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What is your education level in nursing?
 
Associates degree
 
Bachelors degree
 
Masters degree
 
Doctorate
 
Other
 
 
 
 
How long have you been a registered nurse?
 
0 to 5 years
 
6 to 10 years
 
11 to 15 years
 
15 to 20 years
 
More than 20 years
 
 
 
In what area do you primarily work?
 
Ambulatory Surgery Setting
 
Surgical Setting (Pre-operative/PACU)
 
Surgical Setting (OR nurse)
 
Procedure Nurse
 
Medical/Surgical
 
Critical Care Unit
 
Telemetry/DOU
 
Emergency Department
 
Other
 
 
 
 
How many times have you experienced a patient not following pre-operative (surgical or procedural) “do not eat or drink anything after midnight” instructions?
 
None
 
1 to 3 times
 
4 to 6 times
 
7 to 10 times
 
More than 10 times
 
 
 
In which setting did you experience a pre-surgical or pre-procedure patient not following the NPO after midnight instructions? (Check all that apply)
 
Ambulatory Surgery Setting
 
Surgical Setting (Pre-operative)
 
Surgical Setting (OR nurse)
 
Procedure Nurse
 
Medical/Surgical
 
Critical Care Unit
 
Telemetry/DOU
 
Emergency Department
 
Other
 

 
 
 
Do you think the patient considered the surgery or procedure a “serious” one?
 
Yes
 
No
 
Unknown
 
 
 
Have you experienced a pre-surgical or pre-procedure patient telling you they did not eat or drink anything after midnight, but told the anesthesiologist they did eat or drink?
 
Yes
 
No
 
 
 
How many times?
 
None
 
1 to 3 times
 
4 to 6 times
 
7 to 10 times
 
More than 11 times
 
 
 
 
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