Questionnaire - Format

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NURSING SERVICES DEPARTMENT

Nursing Education Unit


UNIT COMPETENCY
Knowledge Assessment
Airway Management

Name: __________________________________________ Badge Number: ________________


Area/Unit: _________________________ Date: __________________ Score: _______________

Instruction: Encircle the letter of correct answer. If you wish to change, cross out and encircle the final
answer.

Important Notes
The staff must demonstrate knowledge of the theoretical component in Airway Management through Orientation/Refresher Class.
o A pass of 80% is required
o It is the responsibility of the staff to understand the level of competence in Airway Management.

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