1979 Marcus Avenue, Suite 105  Lake Success, NY 11042-1072
Phone: 516-209-5253  Fax: 516-326-7805  ncc@ncc.esrd.net
www.esrdncc.org  www.kcercoalition.com
Healthcare Acquired Infection (HAI) Webinar
EVALUATION
Name:
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Network #:
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1
This webinar has enhanced my education in regards to
the causes of AV Access Infection and blood stream
infection in a patient with an AV access.
☐ Very True
☐ Somewhat True
☐ Neither True nor False
☐ Somewhat False
☐ Very False
2
After participating I have a better understanding of the
preventative measures that need to be taken to
eliminate access infections.
☐ Very True
☐ Somewhat True
☐ Neither True nor False
☐ Somewhat False
☐ Very False
My knowledge of how to detect an access infection
was enhanced through this education.
☐ Very True
☐ Somewhat True
☐ Neither True nor False
☐ Somewhat False
☐ Very False
3
4
I have a better understanding of the complications
associated with access infection i.e. deep cannulation
site ulcerations and aneurysms.
☐ Very True
☐ Somewhat True
☐ Neither True nor False
☐ Somewhat False
☐ Very False
5
This education will help to improve my observations
for infection during my daily access monitoring..
☐ Very True
☐ Somewhat True
☐ Neither True nor False
☐ Somewhat False
☐ Very False
6
I can list the two major recommendations for
improvement from the AHRQ Patient Safety Culture
Survey
☐ Very True
☐ Somewhat True
☐ Neither True nor False
☐ Somewhat False
☐ Very False
ESRD Network Coordinating Center (NCC)
Effective Date: 09/29/2015
Healthcare Associated Infections (HAIs) LAN Evaluation
Page: 1 of 2
1979 Marcus Avenue, Suite 105  Lake Success, NY 11042-1072
Phone: 516-209-5253  Fax: 516-326-7805  ncc@ncc.esrd.net
www.esrdncc.org  www.kcercoalition.com
7
8
9
10
11
I learned that a culture of safety relies on a system of
trust and accountability
☐ Very True
☐ Somewhat True
☐ Neither True nor False
☐ Somewhat False
☐ Very False
I can recognize and describe human behaviors that
influence safety Core concepts
☐ Very True
☐ Somewhat True
☐ Neither True nor False
☐ Somewhat False
☐ Very False
I understand that involving patients in their care is an
important element of a culture of safety
☐ Very True
☐ Somewhat True
☐ Neither True nor False
☐ Somewhat False
☐ Very False
This training provided me with information I can use in
my practice to improve patient safety.
☐ Very True
☐ Somewhat True
☐ Neither True nor False
☐ Somewhat False
☐ Very False
The lead/moderator effectively facilitated and
managed the call
☐ Very True
☐ Somewhat True
☐ Neither True nor False
☐ Somewhat False
☐ Very False
ESRD Network Coordinating Center (NCC)
Effective Date: 09/29/2015
Healthcare Associated Infections (HAIs) LAN Evaluation
Page: 2 of 2