Mind the Bleep Cannulation Feedback Form
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1.
How would you rate the overall usefulness of the Mind the Bleep Cannulation guide?
(Required.)
Very Useful
Somewhat Useful
Neutral
Somewhat Useless
Very Useless
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2.
How much has the guide improved your
knowledge
on cannulation?
(Required.)
Significantly
Moderately
Slightly
Not at all
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3.
How much has the guide improved your
skills
in performing cannulation?
(Required.)
Significantly
Moderately
Slightly
Not at all
Not applicable (e.g. not yet undertaken the procedure after reading the guide)
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4.
How much has the guide improved your
confidence
in performing cannulation?
(Required.)
Significantly
Moderately
Slightly
Not at all
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5.
What tips and techniques from the guide have you adopted? Select all that apply
(Required.)
Preparation Techniques
Insertion Techniques
Post-Procedure Care
Managing difficulties in cannulation
Assessing for a suitable vein
None
Other (please specify)
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6.
How suitable was this resource to your learning needs?
(Required.)
Very Suitable
Somewhat Suitable
Neutral
Somewhat Unsuitable
Very Unsuitable
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7.
Would you recommend this resource to a friend or colleague?
(Required.)
Definitely
Probably
Not Sure
Probably Not
Definitely Not
8.
Please provide any additional feedback or suggestions for improving the guide to cannulation