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Pump Evaluation Recruitment (HomeCare)

Thank you for your interest in our research.

Healthcare Human Factors is conducting an evaluation of an infusion pump. We are recruiting homecare registered nurses (RNs) and homecare licensed practical nurses (LPNs) to participate in the evaluation. The study will be held between February 5th - March 6th 
Feel free to forward this survey to other homecare RNs or LPNs who might be interested:
If you have any questions about the study, please contact us at hf@uhn.ca or (202) 618-7020. 

1.First Name(Required.)
2.Last Name(Required.)
3.Email Address(Required.)
4.Phone Number
We recommend entering your mobile number.(Required.)
5.What is your gender?(Required.)
6.What year were you born? (YYYY)(Required.)
7.Can you read, write, and understand English?(Required.)
8.What is your primary role?(Required.)
9.What is the name of your hospital, institution, or facility?(Required.)
10.How long have you worked as a nurse?(Required.)
11.How would you describe your current employment status?(Required.)
12.How much time in a typical week do you spend visiting patients in their home (as opposed to working in hospital or nursing home)?(Required.)
13.When was the last time you programmed and started a volumetric infusion pump?(Required.)
14.How long have you been programming and starting infusions with volumetric pumps?(Required.)
15.In the last three months, how often have you programmed and started infusions with volumetric infusion pumps?(Required.)
16.In the last three months, how often have you programmed and started the following infusions using a volumetric pump?(Required.)
Never
Once
At least once per month
At least once per week
Several times per week
On a daily basis
Dose rate mode infusions
Ramp mode infusions
Sequential mode infusions
Primary/secondary (piggyback) mode infusions
17.Do you have any uncorrected vision-related limitations (e.g., difficulty seeing and/or reading even when wearing your glasses or contacts)?(Required.)
18.Have you ever taken part in a market research interview related to medical devices?(Required.)
19.Do you or any family member have an active business or consulting relationship with a medical device market research company or a company that develops, manufactures, or sells medical devices?(Required.)
20.Are you comfortable with the sessions being videotaped and/or pictures taken to document the research? (Note that only the research team and sponsor would have access to the data and the data will be kept confidential.)(Required.)
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