Hand to Hold Podcast Evaluation
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Hand to Hold Podcast 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
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NICU Heroes Podcast
True or False: Substance addicted mothers need to feel the love from others they are expected to give their babies.
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True
False
Once the body is addicted to opioids, the body overrides:
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The person’s wish to care for a baby
The person’s need to eat
The person’s wish to stop using opioids
None of the above
Which of the following is an example of providing a "compassionate intervention"?
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Interacting with patients in a non-clinical way
Providing care that is fueled by compassion
Giving the patient physical affection, such as a hug
Communicating to others on the behalf of the family
Delivering hard news in a card rather than in person
Evaluate the Presentation Style and Content -- Natalie Baerwaldt
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Excellent
Very Good
Good
Fair
Poor
The instructor’s ability to explain was
The pace of the material presented was
The content was clear and easy to follow
Evaluation of Learning Objective(s) --
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Rate how well the presentation met the following learning objectives.
Excellent
Very Good
Good
Fair
Poor
Provide examples of "compassionate interventions" in at least one challenging situation
Identify one intervention that can support parent-infant bonding in the NICU
The content was relevant to my daily practice
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Excellent
Very Good
Good
Fair
Poor
The content was presented without commercial bias
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Excellent
Very Good
Good
Fair
Poor
Overall, this presentation was
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Excellent
Very Good
Good
Fair
Poor
List one new thing you learned in this presentation
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 listened to the presentation and entered this information after doing so, and that you are submitting this form only for yourself.
Name
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First
Last
Job Title/Credentials
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
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Hospital Name
Hospital State
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Out of Country
Hospital City
Enter any other comments here. Thank you for your time!
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Module
Modeling Motherhood in the NICU
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Template Color
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Number of Units Earned
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(Example: 1 hour, 3 hours, 10 magic beans -- be sure to add the measurement)
CONTACT INFORMATION
Email for Questions – ceuprovider@nursekathi.com