registration form - SHPA CPD

continuing professional development
supporting your lifelong practice as a
current, informed and connected health professional
Seminar in
Critical Care (Advanced)
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Friday 7 August 2015 – 9.00 am to 5.00pm (registration commences 8.30am)
Saturday 8 August 2015 – 9.00am to 5.00pm
Rydges Sydney Central
28 Albion Street, Surry Hills, NSW
The Society of Hospital Pharmacists of Australia and The Committee of Specialty
Practice in Critical Care are pleased to present a seminar that covers some of the
key concepts and drug knowledge required for pharmacists who work in the complex
field of critical care medicine. The seminar includes case studies for each topic and
provides a forum for discussion and advice amongst attendees and presenters. The
seminar also gives pharmacists working in this area an opportunity to network and meet
experienced intensive care pharmacists. This seminar is recommended for pharmacists
who have attended the Introductory Critical Care seminar but it is not essential.
Program at a
Glance
Pharmacist competencies standards* addressed:
1.4 Manage quality and safety
1.5 Maintain and extend professional
competence
3.4 Manage quality service delivery
4.2 Consider the appropriateness of prescribed
medicines
7.1 Contribute to therapeutic decision-making
7.2 Provide ongoing medication management
7.3 Influence patterns of medicine use
8.1 Retrieve, analyse and synthesise information
8.2 Engage in health, medicines or pharmacy
practice research
*National Competency Standards Framework for
Pharmacists in Australia, 2010
Topics covered will include:
Acid Base Disturbances - Lynn Choo BPharm Hons MSc - John
Hunter Hosp. NSW
Ventilation and VAP Prevention - Di Milne BPharm- Royal Adelaide Hosp.
SA
Inhalational Therapies - Robyn Ingram BPharm PGDipClinPharm-
Royal Melbourne Hospital, VIC
Liver Failure and Transplantation - Belinda Badman BPharm
PGDipClinPharm- Princess Alexandra Hospital, QLD
Burns incorporating Advanced PK/PD and Antibiotic Management - Jason
Robert BPharm Hons PhD- Royal Brisbane and Women’s Hospital,
QLD
Nutrition in the ICU - Peter Fowler
Pregnancy and Post Partum Care - Bianca Levkovich BPharm Hons
MSc- Alfred Hosp.VIC
Learning objectives
This seminar aims to improve participants ability to:
ICU-Related PTSD - Annie Egan MPharm- Nelson Hospital, NZ
■ To develop an understanding of the key concepts
surrounding the pharmaceutical management (including
monitoring) for a range of patient conditions within the critical
care environment
Additional Concurrent Paediatric Session covering:
■ To promote the role and responsibilities of pharmacists
practicing in critical care
■
To foster pharmacist presenters in critical care
Sedation in the PICU - Michele Cree BSci, BPharm DipClinPharm - Royal
Children’s Hospital, QLD
Congenital Cardiac Defects - Stephanie Brumby BPharm - Royal
Children’s Hospital, VIC
Accreditation number: This seminar has been accredited for 4.6 hours of Group 1 CPD (or 4.6 CPD credits) plus
8.5 hours of Group 2 CPD (or 17 CPD credits) - total of 21.6 credits suitable for inclusion in
S2015/43
an individual pharmacist's CPD plan.
Travel and
Accommodation
SHPA Contact
Participants are requested to make their own arrangements for travel and accommodation after they
receive confirmation of a place in the course. The Rydges Sydney Central is offering a
corporate rate for seminar delegates. To make a reservation please call 02 9289 0033 and quote booking code
1508SHPA.
See overleaf for Registration Form
The Society of Hospital Pharmacists of Australia
ABN 54 004 553 806
Mailing address: PO Box 1774 Collingwood 3066 Victoria Australia
Office location: Suite 3, 65 Oxford Street Collingwood 3066 Victoria Australia
T: 61 3 9486 0177 F: 61 3 9486 0311 E: shpa@shpa.org.au W: www.shpa.org.au
SHPA is grateful for the ongoing support of Pharmaceutical Defence Limited (03) 9810 9900
Seminar
in Critical Care (Advanced)
Friday 7 August 2015 – 9.00 am to 5.00pm (registration commences 8.30am)
De
s
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Saturday 8 August 2015 – 9.00am to 5.00pm
s t
a
in r ma of
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pra spi ts
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Rydges Sydney Central
28 Albion Street, Surry Hills, NSW
Registration Form
Name and Contact
(Please print clearly)
(Title (Ms/Mr/Dr etc)_______________________________ Membership No:_______________________
Family Name________________________________________________________________________
Given Names________________________________________________________________________
Email Address_______________________________________________________________________
Mailing Address______________________________________________________________________
__________________________________________________________________________________
______________________________________________State__________ Postcode______________
Telephone B/H (
)________________________Facsimile B/H (
)_________________________
Special Dietary Requirements___________________________________________________________
Current Position______________________________________________________________________
Employer___________________________________________________________________________
Workplace
(name of hospital/institution/company/practice etc)
Number of Years
Experience
Registration
1-2 years 
2-5 years 
5-10 years 
more than 10 years 
Early Bird Rate Full Rate
(register by 30th June 2015)
(after 130th June 2015
SHPA Members:$550.00 (includes GST) $583.00 (includes GST) 
Non-Members:
$770.00 (includes GST) $814.00 (includes GST) 
Upon payment of your registration fee, this Registration Form becomes a TAX INVOICE
Acknowledgement of registration and a receipt will be forwarded within 6 weeks. If you do not
receive acknowledgement, please contact SHPA.
Cancellation Policy
Cancellations received before 6 weeks prior to the event, will receive a full refund minus a handling fee of $50.
Cancellations received between 6 weeks and 1 week prior to the event, will receive an 50% refund of the registration fee.
Cancellations received less than 1 week prior to the event will receive NO REFUND.
Substitutions can be made at any time.
Privacy Policy
If you return this invitation by letter, fax or email, the details will be used to process the invitation. SHPA will not disclose the information to
anyone other than volunteers or contractors who provide services to us or unless compelled or permitted by law to do so. If you want to know
more about our privacy policy and procedures please visit www.shpa.org.au
Cheque enclosed (payable to The Society of Hospital Pharmacists of Australia) 
Please charge my credit card
Payment Details
Visa 
to ensure your
place, Payment Must Accompany
Registration
Card No.
Mastercard 
(please note Diners or Amex not available)
Cardholder’s Name: (please print)___________________________________ Expiry Date:___________
Signature:____________________________________________________ Date:__________________
Please Mail or Fax Your Registration Form to:
SHPA Contact
Details
The Society of Hospital Pharmacists of Australia ABN 54 004 553 806
PO Box 1774, Collingwood, Victoria 3066 Australia
Tel: (03) 9486 0177 Fax: (03) 9486 0311 Email: shpa@shpa.org.au Website: www.shpa.org.au
SHPA is grateful for the ongoing support of Pharmaceutical Defence Limited (03) 9810 9900