Synapse Care Solutions - Small Baby Course
Step
1
of
2
50%
Small Baby Course Webinar 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.
Hidden
Title of Webinar
*
The Ultimate Marathon: Supporting Mothers Who Want to Breastfeed their Babies in the NICU
Hidden
Module:
Small Baby Course - Session 3
Can put the company's name if applicable. Will appear below the title of the webinar on the CE certificate. Must remove sample name.
Evaluate the Presentation Style and Content --
*
Raylene Phillips, MD, MA, FAAP, FABM, IBCLC
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
The content was presented without commercial bias
Evaluation of Objectives -- Rate how well the presentation met the following learning objectives.
*
The Ultimate Marathon: Supporting Mothers Who Want to Breastfeed their Babies in the NICU
Excellent
Very Good
Good
Fair
Poor
Discuss 4 ways to support optimal milk supply for NICU mothers
Describe a QI project designed to increase the use of human milk nutrition in the NICU
Describe a collaborative project to support use of early colostrum as oral care for ELBW infants
Describe ways to support mothers in actually breastfeeding their preterm infants before NICU discharge
Evaluate the Webinar Content --
The content was relevant to my daily practice
*
Excellent
Very Good
Good
Fair
Poor
Overall, this presentation was
*
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 watched the complete webinar presentation for a total of 50 minutes or more, that you entering this information after doing so, and that you are submitting this form only for yourself.
Name
*
First
Last
Email
*
Job Title/Credentials
Please provide your State License # (this will appear on the CE Certificate)
Enter any other comments here. Thank you for your time!
Hidden
Course Code Prefix
*
These numbers will show BEFORE the course code on the template.
Hidden
Template Color - be sure to match to the company color
*
(Don't forget the #)
Hidden
Number of Units Earned
*
(Example: 1 hour, 3 hours, 10 magic beans -- be sure to add the measurement)
CONTACT INFORMATION
Email for Questions – ceuprovider@nursekathi.com
