EVALUATION FORM
National TB Nurse Coalition
2014 Annual Meeting
June 10, 2014
To Receive Continuing Education Credits1. Sign in the NTNC sign-in sheet at the Registration Desk on June 10.
2. Attend the educational presentations at the meeting.
3. Complete this form and turn it in at the Registration Desk.
The 2014 NTNC Annual Meeting on June 10, 2014, is approved for up to 3.50 continuing education hours.
Name: ______
Email: ______Phone: ______
What type of certificate are you requesting? CNE Participation
If CNE, enter your license number: ______
What is your occupation? ______
In which sector do you work? Public Private
What best describes your work setting? (Check all that apply.)
Federal agency State agency County agency City agency University
Other: ______
How long have you worked? In public health: ______years In TB: ______years
Presentations and Panels
To evaluate each session, circle the number that reflects your agreement, disagreement, or neutrality about each statement: 1=Strongly Disagree; 2=Disagree; 3=Neutral; 4=Agree; 5=Strongly Agree.
Patricia Townsend: TB Transmission in a NICU: Management of an Outbreak
Strongly Disagree / Disagree / Neutral / Agree / Strongly AgreeAt the end of this presentation, participants are
able to meet these objectives:
Describe the approach to evaluating the risk of transmission in a neonatal intensive care unit (NICU) setting for situations in which infants and adults are identified with TB disease. / 1 / 2 / 3 / 4 / 5
Identify characteristics that increase the risk of tuberculosis (TB) transmission in a NICU setting. / 1 / 2 / 3 / 4 / 5
About the speaker and content:
The content was relevant to my practice. / 1 / 2 / 3 / 4 / 5
The content was free of commercial bias. / 1 / 2 / 3 / 4 / 5
The speaker was knowledgeable on the topics covered. / 1 / 2 / 3 / 4 / 5
The speaker was clear and well organized. / 1 / 2 / 3 / 4 / 5
Ann Loeffler: Evaluation and Management of Exposed and Sick Neonates
Strongly Disagree / Disagree / Neutral / Agree / Strongly AgreeAt the end of this presentation, participants are
able to meet these objectives:
Assess the risk of transmission to a neonate following an exposure in a NICU and identify those who will need evaluation. / 1 / 2 / 3 / 4 / 5
Evaluate a neonate for evidence of TB disease following a known exposure. / 1 / 2 / 3 / 4 / 5
About the speaker and content:
The content was relevant to my practice. / 1 / 2 / 3 / 4 / 5
The content was free of commercial bias. / 1 / 2 / 3 / 4 / 5
The speaker was knowledgeable on the topics covered. / 1 / 2 / 3 / 4 / 5
The speaker was clear and well organized. / 1 / 2 / 3 / 4 / 5
Carolyn Bargman: Colorado High School Contact Investigation Multi-County Collaboration
Strongly Disagree / Disagree / Neutral / Agree / Strongly AgreeAt the end of this presentation, participants are
able to meet these objectives:
Describe ways to interact with the media and provide information to the public about a contact investigation (CI) while still protecting privacy of individuals. / 1 / 2 / 3 / 4 / 5
Identify strategies and new technologies that can be used to aid in conducting a large and complex CI. / 1 / 2 / 3 / 4 / 5
Describe ways to collect and keep track of data for: patient care and management and for statistical, cost, and program purposes. / 1 / 2 / 3 / 4 / 5
Describe lessons learned with high-, medium-, and low-incidence TB areas. / 1 / 2 / 3 / 4 / 5
About the speaker and content:
The content was relevant to my practice. / 1 / 2 / 3 / 4 / 5
The content was free of commercial bias. / 1 / 2 / 3 / 4 / 5
The speaker was knowledgeable on the topics covered. / 1 / 2 / 3 / 4 / 5
The speaker was clear and well organized. / 1 / 2 / 3 / 4 / 5
April King-Todd: An Outbreak Among the Homeless:
The Aftermath in an Already High-Incidence County
At the end of this presentation, participants are
able to meet these objectives:
Describe ways to interact with the media and provide information to the public about a CI while still protecting privacy of individuals. / 1 / 2 / 3 / 4 / 5
Identify strategies and new technologies that can be used to aid in conducting a large and complex CI. / 1 / 2 / 3 / 4 / 5
