Endoscope Reprocessing Audits

 
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1. Name (First and last)
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2. Phone
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3. Email
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4. What zip code do you live in?
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5. Have you had more than 1 year experience in any of the following areas? (Check all that apply)
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6. Do you currently have any of the following credentials? (Check all that apply)
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7. Have you ever participated in preparing for an inspection by the Joint Commission or the state health department?
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8. Have you ever conducted an audit or an inspection of healthcare facilities?
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9. Have you ever provided consultation or training pertaining to the improvement of healthcare quality?
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10. Have you ever served as an instructor for a continuing education (CE) or certification course for healthcare professionals?
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11. Would you like to be contacted about performing audits or conducting education around endoscope reprocessing practices?
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