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CATALOGUE FOR ASSET HUB Southern Metropolitan and Mornington Peninsula Clinical Placement Networks

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CATALOGUE FOR

ASSET HUB Southern Metropolitan and Mornington Peninsula

Clinical Placement Networks

1

CATALOGUE FOR HWA ASSET HUB

PART TASK TRAINERS

LIFE FORM SUTURE AND STAPLING PRACTICE TRAINER

Description: Kit contains an arm and leg that can be cut by the instructor to various depths to allow the students to suture the wounds closed using various techniques. Number available : 4 Instructor Training Information : No specialised training required Suitable for training: Medical personnel and others that are required to perform suturing as part of their clinical role. Weight: 2.3kg

LIFE FORM INTERACTIVE SUTURE TRAINER

Description: Kit contains suture pad and instruments that can be attached to a person or mannequin as required. Wound depth can be determined by the instructor. Number available : 5 Instructor Training Information : No specialised training required Suitable for training: Medical personnel and others that are required to perform suturing as part of their clinical role. Weight: 0.20kg

INJECTION TRAINER

Description: Multi-layered soft tissue pad for the practice of intradermal, subcutaneous, and intramuscular tissue injection techniques. Number available : 20 Instructor Training Information : No specialised training required Suitable for training : Nurses, medical, allied health Weight: 0.55kg

IV INJECTION ARM

Description: Pressurised injection training arm for cannulation and venipuncture. Provides realistic flashback and able to be used with vacutainer systems Number available : 8 Instructor Training Information : No specialised training required Suitable for training : Nurses, medical, allied health Weight: 4.20kg

SKIN PADS

Description: An advanced 3 layer skin pad for the demonstration and training of a variety of incisions and a wide range of suturing techniques. Number available : 50 Instructor Training Information : No specialised training required Suitable for training: Nursing, medical, allied health who require training in incisions and suturing Weight: 0.20kg

2

LOCAL ANAESTHETIC TRAINING PADS

Description: This pad represents the top layer of the skin structure, with printed skin lesions of varying sizes. Only representations of the lesions are necessary as no actual surgical excisions are carried out on this pad. Number available : 50 Instructor Training Information : No specialised training required Suitable for Training : Anyone required to inject local anaesthesia for lesion removal Weight: 0.15kg

VENIPUNCTURE PADS

Description: A soft tissue strap-on pad featuring 3 straight veins, one of which is paediatric size. Number available : 10 Instructor Training Information : No specialised training required Suitable for Training : Nursing, Medical Weight: 0.15kg

LUMBAR PUNCTURE / EPIDURAL TRAINING KIT

Description: This simulator is designed to teach the lumbar puncture and epidural procedures, allowing hands-on training without the need for direct patient contact.

Epidural procedure can be practiced Variations of puncture pads: adult normal, adult obese, elderly, elderly

obese and epidural Palpation of pelvic landmarks Palpation of lumbar spinous process Needle positioning and insertion Collection of cerebrospinal fluid (CSF) Epidural

Number available : 1 Instructor Training Information : No specialised training required Suitable for Training : Medical, Radiology Other information : Please take note of usage guidelines in utilising this piece of equipment

Weight: 12.7kg

AIRWAY MANAGEMENT TRAINER

Description: Realistic practice is the key to developing proficiency in airway management skills. The Laerdal Airway Management Trainer’s lifelike upper torso and head simulates real-world complications when practicing a variety of intubation, ventilation, and suction techniques.

Number available : 5 Instructor Training Information : No specialised training required Suitable for Training : Nursing, medical, Paramedical Other information : Please take note of usage guidelines in utilising this piece of equipment

Weight: 12.6kg

3

NG TUBE AND TRACHEOSTOMY CARE TRAINER

Description: Torso task trainer designed for instruction in the care of patients with respiratory conditions and the practice of gastrointestinal care procedures via nasal and oral access. Head features anatomical landmarks, trachea, oesophagus, simulated lungs and stomach. Lungs and stomach may be filled with fluid for realistic practice of many procedures.

Tracheostomy care including Tracheal suctioning NG tube insertion and removal, irrigation, instillation and monitoring Feeding tube insertion and removal Gastric lavage and gavage Nasogastric and oesophageal tube insertion, care and removal Oropharyngeal and nasopharyngeal insertion and suctioning

Insertion, securing and care of endotracheal tubes

Number available : 5 Instructor Training Information : No specialised training required Suitable for Training : Nursing and Medical Other information : Please take note of usage guidelines in utilising this piece of equipment

Weight: 10.2kg

CHESTER CHEST

Description: Designed for the insertion, care, and removal of common long-term vascular access routes. This product has the additional feature of a pre-positioned 20g IV catheter in the forearm.

