Course Registration Form Children’s Nursing Education Department PLEASE PRINT Name & Title: ________________________________ presents: Home Address (required*) ________________________ _____________________________________________ Certified Pediatric Nurse Review Course City/State/Zip: _________________________________ _____________________________________________ Primary Phone: (___)____________________________ 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: www.VanderbiltNursing.com click on Certification 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 Review Courses on the right, select “CPN Certification Review Course”, and proceed for registration and payment by clicking “Non-VUMC staff click here to register”. M a r c h 1 7 th & 1 8 th, 2 0 1 6 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 CPN Exam Review 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, March 17 9:30am to 5:30pm Certification Overview Professionalism in Nursing Overview of Pediatric Patient Infants & Toddlers Preschool, School-Age & Adolescents Neurologic Oncology Test taking techniques Day 2, Friday, March 18 8:30am to 4:30pm Hematologic/Immunology Respiratory Cardiology Infectious Disease Gastrointestinal Renal/Metabolic Musculoskeletal Dermatologic Endocrine Test Taking Techniques 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. Tuition: Vanderbilt University Medical Center Employees No charge Speakers Roderic (Rod) Armstrong, MSN, RN, CPN Non-Vanderbilt University Medical Center Employees Roderic is a Certified Pediatric Nurse and currently is working as a Nurse Manager in Pediatric Hematology and Oncology within the Children’s Hospital. He received his Bachelor of Science in Nursing and Master of Science in Nursing with a focus in Education from Tennessee State University. Rod has worked for the Clinical Staffing Resource Center, the Pediatric Float Pool and teaches as adjunct clinical faculty for area universities. Non-VUMC participants may register and pay online at: www.VanderbiltNursing.com Marissa Lemley Brown, MSN, RN, CPN $250.00 for both days Price includes Program Manual and CE Certificate Then click on Certification Review Courses on the right side. Select “CPN 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: Monday, March 7, 2016 If registering online: Wednesday, March 9, 2016 Cancellations must be received in writing 7 days before class start date (Wednesday, March 9) to receive a full refund. No refunds will be given after March 9. 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.mcdonald@vanderbilt.edu Marissa is a Certified Pediatric Nurse and is currently working as the Director of Nursing Education and Professional Development within the Children’s Hospital. Marissa received her nursing degree from Aquinas College and her Masters of Science in Nursing Education from The University of Phoenix. Marissa has worked for the Infant, Toddler, School Age Medicine and Pediatric Epilepsy Monitoring Unit and teaches as adjunct clinical faculty for area universities. Brandi Meacham, MSN, RN, CPN Brandi is a Certified Pediatric Nurse and currently is a Clinical Nurse Educator for the Children’s Hospital Nursing Education Department. She received her Bachelor of Science in Nursing from Murray State University, and her Master of Science in Nursing within the specialty in Nursing Education from Tennessee State University. Brandi worked as a staff nurse and charge nurse in infant, toddler, school-age medicine and epilepsy monitoring units. Janice (Jan) Malone, MSN, RN, CPN Janice is a Certified Pediatric Nurse and currently is a Clinical Nurse Educator for the Children’s Hospital Nursing Education Department. She received her Bachelor of Science in Nursing from the Belmont, and her Masters of Science in Nursing within the specialty in Nursing Education from Aquinas College. Jan has worked as a staff nurse and charge nurse on the infant and adolescent surgery, adolescent trauma, and adolescent medicine units. Vanderbilt Nursing Education reserves the right to substitute an equally qualified speaker if necessary.