NW13 - June 2018 Vascular Access Trends Report Question Title * 1. Please select your discipline: Administrator Nurse manager/Charge Nurse Dialysis Nurse Technician/CCHT Social Worker Dietitian Assistant Medical Director Nephrologist Radiologist Surgeon Question Title * 2. Which Report(s) were reviewed? (Mark all that apply) Vascular Access Management Report Vascular Access Management Region Report (i.e., Oklahoma City, New Orleans, Little Rock) Vascular Access Management Facility-Specific Report Question Title * 3. How would you rate your satisfaction with the reviewed Vascular Access Management Reports? Very Satisfied Satisfied Somewhat Satisfied Somewhat Unsatisfied Unsatisfied Very Unsatisfied Question Title * 4. Do you and/or your dialysis team REVIEW and USE the comparative report(s) in your facility-specific QI activities specific to vascular access management? Yes No Question Title * 5. Will you select a current process to assess and modify if indicated, in the area of vascular access management as a result of these reports? Yes No Question Title * 6. Comments/Suggestions: Question Title * 7. Information: (Optional) First Name: Last Name: Facility Name: Email: Done