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Surveys
2015
November
P
Patient End-of-Life Care Survey
Patient End-of-Life Care Survey
0%
Exit Survey
Hello:
You are invited to participate in our survey about obtaining End-of-Life wishes in the Emergency Depratment. In this survey, approximately 50 people will be asked to complete a survey that asks questions about our process in the ED of respecting patients' autonomy. It will take approximately 5 minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Valerie Contreras, RN at 915-248-8793 or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
Are you familiar with the term "Advance Directive?"
Yes
No
Are you familiar with the term "Do not resuscitate order?"
Yes
No
Are you familiar with the term "Living Will?"
Yes
No
Do you have an Advance Directive, Do not resuscitate order, or living will?
Yes
No
Did the nurse who triaged you ask your preferences?
Yes
No
Do you have any suggestions on how to improve the process?
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