RN Project Tracking Form Question Title * 1. Primary Contact First Name (you will have the option to add additional team members later) Question Title * 2. Primary Contact Last Name Question Title * 3. At what email address would you like to be contacted? Question Title * 4. Please enter today's date: Date / Time Date Question Title * 5. Which category best describes your project? Evidence Based Practice Project Quality Improvement Research Continuing Education Unsure Question Title * 6. What stage of the project are you at, currently? I have a question only I have started my project My project is nearing completion I have a completed project Question Title * 7. Project Title (can be proposed) Question Title * 8. Brief description of concept/idea or project. This can be as simple as "Falls on adult Med-Surg units" if you are just beginning. Question Title * 9. Proposed timeline, i.e. January-June 2022. For students or residents, you can indicate the start and end dates of your program. Question Title * 10. I have made an appointment with the unit manager/designee Yes No Question Title * 11. Please indicate your role: Student, including a nurse employed by BH who is doing a student project Nurse employed by BH- Non Resident Nurse Employed by BH- Nurse Resident Faculty on behalf of a student doing a project at BMC Next