2019 Pre-Conference Workshop:
Birth Center Focused NRP Provider Training

EVALUATION FORM

In order to improve the quality of our next program, we would appreciate receiving your feedback.

Please feel free to make comments. We thank you for your cooperation.

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* 1. On a scale of 1 (poor) to 5 (excellent), how well were you able to achieve the session objectives?

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A. Review the importance of NRP in the birth center setting	A. Review the importance of NRP in the birth center setting 1	A. Review the importance of NRP in the birth center setting 2	A. Review the importance of NRP in the birth center setting 3	A. Review the importance of NRP in the birth center setting 4	A. Review the importance of NRP in the birth center setting 5	A. Review the importance of NRP in the birth center setting N/A
B. Use various methods to successfully resuscitate newborns and evaluate the effectiveness of said methods, including T-piece resuscitators, LMAs, intubation, medications and UVC placement.	B. Use various methods to successfully resuscitate newborns and evaluate the effectiveness of said methods, including T-piece resuscitators, LMAs, intubation, medications and UVC placement. 1	B. Use various methods to successfully resuscitate newborns and evaluate the effectiveness of said methods, including T-piece resuscitators, LMAs, intubation, medications and UVC placement. 2	B. Use various methods to successfully resuscitate newborns and evaluate the effectiveness of said methods, including T-piece resuscitators, LMAs, intubation, medications and UVC placement. 3	B. Use various methods to successfully resuscitate newborns and evaluate the effectiveness of said methods, including T-piece resuscitators, LMAs, intubation, medications and UVC placement. 4	B. Use various methods to successfully resuscitate newborns and evaluate the effectiveness of said methods, including T-piece resuscitators, LMAs, intubation, medications and UVC placement. 5	B. Use various methods to successfully resuscitate newborns and evaluate the effectiveness of said methods, including T-piece resuscitators, LMAs, intubation, medications and UVC placement. N/A
C. Identify causes, prevention and management of exhibiting symptoms of newborns to determine a requirement for resuscitation	C. Identify causes, prevention and management of exhibiting symptoms of newborns to determine a requirement for resuscitation 1	C. Identify causes, prevention and management of exhibiting symptoms of newborns to determine a requirement for resuscitation 2	C. Identify causes, prevention and management of exhibiting symptoms of newborns to determine a requirement for resuscitation 3	C. Identify causes, prevention and management of exhibiting symptoms of newborns to determine a requirement for resuscitation 4	C. Identify causes, prevention and management of exhibiting symptoms of newborns to determine a requirement for resuscitation 5	C. Identify causes, prevention and management of exhibiting symptoms of newborns to determine a requirement for resuscitation N/A
D. Demonstrate effective use NRP skills and algorithms.	D. Demonstrate effective use NRP skills and algorithms. 1	D. Demonstrate effective use NRP skills and algorithms. 2	D. Demonstrate effective use NRP skills and algorithms. 3	D. Demonstrate effective use NRP skills and algorithms. 4	D. Demonstrate effective use NRP skills and algorithms. 5	D. Demonstrate effective use NRP skills and algorithms. N/A
E. Discuss the importance of teamwork in neonatal resuscitation.	E. Discuss the importance of teamwork in neonatal resuscitation. 1	E. Discuss the importance of teamwork in neonatal resuscitation. 2	E. Discuss the importance of teamwork in neonatal resuscitation. 3	E. Discuss the importance of teamwork in neonatal resuscitation. 4	E. Discuss the importance of teamwork in neonatal resuscitation. 5	E. Discuss the importance of teamwork in neonatal resuscitation. N/A

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* 2. On a scale of 1 (poor) to 5 (excellent), please rate the TEACHING EFFECTIVENESS of the presenter.

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A. Julie Moon, APRN, CNM	A. Julie Moon, APRN, CNM 1	A. Julie Moon, APRN, CNM 2	A. Julie Moon, APRN, CNM 3	A. Julie Moon, APRN, CNM 4	A. Julie Moon, APRN, CNM 5	A. Julie Moon, APRN, CNM N/A
B. Olga Ryan, MS-NL, RN	B. Olga Ryan, MS-NL, RN 1	B. Olga Ryan, MS-NL, RN 2	B. Olga Ryan, MS-NL, RN 3	B. Olga Ryan, MS-NL, RN 4	B. Olga Ryan, MS-NL, RN 5	B. Olga Ryan, MS-NL, RN N/A

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* 3. On a scale of 1 (poor) to 5 (excellent), please rate the effectiveness of the TEACHING METHODS used.

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* 4. On a scale of 1 (poor) to 5 (excellent), please rate how well was the PROGRAM MATERIAL ORGANIZED.

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* 5. On a scale of 1 (poor) to 5 (excellent), please rate the session OVERALL.

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* 6. What part of the program provided the most helpful information?

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* 7. What additional information would have been helpful?

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* 8. Additional comments

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* 9. Name (submit if applying for continuing education)

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* 10. Email (optional)