Anda di halaman 1dari 2

Please print legibly. One registration per form.

Name: _________________________
Company: ______________________

Non Profit
Organization
PLACE
U.S. Postage
STAMP
Paid
HERE
Napa,
California
Permit #119

Registration Form

Phone Number: __________________


Email: _________________________
Address: ________________________
________________________
Place X in box for vegetarian option

Preregistration (Before 9/22/16):


____$135 Napa Valley Chapter Members
____$175 Nonmember
____$100 Student (must present student ID)
Registration after 9/22/16:
____ $195 for all attendees

Sign up for Napa Valley Chapter


and receive member price!
____ $35 for one year
____ $50 for two years

Checks may be made payable to Napa Valley AACN.

You may also register online at Eventbrite.


http://nvaacn2016symposium.eventbrite.com

Door registration will be accepted on a space


available basis with cash or check only.
No written confirmation will be sent. If program
is cancelled, you will be notified.
Refunds will be granted to all in the event of
program cancellation.

PO Box 523
Napa, California 94559

Napa Valley AACN


PO Box 523
Napa, California 94559

Napa Valley AACN Chapter

Please return registration form and payment to:

Symposium
October 6, 2016

The Napa Valley AACN


Chapter is committed to
promoting professional
growth of critical care members
through education, networking, and sharing of
best practices from varying institutions.

Visit us on the AACN website or on our Facebook


page for more information about the chapter.

Register now for our symposium!


Thursday, October 6th
0800-1615
NorthBay Healthcare Green Valley
Administration Center
4500 Business Center Drive
Fairfield, CA 94534
Continental breakfast and lunch provided.
Six contact hours will be awarded upon completion. Continuing
education credits are approved by the California Board of
Registered Nursing Provider Number: 00365

Register before
September 22nd for
preregistration rates!
$135 for Napa Valley Chapter Members
$175 for Nonmembers
$100 for Students (must show student ID at the door
to receive student rate)

$195 to register for all attendees after 9/22/16

AACN members can join the Napa Valley


Chapter and receive the member rate!
Chapter fees for one year $35 or $50 for
two years.

Schedule
0730-0800

Registration
Continental Breakfast

0800-0815

Welcome
Napa Valley Chapter President,
Natalie Correll-Yoder

0815-0915

Dare to be Extraordinary:
Nurses Leading Change &
Transforming Healthcare
Dave Hanson

0915-1030

Multisystem Trauma
Dr. J. Peter Zopfi

1030-1100

Break
Vendor Fair

1100-1215

Heads Up: New Guidelines,


Monitoring and Interventions
in Minor, Moderate and Severe
TBI
Mary Kay Bader

1215-1315

Lunch
Vendor Fair

1315-1430

Its a Bloodbath: Courageous


Means to Analyzing Bleeding
with TEG & Treating
Uncontrolled Hemorrhage
Mary Kay Bader

1430-1445

Break

1445-1600

Organ and Tissue Donation


Julie Gabbard

1600-1615

Closing Remarks
Evaluations

For more symposium information, please visit


http://nvaacn2016symposium.eventbrite.com
Please contact Chapter President, Natalie Correll-Yoder
at nataliecorrell@gmail.com for further questions.

Speakers
Dave Hanson, MSN,
RN, CCRN, CNS

Dr. J. Peter Zopfi,


DO, FACOS

Mary Kay Bader,


MSN, RN, CCRN,
CNRN

Julie Gabbard, BA
Donation Program
Consultant

Anda mungkin juga menyukai