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Surveys
2015
February
R
Rounding checklist
Rounding checklist
Rounding with staff
0%
Exit Survey
Name
As Title/department
Date:
Time:
acknowledge (knock, announce)
Yes
No
N/a
introduction (name/title)
Yes
No
N/a
explanation/duration
Yes
No
N/a
thank the patient
Yes
No
N/a
professional and courteous
Yes
No
N/a
general appearance of room (neat,clean)
Yes
No
N/a
in regards to this hospital stay, would you rate this hospital a 9-10?
Yes
No
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