QUEENSLAND AMBULANCE SERVICE

NEANN PRK - PRIMARY RESPONSE KIT
FEEDBACK FORM

 

This feed back form is for the NEANN PRK - Primary Response Kit & Drug Kit


Name
Your Position / Rank
Organisation 
Years of Service
Stationed At


Primary Response Kit Section


Are you pleased with the finished quality of the PRK?  

Yes    No    Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Is the quality of the materials used in the PRK satisfactory? 

Yes    No   Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Are the zips easy to use? 

Yes    No    Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Are the carry handles comfortable to use?

Yes    No    Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Is the shoulder strap comfortable to use?

Yes    No    Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Is the Backpack comfortable to use?

Yes    No    Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Is the Backpack easy to access?

Yes    No    Unsure

If you answered No or Unsure please outline issues and offer suggestions.

 


Is there enough reflective tape on the PRK for your safety?

Yes     No 

If you answered No  please outline issues and offer suggestions.


Are you pleased with the how the PRK opens?

Yes     No     Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Are you pleased with the equipment storage on the internal lid of the PRK?

Yes     No     Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Are you pleased with the equipment storage in the main internal compartment of the PRK?

Yes     No     Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Do you like the movable internal dividers?

Yes     No     Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Do you like the internal pocket labels (if supplied)?

Yes     No     Not supplied

If you answered No or Unsure please outline issues and offer suggestions.


Do you like the end BP Cuff & Stethoscope pocket? 

Yes     No     Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Do you like the end Sharps Container holder? 

Yes     No     Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Do you like the external lid pocket?

Yes     No     Unsure

If you answered No or Unsure please outline issues and offer suggestions.

 


Are you pleased with the Storage pocket for the Wizlock Cervical Collar?

Yes     No     Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Are you pleased with the layout and functionality of the PRK overall?

Yes     No     Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Are there any other problems that we need to address in the design of the kit that you have not yet mentioned?

Yes     No     Unsure

If you answered Yes or Unsure please outline issues and offer suggestions.


 

Primary Response Drug Kit Section


Are you pleased with the finished quality of the PRK - Drug Kit ?  

Yes    No    Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Is the quality of the materials used in the PRK - Drug Kit satisfactory? 

Yes    No    Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Are the zips working okay? 

Yes    No    Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Is the carry handle comfortable to use?

Yes    No    Unsure

If you answered No or Unsure please outline issues and offer suggestions.



Is there enough reflective tape on the PRK - Drug Kit for your safety?

Yes     No 

If you answered No  please outline issues and offer suggestions.


Are you  pleased with the way how the PRK - Drug Kit opens?

Yes     No     Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Are you pleased with the IV access equipment storage in the PRK - Drug Kit?

Yes     No     Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Are you pleased with the drug storage in the PRK - Drug Kit?

Yes     No     Unsure

If you answered No or Unsure please outline issues and offer suggestions.



Do any drugs or equipment fall out of their elastics ?

Yes     No     Unsure

If you answered yes, please state what.

Are you pleased with the layout and functionality of the PRK -Drug Kit overall?

Yes     No     Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Are there any other problems that we need to address in the design of the PRK - Drug Kit that you have not yet mentioned?

Yes     No     Unsure

If you answered Yes or Unsure please outline issues and offer suggestions.

 



What do you like about the PRK
I


Are there any specific improvements you would like to see in the kits?


Name    (required)
Email     (required)