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In-Situ Utilization Reporting
In-Situ Utilization Reporting
Email address
Date and time
Date and time: Date
Date and time: Time
Unit / Department
Facilitator
Topic
Total participants
Total time: Pre-brief, simulation and debrief
Outcome Measure (choose all that apply)
Observation
Chart audit
Post test
Feedback survery
Disciplines
Nursing
Physician
APP
Radiology
Respiratory Therapy
EMT/Paramedic
Other…
Enter other…
Future Sim Plans?
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No
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