• Placement of peripheral port • Fluid infusion and withdrawal • Application of dressings and securing devices

Number available : 5 Instructor Training Information : No specialised training required Suitable for Training : All those involved in caring for long term vascular access devices Other information : Please take note of usage guidelines in utilising this piece of equipment

Weight: 4.6kg

CLINICAL FEMALE PELVIC TRAINER

Description: Presents accurate anatomical and tactile representation of the female pelvis for hands-on examination and diagnosis of pathologies and abnormalities. It can be used for many levels of training from undergraduate onwards, in addition to family health. Skills • Recognition of perineal and pelvic anatomy including bony landmarks • Digital vaginal examination • Bi-manual examination • Cervical smear procedure (including use of speculum) • Digital rectal examination

Number available : 2 Instructor Training Information : No specialised training required Suitable for Training : Midwifery, Nursing, Medical Other information : Please take note of usage guidelines in utilising this piece of equipment

Weight: 8.6kg

4

GYNAECOLOGICAL TRAINER

Description: The Gynaecological Trainer is a highly realistic simulation of the female reproductive organs. Made from a very life-like material, it allows the medical practitioner to practice everyday procedures such as bi-manual palpation, pap smears, and the use of the speculum.

Number available : 5 Instructor Training Information : No specialised training required Suitable for Training : Medical and Nursing Other information : Please take note of usage guidelines in utilising this piece of equipment

Weight: 8.6kg

ADVANCED CLINICAL FEMALE PELVIC TRAINER

Description: Presents accurate anatomical and tactile representation of the female pelvis for hands-on examination and diagnosis of pathologies and abnormalities. It can be used for many levels of training from undergraduate onwards, in addition to family health. Skills • Recognition of perineal and pelvic anatomy including bony landmarks • Digital vaginal examination • Bi-manual examination • Cervical smear procedure (including use of speculum) • Digital rectal examination

Number available : 1 Instructor Training Information : No specialised training required Suitable for Training : Nursing, Midwifery and Medical Other information : Please take note of usage guidelines in utilising this piece of equipment

Weight: 8.6kg CLINICAL MALE PELVIC TRAINER

Description: This Male Pelvic Trainer presents key anatomical features, both externally and internally, for teaching 'hands-on' examination and diagnosis. The uncluttered design of the model enables trainees to focus on essential anatomy and procedure. Skills • Learning examination procedure • Testicular examination • Rectal examination of the prostate • Dry catheterisation (Foley catheter size 16 and retrograde catheters)

Number available : 2 Instructor Training Information : No specialised training required Suitable for Training : Nursing and Medical Other information : Please take note of usage guidelines in utilising this piece of equipment

Weight: 8.6kg

5

RECTAL EXAM TRAINER

Description: A realistic representation of the buttocks, anus and rectum allowing for the practice of diagnostic skills associated with rectal examination. An additional Rectal Examination Perineum is included which contains 2 rectal pathologies.

Number available : 11 Instructor Training Information : No specialised training required Suitable for Training : Nursing and Medical Other information : Please take note of usage guidelines in utilising this piece of equipment

Weight: 6.2kg

BASIC URINARY CATHETER TRAINING SET

Description: The Catheterisation Trainers allows the trainee to learn urinary catheterisation techniques. The feel of the catheter passing along the urethra into the bladder corresponds closely to real life.

Number available : 11 Instructor Training Information : No specialised training required Suitable for Training : Nursing and Medical Other information : Please take note of usage guidelines in utilising this piece of equipment

Weight: 6.9kg

ADVANCED CATHETERISATION TRAINER

Description: The Advanced Catheterisation Trainer allows the trainee to learn urethral and supra-pubic catheterisation, as well as how to demonstrate self-catheterisation to patients. It has interchangeable accurate male and female anatomy, and both sets of genitalia are realistically soft and compliant. The feel of the catheter passing along the urethra into the bladder corresponds closely to real life. Skills • Correct handling of male and female anatomy • Aseptic catheterisation technique • Catheter placement: accepts catheters from 14-16 French (male) and 12-16 French (female) • Fluid management • Withdrawal of catheter • Intermittent self-catheterisation (ISC) using the optional Self Catheterisation Stand • Suprapubic catheter insertion and catheter management when using Suprapubic Bung (supplied)

