Survey to evaluate usefulness of aerosol boxes and swab shields

Project Aerosol Box and Swab Shield Against COVID-19 - ParaSaPinas

This survey is being done to evaluate the usefulness of the Aerosol Boxes and Swab Shields in the fight against COVID-19. The key performance indicator of the Boxes and Shields is:

NO health professionals using aerosol boxes and swab shields while doing procedures on the mouth, nose, throat and respiratory tree of patients have acquired COVID-19 infection

What hospital are you representing? *

Your answer

What is the complete address of the hospital you are representing? *

Your answer

Please state your full name *

Your answer

Please state your contact number *

Your answer

Please state your email address *

Your answer

Is this hospital a PRIVATE or GOVERNMENT hospital? *

Private

Government

How many beds does the hospital have (approx)? *

Your answer

What departments are using the AEROSOL BOX (check all that apply)? *

Emergency Room

Operating Room

ICU

Floor

Other:

What departments are using the SWAB SHIELD (check all that apply)? *

Emergency Room

Operating Room

ICU

Floor

Triage Tent

Laboratory

Other:

Was the supply delivered in a timely manner (on the agreed schedule)? *

Yes

No

If the supply WAS NOT delivered on time, what was the reason for the delay? (Answer "NA" if this is not applicable) *

Your answer

How many AEROSOL BOXES did you receive? *

Your answer

How many SWAB SHIELDS did you receive? *

Your answer

Was the supply that you received adequate? *

Yes

No

If you answered NO to the question above, what volume do you think will be adequate? How many Aerosol Boxes? How many Swab Shields? (Answer "NA" if this is not applicable) *

Your answer

How often is the equipment used in a month? *

Aerosol Boxes

Swab Shields

Aerosol Boxes

Swab Shields

Every day

Every other day

Once a week

Twice a week

Every other week

How many health workers from your hospital are currently infected with COVID-19 ? *

How many health workers have become infected after doing procedures on a patient's mouth, nose, throat, and respiratory tract even after using the AEROSOL BOX OR SWAB SHIELD? *

Your answer

Your answer

Other comments and suggestions? *

Your answer

Submit