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NWTS Retrieval Feedback from DGH Staff
Many thanks for taking the time to complete this questionnaire. Please indicate your agreement with the following statements…
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NWTS Case Number or Date and time of transfer
Your answer
Whats your Grade and specialty
Your answer
1.
Our initial referral call was answered promptly
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
N/A
Clear selection
2.
Initial treatment advice given was clear, concise and helpful
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
N/A
Clear selection
3.
It was clear who was providing NWTS advice
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
N/A
Clear selection
4.
The teams arrival time met our expectations
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
N/A
Clear selection
5.
The team introduced themselves and made their individual roles clear
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
N/A
Clear selection
6.
The team was courteous and respectful to referring hospital staff
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
N/A
Clear selection
7.
The team facilitated an adequate bedside hands-free handover
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
N/A
Clear selection
8.
The NWTS team worked well alongside the local team
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
N/A
Clear selection
9.
The NWTS team appeared knowledgeable and skillful
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
N/A
Clear selection
10.
The NWTS team provided appropriate support to the child’s family / carers
Strongly Disagree
Disagree
Neither
Agree
Strongly Agree
N/A
Clear selection
Was there anything that the NWTS team did particularly well?
Your answer
Was there anything that the NWTS team could improve upon
Your answer
Additional comments
Your answer
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