Sim Lab - July 2016 - OHI Evaluation

As a result of participating in this course, to what extent do you agree that you will be better able to accomplish these objectives *

Scoring Key: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree

	5	4	3	2	1
Describe the key elements of the Florida Perinatal Quality Collaborative Obstetric Hemorrhage Initiative (OHI).	Describe the key elements of the Florida Perinatal Quality Collaborative Obstetric Hemorrhage Initiative (OHI). - 5	Describe the key elements of the Florida Perinatal Quality Collaborative Obstetric Hemorrhage Initiative (OHI). - 4	Describe the key elements of the Florida Perinatal Quality Collaborative Obstetric Hemorrhage Initiative (OHI). - 3	Describe the key elements of the Florida Perinatal Quality Collaborative Obstetric Hemorrhage Initiative (OHI). - 2	Describe the key elements of the Florida Perinatal Quality Collaborative Obstetric Hemorrhage Initiative (OHI). - 1
Demonstrate QBL and the use of hemostatic techniques and devices (B Lynch suture, uterine artery ligation, intrauterine balloon) used in OB hemorrhage.	Demonstrate QBL and the use of hemostatic techniques and devices (B Lynch suture, uterine artery ligation, intrauterine balloon) used in OB hemorrhage. - 5	Demonstrate QBL and the use of hemostatic techniques and devices (B Lynch suture, uterine artery ligation, intrauterine balloon) used in OB hemorrhage. - 4	Demonstrate QBL and the use of hemostatic techniques and devices (B Lynch suture, uterine artery ligation, intrauterine balloon) used in OB hemorrhage. - 3	Demonstrate QBL and the use of hemostatic techniques and devices (B Lynch suture, uterine artery ligation, intrauterine balloon) used in OB hemorrhage. - 2	Demonstrate QBL and the use of hemostatic techniques and devices (B Lynch suture, uterine artery ligation, intrauterine balloon) used in OB hemorrhage. - 1
Utilize effective teamwork and communication skills in managing OB hemorrhage.	Utilize effective teamwork and communication skills in managing OB hemorrhage. - 5	Utilize effective teamwork and communication skills in managing OB hemorrhage. - 4	Utilize effective teamwork and communication skills in managing OB hemorrhage. - 3	Utilize effective teamwork and communication skills in managing OB hemorrhage. - 2	Utilize effective teamwork and communication skills in managing OB hemorrhage. - 1
Perform an inter-professional debriefing of an OB hemorrhage event.	Perform an inter-professional debriefing of an OB hemorrhage event. - 5	Perform an inter-professional debriefing of an OB hemorrhage event. - 4	Perform an inter-professional debriefing of an OB hemorrhage event. - 3	Perform an inter-professional debriefing of an OB hemorrhage event. - 2	Perform an inter-professional debriefing of an OB hemorrhage event. - 1

Regarding the scenario in which you participated, to what extend would you agree that: *

Scoring Key: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree

	5	4	3	2	1
The content of the scenario was current and relevant to my practice.	The content of the scenario was current and relevant to my practice. - 5	The content of the scenario was current and relevant to my practice. - 4	The content of the scenario was current and relevant to my practice. - 3	The content of the scenario was current and relevant to my practice. - 2	The content of the scenario was current and relevant to my practice. - 1
The scenario was realistic.	The scenario was realistic. - 5	The scenario was realistic. - 4	The scenario was realistic. - 3	The scenario was realistic. - 2	The scenario was realistic. - 1

Regarding the debriefing, to what extent would you agree that: *

Scoring Key: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree

	5	4	3	2	1
The debriefing encouraged open dialogue.	The debriefing encouraged open dialogue. - 5	The debriefing encouraged open dialogue. - 4	The debriefing encouraged open dialogue. - 3	The debriefing encouraged open dialogue. - 2	The debriefing encouraged open dialogue. - 1
I felt at ease throughout the debriefing discussion.	I felt at ease throughout the debriefing discussion. - 5	I felt at ease throughout the debriefing discussion. - 4	I felt at ease throughout the debriefing discussion. - 3	I felt at ease throughout the debriefing discussion. - 2	I felt at ease throughout the debriefing discussion. - 1
The debriefing helped me discover areas of improvement.	The debriefing helped me discover areas of improvement. - 5	The debriefing helped me discover areas of improvement. - 4	The debriefing helped me discover areas of improvement. - 3	The debriefing helped me discover areas of improvement. - 2	The debriefing helped me discover areas of improvement. - 1

Was this course fair, balanced and without commercial bias? *

Yes

No

If you checked "No,” please explain why: *

Would you recommend this course to your colleagues *

What did you take away from the debriefing process? In what ways did you benefit from the discussion? *

Give an example of how the debriefing discussion changed your perspective on how to apply crisis resource management in your clinical practice. *

Name

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Sim Lab - July 2016 - OHI Evaluation