2019 Concurrent Session: Maternal & Neonatal Drills and Skills

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. Identify which staff members need to participate and the frequency and types of emergency drills to improve emergency preparedness for birth centers.	A. Identify which staff members need to participate and the frequency and types of emergency drills to improve emergency preparedness for birth centers. 1	A. Identify which staff members need to participate and the frequency and types of emergency drills to improve emergency preparedness for birth centers. 2	A. Identify which staff members need to participate and the frequency and types of emergency drills to improve emergency preparedness for birth centers. 3	A. Identify which staff members need to participate and the frequency and types of emergency drills to improve emergency preparedness for birth centers. 4	A. Identify which staff members need to participate and the frequency and types of emergency drills to improve emergency preparedness for birth centers. 5	A. Identify which staff members need to participate and the frequency and types of emergency drills to improve emergency preparedness for birth centers. N/A
B. Demonstrate effective use of T-piece resuscitator, LMA, I/O, UVC, medication, intubation in a neonatal resuscitation	B. Demonstrate effective use of T-piece resuscitator, LMA, I/O, UVC, medication, intubation in a neonatal resuscitation 1	B. Demonstrate effective use of T-piece resuscitator, LMA, I/O, UVC, medication, intubation in a neonatal resuscitation 2	B. Demonstrate effective use of T-piece resuscitator, LMA, I/O, UVC, medication, intubation in a neonatal resuscitation 3	B. Demonstrate effective use of T-piece resuscitator, LMA, I/O, UVC, medication, intubation in a neonatal resuscitation 4	B. Demonstrate effective use of T-piece resuscitator, LMA, I/O, UVC, medication, intubation in a neonatal resuscitation 5	B. Demonstrate effective use of T-piece resuscitator, LMA, I/O, UVC, medication, intubation in a neonatal resuscitation N/A
C. Identify risk factors for shoulder dystocia	C. Identify risk factors for shoulder dystocia 1	C. Identify risk factors for shoulder dystocia 2	C. Identify risk factors for shoulder dystocia 3	C. Identify risk factors for shoulder dystocia 4	C. Identify risk factors for shoulder dystocia 5	C. Identify risk factors for shoulder dystocia N/A
D. Review best management strategies when shoulder dystocia is diagnosed	D. Review best management strategies when shoulder dystocia is diagnosed 1	D. Review best management strategies when shoulder dystocia is diagnosed 2	D. Review best management strategies when shoulder dystocia is diagnosed 3	D. Review best management strategies when shoulder dystocia is diagnosed 4	D. Review best management strategies when shoulder dystocia is diagnosed 5	D. Review best management strategies when shoulder dystocia is diagnosed N/A
E. Describe best practices in debriefing following shoulder dystocia/birth trauma.	E. Describe best practices in debriefing following shoulder dystocia/birth trauma. 1	E. Describe best practices in debriefing following shoulder dystocia/birth trauma. 2	E. Describe best practices in debriefing following shoulder dystocia/birth trauma. 3	E. Describe best practices in debriefing following shoulder dystocia/birth trauma. 4	E. Describe best practices in debriefing following shoulder dystocia/birth trauma. 5	E. Describe best practices in debriefing following shoulder dystocia/birth trauma. N/A
F. Identify midwifery philosophy in management of traumatic birth.	F. Identify midwifery philosophy in management of traumatic birth. 1	F. Identify midwifery philosophy in management of traumatic birth. 2	F. Identify midwifery philosophy in management of traumatic birth. 3	F. Identify midwifery philosophy in management of traumatic birth. 4	F. Identify midwifery philosophy in management of traumatic birth. 5	F. Identify midwifery philosophy in management of traumatic birth. 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. Jane Houston, DNP, CNM	A. Jane Houston, DNP, CNM 1	A. Jane Houston, DNP, CNM 2	A. Jane Houston, DNP, CNM 3	A. Jane Houston, DNP, CNM 4	A. Jane Houston, DNP, CNM 5	A. Jane Houston, DNP, CNM N/A
B. Julie Moon, APRN, CNM	B. Julie Moon, APRN, CNM 1	B. Julie Moon, APRN, CNM 2	B. Julie Moon, APRN, CNM 3	B. Julie Moon, APRN, CNM 4	B. Julie Moon, APRN, CNM 5	B. Julie Moon, APRN, CNM 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)