Course
Registration Form
Children’s Nursing
Education Department
PLEASE PRINT
Name & Title: ________________________________
presents:
Home Address (required*) ________________________
_____________________________________________
Certified
Pediatric
Emergency
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 “CPEN Certification Review Course”, and proceed for registration and payment by
clicking “Non-VUMC staff click here to register”.
A u g u s t 1 2 th , 2 0 1 6
8:00am—4:30pm
Registration begins at 7:45am
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
Nashville, TN
ees
Registration F on
and Informati
CPEN Exam Review
Sign-in begins at 7:45am
This 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.
Friday, August 12, 8:00am to 4:30pm
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Respiratory Emergencies
Cardiac Emergencies
Neurological Emergencies
Gastrointestinal Problems in Peds Patients
Genitourinary and Reproductive Emergencies
Legal and Professional Issues
Triaging the Pediatric Patient
Pediatric Trauma
Pediatric Surgical emergencies
The Neonate
Psychiatric Emergencies
Medical Illnesses
Pediatric Pain Assessment and Management
Developmental Milestones
Tuition:
Vanderbilt University Medical Center Employees
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
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Then click on Certification Review Courses on the right side.
Select “CPEN 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
Speakers
Debra Potts, MSN, RN, CEN, CPEN
Debra is the Nurse Manager of The Children’s Hospital of Philadelphia Emergency Department. She is an
expert in pediatric emergency nursing, a respected
author and a sought-after speaker who is passionate
about pediatric emergency nursing and preparing
emergency nurses to become certified in pediatric
emergency care (CPEN).
Debra is an expert in pediatric emergency nursing,
author and speaker. Deb has dedicated much of her
career to pediatric emergency nursing at a large urban pediatric emergency department.
Deb enjoys teaching and learning many topics in critical care. Her passion for education is evident through
her energy, presentation style and her ability to engage the audience. She considers it a privilege to
share her expertise and experiences with other
healthcare professionals
Vanderbilt Nursing Education reserves the right to substitute an equally
qualified speaker if necessary.
Accreditation
8.0 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.
Registration Deadlines
If registering by mail: Thursday, August 4, 2015
If registering online: Monday, August 8, 2015
Cancellations must be received in writing 7 days before
class start date (Thursday, August 4) to receive a full refund. No refunds will be given after August 8.
Location
Course will be held at Monroe Carell Jr. Children’s
Hospital at Vanderbilt— Children’s Hospital Theater,
2200 Children’s Way, Nashville, TN 37232
Questions? email Josie McDonald at:
Josie.mcdonald@vanderbilt.edu