Appendix D Simulation Evaluation Munson Medical Center - Simulation Evaluation Form Title of Presentation: Critical Care Physical Assessment Simulation Date: 3/21/14 Location: Sim Lab Please complete the evaluation form below by placing an in the box that best fits your “X” evaluation of the educational activity. Completion of this form is required to successfully complete this conference and be awarded contact hours for the program. Purpose/Goal of this Simulation: Strongly Neutral Disagree Strongly At the end of this program, I was Agree Disagree able to: Perform a full systematic 4 physical assessment on a simulated patient Identify major alterations in the 4 assessment Evaluate patient data 4 clearly to patient, 4 family and healthcare team I clearly understood the purpose and 4 objectives for the simulation. The scenario resembled a real-life 3 situation. Did the scenario you to use your 4 critical thinking and decision making skills? Did the scenario allow you to use 4 your communication skills? The simulation provided a variety of 4 ways in which to learn the material. The prep material provided to review 4 before the simulation was valuable. The debriefing session was 4 The facilitator, _Erin , demonstrated 4 expertise in the content area. Feedback provided during the 4 debriefing was constructive.
Appendix D Simulation Evaluation Munson Medical Center - Simulation Evaluation Form Title of Presentation: Critical Care Physical Assessment Simulation Date: 3/21/14 Location: Sim Lab Please complete the evaluation form below by placing an “X” in the box that best fits your evaluation of the educational activity. Completion of this form is required to successfully complete this conference and be awarded contact hours for the program. Purpose/Goal of this Simulation: At the end of this program, I was able to: Strongly Agree Neutral Disagree Strongly Disagree Perform a full systematic physical assessment on a simulated patient 4 Identify major alterations in the assessment 4 Evaluate patient data 4 clearly to patient, family and healthcare team 4 I clearly understood the purpose and objectives for the simulation. 4 The scenario resembled a real-life situation. 3 Did the scenario you to use your critical thinking and decision making skills? 4 Did the scenario allow you to use your communication skills? 4 The simulation provided a variety of ways in which to learn the material. 4 The prep material provided to review before the simulation was valuable. 4 The debriefing session was 4 The facilitator, _Erin , demonstrated expertise in the content area. 4 Feedback provided during the debriefing was constructive. 4