Dr. Robert Sapien of the University of New Mexico invites you to participate in this questionnaire study, being conducted under the auspices of the University of New Mexico. The following will involve answering 14 questions and should take about 10 minutes to complete. Your involvement in this study is voluntary, and you may choose not to participate or to stop at any time. This questionnaire is anonymous. Your date of birth will be used for data coding only. The results of this study may be published in summary form. All information you provide will remain strictly confidential.
 
The following 4 questions refer to the demographics of you and your school:
1.) In what New Mexico County is your school district? (Choose from this drop down list)  
2.) Where did you take the SNEMS Course? (Choose from this drop down list)
3.) What is your date of birth? (Please use the mm/dd/yy format, i.e. 01/20/03)
4.) For how many schools do you function as the school nurse? (Choose one) One     Two     Three or more

 

The next questions 5 thru 18 are designed to evaluate emergency preparedness activities in your school(s), since you completed the School Nurse EMS Course. If preparedness varies from one of your schools to another, please provide information on the school in which you believe you have been most effective in preparing for emergencies.
5.) Since the SNEMS Course, have you reviewed your school emergency plan? (Choose one)
a.) I have read it. d.) We have an emergency plan, but I have not read it.
b.) It has been reviewed by me and an emergency preparedness committee. e.) We do not have an emergency plan.
c.) It has been reviewed and changes have been made to improve it.  f.) Other :

 

6.) If you have had medical or psychiatric emergencies, since you took the SNEMS Course:  (Choose as many of the following that apply)
a.) We have implemented the school emergency plan and it worked very well. d.) We have had no emergencies.
b.) We have implemented the school emergency plan, but it did not work well. e.) Other : 
c.) We have had emergencies, but did not implement the emergency plan.  

 

7.) Does your school have an emergency preparedness steering committee?
a.) Yes c.) I don't know.
b.) No d.) Other: 

 

8.) If your school does have an emergency preparedness steering committee, did it form as a result of the SNEMS Course?
a.) Yes c.) I don't know.
b.) No  d.) Other: 

 

9.) How many times has the emergency plan been implemented in any of your schools, during the following years? (Enter number for each year or check appropriate "Don't Know" box)
 a). School year:  2001-2002      c). Don't know for year 2001-2002    
 b). School year:  2002-2003      d). Don't know for year 2002-2003    

 

10.) Since the SNEMS Course, have you arranged a liaison visit with any local EMS officials?
a.) Yes b.) No

 

11.) If you have not had a liaison visit with EMS, what is the best reason? (Choose one)
a.) I don't have the time. c.) I called EMS, but they did not seem to care.
b.) My supervisor would not allow me to do so. d.) Other: 

 

12.) If a liaison visit with EMS did take place: (Choose one)
a.) The visit did take place and was very helpful. c.) The visit did take place, but was a waste of time.
b.) The visit did take place and was somewhat helpful. d.) Other: 

 

13.) Since the SNEMS Course, has anyone from EMS evaluated access to your school(s) for various emergencies?

a.) Yes                    b.) No                    c.) I don't know.

 

14.) Since the SNEMS Course,  have you initiated any training of staff in emergency preparedness? (Choose one)
a.) I have only done some informal training of staff. d.) I have not initiated any such training.
b.) I have formally lectured to most or all school staff on what to do in case of emergencies. e.) Other: 
c.) I have individually trained a medical assistance team.  

 

15.) Do you have a designated emergency or medical assistance team?
a.) Yes c.) No
 b). If yes, did you train them?     Yes        No d.) Other: 

 

16.) Have you surveyed school staff for training, experience abilities and interest that they may already possess?

a.) Yes                     b.) No

 c.) Other: 

 

17.) Have you used the EMS-C algorithms from the School Health Manual in training designated assistants?
a.) Yes c.) I've never heard of the EMS-C algorithms.
b.) No d.) Other: 

 

18.) If  your school(s) is poorly prepared for emergencies, why is this? (Choose all that apply)
a.) Because I don't know what to do to prepare for emergencies. d.) Because I don't think emergency preparedness is important.
b.) Because my supervisor does not care about emergency preparedness. e.) It is not poorly prepared.
c.) Because my supervisor only wants an emergency plan on paper and does not support collaboration on an effective plan. f.) Other: 

 

19.) Have you made any changes or upgrades to your equipment as a result of the SNEMS Course? (i.e. changes or upgrades in your first aid kit, additions of oxygen equipment or asthma management equipment)

          

 

Please read the following statement and enter your response,
 before clicking on the submit button:


By completing this questionnaire, you agree to participate in the above questionnaire study.
 
 

Enter yes here:

 


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