St. Anthony’s Hospital Lakewood, CO October 25-26, 2014

1. ACCN AMERICAN BOARD OF CARDIOVASCULAR MEDICINE ABCM Est. 1991 Cardiovascular Nursing Prep Course & Board Certification Opportunity This Clinical Cardiovascular Nursing Essentials Course was designed to meet the Professional Development and Board Certification needs of your Cardiac Nurses and Nurse Practitioners working in PCU, Telemetry, Emergency Chest Pain Centers, Cardiovascular Critical Care, Cath Lab, CV Surgery, CV Recovery, Cardiac Rehab, and Private Practice Cardiology Offices and Clinics. If your hospital is seeking or needs to maintain Magnet Status, the Board Certification Exams offered by the American Board of Cardiovascular Medicine are approved by the ANCC for Magnet applications. St. Anthony’s Hospital of Lakewood, CO is taking the lead in the area, by Hosting a Clinical Cardiovascular Nursing Course and CVRN Board Certification Opportunity for their Cardiac Nurses and Nurse Practitioners, and those throughout the region at other Hospitals and Clinics who wish to take part in this Professional Development event. St. Anthony’s Hospital Lakewood, CO October 25-26, 2014 Presented by:American College of Cardiovascular Nurses &the American Board of Cardiovascular Medicine, and St. Anthony’s Hospital, Lakewood, CO The ABCM has over 6,000 Board Certified Nurses Nationwide! Alice Friedrich, ANP, MS, BSN, RN, CVRN-BC Level II. Alice currently works as a Cardiovascular Nurse Practitioner for the North Shore LIJ Health System in New York.  Alice was among the first Nurse Practitioners to receive CVRN Board Certification Status in 2000. Alice comes to you with a phenomenal amount of Essential Knowledge and Clinical Expertise to assist you in the Diagnosis and Management, and Daily Care of Cardiovascular Patients with a host of Cardiovascular Anomalies. A frequent speaker at ACCN courses on a national level.

2. ACCN AMERICAN BOARD OF CARDIOVASCULAR MEDICINE ABCM Est. 1991 Course Outline: 7:00-7:55am - Course & Exam Registration 8-9:15am – Bedside Assessment 9:20-10:40am – EKG Essentials 10:50-12:15pm - ACS12:15-1:15pm – Lunch on your own 1:15-2:15pm – Hypertension 2:20-3:20pm – Heart Failure 3:30-4:30 Cardiomyopathy Course/Exam Outline: 7:30-7:55am - Course & Exam Registration 8-9:30am - Interventional Cardiology 9:45-10:30am – Pacemakers2:00-5:00pm – CVRN Board Certification Exams Registration Fees and Instructions for the Cardiovascular Nursing Review Course and/or Certification Exams:1) St. Anthony’s Hospital Staff Fees: $120 Course Only; and an additional $250 for the CVRN I Exam 2) All St. Anthony’s Hospital Staff Fees: $160 Course Only; and an additional $295 for CVRN I Exam A Pre-Registration fee is required for only the Course which must be paid by October 17th 2014 in order to reserve your seat and handout in this Course (Seating is limited to 70, so register early). Any registrations received after this date will be assessed a $20 late fee and will be considered a walk-in registrant. Contact Hours:This course is approved for 7.0 contact hours for 1/24 and an additional 4.0 hours for 1/25 by the Florida Board of Nursing Provider Number 50-14076. Course Location:St. Anthony’s Hospital, 11600 W. 2nd Place, Lakewood, CO 80228 Questions about the Course and ExamsCall 352-293-3131 (9am-4pm M-F) or email jenragan@accn.net. Terms and Methods of Payment:1) Pay Online with a credit card in our Online Store. click on this link or go to www.abcmcertifycation.com2) To Pay by check or money order, make payable to ABCM (may combine Course and Exam fees in one, or separate checks) and mail along with the Registration Form on the next page to: ABCM, P.O. Box 3219, Spring Hill, FL 34611.3) Do not mail your Course Registration fee after October 10th to assure safe arrival by October 17th. If you register later than the 17th, please email us of your intent to attend the Course (keeping in mind, you will be considered a walk in and will have to pay the late fee of $20 extra if you miss this deadline. Send emails to: jenragan@accn.net4) If you are undecided about the Exam, you may wait to pay for it onsite with cash or check.

3. Register for the Cardiovascular Nursing Review Course and/or the CVRN-BC Exam: Scheduled for October 25-26, 2014 – Lakewood, CO Please do not leave any questions un-answered, or your registration will not be complete. Print clearly in your best handwriting.q I will attend the Cardiovascular Nursing Review Courseq I will sit for my CVRN Level I Board Certification Exam at the completion of the Course q I am undecided about taking the CVRN Level I Board Certification Exam and will let you know onsite at the Course. 1. First name: ______________________Middle initial: _____ Last name: ____________________________ 2. Degree(s) Held: _______________________________________________________________3. Professional certifications held: __________________________ 4. Nursing or other Professional License Number & State Issued: _____________________________ 5. q Male q Female 6. Home address: ____________________________ City: __________________ State:_________ Zip: ________ 7. Home email:___________________________________8. Work email: ___________________________________ 9. Home phone: ______________________ 10. Supervisor’s Name: ______________________________________ 11. Name of Employer: ______________________________________ 12. Phone number of Employer: ________________________________13. What area of cardiology do you work in? ______________________ 14. How long have you worked in this area? ________________ 15. What other areas of cardiology do you have experience in? ____________________________________________16. How many hours per week do you work in cardiology? ________17. Have you had formal training in cardiology? __________ 18. If so, what specialty degree or certification do you hold in cardiology? ___________________________________19. Does your hospital have an in-house training program for cardiovascular critical care and telemetry nurses? _______20. Does your hospital have an in-house training program for cardiac monitor and EKG Techs? ____________21. Is your hospital a Magnet facility or are they seeking Magnet status? ______