Working with Unregulated Care Providers - College of Nurses of ...

Teleconference Feedback Form
Thank you for participating in the “Working with Unregulated Care Providers” teleconference on August 28, 2012. Please take a
few minutes to complete this survey. Your feedback is appreciated and will help us improve our process!
You can also complete this form online at http://www.cno.org/en/learn-about-standards-guidelines/educationaltools/teleconferences/working-with-unregulated-care-providers/
1. Usefulness of teleconference to
your nursing practice:
Please explain your answer:
Very
Useful
Useful Not very Useful Not at all Useful
2. Overall satisfaction with
speakers:
Please explain your answer:
Very
Satisfied
Satisfied Dissatisfied Very Dissatisfied
3. Satisfaction with
speakers’:
a) clarity
b) understanding
of the topic
c) responses to
questions
Very
Satisfied Satisfied Dissatisfied
Very
Dissatisfied
Please explain your answer
4. As a result of this teleconference, do you have a better understanding of:
a) The changes to the Working With
Unregulated Care Providers practice
guideline
b) The accountabilities of nurses
who teach, delegate to, assign duties
to or supervise UCPs
c) The difference between teaching
and delegating and when each is
required
d) The application of the Working
With Unregulated Care Providers
practice guideline to your practice
5. Other comments:
Yes No Unsure Please explain your answer
6. Your nursing category:
RN
RPN
NP
Non-nursing
(specify):
7. Your health care sector:
Academia
Acute Care
Community & Public Health
LTC & Rehabilitation
Mental Health & Corrections
Paediatrics
Palliative
Other:
8. Your role in your organization:
Staff Nurse
Nurse Practitioner
Manager
Administration
Clinical Educator
Clinical Nurse Specialist
Other:
Thank you for your feedback.
Please fax the completed form to 416 928-9643 (attn: Denise Hastings) by September 10, 2012