ANoPPS General information Question Title * 1. In which country do you practice? Afghanistan Albania Algeria Andorra Angola Antigua & Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia & Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Congo Democratic Republic Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador East Timor Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea North Korea South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal The Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestinian State* Panama Papua New Guinea Paraguay Peru The Philippines Poland Portugal Qatar Romania Russia Rwanda St. Kitts & Nevis St. Lucia St. Vincent & The Grenadines Samoa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Vatican City (Holy See) Venezuela Vietnam Yemen Zambia Zimbabwe Question Title * 2. What is the name of your hospital? (please specify) Question Title * 3. What is your professional group? Physician Nurse Nurse specialist Nonphysician provider Other (please specify) Question Title * 4. How many adult ICU beds does your hospital have? <6 6-12 13-18 >18 Question Title * 5. Is your hospital situated near a smaller (< 20.000 inhabitants (1)), larger town (> 20.000 inhabitants(2)), a city (>100.000 inhabitants(3)) or a larger city (> 300.000 inhabitants(4))? 1 2 3 4 Question Title * 6. Does your hospital have a regional function for specific care? Cardiac surgery Neurosurgery Extra-corporeal life support Major trauma Dialysis None Other (please specify) Question Title * 7. How many FTE staff does your ICU have?(residents excluded) <3 3-5 6-10 >10 Question Title * 8. How many FTE ICU-nurses does your ICU have? <25 25-50 51-100 101-150 >150 Question Title * 9. How many residents do you have? <5 6-10 >10 Question Title * 10. How long do residents in training for a specialty stay? don’t have them <6 months 7-12 months >12 months Question Title * 11. Are you familiar with the concept nonphysician or the concept of a nurse specialist?(If the answer is no, your filed data will be used, but further answers won’t be required. Thank you.) Yes No Next