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What is your job title?
 
CNA
 
STNA
 
LPN
 
RN-BSN
 
RN-MSN
 
Recreational Therapist
 
Physical Therapist
 
 
 
How long have you worked on this unit (BH-1)?
 
0-1 years
 
1-2 years
 
2-3 years
 
3-4 years
 
4-5 years
 
over 5 years
 
 
 
What shift do you work?
 
7AM to 3PM
 
3PM to 11PM
 
11PM to 7AM
 
Other
 
 
 
What time of day or shift do you believe most falls occur?
   
 
 
 
What do you believe causes the most falls on the unit?
   
 
 
 
What do you believe the unit can do to prevent of lessen these falls?
   
 
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