Page 39 - JSOM Fall 2025
P. 39

APPENDIX 1: REBOA PRE-SURVEY



              Please indicate your level of training


                    Medic           Nurse         MD (Surgeon)        PA        Other:
              Please indicate your current awareness of REBOA placement/management: (1) None (10) I could teach this course
                  1         2         3         4         5         6         7        8         9         10
              Please indicate your comfort placing (Provider) or assisting in placement (Nursing/Medic) of a REBOA Catheter: (1) Very little confidence
              (10) Very Confident
                  1         2         3         4         5         6         7        8         9         10
              Confidence using ultrasound for procedures in general “(1) none, no past experience (10) extensive, I use ultrasound for procedures
              regularly”
                  1         2         3         4         5         6         7        8         9         10
              Theater REBOA Course Post-Survey
                        Please indicate your current awareness of REBOA placement/management: (1) None (10) I could teach this course
                  1         2         3         4         5         6         7        8         9         10
              Please indicate your comfort placing (Provider) or assisting in placement (Nursing/Medic) of a REBOA Catheter: (1) Very little confidence
              (10) Very Confident
                  1         2         3         4         5         6         7        8         9         10
              Please indicate agreement/disagreement with the following statement “I feel incorporation of the simulation model (RATTS) trainer was
              beneficial to understanding this procedure” (1) (strongly disagree)  (10) (strongly agree)
                  1          2         3         4        5         6         7        8         9         10
              Did you find this course useful?
              •  Not at All       •  Somewhat         •  Useful           •  Very Useful
              Do you feel training on damage control techniques is useful in the deployed environment?


              •  Not at All       •  Somewhat         •  Useful           •  Very Useful
              Any suggestions for course improvement? Any suggestions for future deployed training in general?


              Suggestions for improved instructor performance? (Please state instructors name) feedback is appreciated – it is the only way we improve!








































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