6thEdition ENA Trauma Nursing Core Course (TNCC) th Thursday & Friday July 19 & 20, 2012 7:30am-6:30pm Held at Mission Ambulance rd 1055 E. 3 Street, Corona, CA 92879 in the EMS Training Center AM/PM Refreshments will be Provided The 6 Edition ENA Trauma Nursing Core Course (TNCC) provides lectures and hands-on psychomotor skills stations in an organized manner intended to teach nurses core knowledge about the broad spectrum of emergency trauma care. Skills stations provide the opportunity to utilize critical thinking and hands-on practice. LVNs, paramedics, PAs and other healthcare providers are encouraged to attend the lecture and psychomotor skills station portions of the course at a reduced fee. To receive the most benefit from this course and to successfully earn your TNCC verification card early enrollment is important. It is essential that you read the textbook before the course begins. The lectures are only intended to supplement your reading. Once your paid registration is received you will be sent the textbook, practice test, answer key, course schedule and confirmation letter. Questions? Contact Gail Dodge, RN, MSN, CEN PHONE (909) 472-2680 EMAIL entityeducation@live.com Name: ____________________________________________________________________________ (Please PRINT legibly how you wish to have your name printed on your certificate) Address: __________________________________________________________________________ City: _______________________________________State: ___________ Zip: __________________ RN # _________________ Facility/Agency where you are employed _________________________________ Required for BRN credit Phone: ____________________________ E-mail address: ___________________________________ (In case we have a question about your registration) (Required in order to send your confirmation paperwork & practice test) Circle your current primary practice area: ED ICU CCU EMS CCT Flight Other: _______________________ Length of experience you have in your current primary practice area: ___________ years (This will help us group you for the skills stations) (If less than one year, how many months? __________) Do you have a current TNCC provider card and are renewing? YES NO Directions for TNCC Registration for July 19 & 20, 2012 $300 Standard Registration Mailed Registration Please make checks or money orders payable to “Entity Education” Please do not send cash Mail registration and payment to: Entity Education 154-A W. Foothill Blvd. Suite 426, Upland, CA 91786 Electronic Registration Payment through PayPal (which will accept credit card, bank transfer & electronic check): 1. Register and pay online at www.entityeducation.com 2. Payment may be made online through your PayPal account at https://www.paypal.com If you do not have a PayPal account you may easily set one up at this website by following online directions. Refund Policy: Registration for the July 19 & 20, 2012 class must be received by Friday, July 13, 2012. A confirmation letter, schedule, practice test and textbook will be provided upon receipt of paid registration. Registrations canceled up until July 13, 2012 will receive a full refund minus a $50 cancellation fee and the cost of the textbook. NO refunds after July 13, 2012. Contact hours and TNCC verification card are provided through the Emergency Nurses Association. “Provider approved by the California Board of Registered Nursing, Provider CEP 2322, for 14.42 contact hours.” The Emergency Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. “In accordance with the American with Disabilities Act (ADA) please advise Entity Education if you have any disability that requires special materials and/or services so that appropriate personnel can be advised.”