TeamBirth Staff Training Submission

Please complete this form to report on implementation team and clinical staff that have participated in TeamBirth training at your site. Training includes completion of assigned TeamBirth training videos and/or in-person training by implementation team members.

Hospital Name - Select your site from the list below(Required)

Name of Person Submitting Information(Required)

Enter the number of clinicians and staff members that have completed TeamBirth Training (includes physicians, midwives, nurses, and residents) on triage, labor and delivery, and postpartum.(Required)

Enter your site's total number of clinicians and staff members on triage, labor and delivery, and postpartum (include physicians, midwives, nurses, and residents). This allows us to calculate the percentage of clinicians/staff trained.(Required)