Zoll R Series Defibrillator Training Evaluation Survey

Your feedback is essential to ongoing improvement in learning and educational offerings at Fairview. Please complete the following survey after completing your Zoll R Series Defibrillator Training.

Question Title

* 1. What is your primary work site within the Fairview System?

Amplatz Children's Hospital

Fairview Northland Medical Center

Fairview Lakes Medical Center

Fairview University Medical Center (West Campus)

Fairview University Medical Center (East Campus)

Fairview Southdale Hospital

Fairview Ridges Hospital

Fairview Red Wing Medical Center

Fairview University Medical Center Mesabi

Other (please specify)

Question Title

* 2. What is your primary role?

Nurse

Physician

Respiratory Therapist

Other (please specify)

Question Title

* 3. How long have you been working in your primary role?

0-1 year

2-4 years

5-10 years

11-15 years

> 15 years

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* 4. What type of health care setting do you work in?

Inpatient General Med/Surg

Inpatient ICU

Operating Room

Pre/Post Operative Recovery

Inpatient Cardiac Unit

Cardiac Cath Lab

Outpatient Clinic

Other (please specify)

Question Title

* 5. Have you had previous experience with the Zoll M Series defibrillators?

Yes

Question Title

* 6. Identify the degree to which learning objectives were met

	Poor	Fair	Good	Very Good
Identify the functionality of the new R Series features CPR Help and See Thru CPR.	Identify the functionality of the new R Series features CPR Help and See Thru CPR. Poor	Identify the functionality of the new R Series features CPR Help and See Thru CPR. Fair	Identify the functionality of the new R Series features CPR Help and See Thru CPR. Good	Identify the functionality of the new R Series features CPR Help and See Thru CPR. Very Good
Identify the present lelection of multifunction pads and their uses with the Zoll R Series Models.	Identify the present lelection of multifunction pads and their uses with the Zoll R Series Models. Poor	Identify the present lelection of multifunction pads and their uses with the Zoll R Series Models. Fair	Identify the present lelection of multifunction pads and their uses with the Zoll R Series Models. Good	Identify the present lelection of multifunction pads and their uses with the Zoll R Series Models. Very Good
Identify the proper procedure for visual and manual checks of the Zoll R Series defibrillators.	Identify the proper procedure for visual and manual checks of the Zoll R Series defibrillators. Poor	Identify the proper procedure for visual and manual checks of the Zoll R Series defibrillators. Fair	Identify the proper procedure for visual and manual checks of the Zoll R Series defibrillators. Good	Identify the proper procedure for visual and manual checks of the Zoll R Series defibrillators. Very Good
Verbalize how to operate the Zoll R Series ALS and R Series Plus defibrillators for defbrillation, synchronized cardioversion, and pacing.	Verbalize how to operate the Zoll R Series ALS and R Series Plus defibrillators for defbrillation, synchronized cardioversion, and pacing. Poor	Verbalize how to operate the Zoll R Series ALS and R Series Plus defibrillators for defbrillation, synchronized cardioversion, and pacing. Fair	Verbalize how to operate the Zoll R Series ALS and R Series Plus defibrillators for defbrillation, synchronized cardioversion, and pacing. Good	Verbalize how to operate the Zoll R Series ALS and R Series Plus defibrillators for defbrillation, synchronized cardioversion, and pacing. Very Good

Question Title

* 7. Did you complete hands on Zoll R Series Defibrillator training following completion of your online learning module?

Yes

Question Title

* 8. Please evaluate the overall effectiveness of the type of Zoll R Series education.

	Poor	Fair	Good	Very Good	Excellent
E learning Power Point Module	E learning Power Point Module Poor	E learning Power Point Module Fair	E learning Power Point Module Good	E learning Power Point Module Very Good	E learning Power Point Module Excellent
Zoll Online Learning Module: "Getting Started"	Zoll Online Learning Module: "Getting Started" Poor	Zoll Online Learning Module: "Getting Started" Fair	Zoll Online Learning Module: "Getting Started" Good	Zoll Online Learning Module: "Getting Started" Very Good	Zoll Online Learning Module: "Getting Started" Excellent
Hands on trainer led session (if applicable)	Hands on trainer led session (if applicable) Poor	Hands on trainer led session (if applicable) Fair	Hands on trainer led session (if applicable) Good	Hands on trainer led session (if applicable) Very Good	Hands on trainer led session (if applicable) Excellent

Any additional comments:

Question Title

* 1. What is your primary work site within the Fairview System?

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* 2. What is your primary role?

Question Title

* 3. How long have you been working in your primary role?

Question Title

* 4. What type of health care setting do you work in?

Question Title

* 5. Have you had previous experience with the Zoll M Series defibrillators?

Question Title

* 6. Identify the degree to which learning objectives were met

Question Title

* 7. Did you complete hands on Zoll R Series Defibrillator training following completion of your online learning module?

Question Title

* 8. Please evaluate the overall effectiveness of the type of Zoll R Series education.

Question Title

* 9. Please use the space below for recommendations or suggestions for improving this educational activity. Your specific feedback is welcomed!