It takes a team . . .
and together, we can make a difference.
Thank you for your support.
Hospital Development/Needs Assessment Form
Please complete this form by checking the boxes you believe would most benefit your hospital to help facilitate and increase awareness of cornea/eye donation.
Education Plan:
New Nurse Orientation for all new nurses.
Unit Specific In-Services
Critical Care Classes
Emergency Department Orientation Programs
Annual Nursing Skills Review Class
Other:
Visibility and Increasing Awareness:
Conduct Bi-Monthly Monthly Quarterly rounds to nursing units.
Hospital Health Fairs.
Staff a booth during National Eye Donor month (March) for the hospital staff and general public.
Submit an article for publication in the Hospital's newsletter to acknowledge the Hospital's role in cornea/eye donation.
Information and Feedback:
Provide a detailed Annual Report on referral and donation activity at the hospital.
Conduct a post donor conference with nurse and or nursing support staff after a donation.
Hospital Name: Unit:
Contact Name: Phone:
