Welcome Survey

Please answer the following questions.

General Information Name:

What is your duty position?

Perioperative Nurse
Surgical Technologist
Certified Registered Nurse Anesthetist

Do you have any additional certifications? Choose all that apply.

Pediatric Advanced Life Support (PALS)
Advanced Cardiac Life Support (ACLS)
Trauma Nursing Core Course (TNCC)
Certified Perioperative Nurse (CNOR)
Certified Surgical Technologist (CST)

Which of the following have you received previous training on? Choose all that apply.

MHS Genesis Charting System
Da-Vinci Robot Xi
Hana Orthopedic Surgery Table
Mizuho OSI Modular Fracture Table
Cell Saver
DMHRSi & ATAAPS Timecards

What is the best method to contact you?

Any additional information you would like to share and/or feedback for the orientation process?