Airway Management Course Evaluation: American Heart Association Emergency Cardiovascular Care Program

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American Heart Association Emergency Cardiovascular Care Program

Airway Management Course Evaluation


Instructions: Please take a moment to complete this evaluation of the course in which you just participated. We want
to provide excellent courses, and we value your opinion. Your comments will be used to make ongoing improvements in
our program. Please refer to the rating scale provided below. Thank you for your participation.

Date:

Course Modules taught: Bag-Mask Ventilation and Airway Adjuncts (required)


† Laryngeal Mask Airway (LMA)
† Esophageal-Tracheal Combitube
† Endotracheal Tube (ET Tube)
† Impedance Threshold Device (ITD)

Lead Instructor:

Name of Training Site:

Date(s) of Course: Length:


Check one: ____MD/DO ____RN ____Paramedic ____Other (Please specify)
Reason for taking this course:

1 ----------------------------- 2 ------------------------- 3 ------------------- 4 ---------------------------- 5


Strongly Disagree Disagree Neutral Agree Strongly Agree
Circle one

1. The program met its stated objectives. 1 2 3 4 5

2. Overall this course met my expectations. 1 2 3 4 5

3. The program content was relevant to my work and extended my knowledge. 1 2 3 4 5

4. There was an adequate supply of equipment that was clean and in good 1 2 3 4 5
working order.

5. The method of presentation (ie, small-group discussions, videos) 1 2 3 4 5


enhanced my learning experience.

6. The audiovisual materials (ie, video) enhanced the presentation. 1 2 3 4 5

7. The program resource materials (ie, Student Guide) was 1 2 3 4 5


useful.

8. Course materials, including the appropriate AHA textbook, were provided 1 2 3 4 5


to allow adequate preparation time.

©2007 American Heart Association


9. The classroom environment was conducive to learning. 1 2 3 4 5

10. There were adequate and appropriate physical facilities for this course. 1 2 3 4 5

11. I would recommend this course to my colleagues. 1 2 3 4 5

12. The program was presented at an appropriate pace conducive to learning. 1 2 3 4 5

13. Instructors presented the material with knowledge and clarity. 1 2 3 4 5

14. Instructors provided adequate and helpful feedback 1 2 3 4 5

Please rate the instructor’s overall effectiveness: 1 ---------- 2 ---------- 3 ------------------- 4 ------------ 5
Poor Fair Satisfactory Good Excellent

Instructor and Topic 1 2 3 4 5 Comments

Please use this space to make any additional comments:


_________________________________________________________________________________________________
___________________________________________________________________________________

Were there any specific strengths or weaknesses of the program that you would like to comment on?
_________________________________________________________________________________________________
___________________________________________________________________________________

Please submit your comments to the Instructor at course end.

Thank you for your participation!

©2007 American Heart Association Airway Management Course Evaluation May 2007

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