1.

Deadline for this survey is April 18, 2014.

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* 1. Please enter your RN and/or NH number below. This information is required to receive contact hours/certificate of attendance.

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* 2. First Name

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* 3. Last Name

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* 4. How satisfied were you with the registration process?

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* 5. How satisfied were you with the conference materials provided?

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* 6. Overall, how satisfied were you with the speakers/presenters?

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* 7. How would you rate this convention compared to others that you have attended?

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* 8. Please rate the convention "staff" regarding helpfulness/courteousness.

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* 9. Overall, how satisfied were you with the convention facilities?

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* 10. Would you recommend this convention to others?

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* 11. Was this your first PADONA convention?

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* 12. Do you plan to attend this convention again next year?

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* 13. Please rate the appropriateness of the Castilian Room.

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* 14. Please rate the appropriateness of the Garden Terrace East.

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* 15. MARIAN KEMP - Rate the teaching effectiveness.

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* 16. MARIAN KEMP - Rate the effectiveness of the teaching methods used (i.e., lecture, overheads, question and answer session, etc.)

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* 17. MARIAN KEMP - Rate the overall relevance of the content presented to the offering objectives.

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* 18. MARIAN KEMP - Rate the degree to which you were able to meet the following objective: Participants will recognize the limitations of traditional advance directives.

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* 19. MARIAN KEMP - Rate the degree to which you were able to meet the following objective: Participants will understand the role of POLST in advance care planning.

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* 20. MARIAN KEMP - Rate the degree to which you were able to meet the following objective: Participants will be able to describe:
• Why a POLST form
• What is a POLST form
• Who the POLST form is for
• When a POLST discussion should occur

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* 21. MARIAN KEMP - Rate the degree to which you were able to meet the following objective: Participants will have the information and tools in order to implement POLST within their facility.

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* 22. Please list any comments you have regarding Marian Kemp:

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* 23. MARYANN SHUMAN - Rate the teaching effectiveness.

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* 24. MARYANN SHUMAN - Rate the effectiveness of the teaching methods used (i.e., lecture, overheads, question and answer session, etc.)

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* 25. MARYANN SHUMAN - Rate the overall relevance of the content presented to the offering objectives.

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* 26. MARYANN SHUMAN - Rate the degree to which you were able to meet the following objective: Participant will be able to identify the different types of Intravenous Access Devices.

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* 27. MARYANN SHUMAN - Rate the degree to which you were able to meet the following objective: Participant will be able to identify definitions related to Intravenous Therapy.

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* 28. MARYANN SHUMAN - Rate the degree to which you were able to meet the following objective:Participant will be able to identify the functions of LPNs in Intravenous Therapy.

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* 29. MARYANN SHUMAN - Rate the degree to which you were able to meet the following objective: Participant will be able to identify what LPN is able to do prior to IV therapy.

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* 30. MARYANN SHUMAN - Rate the degree to which you were able to meet the following objective: Participant will be able to identify IV Therapy functions allowed for LPNs in the State of Pennsylvania.

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* 31. MARYANN SHUMAN - Rate the degree to which you were able to meet the following objective: Participant will be able to identify IV Therapy functions PROHIBITED for the LPN in the State of Pennsylvania.

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* 32. MARYANN SHUMAN - Rate the degree to which you were able to meet the following objective: Participant will be able to identify CDC/INS recommendations related to IV Therapy.

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* 33. Please list any comments you have regarding MaryAnn Shuman:

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* 34. JODY URQUHART - Rate the teaching effectiveness.

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* 35. JODY URQUHART - Rate the effectiveness of the teaching methods used (i.e., lecture, overheads, question and answer session, etc.)

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* 36. JODY URQUHART - Rate the overall relevance of the content presented to the offering objectives.

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* 37. JODY URQUHART - Rate the degree to which you were able to meet the following objective: Reignite the purpose in your work.

