Course Registration Form Children’s Nursing Education Department PLEASE PRINT Name & Title: ________________________________ presents: Home Address (required*) ________________________ _____________________________________________ City/State/Zip: _________________________________ _____________________________________________ Primary Phone: (___)____________________________ Neonatal CCRN Nurse Review Course Work Phone (____)_______________________ Employer:____________________________________ Unit/Dept (specialty)____________________________ Nsg License #_________________________________ Email: _______________________________________ Tuition: No Charge for VUMC Employees for both days ___$250 for Non-VUMC Employees for both days (price includes program manual and CE certificate) Online registration and payment at: Review Courses on the right, select “Neonatal CCRN Certification Review Course”, and proceed for registration and payment by clicking “Non-VUMC staff click here to register”. By Check: make payable to Vanderbilt Children’s Hospital Enclose a check for the registration fee and mail with application form to: Josie McDonald Monroe Carell Jr. Children’s Hospital at Vanderbilt Nursing Education & Professional Development 3401 West End Avenue, Suite 790 Nashville, TN 37203 Nursing Education and Professional Development 3401 West End Avenue, Suite 790 Nashville, TN 37203 www.VanderbiltNursing.com click on Certification October 1314,2016 9:30am—5:30pm Registration begins at 9:15am M o n r o e C a r e l l J r. C h i l d r e n ’s H o s p i t a l a t Va n d e r b i l t ees Registration F on and Informati CCRN Exam Review Tuition: Vanderbilt University Medical Center Employees Sign-in begins at 9:15am Each day includes a one hour lunch (on your own, as well as breaks throughout the day. The order of lectures presented and break times may vary according to speaker preference. Day 1, Thursday, October 13 9:30am to 5:30pm Review high-risk maternal factors Identify physiologic changes Define major neonatal disorders Formulate plans of care Discuss hematologic problems Day 2, Friday, October 14 8:00-4:00pm Review key immunologic concepts Identify etiologies Describe the pathophysiology of Neurologic disorders Discuss the pathophysiology underlying GI disorder Accreditation 14.0 Contact Hours Vanderbilt University Medical Center, Department of Nursing Education and Professional Development is an approved provider of continuing nursing education by the Tennessee Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. No charge Non-Vanderbilt University Medical Center Employees $250.00 Price includes Program Manual and CE Certificate Non-VUMC participants may register and pay online at: www.VanderbiltNursing.com Then click on Certification Review Courses on the right side. Select “Neonatal CCRN Certification Review Course and the date you are registering for. Proceed for registration and payment by clicking “NonVUMC staff click here to register” Paying By check: Please fill out the form with check made payable to “Vanderbilt Children’s Hospital” Please mail form and check to: Josie McDonald Monroe Carell Jr. Children’s Hospital at Vanderbilt Nursing Education &Professional Development 3401 West End Avenue, Suite 790 Nashville, TN 37203 Registration Deadlines If registering by mail: Thursday, October 6, 2016 If registering online: Monday, October 10, 2016 Cancellations must be received in writing 7 days before class start date (Thursday, October 6) to receive a full refund. No refunds will be given after October 10. Location Course will be held at Vanderbilt Children’s Hospital Theater, 2200 Children’s Way, Suite 2210, Nashville, TN 37232 Questions? email Josie McDonald at: Josie.firstname.lastname@example.org Speakers Mary Lee Lemley, RNC, MSN Mary Lee is a Clinical Nurse Specialist and the Neonatal Simulation Coordinator at Monroe Carell Jr. Children’s Hospital at Vanderbilt in Nashville, Tennessee. Being a 3rd generation nurse, Mary Lee received her nursing degree from Aquinas College. She furthered her education through The University of Phoenix where she received her MSN in Nursing Education and Management. Committed to nursing development and simulation education, Mary Lee serves on a number of committees throughout Children’s Hospital and several International Simulation committees. During her career she has worked in Maternal Child and Neonatology as a staff nurse, educator, clinical instructor and simulation specialist which lead to the development of a mobile neonatal simulation lab. The mobile simulation lab provides custom designed scenarios including but not limited to intubation labs, chest tube lab, NRP simulation labs, STABLE labs, and high risk OB deliveries with real time feedback with the opportunity for medical staff to work together as a interdisciplinary team. Each custom designed educational opportunity works with individual on all levels of the spectrum including licensed and unlicensed staff members in both inpatient and outpatient units. Both didactic and hands on lessons are developed to meet the identified learning needs of all types of facilities including nursing and medical schools, doctor’s offices, hospitals, emergency services, clinics, and birthing centers. In the last 4 years the mobile simulation lab has provided simulation education opportunities to over 16,000 health care team members in 6 international locations and 14 states. The lab has impacted countless healthcare members and the patients they ultimately serve. Vanderbilt Nursing Education reserves the right to substitute an equally qualified speaker if necessary.