Beaumont Health Systems EC Community Training Center 3601 W. Thirteen Mile Road Royal Oak, MI 48073 P1561 0809 Advanced Cardiac Life Support (ACLS) Beaumont Hospital, Royal Oak, Michigan A verified Primary Stroke Center and Chest Pain Center of Excellence PROVIDER: RECERTIFICATION January 12 & 13, 2015 March 16 & 17, 2015 May 4 & 5, 2015 September 1 & 2, 2015 November 16 & 17, 2015 January 14, 2015 March 18, 2015 May 6, 2015 July 8, 2015 September 4, 2015 November 18, 2015 Target Audience: This course is intended for physicians and other healthcare professionals whose primary focus is in the assessment and treatment of cardiovascular emergencies. Course Pre-Requisite: A pre-requisite for the course is a current American Heart Association BLS certification. A copy of a valid AHA BLS card must be provided with course registration. Course Objectives: Participants attending the Advanced Cardiac Life Support course will: 1) Increase their ability to treat cardiac arrest situations, cardiac arrhythmias and acute myocardial infarctions 2) Qualify for certification in Advanced Cardiac Life Support by the AHA Upon successful completion of written examination and performance testing, participants will be certified by the American Heart Association as ACLS Providers for two years. On-Line Training: Skills validation is available in coordination with scheduled ACLS courses. Participants must complete skills validation within 60 days of online completion. Registrants must submit $100.00, a copy of a current AHA BLS Card, copy of the online test completion and attend the megacode practice session. A hands-on megacode must be successfully completed in order to earn a Provider card. The American Heart Association’s “HeartCode ACLS” is the only on-line computer program that Beaumont recognizes. Disclosure Statement: All speakers have been asked to disclose any significant relationships they may have with commercial companies. These relationships will be disclosed prior to the course, if applicable. Provider Course schedule: January 12 &13, 2015 March 16 & 17, 2015 May 4 & 5, 2015 September 1 & 2, 2015 November 16 & 17, 2015 Registration deadline: 9:00 AM – 5:00 PM (Registration 9:00 – 9:30 AM) Registrations and all accompanying documentation and fees must be received no later than 14 days prior to each course. Registrations received without required documentation (copies of BLS and ACLS certification and/or payment) will not be processed until all fees and required documentation is received. DAY TWO: FEE DISCLAIMER: 9:00 AM – 5:00 PM The American Heart Association strongly promotes knowledge and proficiency in BLS, ACLS, and PALS and has developed instructional materials for this purpose. Use of these materials in an educational course does not represent course sponsorship by the American Heart Association. Any fees charged for such a course, except for a portion of fees needed for AHA course materials, do not represent income to the Association. DAY ONE: Recertification Course schedule: January 14, 2015 March 18, 2015 May 6, 2015 July 8, 2015 September 4, 2015 November 18, 2015 Books: DAY ONE: 9:30 AM – 4:30 PM (Registration 9:30 – 10:00 AM) ***TIMES SUBJECT TO CHANGE*** Fees include the AHA ACLS textbook for Non-Beaumont Employee Provider Course participants. All students must have the 2010 AHA ACLS textbook at class. Participants without a book will be dismissed. Books are available to purchase for $45.00, or are available to borrow from the hospital library. Parking: Non-Royal Oak employees should park in the South Parking Deck. Royal Oak employees must park in an employee parking deck or surface lot. Course Fees: Beaumont Employee $100.00 Non-Beaumont Employee Maps available upon request Provider $285.00 (Book Included) Recertification $200.00 Completion of on-line testing $100.00 Fees ACLS Registration Provider Courses January 12 &13, 2015 March 16 & 17, 2015 May 4 & 5, 2015 September 1 & 2, 2015 November 16 & 17, 2015 Recertification Courses January 14, 2015 March 18, 2015 May 6, 2015 July8, 2015 September 4, 2015 November 18, 2015 Name with Credentials: ____________________________________ Home Address: __________________________________________ City/State/Zip: ___________________________________________ Home Phone: __________________ Beaumont ID#: ____________ E Mail Address: _________________________________________ Employer/Department: ____________________________________ Manager : _____________________DIV/RC: __________ Please don’t forget to include copies of your BLS card for Provider and BLS & ACLS cards for Recertification. Completion of on-line testing (Heartcode ACLS) Skills Validation $100.00 Provider/Recertification Classroom course for Beaumont Employee $100.00 Non-Beaumont Employee Provider $285.00 (Book Included) Recertification $200.00 Text Book with CD $45.00 Pocketbook $30.00 Make checks payable to Beaumont Health System and mail payment and registration form to: EC Community Training Center 3601 W. Thirteen Mile Road Royal Oak, MI 48073 Cancellation Policy: Cancellations prior to the registration deadline (14 days prior to course) will receive a refund, however, course materials must be returned in their original condition or a fee will be deducted. Cancellations made after the deadline or a No Show will result in no refund. We reserve the right to cancel up to 30 days prior to the start of the course. In this case, all participant fees will be refunded in full. For more information, please contact the Training Center Secretary at (248) 898-1965.