Name: * AANA ID# If you are a Nurse Anesthetists please enter your AANA ID# Date of Program: * The date you viewed the program/video Indicate your level of achievement for each learner objective on the rating scale * As a result of attending this activity, I am better able to: ExcellentGoodAdequateFairPoor Understand factors influencing postoperative recovery Understand factors influencing postoperative recovery - Excellent Understand factors influencing postoperative recovery - Good Understand factors influencing postoperative recovery - Adequate Understand factors influencing postoperative recovery - Fair Understand factors influencing postoperative recovery - Poor Understand effective pain management Understand effective pain management - Excellent Understand effective pain management - Good Understand effective pain management - Adequate Understand effective pain management - Fair Understand effective pain management - Poor Understand how to manage opioid side effects Understand how to manage opioid side effects - Excellent Understand how to manage opioid side effects - Good Understand how to manage opioid side effects - Adequate Understand how to manage opioid side effects - Fair Understand how to manage opioid side effects - Poor Please rate: * ExcellentGoodAdequateFairPoor The facilitator was effective in presenting the material The facilitator was effective in presenting the material - Excellent The facilitator was effective in presenting the material - Good The facilitator was effective in presenting the material - Adequate The facilitator was effective in presenting the material - Fair The facilitator was effective in presenting the material - Poor Teaching methods were effective Teaching methods were effective - Excellent Teaching methods were effective - Good Teaching methods were effective - Adequate Teaching methods were effective - Fair Teaching methods were effective - Poor Physical facilities facilitated learning Physical facilities facilitated learning - Excellent Physical facilities facilitated learning - Good Physical facilities facilitated learning - Adequate Physical facilities facilitated learning - Fair Physical facilities facilitated learning - Poor The content was related to the objectives The content was related to the objectives - Excellent The content was related to the objectives - Good The content was related to the objectives - Adequate The content was related to the objectives - Fair The content was related to the objectives - Poor My personal learning objectives were met My personal learning objectives were met - Excellent My personal learning objectives were met - Good My personal learning objectives were met - Adequate My personal learning objectives were met - Fair My personal learning objectives were met - Poor Please rate the projected impact of this activity on your knowledge/competence, skills/strategy, performance, and patient outcomes: * Competence is defined as the ability to apply knowledge, skills and judgement in practice (knowing how to do something). Joint Accreditation required us to analyze changes in learner' knowledge/competence, skills/strategies, performance, or patient outcomes. YesNoNo Change This activity increased my knowledge/competence. This activity increased my knowledge/competence. - Yes This activity increased my knowledge/competence. - No This activity increased my knowledge/competence. - No Change This activity increased my skills/strategy. This activity increased my skills/strategy. - Yes This activity increased my skills/strategy. - No This activity increased my skills/strategy. - No Change This activity improved my performance. This activity improved my performance. - Yes This activity improved my performance. - No This activity improved my performance. - No Change This activity will improve my patient outcomes. This activity will improve my patient outcomes. - Yes This activity will improve my patient outcomes. - No This activity will improve my patient outcomes. - No Change If yes, please describe State one item you learned that will improve your nurse anesthesia practice. Nurse Anesthetists only Please identify how you will change your practice as a result of attending this activity (select all that apply) * This activity validated my current practice; no changes will be made Create/revise protocols, policies, and/or procedures Change the management and/or treatment of my patients Other. please specify Please identify how you will change your practice as a result of attending this activity (select all that apply) Other. please specify Please indicate any barriers you perceive in implementing these changes. * Cost Lack of experience Lack of opportunity (patients) Lack of resources (equipment) Lack of administrative support Lack of time to assess/counsel patients Reimbursement/insurance issues Patient compliance issues Lack of consensus or professional guidelines No barriers Limited awareness of other health professionals' knowledge, skills and abilities Other. please specify Please indicate any barriers you perceive in implementing these changes. Other. please specify Will you attempt to address these barriers in order to implement changes in your competence, performance, and/or patients' outcomes? * N/A No Yes, Please explain.. Will you attempt to address these barriers in order to implement changes in your competence, performance, and/or patients' outcomes? Yes, Please explain.. How will you integrate interprofessional teamwork behaviors and functions in the care of your patients * How might the format of this activity be improved for the content presented (select all that apply)? * Format was appropriate; no changes needed Include more case-based presentations Increase interactivity with attendees Add breakouts for subtopics Add a hands-on instructional component Schedule more time for Q and A Other, describe How might the format of this activity be improved for the content presented (select all that apply)? Other, describe Overall, were the presentations balanced, objective, scientifically rigorous and free from commercial bias? * Yes No, please explain Overall, were the presentations balanced, objective, scientifically rigorous and free from commercial bias? No, please explain Overall, were the speakers knowledgeable regarding the content? * Yes No, please explain Overall, were the speakers knowledgeable regarding the content? No, please explain Please describe any clinical situations that you find difficult to manage or resolve that you would like to see addressed in future educational activities: * Comments: Leave this field blank
