Application for WA Infection Preventionist Injection Safety Workshop

WA DOH, Healthcare-Associated Infections and Antimicrobial Resistance Section, is partnering with PeaceHealth to provide a workshop opportunity for up to 20 Infection Preventionists in WA State to take an in-person training on injection safety on April 14th in Vancouver, WA. We are unable to cover any travel or related expenses. Prior to the live training you will be required to attend or view the recording of a 1-hour didactic webinar on April 7th from 1-2pm. The in-person course will expand on the webinar and include interactive components to improve injection safety practices at your facility. Priority will be given to IPs from Critical Access Hospitals and Rural Health Clinics, but all IPs in acute care in WA State are eligible to apply.

To apply, please fill out the form below by March 26th. You will be notified if you are accepted to the in-person training by March 31st.

Contact ProjectFirstline@doh.wa.gov with any questions.

Question Title

* 1. Please provide your contact information

Name (First and Last)

Primary hospital where you are employed

WA State county where your hospital is located

Email Address

Phone Number

Question Title

* 2. Is the hospital where you work a Critical Access Hospital? Or do you work in a rural health clinic?You can still apply for this workshop if the answer is no, but preference will be given to IPs from CAH.

Yes, I work in a Critical Access Hospital

Yes, I work in a Rural Health Clinic

Yes, I have duties in both a CAH and RHC

No, I don't work in either

Question Title

* 3. Are you employed in a role that includes oversight of injection safety?

Yes

Other (please explain)

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* 4. Please describe your role:

I am the only IP at my hospital

I supervise other IPs

I am the IP primarily responsible for staff training on IPC

Other (please specify)

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* 5. What training have you received so far on injection safety?

Formal training (degree or certificate program to perform injections)

Presentations or online trainings (IPC course, MPH, lab, etc.)

On-the-job training (onboarding, performing audits, etc.)

Other (please specify)

No training

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* 6. Have you received training on giving just-in-time feedback to improve injection safety?

Yes

Yes, not on injection safety

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* 7. Has your hospital experienced any of these significant issues related to injection safety in the last five years?

Finding of deficiency in safe injection practices by State or Joint Commission

Breach in safe injection practices leading to investigation, with or without patient notification required

Internal finding of gaps in safe injection practices

Concerns raised by IPC or other staff about safe injection practices

Other (please specify)

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* 8. Are you available to attend an all-day in-person training in Vancouver, WA on April 14 (9:30am-4pm)?

Yes

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* 9. Is your organization able to support your attendance (travel time and costs, as applicable?)

Yes

Other (please specify)

Question Title

* 10. Are you able to commit to attending or viewing the recording of a one-hour training webinar prior to the in-person training?
Webinar is scheduled for April 7 from 1-2pm.

Yes

Application for WA Infection Preventionist Injection Safety Workshop

Question Title

* 1. Please provide your contact information

Question Title

* 2. Is the hospital where you work a Critical Access Hospital? Or do you work in a rural health clinic?You can still apply for this workshop if the answer is no, but preference will be given to IPs from CAH.

Question Title

* 3. Are you employed in a role that includes oversight of injection safety?

Question Title

* 4. Please describe your role:

Question Title

* 5. What training have you received so far on injection safety?

Question Title

* 6. Have you received training on giving just-in-time feedback to improve injection safety?

Question Title

* 7. Has your hospital experienced any of these significant issues related to injection safety in the last five years?

Question Title

* 8. Are you available to attend an all-day in-person training in Vancouver, WA on April 14 (9:30am-4pm)?

Question Title

* 9. Is your organization able to support your attendance (travel time and costs, as applicable?)

Question Title

* 10. Are you able to commit to attending or viewing the recording of a one-hour training webinar prior to the in-person training?Webinar is scheduled for April 7 from 1-2pm.

Question Title

* 11. Is there anything else you think we should know?

* 10. Are you able to commit to attending or viewing the recording of a one-hour training webinar prior to the in-person training?
Webinar is scheduled for April 7 from 1-2pm.