SAFETY INJECTION SURVEILLED (For Nurses / Midwives / Technicians) This questionnaire is aimed at assessing the current situation of injections at health facilities. We do not evaluate individuals and entities providing information in this survey. Would you please collaborate by providing enough information in the form. Your information helps the research team assess the safety of injection and thereby improve the quality of care and treatment. patient. No. : ………………… Department: Cardiology and Respiratory Pediatric Surgery Ophthalmology Pathobiology and pulmonology Otolaryngology Internal medicine Intensive care Obstetric Gastroenterology Traumatology Oral facial and orthodontics Cardiology Emergency Date …….month……..year……. A. General Information: A1k. Year of birth: ..................... A2. Gender: ..................... 1. male 2. Female A3k. Education: 1. Beginner 4. University 2. Intermediate 5. Postgraduate
SAFETY INJECTION SURVEILLED (For Nurses / Midwives / Technicians) This questionnaire is aimed at assessing the current situation of injections at health facilities. We do not evaluate individuals and entities providing information in this survey. Would you please collaborate by providing enough information in the form. Your information helps the research team assess the safety of injection and thereby improve the quality of care and treatment. patient. No. : ………………… Department: Cardiology and Respiratory Pediatric Surgery Ophthalmology Pathobiology and pulmonology Otolaryngology Internal medicine Intensive care Obstetric Gastroenterology Traumatology Oral facial and orthodontics Cardiology Emergency Date …….month……..year……. A. General Information: A1k. Year of birth: ..................... A2. Gender: ..................... 1. male 2. Female A3k. Education: 1. Beginner 4. University 2. Intermediate 5. Postgraduate
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