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Hello:
You are invited to participate in our nursing risk assessment survey. e]. In this survey you will be asked to complete a survey that asks questions about your nursing practice.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
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| I know my Nurse Practice Act and read it at least annually to ensure I understand the legal scope of practice in my state. |
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| I work in an area that is consistnet with my training and experience |
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| I obtain education and training on an ongoing basis to maintain my competencies in my clinical specialty |
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| I understand the risk of caring for patients within my clinical specialty |
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| I decline to perform a requested service that is outisde my legal scope of practice and immediately notify my supervisor or the director of nursing |
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| I contact the risk management department regarding patient or practice issues, if necessary |
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The next 16 questions refer to this question.
I assess and document the following upon admission, with a change in treatment, or with a change in a patient's condition or response to treatment:
Presenting problem(s) |
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| Co-morbidities affecting the patient's status |
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