Midwest CareCenter Clinical Orientation Evaluation - March, 2012

Please take a moment to evaluate your Clinical Orientation Experience. Thank you and Welcome to Midwest CareCenter.
Name (optional): 


  1. The topics presented were informative and useful.
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Please rate Luisita Graff on organization and engagement on the following topics:
    Introduction to Clinical Orientation Program
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Advance Directives
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Cultural Competence
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Cultural Competence Video
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Infection Control
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Conducting a Home Visit
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Last Hours
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. CLIA Waived Competency
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Please rate Maureen Rehwaldt on organization and engagement on the following topics:
    HEN videos on Abuse, Neglect, Exploitation/Discussion of Elder abuse policy
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Suicide/Homicide Assessment and Intervention
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Plan of Care/case studies
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Pain Management video (HEN)
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. IV Therapy/Medications
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Please rate Jane Watson on organization and engagement: ONE POINT Pharmacy
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Documentation
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Fall Risk Assessment
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Death Pronouncement, Body Donation, Funeral Planning, Cremation
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Pain Management/Case Studies
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Delirium
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Please rate Susan Martersteck on organization and engagement.: Nutrition Assessment and Hydration
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. For Social Workers and Chaplains ONLY. Please rate the HEN videos (#22-24) -
    Emergency and Disaster Management
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. "Just One More Bite: Understanding Change in Eating and Drinking"
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. For CNAs ONLY (#25-28)
    Please rate Luisita Graff on organization and engagement on the following topics:
    Bathing Without a Battle video
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. The Ultimate Emotional Challenge
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. End of Life Care
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. CNA Written Skills Assessment Test/Review
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. What did you like the MOST about Clinical Orientation?


  1. What did you like LEAST about Clinical Orientation?


  1. How can we change Clinical Orientation to provide a more meaningful experience for you?


  1. Any additional questions?





Abbe Leffel
IL