Number available : 1 Instructor Training Information : No specialised training required Suitable for Training : Nursing and Medical Other information : Please take note of usage guidelines in utilising this piece of equipment

Weight: 6.9kg

6

EYE EXAMINATION SIMULATOR

Description: A sophisticated trainer (Eye Examination Simulator) for teaching and practicing the use of an ophthalmoscope, examining the ocular fundus, and learning and identifying diseases and conditions within the eye. Skills • Use of an ophthalmoscope (not supplied) • Examination technique • Identification of up to 10 cases • Communication skills

Number available : 2 Instructor Training Information : No specialised training required Suitable for Training : Medical Other information : Please take note of usage guidelines in utilising this piece of equipment

Weight: 3.2kg EAR EXAMINATION SIMULATOR

Description: A life-size model (Ear Examination Simulator) for training examination of the ear including external acoustic meatus and tympanic membrane directly with an otoscope and foreign body removal. Skills • Use and handling of an otoscope (not supplied) • Examination of the acoustic meatus and tympanic membrane • Communication skills and examination protocol • Diagnosis of up to 11 cases • Earwax and foreign body removal

Number available : 2 Instructor Training Information : No specialised training required Suitable for Training : Medical Other information : Please take note of usage guidelines in utilising this piece of equipment

Weight: 3.7kg EXAMINATION AND DIAGNOSTIC BREAST TRAINER

Description: Examination & Diagnostic Breast Trainer - A life-size realistic breast used for training in examination procedure and diagnostic techniques. • Clinical breast examination technique • Diagnosis of pathologies: carcinoma fibroadenoma • Aspiration of a cyst • Self examination technique

Number available : 4 Instructor Training Information : No specialised training required Suitable for Training : Medical Other information : Please take note of usage guidelines in utilising this piece of equipment

Weight: 3.7kg

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STRAP-ON BREASTS

Description: For training in the examination of the breasts, axillae & clavicular regions and for the communication skills involved. Skills • Professional-to-patient communication (When worn by male trainees they can gain a greater empathy with female patients by experiencing breast examination) • Clinical breast examination techniques • Identification of anatomical landmarks and lymph nodes • Diagnosis of pathologies

Number available : 3 Instructor Training Information : No specialised training required Suitable for Training : Medical Other information : Please take note of usage guidelines in utilising this piece of equipment

Weight: 4.0kg LITTLE ANNIE 4-PACK

Description: The Little Anne manikin has been developed to provide effective CPR training without compromising realism or quality. Its durable and convenient design makes hands-on practice affordable for every student.

Number available : 1 kit of 4 manikins Instructor Training Information : No specialised training required Suitable for Training : All those requiring BLS training Consumables required : Please refer to the user guide

Weight: 18.0kg

VIMEDIX ULTRASOUND TRAINER

Description: Using computer-generated echo simulation, VIMEDIX teaches learners how to perform cardiac echo imaging procedures and interpret the scanned ultrasound images. Features include a depressible abdomen, ribs and sternum allow students to practice fine motor skills associated with performing cardiac ultrasound exams, how to scan a prosthetic aortic valve, assess a patient with pulmonary hypertension or perform a Focused Assessment with Sonography for Trauma (FAST) exam

Number available : 1 Instructor Training Information : Training Required Suitable for Training : Medical and Radiography Other information : Please take note of usage guidelines in utilising this piece of equipment

Weight: 40kg (PC & Mannequin)

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FULL MANNEQUIN SIMULATORS

RESUSCI ANNE SIMULATOR

Description: Anatomically accurate airway allows for realistic practice of basic and intermediate airway interventions with various airway adjuncts

Spontaneous breathing enhances the realism of the simulation exercise

Remote-control operation for flexibility and control Heart, lung and voice sounds for patient assessment and diagnosis Live defibrillator and 4 connector/3lead monitoring to refine skills in

defibrillation and ECG monitoring Automatically generated pulses (carotid, radial and brachial),

synchronized with ECG Airway head, BP arm with cuff, IV arm, Extrication Legs, Remote

Control

Number available : 8 Instructor Training Information : Some basic training required on care, maintenance and operation of this mannequin Suitable for Training : To be used for basic or advanced cardiac life support where rhythm generation is required as part of the training structure Consumables required : Defibrillator and pads

