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 may include the completion of assigned TeamBirth training videos and any in-person training, such as practice huddles, simulations, and lunch and learns.

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

Name of Person Submitting Information(Required)

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