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HOSPITAL SITE VISIT SURVEY
To support the planning efforts for the New Windsor/Essex Acute Care Hospital, we ask that you complete the following form within 7 days of each site visit.
Photos can be uploaded
here
.
*
Name:
*
Email:
*
Title:
*
Department:
*
1. Which hospital did you tour?:
(select one)
Oakville Trafalgar Memorial Hospital
Cortellucci Vaughan Hospital
Royal Victoria Cancer Centre
William Osler, Peel Memorial – Urgent Care Centre
St. Joseph’s – Urgent Care
Troy Beaumont – NICU
Rush University Medical Centre
Parkland Memorial
The CHUM
McGill University Health Centre
*
2. Which areas of the hospital did you visit during the tour (select all that apply)?:
2. Which areas of the hospital did you visit during the tour (select all that apply)?
Administration/office areas
Ambulatory Services Care
BioMedical Engineering
Cancer Centre
Cardiac Catheterization and Diagnostics
Command Centre
Critical Care
Diagnostic Imaging
Emergency
Education & Learning spaces (including meeting areas, auditoriums, simulation centres)
Facilities
Food Services
Housekeeping
Imaging Services
Inpatient Units (medical/surgical)
Laboratory
Materials Management
MDRD
Medical Day Care
Meeting rooms
NICU
Operating Room and Recovery
Outpatient Services
Patient Registration
Paediatric Services
Pharmacy
Public Spaces
Renal Services
Security Offices
Staff Lounges/locker areas
Other
Other (please specify):
3. What were the highlights of the tour?:
4. What did you see on the tour that would work well in New Windsor/Essex Acute Care Hospital Project?:
5. What did not work well and should be avoided in the New Windsor/Essex Acute Care Hospital Project?:
6. What innovative ideas were incorporated in the design of the hospital/department/program that you think should be considered in the New Windsor/Essex Acute Care Hospital Project?:
7. What areas of the tour would you like to see more of or learn more about?:
8. How satisfied were you with the tour?:
(select one)
Very satisfied
Somewhat satisfied
Not at all satisfied
9. How useful was the tour and opportunity to speak to staff at this facility?:
(select one)
Very useful
Somewhat useful
Not at all useful
10. Do you feel this hospital is a good example of what we will be planning for the future Windsor/Essex Hospital?:
(select one)
Yes
No
Yes - why?:
No - why not?:
11. Please use the space below to provide any additional notes about the facility or comments about the tour:
We are processing your submission.
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The New Windsor/Essex Acute Care Hospital Project
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