Weight: 24.0kg ALS SIMULATOR ADVANCED

Description: ALS simulator that allows for full airway management including intubation with a range of difficulty levels, chest decompression via needle and chest tube insertion, cricothyroid puncture. Controlled using SimPad and particularly useful for in situ training

Number available : 2 Instructor Training Information : Specialised training required to use this mannequin and ensure appropriate use, care and maintenance Suitable for Training : All those involved in advanced cardiac life support resuscitation Weight: 28.0kg

SIMMAN 3G

Description: Simman 3G is a fill body mannequin used for ALS training and has advanced features including:

CPR Feedback

Convulsions

Bleeding and Wounds

Secretions

Eye Signs

Number available : 2 Instructor Training Information : Training Required Specific Conditions of Use: This mannequin is available from Southern Health Simulation Centre or the Centre for Health Innovation and requires hiring extra technical assistance, the cost to be paid by hiring organisation. Hiring this mannequin is by prior consultation only with these centers to ensure appropriate for training needs. Other information : Please take note of usage guidelines in utilising this piece of equipment

Weight: 60kg

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PAEDIATRIC MANNEQUIN SIMULATORS

SIM NEWB

Description: Representing a newborn baby, this simulator can be used for neonatal resuscitation training including IO placement, umbilical line cannulation, complete airway management options

Number available : 2 Instructor Training Information : Operators of this mannequin require specialised training to use this mannequin and ensure appropriate use, care and maintenance Suitable for Training : All those involved in neonatal resuscitation Consumables required : Please refer to the user guide

Weight: 24.0kg SIM JUNIOR

Description: Paediatric simulator that allows for advanced cardiac life support management of the paediatric patient. Allows for full airway management and defibrillation. Operated by the SImPad platform

Number available : 5 Instructor Training Information : Operators of this mannequin require specialised training to use this mannequin and ensure appropriate use, care and maintenance Suitable for Training : All those involved in advanced paediatric care resuscitation Consumables required : Please refer to the user guide

Weight: 10.0kg NURSING KELLY

Description: Nursing Kelly is a training manikin realistically representing an adult patient. He is designed for skill and scenario-based training of the care and management of a variety of in-hospital patients. Training includes sound auscultation, IV cannulation, urinary catheterisation, and general patient care. This manikin is ideal for clinical training in core in-hospital clinical skills. Operated via the SimPad system.

Number available : 1 Instructor Training Information : Operators of this mannequin require specialised training to use this mannequin and ensure appropriate use, care and maintenance Suitable for Training : All those involved in caring for paediatric patients Consumables required : Please refer to the user guide

Weight: 24.0kg

10

NURSING KID

Description: Nursing Kid is a training manikin realistically representing a six-year old child. He is designed for skill and scenario-based training of the care and management of a variety of paediatric in-hospital patients. Training includes sound auscultation, IV cannulation, urinary catheterisation, and general paediatric patient care. This child is ideal for clinical training in core paediatric in-hospital clinical skills. Operated via the SimPad system.

Number available : 1 Instructor Training Information : Operators of this mannequin require specialised training to use this mannequin and ensure appropriate use, care and maintenance Suitable for Training : All those involved in caring for paediatric patients Consumables required : Please refer to the user guide

Weight: 10.0kg

NURSING BABY

Description: Nursing Baby training includes sounds auscultation, IV and IO skills, fontanelle assessment, urinary catheterization and general neonatal patient care. This infant is unrivalled for clinical training in core paediatric in-hospital clinical skills. Operated via the SimPad system.

Number available : 1 Instructor Training Information : Operators of this mannequin require specialised training to use this mannequin and ensure appropriate use, care and maintenance Suitable for Training : All those involved in caring for neonatal patients Consumables required : Please refer to the user guide

Weight: 6.0kg

ALS BABY TRAINER

Description: The ALS baby is a portable skill trainer for realistic infant resuscitation training. The ALS Baby manikin is a three-month-old infant with an anatomy that offers exceptional realism for individual training. The ALS baby offers the opportunity to practice advanced resuscitation skills, including airway management, professional rescuer CPR, vascular access, and 4-lead ECG monitoring.

