2018_HS: Digoxin Toxicity 1. Please answer the following questions about you: This survey functions as the post-test and evaluation for the TCHP Digoxin Toxicity home study. Question Title * 1. Please let us know a little bit about you. Starred items are required. *First and Last Name: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Country: *Email Address:(use work email if from a TCHP Organization) Phone Question Title * 2. Please indicate which organization you work for: Hennepin County Medical Center Minneapolis VA Health Care System Northfield Hospital I am not working right now. Other organization (please specify) Question Title * 3. Please indicate your unit or work area. If you are not currently working, enter "not working." Question Title * 4. Please select the situation listed below that best describes you. I am a nurse and do not have a special certification. I am a nurse with a special certification such as a CCRN, PCCN, etc. I am not a nurse. If you are not a nurse, please specify your profession. Question Title * 5. I verify that I have read this home study. Yes No (not eligible for contact hours) Next
