% (15)
Blood warming devices (Ranger) 5.5% (3) 12.7% (7) 16.4% (9) 32.7% (18) 32.7% (18)
Rotation therapy (Hill-Rom Total
Sport Care bed)3.6% (2) 10.7% (6) 8.9% (5) 26.8% (15) 50.0% (28)
answered question
skipped question
OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf
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8. Please list the NEW procedures, policies, equipment, or initiatives that have begun in
your unit and affect you job in the past year.
Response
Count
14
answered question 14
skipped question 44
9. Please list the CHANGES in procedure, policies, equipment, or initiatives that have
occurred during the last year in your unit that affect your job.
Response
Count
13
answered question 13
skipped question 45
10. What are the procedures done in your unit that you consider HIGH RISK?
Response
Count
18
answered question 18
skipped question 40
OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf
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11. What reference books would you like to see on your unit?
Response
Count
15
answered question 15
skipped question 43
12. What materials for patient/family education would you like on your unit?
Response
Count
10
answered question 10
skipped question 48
13. I would recommend the following speaker(s) to lecture on the following topics:
Response
Count
5
answered question 5
skipped question 53
OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf
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Q3. I prefer lectures give in:
1 Depends on the type of lecture and content. May 18, 2010 5:40 AM
2 6 hour sessions May 4, 2010 8:20 PM
3 depending on the topic. the timing can vary May 3, 2010 1:02 PM
Q4. I would like lectures given by:
1 anyone who is an expert on the topic is good enough May 3, 2010 1:02 PM
2 all depending on their expertise Apr 27, 2010 10:13 AM
3 anyone with his/her expertise. Apr 27, 2010 1:56 AM
4 Any good lecturer that is an expert on the topic being presented Apr 26, 2010 2:14 PM
Q6. I would be interested in taking the following verification review courses in the next year:
1 ANCC Board Certification May 3, 2010 1:02 PM
2 hemodynamics, ccrt Apr 28, 2010 3:37 AM
3 pain resourse Apr 27, 2010 10:13 AM
4 More courses on PEDS TRAUMA/peds CCRN Apr 26, 2010 2:14 PM
OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf
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Q8. Please list the NEW procedures, policies, equipment, or initiatives that have begun in your unit and affect youjob in the past year.
1 Quest, Curlin Pump Library, Open Unit Visiting, etc. (the list for both thesequestions could go on and on)
May 8, 2010 10:08 PM
2 rhabdo protocol salt wasting protocol tbi protocol dcd protocol May 4, 2010 11:38 AM
3 skin, curlin, new beds, charting, infection control May 3, 2010 3:31 PM
4 CPS - done too infrequently and needs staff re-training more often May 3, 2010 1:02 PM
5 Procedure for Oscillating Ventilator Apr 30, 2010 5:32 PM
6 Curlin pump regulataions. Insulin drips. Restraints policy Apr 30, 2010 3:09 PM
7 clinical pathway of CHF/AMI Apr 29, 2010 6:22 PM
8 double checks of high risk medications Apr 28, 2010 10:49 AM
9 Change in concentrations of PCA medications Apr 28, 2010 3:23 AM
10 Administering code medications Apr 27, 2010 5:46 PM
11 product trials, ett place holder, new et tubes, auto transfuser Apr 27, 2010 11:33 AM
12 use of only CHG wipes to bathe pt. Apr 27, 2010 5:59 AM
13 New Insulin Protocol, Suicide Identification, Devastating brain injury. Apr 27, 2010 4:02 AM
14 CIWA, Apr 26, 2010 2:14 PM
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Q9. Please list the CHANGES in procedure, policies, equipment, or initiatives that have occurred during the lastyear in your unit that affect your job.
1 SBAR, Lack of enough computers and space to write; use of phones in isolationrooms
May 8, 2010 10:08 PM
2 as above May 4, 2010 11:38 AM
3 See above there are so many, are they changes or new things. May 3, 2010 3:31 PM
4 end of life in critical care (one of many) May 3, 2010 1:02 PM
5 Curlin; epidural May 1, 2010 9:55 AM
6 Skin documentation big time change Apr 29, 2010 6:22 PM
7 no ACLS drugs standardized nursing practice,need orders Apr 28, 2010 2:05 PM
8 double checks Apr 28, 2010 10:49 AM
9 Administering code medications, drips Apr 27, 2010 5:46 PM
10 kurlin pump Apr 27, 2010 4:18 PM
11 central line changes Apr 27, 2010 11:33 AM
12 POP, standards of care Apr 26, 2010 2:14 PM
13 The Change of the PCA settings Apr 26, 2010 9:57 AM
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Q10. What are the procedures done in your unit that you consider HIGH RISK?
