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School: ________________________________________ Student Name: ________________________________________ NATIONAL PATIENT SAFETY GOALS 2015 Acknowledgement of Receipt By signing below, I acknowledge that I have received the 2014 National Patient Safety Goals Orientation Training Packet. I understand it is my responsibility to familiarize myself with the information given and will read through all the material contained within. _______________________________________ Print Name _______________________________________ __________________ Student Signature Date

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School:________________________________________Student Name:________________________________________

NATIONAL PATIENT SAFETY GOALS 2015

Acknowledgement of Receipt

By signing below, I acknowledge that I have received the 2014 National Patient Safety Goals Orientation Training Packet. I understand it is my responsibility to familiarize myself with the information given and will read through all the material contained within.

_______________________________________Print Name

_________________________________________________________Student SignatureDate

AIDET POST -TEST


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