Describe ways to collect and keep track of data for: patient care and management and for statistical, cost, and program purposes. / 1 / 2 / 3 / 4 / 5
Describe lessons learned with high-, medium-, and low-incidence TB areas. / 1 / 2 / 3 / 4 / 5
About the speaker and content:
The content was relevant to my practice. / 1 / 2 / 3 / 4 / 5
The content was free of commercial bias. / 1 / 2 / 3 / 4 / 5
The speaker was knowledgeable on the topics covered. / 1 / 2 / 3 / 4 / 5
The speaker was clear and well organized. / 1 / 2 / 3 / 4 / 5
Patricia Woods: Entering the e-World of Nurse Case Management
Strongly Disagree / Disagree / Neutral / Agree / Strongly AgreeAt the end of this presentation, participants are
able to meet these objectives:
Explain how the nucleic acid amplification tests (NAATs) can be used to facilitate and direct a CI. / 1 / 2 / 3 / 4 / 5
Describe the use of tuberculin skin tests (TSTs) vs interferon gamma release assays (IGRAs) in a large CI and the pros and cons of each test. / 1 / 2 / 3 / 4 / 5
Explain the pros and cons of short-course latent TB infection (LTBI) treatments (4R and 3HP) to treat a large number of contacts including: advantages, disadvantages, completion rates, costs both direct and hidden (e.g., staff time). / 1 / 2 / 3 / 4 / 5
Describe, compare and contrast the various types of devices and modalities for directly observed therapy (DOT) including video, Skype, etc. / 1 / 2 / 3 / 4 / 5
Describe the pros and cons of different technologies including costs, Health Insurance Portability and Accountability Act (HIPAA) compliance, potential partners (e.g., phone and computer companies). / 1 / 2 / 3 / 4 / 5
Describe how the lessons learned could be applied in high-, medium-, and low-incidence TB areas. / 1 / 2 / 3 / 4 / 5
About the speaker and content:
The content was relevant to my practice. / 1 / 2 / 3 / 4 / 5
The content was free of commercial bias. / 1 / 2 / 3 / 4 / 5
The speaker was knowledgeable on the topics covered. / 1 / 2 / 3 / 4 / 5
The speaker was clear and well organized. / 1 / 2 / 3 / 4 / 5
Kenneth Jost: Effect of Treatment on Transmission
Strongly Disagree / Disagree / Neutral / Agree / Strongly AgreeAt the end of this presentation, participants are
able to meet these objectives:
Describe laboratory techniques used during large and complicated CIs. / 1 / 2 / 3 / 4 / 5
Describe rapid molecular laboratory methods useful during large and complicated CIs. / 1 / 2 / 3 / 4 / 5
About the speaker and content:
The content was relevant to my practice. / 1 / 2 / 3 / 4 / 5
The content was free of commercial bias. / 1 / 2 / 3 / 4 / 5
The speaker was knowledgeable on the topics covered. / 1 / 2 / 3 / 4 / 5
The speaker was clear and well organized. / 1 / 2 / 3 / 4 / 5
Jeanne Sullivan Meissner: Coordinating & Utilizing Data in Large CI
Strongly Disagree / Disagree / Neutral / Agree / Strongly AgreeAt the end of this presentation, participants are
able to meet these objectives:
Describe ways to collect and keep track of data for patient care and management and for statistical, cost, and program purposes. / 1 / 2 / 3 / 4 / 5
Describe how the lessons learned could be applied in high-, medium-, and low-incidence TB areas. / 1 / 2 / 3 / 4 / 5
About the speaker and content:
The content was relevant to my practice. / 1 / 2 / 3 / 4 / 5
The content was free of commercial bias. / 1 / 2 / 3 / 4 / 5
The speaker was knowledgeable on the topics covered. / 1 / 2 / 3 / 4 / 5
The speaker was clear and well organized. / 1 / 2 / 3 / 4 / 5
General Comments
What is your overall rating for this meeting? / Poor1 / Fair
2 / Average
3 / Good
4 / Excellent
5
Is the information provided in this meeting likely to lead you to change your practice?
Yes* No Unsure Not Applicable (*If Yes, describe the changes below.)
What did you like most about the 2014 NTNC Annual Meeting?
What did you like least about the 2014 NTNC Annual Meeting?
What improvements do you suggest for 2015 NTNC Annual Meeting?
What topics and presenters do you suggest for the 2015 NTNC Annual Meeting?
NTNC 2014 Annual Meeting Evaluation FormPage 1 of 4