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Course dates for 2020Provider courses:

Asante Rogue Regional Medical Center

Feb. 19 and 20May 7 and 8

Sept. 16 and 17Nov. 9 and 10

Renewal courses:Asante Rogue Regional

Medical Center Jan. 14; Feb. 3;

March 2; June 12, 24;

Aug. 5; Sept. 28; Oct. 22; Nov. 3;

Dec. 16

Asante Three Rivers Medical Center Feb. 13; May 13;

June 18; Aug. 17;Sept. 10; Nov. 4

palsPediatric Advanced Life Support

Provider and Renewal Courses

Description Pediatric Advanced Life Support (PALS), is a course developed by the American Heart Association and the American Academy of Pediatrics (AAP) for the training of health care providers. It emphasizes early recognition of pre-arrest states and the prevention of cardiopulmonary arrest in children. It also teaches relevant techniques that enable effective intervention in pediatric resuscitation.

Prior to the course, the PALS provider student is responsible for independent study of the American Heart Association PALS provider manual. The majority of the teaching during the course is done in small, informal group lectures, discussions and practical hands-on stations. This format allows maximal student- instructor interaction and was designed to enhance learning and decrease participant stress.

Upon successful completion, participants will be granted PALS provider cards through the American Heart Association. Provider status is valid for two years, and a renewal course is required to remain a PALS provider.

Objectives Upon completion of the PALS course, the participant will be able to:• Recognize the infant or child at risk for

cardiopulmonary arrest• Identify strategies for preventing cardiopulmonary

arrest in infants and children• Demonstrate the cognitive and psychomotor skills

necessary for resuscitating the infant or child inrespiratory failure, shock or cardiopulmonary arrest

Prerequisite Participants should have basic EKG interpretation and pharmacology knowledge. These are not taught in class. The provider manual must be read before attending the course and the self-assessment test taken. Print your certificate and bring it with you to the course. Use the assessment to identify areas in which you need to increase your knowledge. In addition, all participants must demonstrate CPR/BLS proficiency to complete the class.

americans with disabilities act If you need any of the auxiliary aids or services identified in the Americans with Disabilities Act to attend this program, please call (541) 789-5219 or (541) 789-3957 at leastone week before this course.

Location Classes will be held in the Smullin Health Education Center on the Asante Rogue Regional Medical Center campus, in the Asante Outpatient Center on the Asante Three Rivers Medical Center campus, or in Asante Ashland Community Hospital, unless otherwise stated. Maps will be sent with your confirmation letter, upon request.

For More Information Call Asante Nursing Professional Development at (541) 789-5219 or (541) 789-3957.

ACCREDITATION Nursing Continuing Education Provider approved by the California Board of Registered Nursing Provider Number CEP 13000 for 16 (provider) or eight (renewal) contact hours.

registration deadline Three weeks prior to course Enrollment is limited and will be accepted on a first-come basis. Payment must accompany registration to be accepted. A confirmation letter will be mailed upon acceptance of application. Course will be cancelled if fewer than five students enroll.

cancellations Cancellations must be received in writing 14 calendar days before the first date of the course for refund, less a $50 administrative fee. No refunds will be made after the 14-day date.

Agenda Registration begins at 7:45 a.m. Program begins promptly at 8 a.m. and will adjourn around 5 p.m. The two-day provider course lasts approximately 16 hours with a one-hour lunch. The renewal course lasts approximately eight hours with a one-hour lunch. Lunch is not provided.

The American Heart Association strongly promotes knowledge and proficiency in 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.

PALS PEDIATRIC ADVANCED LIFE SUPPORT | 2020

PALS | registration formALL FIELDS MUST BE COMPLETED

❏ Jan. 14❏ Feb. 3❏ March 2

❏ June 12 ❏ June 24❏ Aug. 5❏ Sept. 28

❏ Oct. 22❏ Nov. 3❏ Dec. 16

❏ Feb. 13❏ May 13

❏ June 18❏ Aug. 17❏ Sept. 10

❏ Nov. 4Asante Three Rivers Medical Center Asante Rogue Regional Medical Center There will be no

PALS classes at Asante Ashland Community Hospital in 2020.

Name _______________________________________________________ include professional designation(s) __________________ (MD, RN, EMT, etc.)

Street address _____________________________________________________________________________________ Home

City _________________________________________________ State _________________________ ZIP _________________

Home phone _______________________ Cell phone ________________________ Daytime phone _______________________

Fax __________________________________________ Email _____________________________________________________

Employer _______________________________________________________ Department ______________________________

INCOMPLETE REGISTRATION FORMS WILL NOT BE ACCEPTED Mail check along with completed registration form, payable to Asante Nursing Professional Development to: Asante Rogue Regional Medical Center | Nursing Professional Development, 2825 E. Barnett Road, Medford, OR 97504 or fax to: (541) 789-6870

PAYMENT BY CREDIT CARD Credit card type: Debit MasterCard VISA

Name on card __________________________________ Credit card # ____________________________ Security code _______

Expiration date ________ Signature ___________________________________________________________________________

PAYMENT BY ASANTE COST CENTER

Asante cost center _______________________________ Department manager signature _________________________________

CANCELLATIONS Cancellations must be received in writing 14 calendar days before the first date of the course for refund, less a $50 administrative fee assessment. No refunds will be made after the 14-day date.

provider courses*Asante Rogue Regional Medical Center: ❏ Feb. 19 and 20 ❏May 7 and 8 ❏Sept. 16 and 17 ❏Nov. 9 and 10❏ $125 Asante employees—if course is REQUIRED for position. (Participant will receive a loaner provider

manual and ECC handbook.)❏ $225 Asante employee—if course NOT REQUIRED for position. (Participant will receive a loaner provider

manual and ECC handbook.)

❏ $275 Non-Asante participants (Participant will receive a loaner provider manual and ECC handbook.)

Renewal Courses*

❏ Free to Asante employees—if course is REQUIRED for position and you have not been prescheduled(please check with your department scheduler). (Participant will receive a loaner provider manual.)

❏ $150 Asante employee—if course is NOT REQUIRED for position. If department is paying for course, please haveyour manager send an email authorizing the payment to A.D. Fuller at adrienne.fuller@asante.org. (Participant willreceive a loaner provider manual.)

❏ $200 Non-Asante participants (Participant will receive a loaner provider manual.)❏ $25 2010 ECC (Emergency Cardiovascular Care) Handbook (recommended)❏ Include a copy of your PALS provider card if taking the renewal course.

* A $50 discount will be given to students for whom PALS is not a job requirement, with proof of current school enrollment.Please submit a copy of your school registration form with your course registration form.

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