CE Certificate – Aug 17th RVAC | Arizona Society for Respiratory Care

AzSRC CE Certificate (Aug 17th - RVAC Preconference) - AARC format

This is the form for learners or attendees to submit their information & fill out the survey to have their certificate automatically generated.

Step 1 of 2

50%

Contact Details

Name(Required)

First Last

Credential(s)(Required)

Enter your respiratory care credential(s) as they should appear on your certificate.

Email(Required)

Enter Email Confirm Email

Phone

Name of your current employer?(Required)

State License #

Optional — enter your state respiratory care license number if applicable.

Please fill out this post-course evaluation

1. Keynote — Lead with Evidence, Inspire with Purpose — Dr. Amy Bardin, Ed.d, EMBA, RRT, FAARC, VABC

Please rate the teaching effectiveness of the presenter.(Required)

	1 – Poor	2 – Fair	3 – Good	4 – Excellent	5 – Superior
Organization
Delivery
Content
Audio Visual

Were the educational objectives met?(Required)

Strongly Agree	Agree	Disagree	Strongly Disagree

The content of this session was presented without bias of any commercial product or drug.(Required)

Strongly Agree	Agree	Disagree	Strongly Disagree

Comments (optional)

Please provide additional comments or suggestions on this session and presenter. If you believe this session was presented with commercial bias, please note it here.

2. Expert Consensus: Non Integrated Vs. Integrated PIV Catheters — Tonya Stevens, ACNP – ICU Medical

Please rate the teaching effectiveness of the presenter.(Required)

	1 – Poor	2 – Fair	3 – Good	4 – Excellent	5 – Superior
Organization
Delivery
Content
Audio Visual

Were the educational objectives met?(Required)

Strongly Agree	Agree	Disagree	Strongly Disagree

The content of this session was presented without bias of any commercial product or drug.(Required)

Strongly Agree	Agree	Disagree	Strongly Disagree

Comments (optional)

Please provide additional comments or suggestions on this session and presenter. If you believe this session was presented with commercial bias, please note it here.

3. One Bloodstream: A Call to Action — Max Holder – Solventum

Please rate the teaching effectiveness of the presenter.(Required)

	1 – Poor	2 – Fair	3 – Good	4 – Excellent	5 – Superior
Organization
Delivery
Content
Audio Visual

Were the educational objectives met?(Required)

Strongly Agree	Agree	Disagree	Strongly Disagree

The content of this session was presented without bias of any commercial product or drug.(Required)

Strongly Agree	Agree	Disagree	Strongly Disagree

Comments (optional)

Please provide additional comments or suggestions on this session and presenter. If you believe this session was presented with commercial bias, please note it here.

4. Tissue Adhesive: An Effective Measure Against Vascular Access Catheter-Related Infections — Jennifer Ballard – HBFuller

Please rate the teaching effectiveness of the presenter.(Required)

	1 – Poor	2 – Fair	3 – Good	4 – Excellent	5 – Superior
Organization
Delivery
Content
Audio Visual

Were the educational objectives met?(Required)

Strongly Agree	Agree	Disagree	Strongly Disagree

The content of this session was presented without bias of any commercial product or drug.(Required)

Strongly Agree	Agree	Disagree	Strongly Disagree

Comments (optional)

Please provide additional comments or suggestions on this session and presenter. If you believe this session was presented with commercial bias, please note it here.

5. New Technology and Innovation in Vascular Access — Bard

Please rate the teaching effectiveness of the presenter.(Required)

	1 – Poor	2 – Fair	3 – Good	4 – Excellent	5 – Superior
Organization
Delivery
Content
Audio Visual

Were the educational objectives met?(Required)

Strongly Agree	Agree	Disagree	Strongly Disagree

The content of this session was presented without bias of any commercial product or drug.(Required)

Strongly Agree	Agree	Disagree	Strongly Disagree

Comments (optional)

Please provide additional comments or suggestions on this session and presenter. If you believe this session was presented with commercial bias, please note it here.

6. Expanding practice to include femoral arterial catheter insertion: considerations and outcomes of one team's journey. — Tyger Homan, RRT

Please rate the teaching effectiveness of the presenter.(Required)

	1 – Poor	2 – Fair	3 – Good	4 – Excellent	5 – Superior
Organization
Delivery
Content
Audio Visual

Were the educational objectives met?(Required)

Strongly Agree	Agree	Disagree	Strongly Disagree

The content of this session was presented without bias of any commercial product or drug.(Required)

Strongly Agree	Agree	Disagree	Strongly Disagree

Comments (optional)

Please provide additional comments or suggestions on this session and presenter. If you believe this session was presented with commercial bias, please note it here.

7. Session to be determined — ICU Medical

Please rate the teaching effectiveness of the presenter.(Required)

	1 – Poor	2 – Fair	3 – Good	4 – Excellent	5 – Superior
Organization
Delivery
Content
Audio Visual

Were the educational objectives met?(Required)

Strongly Agree	Agree	Disagree	Strongly Disagree

The content of this session was presented without bias of any commercial product or drug.(Required)

Strongly Agree	Agree	Disagree	Strongly Disagree

Comments (optional)

Please provide additional comments or suggestions on this session and presenter. If you believe this session was presented with commercial bias, please note it here.

Was this course in person or virtual?(Required)

Are you AARC/AZSRC member?(Required)

Yes

AARC/AZSRC Membership Number(Required)