CPAP Survey

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1. What agency are you with?
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2. What was the gender of the patient?
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3. What was the age of the patient?
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4. Which patient condition was CPAP used for?
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5. Who was the manufacturer of the CPAP device?
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6. What size mask was used?
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7. What was the oxygen liter flow used?
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8. What was the cmH20 setting?
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9. What was the total amount of oxygen used while utilizing CPAP?
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10. Was there a change in the patient's condition?
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11. Rate the ease of use of the CPAP device. (5 being the easiest)
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12. Did you experience any problems while using the CPAP device?
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13. What was the total amount of time from CPAP use to transfer of care in the Emergency Department?
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14. Which hospital was the patient transported to?
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15. Was there a smooth transition of care to the Emergency Department staff?