Booking form - Clinical Skills Development Service

Contact details

Name*

First

Last

Contact number*

Email address*

Department/Organisation*

Are you part of Queensland Health?*

Yes

No

Are you part of Metro North Hospital and Health Service (MNHHS)?*

Yes

No

Cost Centre*

ABN*

Business address*

Room layouts

Clinical Skills Lab 2*

Clinical Skills Lab 3*

Clinical Skills Lab 4*

Clinical Skills Lab 5*

Clinical Skills Lab 6*

Clinical Skills Lab 7*

Clinical Skills Lab 3 and 4*

Clinical Skills Lab 5 and 6*

Clinical Skills Ward*

Scenario Room A*

Scenario Room B*

Scenario Room C*

Conference Room 1*

Conference Room 2*

Conference Room 3*

Conference Room 2 and 3*

Debrief Room 1*

Debrief Room 2*

Debrief Room 3*

Training event information

Training event title*

This will be displayed on the CSDS digital signage.

Trainer's name*

Start date*

End date

Start time*

End time*

Number of attendees *

Is remote viewing required?*

Yes

No

Number of individuals requiring ieMR MOCK domain access?

DaTTLab resources required

ECG machine (MOCK domain connected)

Vital signs machine (MOCK domain connected)

Manikin

Event information

Event name*

Event description*

Start date*

End date

Start time*

End time*

Approximate number of attendees*

Approximate number of attendees *

Maximum - 15

Do you require facilitators?*

Yes

No

Coffee card*

We have a Nespresso coffee machine on both floors of our Centre, offering a wide range of taste profiles and intensities. For only $2 a cup your attendees can enjoy barista style coffee at the push of a button. Our coffee cards are preloaded at $100 (50 cups) or $50 (25 cups) and reconciled with actual usage after your event so you are only ever charged for what you use. Tea is provided at no cost.

$100

$50

No thanks

RBWH Catering*

We can also organise catering on your behalf through Metro North Catering.

Yes

No

What is the problem, challenge or pain points to be addressed during the session?

What is the expected outcome of the session?

Additional information

Please provide any additional information that will help us assist with your booking, e.g. equipment not listed, consumables, simulation equipment, specialised AV requirements, specialised room set ups, filming requests or a schedule of your event/s. For clinical bookings, please include as many details as possible.

Terms and Conditions

I confirm that I have read and agree to be bound by the Terms and Conditions.

All booking requests are subject to availability and approval. Our Bookings Administrator will get back to you shortly. You will be provided with a quote based on the information you have submitted and once your booking is secured, we will send you a confirmation email. If you have any questions, please contact us.

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Venue hire

We host a wide range of activities including meetings, workshops, courses, conferences, filming, and clinical simulation events.

Booking request

All booking requests are subject to availability and approval. We will send you an email once your booking is confirmed. If you have any questions, please contact us.