BCC-Bonuses — Nurse Kathi

Brain Cooling Course Evaluation:
Thank you for your time. This survey will only take you a FEW minutes to complete. Please note, that each individual requesting a Continuing Education Certificate must complete a separate evaluation form.
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Title*

Evaluate the Presentation Style and Content --*

MRI Team Prep and Patient Care-- Debra Marks & Christina Mehan

	Excellent	Very Good	Good	Fair	Poor
Debra Marks -- The instructor’s ability to explain was
Christina Mehan -- The instructor’s ability to explain was
The pace of the material presented was
The content was clear and easy to follow
The content was relevant to my daily practice

Evaluation of Learning Objective(s) --*

Rate how well the presentation met the following learning objectives.

	Excellent	Very Good	Good	Fair	Poor
List two patient populations who might benefit from a MRI before discharge from the NICU
Describe at least one way to improve your NICU's success with providing sedation-free MRI
Outline two safety precautions and emergency preparations when taking an infant to off-unit MRI

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Evaluation of Learning Objective(s) --*

Rate how well the presentation met the following learning objectives.

	Excellent	Very Good	Good	Fair	Poor
Describe the existing evidence for offering minimal enteral feeding during therapeutic hypothermia.
List at least one potential pathway of neuro-protection related to offering feedings during cooling.

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Evaluation of Learning Objective(s) --*

Rate how well the presentation met the following learning objectives.

	Excellent	Very Good	Good	Fair	Poor
Name at least two tools to use to predict neuro-developmental outcome in infants with HIE.
Describe the developmental trajectory of a child with injury to the central grey nuclei or watershed area from the NICU till school age.

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Continuing Education & Certificate Information
Complete the information below to receive a certificate of Participation & Continuing Education. By entering your information below, you certify that you have personally watched all presentations and entered this information after doing so, and that you are submitting this form only for yourself.
Name*
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Please provide one of the following -- You State License#, Employee#, Last 4 digits of your Social (One of these is required for CE Certificate)*
Email*
Hospital Name
Hospital State
Hospital City
Enter any other comments here. Thank you for your time!
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Module
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Course Code Prefix*

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Number of Units Earned*

(Example: 1 hour, 3 hours, 10 magic beans -- be sure to add the measurement)

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Brain Cooling Course