PHTLS Course - St. Anthony's Medical Center

FOR MORE INFORMATIONFOR MORE INFORMATIONFor additional information such contact: as specific classtimes and locations, contact Kim Scott at314-525-4806.Stacia SmithPHTLSPhone: 314-525-4601ST. ANTHONY’S MISSIONFax: 314-525-4812At St. Anthony’s Medical Center, we carry outthe healing mission of Jesus by responding toST. ANTHONY’S MISSIONthe diverse needs of the people of ourcommunity, St. Anthony’s, with a Catholic special concern medical for center, people haswho the duty are poor. and the Faithful privilege to our to service provide tradition, the bestwe care work to every together patient, to promote every day. health, andprovide care marked by excellence, responsibleuse Continuing of our resources, Educationand respect andcompassion for all people.Trauma is the leading cause of death forThe Americans American under Heart the Association age of 40. strongly In 1999,promotes almost 1 knowledge in every and 4 Americans proficiency sustained BLS,ACLS, trauma and injury PALS and and 1 has in developed 20 were disabled toinstructional some degree materials PHTLS for is this designed purpose. to instruct Use ofthese Paramedics, materials EMTs in an and educational other advanced course does EMSnot providers represent with course the skills sponsorship necessary by to the recognizeAmerican injury, assess, Heart perform Association, critical and interventions,any feescharged package, for and such transport a course do the not trauma represent patient.income The primary to the Association. purpose of this course is toprovide the student with the fundamentalSt. knowledge Anthony’s to is treat approved and transport as a provider the of traumacontinuing patient. education in nursing by theMissouri Nurses Association, which isaccredited The PHTLS as Provider an approver Course of continuing is approvededucation for 16 CEU’s, in nursing and by the St. American Anthony’s Nurses MedicalCenter. Credential Center’s Commission onAccreditation. Participants must attend theentire activity and submit an evaluation formto Lunch receive is on a your completion own. certificate.Attire is business casual.ACLS Education10010 Kennerly RoadSt. Louis, MO 63128314-525-4601PHTLS 2014COURSEProvider CourseEDUCATION SERVICES

ST. ANTHONY’S MEDICAL CENTERST.2014 PRE HOSPITAL TRAUMA LIFEANTHONY’S MEDICAL CENTERSUPPORT (PHTLS) COURSES2004 PEDIATRIC ADVANCED LIFESUPPORT OVERVIEW (PALS) COURSESPHTLS is designed to instruct Paramedics, EMTs andOVERVIEWother advanced EMS providers with the skillsOverview necessary to text recognize goes here. mechanisms of injury, assess,perform critical interventions, package, and transportOBJECTIVESthe trauma patient.. Class times: 8:00 a.m. – 5:00Thep.m.American(subject toHeartchange)Association/AmericanAcademy of Pediatrics Advanced Life SupportProvider Course is designed to prepareparticipants St. Anthony's to: Medical Center –Employee OnlyAuthorization Payroll Deduction ACLS/ PALS/• Recognize PHTLS/ infants TNCC and Cancellation children at Fees risk forcardiopulmonary Education arrest Department• Prevent cardiopulmonary arrest in infants andName: _________________________________children• Resuscitate and stabilize infants and childrenDepartment: __________Dept # _____________in respiratory failure, shock orI hereby cardiopulmonary authorize St. Anthony's arrest. Medical CenterPayroll Department to deduct from my paycheckcharges occurring as a result of late cancellationPREREQUISITESor no notice of cancellation for registered ACLS /PALS /ITLS/ TNCC courses. I further understandProvider course: A current basic life support(BLS) Education provider Coordinator card. Please at ext. submit 4665. a This copy must of both becompleted in a timely manner as outlined withinsidesthe applicationof your cardorwithI willthebe subjectregistrationto cancellationform.charges Renewal via course: this authorized Current payroll BLS and deduction. PALSprovider cards. Please submit copies with theregistration form.that I am responsible for notifying the ACLS/PALS14 days or less notice of cancellation will result ina $50.00 payroll deduct charge.COURSE INFORMATIONpayroll deduct charge.• Course attire is business casual.• Lunch is on your own.No notification of cancellation or comingunprepared for class will result in a $100.00“Emergent situations will be reviewed on an individualbasis.”I have read and I understand and agree to all of theabove. Registration will not be complete forACLS/PALS/PHTLS/TNCC without completion ofthis form and the application.RENEWING INSTRUCTORS− Current standing as an ACLS INSTRUCTOR.Signature: ______________________________− Meet AHA/TC teaching requirements:Date: ___________teach at least two courses per year.PREREQUISITES:NEW STUDENTS:◊ Must be a licensed EMT, EMT-P, orregistered nurse interested inimproving trauma skills.REGISTRATIONRegistrations WILL NOT be completeuntil all of the following are received:□ Completed course registrationform (supervisors signature isrequired for SAMC employees)□ Course feeAll SAMC registrants will be required topick up packets prior to course date andwill be notified through SAMC e-mail ofpacket availabilityFEE:$250 Provider CourseMake checks payable to:ST. ANTHONY’S MEDICAL CENTERACLS Education10010 Kennerly RoadSt. Louis, MO 63128ATTN: Kim ScottPlease print legibly:NAME: __________________________ADDRESS: ______________________________________________________________________PHONE:______________________________OCCUPATION:__________________________EMPLOYER:____________________________DEPT. NAME: _________________________EMAIL_________________________________SAMC Employees only:Supervisor’s signature:___________________(This grants the above employee permission toattend this course.)I want to register for the following 2014PHTLS Course:June 23 & 24December 17 & 18New________