Number available : 2 Instructor Training Information : Operators of this mannequin require specialised training to use this mannequin and ensure appropriate use, care and maintenance Suitable for Training : Nursing, Medical, Paramedical, Midwifery Consumables required : Please refer to the user guide

Weight: 5.6 kg

11

RESUSCI BABY BASIC

Description: The Resusci Baby manikin offers realism and quality to infant CPR education. Its full-body construction, allows students to quickly sharpen their skills in performing infant CPR to high standards.

Number available : 2 Instructor Training Information : No specialised training required Suitable for Training : Paramedical, Nursing, Midwifery and Medical Consumables required : Please refer to the user guide

Weight: 4.3 kg

RESUSCI JUNIOR BASIC

Description: The Resusci Junior manikin offers realistic, high-quality child CPR education. It has full-body construction allowing students to quickly sharpen their skills in performing paediatric CPR to a high standard.

Number available : 2 Instructor Training Information : No specialised training required Suitable for Training : Paramedical, Nursing and Medical Consumables required : Please refer to the user guide

Weight: 10.5kg

BABY ANNIE 4-PACK

Description: The Baby Anne manikin was developed to provide effective infant CPR training without compromising realism or quality. The convenient packaging of four Baby Anne manikins makes hands-on practice affordable for every student.

Number available : 1 kit of 4 manikins Instructor Training Information : No specialised training required Suitable for Training : All those requiring neonatal BLS training Consumables required : Please refer to the user guide

Weight: 6.5kg

NITA NEWBORN

Description: The Nita Newborn is a model of a 4 lb, 16 inch newborn female with realistic landmarks and articulation for vascular access procedures.

Number available : 3 Instructor Training Information : Operators of this mannequin require specialised training to use this mannequin and ensure appropriate use, care and maintenance Suitable for Training : Nursing, Midwifery and Medical Consumables required : Please refer to the user guide

Weight: 1.5kg

12

NICKIE MEDICAL TRAINING DOLL

Description: This manikin is an anatomical doll that is used to practice medical device training for special medical needs children. It is designed for tracheostomy management, gastrostomy training, urethral catheterisation, colostomy stoma care and PICC line familiarisation. Skills • Tracheostomy management • Tracheal tube suctioning • Gastrostomy training • Care of a gastrostomy button • Urethral catheter insertion • Stoma care • Oral suctioning • Peripherally inserted central catheter (PICC) line care

Number available : 1 Instructor Training Information : Operators of this mannequin require specialised training to use this mannequin and ensure appropriate use, care and maintenance Suitable for Training : Nursing, Paramedical and medical Consumables required : Please refer to the user guide

Weight: 3.0kg

SOPHIE & SOPHIE’S MUM

Description: The MODEL-med Sophie and her Mum Full Birth Obstetric Trainer is designed for the simulation of cephallic birth, breech birth, and shoulder dystocia. It is made from a highly realistic flesh-like material that creates an extremely realistic tactile experience when simulating birth

Number available: 3 Instructor Training Information : No specialised training required Suitable for Training: Medical, Nursing and Midwifery Other information: Please take note of usage guidelines in utilising this piece of equipment

Consumables required : Please refer to the user guide

Weight: 8kg

13

PAEDIATRIC PART TASK TRAINERS

PAEDIATRIC LUMBAR PUNCTURE SIMULATOR

Description: This model which represents a 7-10 month old infant is designed to practice the lumbar puncture procedure. Skills • Skin preparation • Patient positioning • Palpation of landmarks • Sterilisation and local anaesthesia • Needle positioning and insertion • Cerebrospinal fluid (CSF) collection and pressure measurement

Number available : 1 Instructor Training Information : Operators of this mannequin require specialised training to use this mannequin and ensure appropriate use, care and maintenance Suitable for Training : Medical Consumables required : Please refer to the user guide

Weight: 12.7kg

TRUCORP AIRSIM JUNIOR

Description: AirSim Junior is an advanced neonatal airway and resuscitation manikin. This simulator incorporates realistic anatomy and clinical functionality enabling the practice of basic and advanced paediatric airway management. Skills • Use of laryngoscope (not included) • Insertion of supraglottic devices • Insertion of naso and oro tracheal tubes • Bag and mask ventilation • Use of video laryngoscopes • Positive pressure ventilation

Number available : 1 Instructor Training Information : No specialised training required Suitable for Training : Medical Consumables required : Please refer to the user guide

Weight: 12.7kg

BABY HIPPY

Description: Reproduction of the lower torso and limbs of a female newborn designed to train professionals in diagnosing both congenital hip dislocation and hip dysplasia.