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* 38. JODY URQUHART - Rate the degree to which you were able to meet the following objective: How to Build Commitment.

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* 39. JODY URQUHART - Rate the degree to which you were able to meet the following objective: Managing expectations.

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* 40. JODY URQUHART - Rate the degree to which you were able to meet the following objective: Let Humor sustain you.

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* 41. Please list any comments you have regarding Jody Urquhart:

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* 42. SCOTT DRAB - Rate the teaching effectiveness.

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* 43. SCOTT DRAB - Rate the effectiveness of the teaching methods used (i.e., lecture, overheads, question and answer session, etc.)

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* 44. SCOTT DRAB - Rate the overall relevance of the content presented to the offering objectives.

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* 45. SCOTT DRAB - Rate the degree to which you were able to meet the following objective: Discuss the prevalence and economic consequences of diabetes among older adults.

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* 46. SCOTT DRAB - Rate the degree to which you were able to meet the following objective: Review the risk factors for diabetes and describe why the diagnosis is often delayed in older adults.

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* 47. SCOTT DRAB - Rate the degree to which you were able to meet the following objective: Explain the diagnosis and treatment goals of diabetes in older adults and identify factors that may compromise glycemic control.

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* 48. SCOTT DRAB - Rate the degree to which you were able to meet the following objective: Describe the management of diabetes in older adults, including special considerations for choosing pharmacologic therapies for this population.

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* 49. SCOTT DRAB - Rate the degree to which you were able to meet the following objective: Describe the difference between basal and prandial insulin and list the currently available products.

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* 50. SCOTT DRAB - Rate the degree to which you were able to meet the following objective: Describe the pitfalls of using sliding scale insulin in LTC.

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* 51. SCOTT DRAB - Rate the degree to which you were able to meet the following objective: Review the potential complications of diabetes in older adults.

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* 52. Please list any comments you have regarding Scott Drab:

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* 53. JOAN HARROLD - Rate the teaching effectiveness.

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* 54. JOAN HARROLD - Rate the effectiveness of the teaching methods used (i.e., lecture, overheads, question and answer session, etc.)

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* 55. JOAN HARROLD - Rate the overall relevance of the content presented to the offering objectives.

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* 56. JOAN HARROLD - Rate the degree to which you were able to meet the following objective: Recognize the characteristics of residents who are eligible to elect Medicare Hospice benefit.

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* 57. JOAN HARROLD - Rate the degree to which you were able to meet the following objective: Utilize the federal Conditions of Participation for hospice care determine facility expectations of hospice providers.

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* 58. JOAN HARROLD - Rate the degree to which you were able to meet the following objective: Collaborate with hospices to provide care that is coordinated and compliant with Conditions of Participation.

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* 59. JOAN HARROLD - Rate the degree to which you were able to meet the following objective: Assess whether disease-specific treatments are related, palliative, and covered under the Medicare Hospice Benefit.

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* 60. Please list any comments you have regarding Joan Harrold:

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* 61. TANYA HARRIS - Rate the teaching effectiveness.

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* 62. TANYA HARRIS - Rate the effectiveness of the teaching methods used (i.e., lecture, overheads, question and answer session, etc.)

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* 63. TANYA HARRIS - Rate the overall relevance of the content presented to the offering objectives.

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* 64. TANYA HARRIS - Rate the degree to which you were able to meet the following objective: Participants will be able to discuss definitions under Act 169.

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* 65. TANYA HARRIS - Rate the degree to which you were able to meet the following objective: Participants will be able to express what a healthcare provider may not do regarding Advance Directives.

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* 66. TANYA HARRIS - Rate the degree to which you were able to meet the following objective: Participants will be able to describe and Understand the process for living wills.

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* 67. TANYA HARRIS - Rate the degree to which you were able to meet the following objective: Participants will be able to describe and understand the process for a Health Care POA.

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* 68. TANYA HARRIS - Rate the degree to which you were able to meet the following objective: Participants will be able to understand the legality of and how to use DNR orders.

