Fall 2011 - The Washington State Nurses Association

Washington State Nurses Association
CEARP Provider Update
November 11, 2011
8:30 am — 4:45 pm
All WSNA approved CEARP Provider Units are
invited to get an update on the ANCC-COA
Criteria and to discuss ways to address the
issues you face day-to-day to implement these
criteria.
Contact hours will be awarded for successful completion of this activity which
requires attendance at the entire event and submission of a completed evaluation
form.
The Washington State Nurses Association Continuing Nursing Education Provider
Program (OH-231, 9/1/2012) is an approved provider of continuing nursing education
by the Ohio Nurses Association (OBN-001-91), an accredited approver by the American
Nurses Credentialing Center’s Commission on accreditation.
WHEN: November 11, 2011
8:30 am registration
9:00 am to 4:45 pm program
Breakfast served from 6:30 am to 10 am. Lunch included.
WHERE:
WHO:
COST:
Cedarbrook Lodge
Close to SeaTac Airport; shuttle service available.
18525 36th Ave South
SeaTac, WA 98188
1-866-901-9268
All approved provider unit staff
New potential provider applicants welcome.
Space is limited.
$130 or $100 per person if multiple people
from one organization register together
LODGING: Overnight accommodations are available at
Cedarbrook or the Marriot Towne Place Suites
located nearby.
Fees at Marriott Towne Place Suites are discounted for
WSNA events. Notify Reservation Desk at 1-253-796-6000,
or email Tonia Ostronic at tania.ostronic@marriott.com.
www.wsna.org/education
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CEARP PROVIDER UPDATE REGISTRATION
First Name ___________________________________________________________________________
Last Name & Credentials __________________________________________________________
Name of Provider Unit _____________________________________________________________
Names & Credentials of Additional Attendees from Provider Unit
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Address _______________________________________________________________________________
City ____________________________________________ State ___________ Zip _______________
Email __________________________________________________________________________________
o
o
Check / Money Order payable to WSNA is enclosed.
Charge my Visa / MasterCard
Card Number
_____________ - _______________ - _________________ - ________________
Exp Date ______________ / _____________
___________________________________________________________________________________
Cardholder’s Name
___________________________________________________________________________________
Cardholder’s Signature
Total Fees
$130 for one attendee.
$100 per person for multiple attendees from a single provider unit.
$ _________________
Return this form to:
WSNA
Attn: Irene Mueller
575 Andover Park West, Suite 101
Seattle, WA 98188
(206) 575-1908 fax • (206) 575-7979, ext. 0 phone
imueller@wsna.org