Hospital Acute Response Education (Code Training)
What department are you affiliated with?
What is your current position?
What Date are you signing up for?
Please enter mm/dd/yyyy
Please Answer the following Pre-course survey questions.
What do you rate you confidence in managing a Code or rapid response?
1 (no confidence
10 (very confident)
Approximately how many months ago was your last ACLS (Advanced Cardiac Life Support) course?
I am only BLS certified
I am not BLS or ACLS certified
0 - 6 months
7 - 12 months
Approximately, how many codes or rapid responses have you been a part of?
What do you think are the three (3) most significant barriers to your performance in a code or rapid response?
Knowledge of ACLS
General Experience Participating in a Code
Establishing a Leader
Knowing the Roles of Responders/participants
Confidence in the Use of the Defibrillator
Please select your top 3 choices.
Do Not Fill This Out