CAWC Educational Workshop Registration Form May 14 & 15, 2015

CAWC Educational Workshop Registration Form
May 14 & 15, 2015
In collaboration with the Canadian Association of Wound Care (CAWC), the Colchester East
Hants Health Centre is pleased to offer a customized wound management educational program,
which consists of online modules and a two-day interactive workshop. Participants of the
Program will successfully complete the five Ontario Hospital Association/CAWC online wound
modules as a prerequisite before attending the workshop. The OHA will provide licences for
the online modules component to each participant upon registration. The interactive two-day
educational program will be led by an interprofessional faculty that focuses on the prevention
and management of wounds. Key topics will include pressure ulcers, lower-limb ulcers, diabetic
foot ulcers and acute wounds. Case-based group and individual activities with a focus on
decision making that takes into account the latest evidence, the patient, the team and other
available resources will be the primary format for both days.
Workshop Details
Date/Time:
8:00am-4:00pm on May 14th
8:00am-3:00pm on May 15th
Location:
Millbrook Room A & B
Rath Eastlink Community Center
625 Abenaki Road
Truro, NS B2N 0G6
Cost:
$504.00
Prerequisite: Completion of online Modules
All applicants please email completed form and payment to Katherine Beaton at
katherine.beaton@nshealth.ca or mail to:
Katherine Beaton
Colchester East Hants Health Centre
600 Abenaki Road
Truro, NS
B2N 5A1
Required Information (Please Print):
First Name
Last Name
Designation (ie. RN,
LPN, MD, etc.)
CAWC Educational Workshop Registration Form
May 14 & 15, 2015
Company/Institution
Full Mailing Address
Email Address
Contact Number
Payment Method:
☐Cheque (Enclose a cheque payable to NS Health Authority- Colchester)
Credit Card: ☐ VISA
Cardholders Name:
Credit Card Number:
Signature:
If you have any questions please contact Katherine Beaton:
Email: katherine.beaton@nshealth.ca
Phone: 902-893-5554 ext. 42100
Expiry Date:
☐ MASTERCARD