Enterprise Imaging Education Completion Form
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Respondent Information
Please complete the form below. Once you have submitted this form, the completion of your education will be recorded.
Thank you!
1.
First Name:
*
2.
Last Name:
*
3.
Email address:
*
4.
Member Organization (select primary location):
*
--Please Select--
NL AR Gould Hospital
NL Blue Hill Hospital
NL CA Dean Hospital
NL EMMC
NL Inland Hospital
NL Maine Coast Hospital
NL Mayo Hospital
NL Mercy Hospital
NL Sebasticook Valley Hospital
Millinocket Regional
Penobscot Valley
St. Joseph
5.
What education have you just completed?
Agfa PACS
Ascend
Invia 4DM
MediCAD
TeraRecon
Other, please specify
6.
Completed Agfa PACS Education:
*
--Please Select--
PACS Classroom Education
PACS Cath Tech & Nurse
PACS Echo Tech/Nurse/PA/NP (Adult & Peds)
PACS ED Physician & NP/PA
PACS EMMC Vasc Lab
PACS EMMC Vasc Provider
PACS EP Tech & Nurse
PACS Invasive Cardiologist
PACS Non-Invasive Cardiologist
PACS Nuclear Tech/Nurse/PA/NP
PACS Orthopedic Surgeon & NP/PA
PACS Radiologist
PACS Radiologist Mammo Workflow
7.
Completed Ascend Education:
ASCEND CLASSROOM EDUCATION
Ascend Startup Screens
Tabs Overview
User Interface
Adult Echo Knowledge Base
Cardiac Cath Knowledge Base
Electrophysiology Knowledge Base
Nuclear Knowledge Base
Pediatric Echo Knowledge Base
Vascular Knowledge Base
Other, please specify
Click
DONE
to submit your Completion Form and continue to the Education Evaluation.
Done