school nurse emergency care course registration form

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School Nurse Emergency Care (SNEC) Course
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REGISTRATION FORM – 2009 SUMMER COURSES
Name
Professional Title
Address
City
State
Home Phone
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)
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Zip Code
Email Address
Employer/School District Name
School District Number
Work Phone
Do you hold a Type 73 Certificate?
YES
NO
(
)
-
Have you taken a SNEC course in the past?
YES
NO
Please mark or check off the course location that you would like to attend.
Please make sure to include the correct course registration fee for the course that you are attending.
July 1, 2 & 3, 2009
Broken Arrow Golf Club, Lockport, IL
$110.00 - Course ID # 192 REGISTRATION IS
CLOSED FOR THIS LOCATION-COURSE IS FILLED
August 3, 4 & 5, 2009
Illinois College of Emergency Physicians (ICEP),
Downers Grove, IL $110.00 – Course ID # 195
REGISTRATION IS CLOSED FOR THIS LOCATIONCOURSE IS FILLED
July 15 & 16, 2009
7:00am-7:00pm PLEASE NOTE 12 HOUR DAYS
July 20, 21 & 22, 2009
William Rainey Harper College, Palatine, IL
St. John’s Hospital, Springfield, IL
$110.00 – Course ID # 193 REGISTRATION IS
$110.00 – Course ID # 194
CLOSED FOR THIS LOCATION-COURSE IS FILLED
August 4, 5 & 6, 2009
OSF St. Anthony Medical Center, Rockford, IL
$110.00 - Course ID # 191
DO NOT MAIL REGISTRATION TO INDIVIDUAL COURSE LOCATIONS - MAIL DIRECTLY TO ILLINOIS EMSC
REGISTRATION IS NOT GUARANTEED UNTIL PAYMENT IN FULL HAS BEEN RECEIVED
PHONE/FAX REGISTRATIONS WILL NOT BE ACCEPTED
Make checks payable to: Loyola University Chicago
Please mail the following 3 items to register: 1. registration form 2. course payment 3. copy of your CPR card
MAIL ITEMS TO: Illinois EMSC/LUMC • 2160 S. First Avenue, EMS Bldg. 110-LL-0263 • Maywood, IL 60153
EMSC OFFICE USE ONLY
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About the School Nurse
Emergency Care (SNEC) Course…
The School Nurse Emergency Care Course is based on a
course originally developed by the University of
Connecticut in 1995. Illinois EMSC has substantially
revised and updated the course to reflect current practice.
The course is designed to enhance the assessment,
triaging and treatment skills of the school nurse when
confronted with the acutely ill or injured student. With the
increasing number of urgent health related conditions
seen within the changing school environment and with
the current need to assure disaster/terrorism
preparedness, this course will support the school nurse’s
core knowledge base in responding to these types of
situations.
The field of school nursing is unique in that nurses in the
school environment are called on to fulfill multiple roles
while serving a diverse population. The intent of this
course is to provide nurses who work in the school setting
with emergency care education and guidelines that they
can integrate into their current practice and use to deliver
care to the ill or injured student.
This three-day course is taught by experienced school
and emergency nurses who are familiar with the unique
aspects of emergency care that school nurses may
encounter in the school setting.
Successful completion of the course requires attendance
at all course lectures and practical stations and receiving a
passing grade on the written course exam.
About the
Illinois EMSC Program…
Illinois EMSC is a collaborative effort between the Illinois
Department of Public Health and Loyola University Medical
Center and receives federal funding from the Health
Resources and Services Administration (HRSA) and the
Assistant Secretary for Preparedness and Response
(ASPR).
The goal of Illinois EMSC is to enhance pediatric
emergency care capabilities throughout the State of
Illinois. To learn more about the Illinois EMSC program
and to access other pediatric educational opportunities,
visit our web site at www.luhs.org/emsc or call
(708) 327-EMSC (3672).
Course Content…
2009 Summer Course Locations …
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Course coordinators are listed for each course and can
be contacted for course information.
Introduction to Emergency Medical Services in Illinois
Introduction to EMSC and SNEC
Your Role in Emergency Care
Legal Issues in Nursing Practice
Assessment & Triage
Trauma
Shock
Abdominal & Genitourinary Emergencies
Musculoskeletal Emergencies
Eye, Ear, Nose, Throat & Dental Emergencies
Medical Emergencies
Respiratory Emergencies
Neurologic Emergencies
Environmental Emergencies
Mental Health and Behavioral Health Emergencies
Planning for Students with Special Healthcare Needs
School Emergency Response and Crisis
Management
Continuing Education Nursing
Credit…
Contact Hours have been applied for through Loyola
University Health System, an approved provider of
continuing nursing education by the Illinois Nurse's
Association, an accredited approver by the American
Nurses Credentialing Center's Commission on
Accreditation.
Course Registration…
This course is open to all Registered Nurses within the
State of Illinois. Current recognition in Basic Life
Support (CPR for the Healthcare Provider) is required.
Registration is limited, enroll early, as this is a very
popular course.
Registration fee includes course
textbook, handout materials, processing of CECH’s, lunch
and snacks for each day of the course.
Cancellations received prior to the course will
receive a full refund after the course manual (in
excellent condition) is returned. $25.00 will be
deducted from the refund for unreturned manuals.
July 1, 2 & 3, 2009
8:00am—5:00pm
REGISTRATION IS CLOSED-COURSE IS FILLED
Broken Arrow Golf Club
16325 W. Broken Arrow Drive, Lockport, IL 60441
Laveda Albright, RN, TNS, CEN
(815) 557-2769
Course Registration Fee
$110.00
July 15 & 16, 2009
7:00 am—7:00 pm
PLEASE NOTE 12 HOUR DAYS
REGISTRATION IS CLOSED-COURSE IS FILLED
William Rainey Harper College
1200 W. Algonquin Road, Palatine, IL 60067-7398
Julie D’Agostino, RN, MSN, CEN (847) 682-5824
Course Registration Fee
$110.00
July 20, 21 & 22, 2009
8:00am—5:00pm
St. John’s Hospital
800 E. Carpenter Street, Springfield, IL 62769
Evelyn Lyons, RN, MPH
(708) 327-2556
Course Registration Fee
$110.00
August 3, 4 & 5, 2009
8:00 am—5:00 pm
REGISTRATION IS CLOSED-COURSE IS FILLED
Illinois College of Emergency Physicians (ICEP) Office
3000 Woodcreek Drive, 2nd Floor
Downers Grove, IL 60515
Patricia O’Connor, RN, BA, ILCSN (630) 462-1135
Course Registration Fee
$110.00
August 4, 5 & 6, 2009
8:00 am—5:00 pm
OSF St. Anthony Medical Center
5666 E. State Street, Rockford, IL 61108
Mary Fisher, RN, BSN, MA
(815) 966-5253
Course Registration Fee
$110.00
Please visit our web site at www.luhs.org/emsc for up to
date course information. Course locations and dates will
be posted on this web site as soon as they become
available. If you don’t have Internet access, please call
(708) 327-EMSC (3672).
For any questions contact…
Ramona Rendon
rrendon@lumc.edu
(708) 327-2561
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