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Form Approved OMB No: 09201026 Exp. Date: 07/31/2017 Public reporting burden of this collection of
information is estimated to average 10 minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing
and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not
required to respond to a collection of information unless it displays a currently valid OMB control number.
Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton
Road NE, MS D74, Atlanta, Georgia 30333; ATTN: PRA (0920-1026)
Preparing Healthcare Workers to Work in Ebola Treatment Units (ETUs) in Africa 3Month Follow-Up Training Evaluation
INSTRUCTIONS: Thank you for participating in CDC’s Preparing Healthcare Workers to
Work in Ebola Treatment Units (ETUs) in Africa training course. This follow-up course
evaluation is part of our effort to assess the quality and effectiveness of the training and
to determine how helpful the training was to those working in an ETU. Your feedback is
invaluable in assessing how having completed this course affected your work in the ETU
and how the course might be improved. It will take about 10 minutes to complete the
evaluation, and it must be completed all at once. The evaluation is anonymous. Results
will be compiled and presented in aggregate form only.
Q1_WHENDIDYOUTAKETHECOURSE
1. When did you take the CDC’s Preparing Healthcare Workers to Work in Ebola Treatment
Units (ETUs) in Africa training course?
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September 22-25, 2014
October 6-8, 2014
October 15-17, 2014
October 20-22, 2014
October 23-25, 2014
November 3-5, 2014
November 10-12, 2014
November 17-19, 2014
December 2-4, 2014
December 8-10, 2014
January 5-7, 2015
January 21-23, 2015
February 2-4, 2015
February 9-11, 2015
February 18-20, 2015
February 23-25, 2015
March 2-4, 2015
March 9-11, 2015
March 16-18, 2015
March 23-25, 2015
March 30-April 1, 2015
Q2_DIDYOUDEPLOY
2. After completing the CDC course, did you deploy to Africa as part of the Ebola Response?
Yes
No
Q3_WHYNOTDPLOY
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3. If you did not deploy to Africa after completing the CDC course, please indicate why.
Q4_WHICHORGANIZATIONDEPLOYEDYOU
4. Which organization deployed you?
AmeriCares
International Medical Corps
Médecins Sans Frontières
Partners in Health
Samaritan's Purse
WellBody Alliance
United States Public Health Service
Other, please specify :
Q5_DEPLOYDATE
5. On what date were you deployed? Please click the icon to select a date.
Q6_COUNTRIESDEPLOYED_2
6. What country or countries in Africa did you deploy to? (Select all that apply).
Guinea
Liberia
Mali
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Nigeria
Sierra Leone
Other, please specify. :
Q7_RETURNEDFROMDEPLOYMENT
7. Have you returned from your deployment?
Yes
No
Q8_DEPLOYEDLENGTH
8. How long were you deployed?
< 1 month
1-2 months
3-4 months
5-6 months
> 6 months
Q9_DIDYOUWORKINANETU
9. Did you work / are you working in an ETU while in Africa?
Yes
No
Q10_WORKYOUPERFORMED
10. If no, please indicate what type of work you performed during your deployment?
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Q11_INCOUNTRYTRAINING
11. Did you receive additional in-country training prior to working in an ETU?
Yes
No
Q12_PROVIDEROFTRAINING
12. Which organization provided the training?
AmeriCares
International Medical Corps
Médecins Sans Frontières
Partners in Health
Samaritan's Purse
WellBody Alliance
United States Public Health Service
Other, please specify. :
Q13_TRAININGTYPEPROVIDED
13. Please indicate the type of in-country training you received? (Select all that apply).
Additional “cold” training in a mock ETU
Training with experienced healthcare workers in a “hot” ETU
Additional classroom instruction
Mentoring
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Other, please specify. :
Q14_WORKPERFORMEDETU
14. What work did you perform in the ETU? (Select all that apply).
Triage
Patient Care
Lab
Cleaning and Waste Disposal
Transport of Human Remains
Other, please specify. :
Q15_TRAININGCOURSEPREPAREYOU
15. How well did the Preparing Healthcare Workers to Work in Ebola Treatment Units (ETUs)
in Africa training course prepare you to work in an ETU?
Not prepared at all
Somewhat prepared
Fairly well-prepared
Very well-prepared
Q16_TRAININGLECTUREUSEFULNESS
16. Keeping in mind that the Preparing Healthcare Workers to Work in Ebola Treatment Units
(ETUs) in Africa training course was only intended as an introductory course, please rate the
usefulness of each of the following lectures for your work in the ETU?
Overview of Ebola Outbreak
Clinical Care
Not at all useful
Not very useful
Somewhat useful Very useful
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Staff Health/Resiliency and Support
Community Health, Epidemic
Management and Contact Tracing
Experimental Vaccines and Treatments
Infection Prevention and Control
Disinfection and Waste Management
Ebola Treatment Unit Design
Q17_USEFULNESSOFEXERCISES
17. Please rate the usefulness of each of the following table top/practical exercises for your
work in the ETU?
Not at all useful
Not very useful
Somewhat useful Very useful
Triage in an ETU
Safe Blood Draw and Specimen
Collection
Disinfection & Waste/Body Transport
Hand washing
Patient Transport and Supervision of
PPE Doffing
Designing a Safe ETU
Q18_SESSIONINSUFFICIENT
18. Were any of the sessions/activities in the Preparing Healthcare Workers to Work in Ebola
Treatment Units (ETUs) in Africa insufficient given your work in the ETU?
Yes
No
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Q19_LECTURESINSUFFICIENT
19. Which lectures and/or exercises were insufficient? (Please select all that apply).
Lectures
Overview of Ebola Outbreak
Clinical Care
Experimental Vaccines and Treatments
Infection Prevention and Control
Disinfection and Waste Management
Ebola Treatment Unit Design
Staff Health/Resiliency and Support
Community Health, Epidemic Management and Contact Tracing
Q19A_EXERCISESINSUFFICIENT
Tabletop/Practical Exercises
Triage in an ETU
Safe Blood Draw and Specimen Collection
Designing a Safe ETU
Disinfection & Waste/Body Transport
Hand washing
Patient transport and Supervision of PPE Doffing
Q20_RECOMMENDTOPICS
20. In addition to the sessions/activities included in the Preparing Healthcare Workers to
Work in Ebola Treatment Units (ETUs) in Africa training course what other topics or activities
do you recommend including as part of the course?
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Q21_RECOMMEND
21. Would you recommend this training to others?
Yes
No
Q22_OTHERCOMMENTS
22. Other comments or feedback.
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| File Type | application/pdf |
| File Title | https://phprsurveystage.cdc.gov/SPSSMR/InterviewBuilder/printpr |
| Author | uzj7 |
| File Modified | 2015-01-05 |
| File Created | 2014-12-30 |