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Event Date:  Wednesday, July 28, 2010

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First Name: Last Name:
Title:
Institution / Organization:
Department Central Laboratory STAT Laboratory Emergency Department Cardiology Pulmonology Surgery Heart Failure Clinic Physician Office Other (Please Specify)
Address:
City: State: Zip Code: Phone: Country
How did you hear about this event? Biosite Representative Received Invitation in Mail Biosite Website Colleague in My Institution Other
Who holds the facility’s CLIA license for performing blood gas & electrolyte testing? Laboratory Respiratory Therapy Laboratory and Respiratory Therapy Who performs blood gas & electrolyte testing? Laboratory Respiratory Therapy Nurses & Caregivers Yes to all How many blood gas & electrolyte tests are performed monthly in the facility? <250 <500-1000 1,000–5,000 5000–10,000 10,000–25,000 >25,000 What instrumentation is used to perform these tests?