Exercise Design: Did you observe any problems during your participation in the exercise? What improvements you suggest? What response strengths did you witness? PHYSICAL FINDINGS: OTHER PATIENT INFORMATION: Actor Exercise Assessment Form EXERCISE “VICTIM” Please complete the following questions at the conclusion of SYMPTOMATOLOGY the exercise. This card is to be turned in at the Check-Out Station, at the exercise site. Please be accurate with your answers. Your cooperation is important and is appreciated. TAG Patient Age: 54 Hospital Patient Sex: Male 1. Which hospital did you go to? VISIBLE SYMPTOMS: 2. How long someone examined you? Less than 5 minutes 5 minutes 10 minutes 15 minutes Over 15 minutes I was never examined at the hospital
PHYSICAL FINDINGS: OTHER PATIENT INFORMATION: Actor Exercise Assessment Form Please complete the following questions at the conclusion of the exercise. This card is to be turned in at the Check-Out Station, at the exercise site. Please be accurate with your answers. Your cooperation is important and is appreciated. Hospital 1. Which hospital did you go to? 2. How long someone examined you? Less than 5 minutes 5 minutes 10 minutes 15 minutes Over 15 minutes I was never examined at the hospital Exercise Design: Did you observe any problems during your participation in the exercise? What improvements you suggest? What response strengths did you witness? EXERCISE “VICTIM” SYMPTOMATOLOGY TAG Patient Age: 54 Patient Sex: Male VISIBLE SYMPTOMS:
2018-FSE-Infectious-Disease-Patient-Scenario-Cards.docx