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* 69. TANYA HARRIS - Rate the degree to which you were able to meet the following objective: Participants will be able to understand the legality and use of AEDs in nursing homes.

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* 70. Please list any comments you have regarding Tanya Harris:

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* 71. CANDACE McMULLEN - Rate the teaching effectiveness.

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* 72. CANDACE McMULLEN - Rate the effectiveness of the teaching methods used (i.e., lecture, overheads, question and answer session, etc.)

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* 73. CANDACE McMULLEN - Rate the overall relevance of the content presented to the offering objectives.

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* 74. CANDACE McMULLEN - Rate the degree to which you were able to meet the following objective: Participants will articulate the complexities of electronic medical record documentation.

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* 75. CANDACE McMULLEN - Rate the degree to which you were able to meet the following objective: Participants will outline the challenges and additional legal considerations with electronic health records.

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* 76. Please list any comments you have regarding Candace McMullen:

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* 77. JEN HARDESTY - Rate the teaching effectiveness.

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* 78. JEN HARDESTY - Rate the effectiveness of the teaching methods used (i.e., lecture, overheads, question and answer session, etc.)

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* 79. JEN HARDESTY - Rate the overall relevance of the content presented to the offering objectives.

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* 80. JEN HARDESTY - Rate the degree to which you were able to meet the following objective: Describe several common myths regarding pain management in the elderly.

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* 81. JEN HARDESTY - Rate the degree to which you were able to meet the following objective: Cite several different tools for assessing pain, in addition to explaining which may be more appropriate in certain situations.

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* 82. JEN HARDESTY - Rate the degree to which you were able to meet the following objective: Evaluate case studies surrounding pain management issues.

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* 83. JEN HARDESTY - Rate the degree to which you were able to meet the following objective: Identify opportunities to improve/refine the facility’s pain management process.

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* 84. Please list any comments you have regarding Jen Hardesty particular to this presentation:

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* 85. WILLIAM VAUGHAN - Rate the teaching effectiveness.

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* 86. WILLIAM VAUGHAN - Rate the effectiveness of the teaching methods used (i.e., lecture, overheads, question and answer session, etc.)

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* 87. WILLIAM VAUGHAN - Rate the overall relevance of the content presented to the offering objectives.

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* 88. WILLIAM VAUGHAN - Rate the degree to which you were able to meet the following objective: Describe several common myths regarding pain management in the elderly.

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* 89. WILLIAM VAUGHAN - Rate the degree to which you were able to meet the following objective: Cite several different tools for assessing pain, in addition to explaining which may be more appropriate in certain situations.

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* 90. WILLIAM VAUGHAN - Rate the degree to which you were able to meet the following objective: Evaluate case studies surrounding pain management issues.

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* 91. WILLIAM VAUGHAN - Rate the degree to which you were able to meet the following objective: Identify opportunities to improve/refine the facility’s pain management process.

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* 92. Please list any comments you have regarding William Vaughan particular to this presentation:

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* 93. LORI DWYER - Rate the teaching effectiveness.

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* 94. LORI DWYER - Rate the effectiveness of the teaching methods used (i.e., lecture, overheads, question and answer session, etc.)

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* 95. LORI DWYER - Rate the overall relevance of the content presented to the offering objectives.

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* 96. LORI DWYER - Rate the degree to which you were able to meet the following objective: The audience will be able to identify risk factors associated with pressure ulcer development.

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* 97. LORI DWYER - Rate the degree to which you were able to meet the following objective: The audience will be able to describe different treatment modalities available for pressure ulcer prevention and treatment.

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* 98. LORI DWYER - Rate the degree to which you were able to meet the following objective: The audience will be able to explain the role of incontinence associated dermatitis as a risk for pressure ulcer development.

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* 99. Please list any comments you have regarding Lori Dwyer:

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* 100. KAY LYNNE EGE - Rate the teaching effectiveness.

