Tuition: Learning Objectives: Two Day Provider Course: $265 General (includes PALS manual) Upon completion of this course, participants will be able to: 1. Identify and treat medical conditions that place a child at risk for cardiac arrest. 2. Use a systematic approach to pediatric assessment. 3. Use the Evaluate-Identify-Intervene approach to assessment and management of a seriously ill infant or child. 4. Use effective resuscitation team communication. One Day Update Course: $165 General (includes PALS manual) The discount applies to QMC part time, part time quarterly or full time employees only. Tuition fees are waived for permanent part time, or full time QMC employees required to maintain PALS certification. Continuing Education Credit: Return the completed registration form with payment to: The Queen's Medical Center designates this live activity for a maximum of (see below) AMA PRA Category 1 CreditsTM: Clinical Education The Queen’s Medical Center 1301 Punchbowl Street Honolulu, HI 96813 14.5 - Pediatric Advanced Life Support - Provider Course Refund Policy: 7.25 - Pediatric Advanced Life Support - Renewal Course $30 processing fee for cancellations No refunds for cancellations received less than 72 hours prior to class $30 processing fee for rescheduling No refunds for no shows Physicians should claim only the credit commensurate with the extent of their participation in the activity. Program Planning Committee: Alson Inaba, MD, PALS/I, PALS/RF, PALS/NF Sharon Keith, RN, PALS/P, QMC TC Coordinator Registration: Location: All classes are held on The Queen’s Medical Center campus. Location and maps will be provided with your course materials. 2015 Sponsored by: Open enrollment is on a first come, first served basis, upon receipt of payment. Class size is limited. Confirmation will be e-mailed before class. For further information, please e-mail [email protected] or contact The Queen’s Medical Center, Clinical Education Department at 691-4731. Pediatric Advanced Life Support 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, and any fees charged for such a course do not represent income to the Association. Clinical Education PALS Course Registration Name RN MD PALS 2015 Provider Course (2 Days) 0700-0730 Registration 0730-1630 Course Thursday/Friday Feb. 26/27, 2015 Thursday/Friday Apr. 30 & May 1, 2015 Thursday/Friday Oct. 29/30, 2015 Specialty: Other (Specify): Mailing Address City State Home Phone Zip Work Phone Institution/Agency Department/Specialty E-mail Select a Date/Time: 2-Day Provider Thur/Fri 2/26 & 2/27 Thur/Fri 4/30 & 5/1 Thur/Fri 10/29 & 10/30 Update Course (1 Day) 0700-0730 Registration 0730-1630 Course Wednesday Feb. 25, 2015 Wednesday Apr. 29, 2015 Thursday Aug. 27, 2015 Wednesday Oct. 28, 2015 Course Description: 1-Day Update Wed 02/25/2015 Wed 04/29/2015 Thur 08/27/2015 Wed 10/28/2015 Registration Fees: with PALS Manual with PALS Manual $275 Community $175 Community $240 QMC Employee $150 QMC Employee without PALS Manual without PALS Manual $235 Community $135 Community $200 QMC Employee $115 QMC Employee $40 PALS Manual Method of Payment: Check payable to: The Queen’s Medical Center Ck #____ VISA MC AMEX DISC (circle one) Cardholder’s Name (as it appears on card) Card Number Course Prerequisites: Current certification in Basic Life Support for Healthcare Providers (BLS-HCP card). All PALS participants are required to be proficient in Basic Life Support for Healthcare Providers skills (BLS-HCP). You will be asked to demonstrate those skills to successfully complete the PALS course. Knowledge of cardiac arrhythmias and ability to recognize arrhythmias. Exp. Date Card Billing Address (required) 3-Digit Security Code The Pediatric Advanced Cardiac Life Support course is designed for healthcare providers who initiate and direct advanced life support beyond basic life support through the stabilization or transport phases of a pediatric emergency. Cardiovascular pharmacology for children; mechanism of action, indications, dosage and precautions for emergency medications. Total Amount Send completed registration form with payment to: Seating is limited. Payment must be received with registration; no show=no refund; No POs. The Queen’s Medical Center-Clinical Education 1301 Punchbowl Street Honolulu, HI 96813 Ph (808) 691-4731; Fax (808) 691-7763 E-mail: [email protected] *PLEASE CONTACT THE CLINICAL EDUCATION OFFICE FOR CLASS AVAILIBILITY PRIOR TO SUBMITTING FORM / PAYMENT. Signature Course Director: Alson Inaba, MD, PALS/I, PALS/RF, PALS/NF Physician, Emergency Services Kapiolani Medical Center for Women & Children Classes: Provider Class: This is a full, 2-day session with skill stations covering respiratory emergencies, electrical therapies, and vascular access; competency testing in CPR/AED; learning station for core case discussions, core case simulations, and effective team behaviors; and core case testing. This class is for first time students, students who want an in-depth review or students who have expired PALS completion cards. Update Class: This is a one-day renewal designed to accommodate experienced professionals who are self-directed to review the PALS protocols on their own and need less practice time in the classroom before performing in the testing station. Renewal students should have a current PALS card. If you took your last PALS course more than 24 months ago, you are advised to take the Provider course. Course Materials: AHA requires that all students have the new 2011 PALS Provider Manual. You MUST BRING YOUR PALS Manual to class.
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