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The VA Emergency Department (ED) would like to improve our working relationships with the ambulance companies who respond to the needs of our Veterans. We are asking you to take a few minutes and complete our survey. We welcome both positive and negative responses.

Please feel free to contact me at any time to discuss any concerns or problems you may have encountered.

Thank you,
Debbie Fisher RN, MSN
Nurse Manager, Emergency Department
425-4418

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* 1. Is the ED staff courteous and respectful during your interactions with them?

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* 2. Do they assist you when you arrive with a patient?

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* 3. Are they receptive during your hand off communication?

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* 4. Have you experienced any adverse incidents or exceptional behavior? If so, please explain and be as specific as you can.

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* 5. How could we improve our relationship with your organization?

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* 6. What shift do you primarily work?

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* 7. Are you a voluntary or paid service?

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