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* 101. KAY LYNNE EGE - Rate the effectiveness of the teaching methods used (i.e., lecture, overheads, question and answer session, etc.)

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* 102. KAY LYNNE EGE - Rate the overall relevance of the content presented to the offering objectives.

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* 103. KAY LYNNE EGE - Rate the degree to which you were able to meet the following objective: Discovering the basics of transformation from the old institutional culture to the new person-directed culture for elder care providers.

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* 104. KAY LYNNE EGE - Rate the degree to which you were able to meet the following objective: Unpacking the different culture change “models” that are presently being utilized.

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* 105. KAY LYNNE EGE - Rate the degree to which you were able to meet the following objective: Taking the best from the best and making an individualized plan for transformation in any type of elder care organization.

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* 106. Please list any comments you have regarding Kay Lynne Ege:

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* 107. WILLIAM VAUGHAN - Rate the teaching effectiveness.

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* 108. WILLIAM VAUGHAN - Rate the effectiveness of the teaching methods used (i.e., lecture, overheads, question and answer session, etc.)

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* 109. WILLIAM VAUGHAN - Rate the overall relevance of the content presented to the offering objectives.

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* 110. WILLIAM VAUGHAN - Rate the degree to which you were able to meet the following objective: Describe two approaches to address inadequate documentation identified during the survey process.

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* 111. WILLIAM VAUGHAN - Rate the degree to which you were able to meet the following objective: Describe the relationship between regulations, CMS’s guidance to surveyors and facility generated policies and procedures and the impact each have on compliance decisions.

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* 112. WILLIAM VAUGHAN - Rate the degree to which you were able to meet the following objective: Identify three approaches which contribute to a successful IDR.

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* 113. Please list any comments you have regarding William Vaughan particular to this presentation:

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* 114. JEN HARDESTY - Rate the teaching effectiveness.

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* 115. JEN HARDESTY - Rate the effectiveness of the teaching methods used (i.e., lecture, overheads, question and answer session, etc.)

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* 116. JEN HARDESTY - Rate the overall relevance of the content presented to the offering objectives.

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* 117. JEN HARDESTY - Rate the degree to which you were able to meet the following objective: Describe two approaches to address inadequate documentation identified during the survey process.

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* 118. JEN HARDESTY - Rate the degree to which you were able to meet the following objective: Identify three approaches which contribute to a successful IDR.

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* 119. Please list any comments you have regarding Jen Hardesty particular to this presentation:

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* 120. SUSAN WILLIAMSON - Rate the teaching effectiveness.

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* 121. SUSAN WILLIAMSON - Rate the effectiveness of the teaching methods used (i.e., lecture, overheads, question and answer session, etc.)

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* 122. SUSAN WILLIAMSON - Rate the overall relevance of the content presented to the offering objectives.

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* 123. SUSAN WILLIAMSON - Rate the degree to which you were able to meet the following objective: Review and discussion of Statewide Facility and Survey Statistics.

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* 124. Please list any comments you have regarding Susan Williamson:

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* 125. SHARON BRADLEY - Rate the teaching effectiveness.

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* 126. SHARON BRADLEY - Rate the effectiveness of the teaching methods used (i.e., lecture, overheads, question and answer session, etc.)

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* 127. SHARON BRADLEY - Rate the overall relevance of the content presented to the offering objectives.

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* 128. SHARON BRADLEY - Rate the degree to which you were able to meet the following objective: Recall the components of the PA PSRS Reporting system.

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* 129. SHARON BRADLEY - Rate the degree to which you were able to meet the following objective: Recognize how HAI reports are used to provide infection prevention guidance to PA NH.

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* 130. SHARON BRADLEY - Rate the degree to which you were able to meet the following objective: Identify the measures used to determine how reporting has made a difference in prevention of HAI in PA.

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* 131. Please list any comments you have regarding Sharon Bradley:

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* 132. Please list any general convention comments/suggestions you would like to share:

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