1 All ICU Units/all procedures are high risk-some more than others. May 8, 2010 10:08 PM
2 central line, swanz Ganz, May 7, 2010 5:40 PM
3 cps May 4, 2010 11:38 AM
4 whipple care, transplant care, cardiothoracic care, cardiovascular critically ill care May 3, 2010 3:31 PM
5 ICP monitoring- done too infrequently May 3, 2010 1:02 PM
6 CPS May 1, 2010 9:55 AM
7 EVD placement Apr 30, 2010 5:32 PM
8 Care of critically ill pt. who is on CPS Apr 29, 2010 6:22 PM
9 line insertion, CPS Apr 28, 2010 10:49 AM
10 Placing intravenous lines in agitated patients with infectious diseases Apr 28, 2010 3:23 AM
11 Administering insulin gtts, propofol gtts Apr 27, 2010 5:46 PM
12 med admin, following complex protocols not frequently seen Apr 27, 2010 11:33 AM
13 Placement of Intracranial monitors. ICP monitoring. Apr 27, 2010 4:02 AM
14 bedside o.r . procedures Apr 26, 2010 9:37 PM
15 EVD placement Apr 26, 2010 9:04 PM
16 Any procedure done by interns Apr 26, 2010 10:40 AM
17 Lumbar drain placement Apr 26, 2010 10:06 AM
18 Bedside Chest tubes Apr 26, 2010 9:57 AM
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Q11. What reference books would you like to see on your unit?
1 AACN, Basic Med/Surg Procedures Text....the list could be pretty long; at leastone set of books in case computers are down for extended periods.
May 8, 2010 10:08 PM
2 Lab diagnostics, PDR May 7, 2010 5:40 PM
3 Lippincott's nursing manual May 3, 2010 3:31 PM
4 none- they become outdated; prefer electronic resources May 3, 2010 1:02 PM
5 Critical care skills and procedures May 1, 2010 9:55 AM
6 critical care textbook Apr 29, 2010 6:22 PM
7 nothing particular Apr 29, 2010 1:46 AM
8 Ravel's clinical laboratory medicine Apr 28, 2010 2:05 PM
9 Drug handbooks in med room Apr 28, 2010 10:49 AM
10 Post-op care for whipple patients Apr 28, 2010 3:23 AM
11 Good critical care book Apr 28, 2010 2:52 AM
12 Mosby's-Pediatric updated version Apr 27, 2010 5:46 PM
13 nursing clinical reference site fully accessible (not blocking articles I look at) Apr 27, 2010 11:33 AM
14 policies and procedures quick reference with table of contents of where to findonline
Apr 27, 2010 5:59 AM
15 acceptable critical care book Apr 26, 2010 11:53 AM
OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf
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Q12. What materials for patient/family education would you like on your unit?
1 ? May 8, 2010 10:08 PM
2 bariatric diet, esophogeal ca diet, post-whipple diet, all diet handouts May 3, 2010 3:31 PM
3 anything not available from Micromedex May 3, 2010 1:02 PM
4 Informational brochures r/t diagnosis May 1, 2010 9:55 AM
5 anything that will help in educating pt/family Apr 29, 2010 6:22 PM
6 Diabetic teaching in Spanish/vietnamese Apr 28, 2010 3:23 AM
7 Pain management in children Apr 27, 2010 5:46 PM
8 visitation policy Apr 27, 2010 5:59 AM
9 End of life care materials that adress coping for children who are loosing theirparents
Apr 26, 2010 10:40 AM
10 Visual aids Apr 26, 2010 10:06 AM
Q13. I would recommend the following speaker(s) to lecture on the following topics:
1 ? May 8, 2010 10:08 PM
2 orthopaedic care, whipple care, cardiology/cardiothoracic care May 3, 2010 3:31 PM
3 review topics Apr 27, 2010 11:33 AM
4 Whipple Surgery, prevention of ICU delerium, Apr 27, 2010 5:59 AM
5 denis prager on happiness Apr 26, 2010 11:28 AM
OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf