Application Form
Workshop for Registered Nurses who seek to deliver the
NSW Anaphylaxis Education Program
to school staff
This one-day workshop is designed to facilitate Registered Nurses who, as
part of their current role, will be able to deliver education to school staff on
the subject of managing anaphylaxis in schools.
This education comes in the form of a standardised power point
presentation with accompanying speaker notes.
Following the workshop each RN who meets the required competencies will
be given on-going support and information in order to deliver this
education. The amount of education delivered is entirely discretionary.
The workshop is free.
Further questions can be addresses to:
Briony Tyquin or Margot Treloar
CNC Anaphylaxis Education, Children’s Hospital at Westmead
Telephone: 9845 3501
E mail: anaphylaxis@chw.edu.au or fax to: 9845 0020
Name ____________________________________
Address: _________________________________
E mail: ___________________________________
Telephone: ________________________________
Date and Location of Workshop: ______________
Current employer: __________________________
Current role: ______________________________
Nursing Board Registration Number: ___________
© NSW Anaphylaxis Education Program
An initiative supported by NSW Ministry of Health, NSW Department of Education and
Communities, NSW Association of Independent Schools and the Catholic Education
Commission