Page 53 - 372.w
P. 53

Appendix F:



               Data Collection/Evaluation Forms with Examples of Their Use



               1. Data Collector Observation Log



               2. Role Evaluation Checklist with Example for Role of Clinic Manager
                  (Flu Scenario)



               3. Station-Specific Throughput Timesheet



               4. Actor-Specific Throughput Timesheet



               5. Participant Feedback Form



               6. Hot Wash/Debriefing



               7. After Action Report



               8. Tracking Improvement Checklist




































                                                                                                                51
   48   49   50   51   52   53   54   55   56   57   58