Number available : 1 Instructor Training Information : No specialised training required Suitable for Training : Midwifery and Medical Consumables required : Please refer to the user guide

Weight: 1.35kg

14

PAEDIATRIC IV HAND SIMULATORS

Description: Provide the ideal platform for healthcare professionals needing to practise venepuncture and IV cannulation procedures on infants (2 hands are supplied: a one-year-old and a three-year-old). The incorporation of thin, soft, difficult to find veins presents the trainee with the realistic challenges associated with paediatric venous access.

Number available : 1 Instructor Training Information : No specialised training required Suitable for Training : Medical and Paramedical Consumables required : Please take note of usage guidelines in utilising this piece of equipment

Weight: 9.8 kg

LITTLE JUNIOR 4-PACK

Description: The Little Junior manikin meets your need for a low-cost, lifelike child CPR trainer and is the perfect supplement to the Resusci Junior manikin. Our package of four Little Junior manikins makes hands-on practice affordable for every student.

Number available : 1 kit of 4 manikins Instructor Training Information : No specialised training required Suitable for Training : Nursing, medical, Paramedical Consumables required : Please refer to the user guide

Weight: 7.0kg

LIFE FORM INFANT HEART, BREATH AND BOWEL SOUNDS AUSCULTATION SIMULATOR

Description: Remote controlled device that can be used with a paediatric model to teach recognition of infant heart, breath and bowel sounds

Number available : 1 Instructor Training Information : To be determined Suitable for Training : Anyone required to have sound knowledge base of infant care Consumables required : None

Weight: 3.0kg INTRAOSSEOUS TRAINER

Description: This manikin is designed for training in infant intraosseous infusion techniques including Intraosseous needle insertion and aspiration of simulated bone marrow

Number available : 1 Instructor Training Information : Operators of this mannequin require specialised training to use this mannequin and ensure appropriate use, care and maintenance Suitable for Training : Nursing, Paramedical and medical Consumables required : Please refer to the user guide

Weight: 0.75kg

15

PAEDIATRIC MULTI-VENOUS IV TRAINING ARM KIT

Description: This manikin is a lifelike arm with multi-vein system designed for peripheral intravenous therapy

Number available : 1 Instructor Training Information : Operators of this mannequin require specialised training to use this mannequin and ensure appropriate use, care and maintenance Suitable for Training : Nursing, Paramedical and medical Consumables required : Please refer to the user guide

Weight: 12.0kg

Asset Hub

ASSET HUB EQUIPMENT LOAN FORM

Name of Institution: Name of employee: Role: Phone: Email: Agreement: I acknowledge receipt on loan and free of charge the following item (full description of item and any extras): Item Number: Item Description: Used (please select): Yes No Destination:

Date: Return Date:

Please fill in item details over the page I acknowledge that the borrower Institution, my employer, has accepted terms and conditions of loaning the item, and that its obligations extend to its employees, including:

a) Inspecting the item on arrival and being satisfied that it is in good working order. b) Reading and understanding instructions for the use of the item and understanding the method of operation of the item. c) Ensuring that the item is not used by a third party organization. d) Returning the item in good condition on or before the return date. e) Advising the Asset Hub immediately on becoming aware of any damage or loss of the item or any part of it. f) Ensure that items are not used by a third party or outside the Southern Metropolitan or Mornington Peninsula Clinical

Placement Network areas.

Employee of Borrower Institution Signature:

Name:

Role:

Date returned: Accepted by: Verified by Asset Hub Staff:

This section must be completed as per borrowing agreement HWA Data Requirements Name of session: Number of attendees: Interprofessional Training (Please circle): Yes No Length of training (hours): Date of course: Equipment used: Discipline/Specialty: Level (Please circle): Undergraduate Graduate Postgraduate HWA Data Requirements Name of session: Number of attendees: Interprofessional Training (Please circle): Yes No Length of training (hours): Date of course: Equipment used: Discipline/Specialty: Level (Please circle): Undergraduate Graduate Postgraduate HWA Data Requirements Name of session: Number of attendees: Interprofessional Training (Please circle): Yes No Length of training (hours): Date of course: Equipment used: Discipline/Specialty: Level (Please circle): Undergraduate Graduate Postgraduate HWA Data Requirements Name of session: Number of attendees: Interprofessional Training (Please circle): Yes No Length of training (hours): Date of course: Equipment used: Discipline/Specialty: Level (Please circle): Undergraduate Graduate Postgraduate