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Date: ____/____/____ Time: ________ AM/PM Department(s): ________________________________________________________________________________ |
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1. Are there parts of your job that you think someone else should be doing instead of you? |
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2. Are there things you think should be part of your job that someone else is doing? |
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3. What are the things that keep you from working efficiently? |
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4. Are there things you see happening to patients that you think you should tell someone but you don't know whom to tell? |
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5. Given what you see every day, if you were a patient in the hospital what would you want to be different? |
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6. What things would you want to do for yourself if you were a patient? What things would you want your family to be able to do? |
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Notes: |
5600 Fishers Lane Rockville, MD 20857