CCNF: Critical Care Nurse Fellowship Survey

Critical Care Nurse Fellowship survey to evaluate the effectiveness of the program.
Name (optional): 


  1. Unit
    CSMM ICU
    CSMM IMC
    CSMM BICU
    CSMO ICU
    CSMO AAU


  1. Primary Shift
    Days (8 hr. or 12 hr.)
    Nights (8 hr. or 12 hr.)
    PMs
    Days/Rotation


  1. When did you complete the Critical Care Nurse Fellowship program?
    2015
    2014
    Prior to 2014


  1. Your role
    CCNF participant
    Preceptor
    Unit Educator


  1. Were you able to finish ECCO?
    Yes
    No


  1. Were you able to finish the ECCO content prior to the classes? (example complete the cardiac/hemodynamic sections prior the material being presented in the Basic Critical Care Classes, or CCNF seminar days)
    Yes
    No


  1. The Critical Care Nurse Fellowship program provided information relative to my practice
    Yes
    No


  1. The CCNF seminar day content provided valuable information on

            1 2 3 4 5      
      Neuro Strongly agree  Strongly disagree  
      Cardiac Strongly agree  Strongly disagree  
      Pulmonary Strongly agree  Strongly disagree  
      GI/liver Strongly agree  Strongly disagree  
      Burn/integumentary Strongly agree  Strongly disagree  
      Endocrine Strongly agree  Strongly disagree  
      Multli-system (e.g. sepsis, organ failure) Strongly agree  Strongly disagree  


  1. What content should be added or expanded?


  1. Is there content that you feel should be eliminated?


  1. Did you find information provided by guest speakers was relevant to your practice?
    Yes
    No


  1. What suggestions do you have for improvement for the program? (or other general comments)




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