Team Application Form for ERAS seminar
Implementing Enhanced Recovery after Surgery (ERAS): Focus on Cardiac Surgery Salzburg, Austria, December 12-17, 2021
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Team Leader's First Name(s)
Team Leader's Last Name
Team Leader's email
Team Leader's Profession/Position
Affiliation or Institution
Country
phone no.
Team Member 1 First Name
Last Name
Profession
Team Member 2 First Name
Last Name
Profession
Team Member 3 First Name
Last Name
Profession
Do you currently adhere to an Enhanced Recovery After Surgery protocol?
yes
no
Please give us a brief description of your program, the successes, and challenges
Would you be willing to participate in an intensive course to learn how to implement and sustain a program?
yes
no
List your top 3 ERAS-related challenges we can help you to overcome.
Do you collect and review outcome and compliance data?
yes
no
List the top 5 outcomes you strive to improve through the implementation of an ERAS program.
Will you have the ability to collect and track outcome and compliance data pre and post implementation?
yes
no
Are you willing to give a case presentation if chosen to attend the ERAS workshop?
yes
no
Does your institution’s leadership support the implementation of an ERAS program?
yes
no
don't know
Briefly describe the relationship between physicians and nurses in your institution: Collaborative? Divided? Collegial?
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