Continuing Education Consortium
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|Continuing Education Consortium | |COURSE INFORMATION |
|Dignity Health– Collaborative Learning Center | | |
|1700 Tribute Road, Suite 100 | |Upon receipt of your registration form, a confirmation letter stating |
|Sacramento, CA 95815 | |date, time and location will be sent. If you do not receive |
| | |confirmation in approximately 2 weeks, please contact our office |
| | |immediately. Your confirmation letter will act as an acknowledgment of |
| | |your enrollment in the course. |
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| | |REGISTRATION INFORMATION |
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| | |Registration deadline is one week prior to course date, or when the |
| | |class limit is reached. Registration is by mail only and will be |
| | |accepted on a first-come, first-served basis. Hospital facilitators may |
| | |fax registration. |
| |Presents | |
| | |COURSE MATERIALS |
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| | |The cost of the course includes your syllabus and calipers. The text is|
| |CARDIAC |optional. Once purchased, course materials cannot be returned. |
| |MONITORING | |
| |COURSE |CE INFORMATION |
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| | |Provider approved by the California Board of Registered Nursing, CEP# |
| |October 10, 17, |07960, for 24 contact hours. |
| |24 & 31 | |
| |2019 |REFUNDS |
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| |7:30 a.m. - 3:45 p.m. |The registration fee will be refunded provided notice of cancellation is|
| | |given in writing 14 days prior to course date. The registration fee |
| | |will be refunded in full if, for any reason, Continuing Education |
| | |Consortium cancels the program. |
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| | |FOR MORE INFORMATION |
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| | |Call (916) 733-6333 |
| | |Fax (916) 733-6286 |
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| | |*CONSORTIUM SPONSORED HOSPITALS: |
| | |Barton Memorial, Dignity Health - Greater Sacramento Svs Area, Adventist|
| | |Health Rideout, Kaiser Capital Service Area, Vibra Hospital, Marshall |
| | |Hospital, Methodist Hospital, Northbay,Shriner’s Hospital, Sierra Nevada|
| | |Memorial, Sutter-Auburn, Sutter-Davis, Sutter Medical Center, |
| | |Sutter-Roseville, UCDMC & Woodland Memorial |
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|COURSE DESCRIPTION: | |COURSE COMPLETION CRITERIA | |CARDIAC MONITORING COURSE |
| | | | |October 10, 17, 24 & 31 2019 |
|This 4 day Cardiac Monitoring Course is designed to acquaint the learner| |Completion of all pre-readings. | |Registration Application |
|with essential information necessary to interpret basic EKG tracings. | | | | |
|Participants will attend Day 4 will be to complete the final exam, and | |Completion of all homework assignments prior to class. | |PLEASE COMPLETE & PRINT CLEARLY: |
|if needed, will stay to attend a remediation session. This instructor | | | | |
|lead session will prepare the participant for the required retesting, | |Completion of all instructor and course evaluations. | |Name:__________________________________ |
|will occur on a subsequent date.. | | | | |
| | |Completion of daily quizzes. | |Address: ________________________________ |
|NOTE: This is a beginning course; advanced dysrhythmias will NOT be | | | | |
|discussed. If you are not an RN, you must attend the Prep CMC course | |Pass recognition quiz of urgent arrhythmias with 100% accuracy the first time.| |City/State/Zip: ____________________________ |
|prior. | | | | |
| | |Pass a multiple choice and rhythm strip interpretation final exam with 85% | |Nursing License #:_________________________ |
|COURSE OBJECTIVES | |accuracy. | | |
| | | | |Home Phone:_____________________________ |
|Upon successful completion of this course, the participants will be able| |Attendance at EVERY class is mandatory to receive a certificate. | | |
|to: | | | |Work Phone:_____________________________ |
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|Relate basic principles of electro-physiology to wave patterns produced | |Upon successful completion of the preceding criteria, a Certificate of | |Employer:________________________________ |
|on EKG graph paper. | |Completion will be issued. | | |
| | | | |Department:______________________________ |
|Determine measurements and rates of EKG tracings on graph paper. | |For those students who successfully complete the above criteria, except for | | |
| | |passing the final test, a CE certificate will be issued. | |Supervisor’s Signature:_____________________ |
|Recognize uncomplicated arrhythmias in each of the following categories:| | | |This signature is authorizing department to pay for course |
| | |COURSE FEES | | |
|Sinus Rhythms | | | |Cost Center:______________________________ |
|Atrial Rhythms | |$299.00 Consortium sponsored hospitals course fee, | |Please check items that are being paid for with this application: (Make|
|Juntional Rhythms | |syllabus & calipers | |check payable to Dignity Health) |
|Heart Blocks | | | | |
|Ventricular Rhythms | |$350.00 Non Consortium sponsored hospitals course fee, | |Consortium sponsored hospital |
|Paced Rhythms | |syllabus & calipers | |employee Course fee, $299 θ |
| | | | |Syllabus & calipers |
|Relate basic principles of cardiac pacing. | | | | |
| | | | |Non Consortium sponsored hospital employee course fee |
|Successfully complete a two hour EKG multiple choice and rhythm | | | |Syllabus & calipers $ 350θ |
|interpretation exam. | | | | |
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| | | | |IF SELF PAY - Send completed form with payment to: |
| | | | | |
| | | | |Continuing Education Consortium |
| | | | |Dignity Health –Collaborative Learning Center |
| | | | |1700 Tribute Road, Suite 100 |
| | | | |Sacramento, CA 95815 |
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HOSPITAL FACILITATOR USE ONLY
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Facilitator signature required if hospital is paying fee
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