Registration Brochure

t e n t h
a n n u a l
Turenne PharMedCo
–
u n i v e r s i t y
–
Continuing Education for
Long Term Care and Assisted Living Administrators,
Nursing Staff, Dieticians, Social Workers & Risk Managers
Friday, September 16, 2011
Embassy Suites Hotel & Conference Center
300 Tallapoosa Street · Montgomery
Course Information & Registration
8:00 - 8:45 a.m.
Registration
Breakfast Buffet
8:45 - 9:00 a.m.
TPU Orientation
9:00 - 10:00 a.m.
Taking Care of the Caregiver
Beverly Rankin, LCSW, MSSW
10:00 - 10:15 a.m.
10:15 - 10:30 a.m.
Morning Break
Trade Show Walk-Thru
10:30 a.m. - 11:30 p.m.
Podiatry
Lee M. Nail, RN, BSN, MEd, MSN/FNP
11:30 - 12:00 p.m
12:00 - 1:00 p.m.
Lunch Reception
Trade Show
1:00 - 2:00 p.m.
Bloodborne Pathogens /
Exposure Control Plan Guideline
Michael Arther, NHA
2:00 - 2:15 p.m.
2:15 - 2:30 p.m.
Afternoon Break
Trade Show and Door Prizes
2:30 - 3:30 p.m.
Diabetes: The Rest of the Story
Mary Ann Morris, MSN
3:30 Wrap-Up & CE Certification
CONTINUING EDUCATION ACCREDITATION
NURSING HOME ADMINISTRATORS:
This educational symposium has been submitted for approval for 5.0
contact hours by the Alabama Board of Examiners for Nursing Home
Administrators.
SOCIAL WORKERS:
This educational symposium has been submitted for approval for 5.0
contact hours from the Alabama State Board of Social Work Examiners,
provider number 0178.
ASSISTED LIVING ADMINISTRATORS:
This educational symposium has been submitted for approval for 5.0
contact hours by the State of Alabama Board of Examiners for Assisted
Living Administrators.
RISK MANAGERS:
This educational symposium has been submitted for approval for 5.0
contact hours by the ALTCQI.
NURSES:
This educational symposium has been approved for 6.0 contact hours by
the Alabama Board of Nursing, provider number ABNP1092.
DIETICIANS:
This educational symposium has been submitted for approval for 5.0
contact hours by the Alabama Board of Examiners for Dietetics/Nutrition
Practice.
Happy Anniversary, TPU!
Can you believe we’ve been doing this for ten years now? It seems
like just yesterday when we held the first TPU at the Cahaba Grand.
Since then we’ve grown, and we’ve shrunk. We’ve changed days,
we’ve changed months, we’ve even changed cities. We tried hot
dogs and hamburgers one year...we haven’t done that again. We’ve
been through regulatory changes, pandemics, and natural disaster.
We’ve been copied — but never duplicated. Through it all we’ve held
one clear focus: to provide the highest quality continuing education
to long term care professionals.
We’re back in Montgomery this year. The Embassy Suites has
promised to provide us with everything we need and then some.
We’re starting a little later in the morning to give everyone a chance
to get here safely. Of course, if you want to come the night before,
we’ve arranged for a special rate at the Embassy.
what :
Tenth Annual
Turenne PharMedCo
University
when :
September 16, 2011
where :
Embassy Suites Hotel
& Conference Center
We’ve assembled a slate of excellent speakers combined with a
menu of great food and a spectacular vendor trade show. All this,
plus the continuing education credits you need.
Beverly Rankin, LCSW, MSSW
Beverly Rankin served as Assistant Professor of Sociology
and Social Work at Auburn University for over 25 years. In
addition, she served as Associate Dean for Student Affairs
in the School of Liberal Arts for a number of years before her
retirement. She was a dedicated and enthusiastic teacher
and today maintains her love of learning and teaching. She
has served on numerous community boards and has been
active in the collective actions to improve the quality of life
for individuals, their families, and the community. Since
2001 she has been involved in various roles of delivering
social services and therapy for those seeking mental
health services. She is an advocate for the profession of
social work and all helping professions. Her intention is for
excellence, professionalism, compassion, and advocacy
for the betterment of all mankind.
Lee M. Nail, RN, BSN, MEd, MSN/FNP
TPU welcomes back one of our most popular educators.
Lee is a Certified Urological Nurse Practitioner with
over 27 years experience working in the long term care
environment. He has served as a staff nurse, charge nurse,
$50
on - site registration :
(AFTER SEPTEMBER 10)
$75
We look forward to seeing you in September!
THE FACULTY…
earlybird registration :
(POSTMARKED BY SEPTEMBER 9)
nurse supervisor, and assistant director of nursing in home
care and long term care. He was founder and president
of Nursing Solutions, Inc., providing incontinence care for
residents in 32 nursing homes in Alabama. He currently
serves as the Vice President - Clinical Director for Onsight
Senior Care, and is responsible for the full clinical direction
of their Continence Care and Foot Care divisions.
Michael Arther, NHA
Michael Arther is the owner of MCA Consulting, LLC.
Providing occupational risk management services for the
long-term care industry with primary emphasis in OSHA
regulatory compliance and workers compensation program
management. Michael is a graduate of Jacksonville State
University with a Bachelor of Science in Occupational Safety
and Health. He is an Alabama Licensed Nursing Home
Administrator with more than twelve years of Healthcare
Loss/Cost Control experience.
Mary Ann Morris, MSN, LPC, ACLS
Mary Ann is a Certified Diabetes Educator with over 35
years experience in educating and supervising nursing
and medical staff in general, psychiatric, and diabetesspecific nursing and health care. She has worked with Troy
University, Auburn Montgomery, Coosa Valley School of
Nursing and Jackson Hospital.
The 10th Annual Turenne PharMedCo University
will be held in Montgomery at the
Embassy Suites Hotel & Conference Center
300 Tallapoosa Street · Montgomery, Alabama • 1-334-269-5055
Special room rate available when booked by August 16th.
To book, call the hotel or follow the link on our website.
Mention “Turenne PharMedCo” when making reservations.
For more information, call our Education Department at 1.800.278.1777, ext. 4403,
or visit our website at www.TurennePharMedCo.com/j-TPU
t e n t h
a n n u a l
Turenne PharMedCo
–
u n i v e r s i t y
–
355 INDUSTRIAL PARK BOULEVARD
MONTGOMERY, AL 36117
Turenne PharMedCo University
September 16, 2011 • Embassy Suites Hotel & Conference Center — Montgomery
SYMPOSIUM REGISTRATION
Registration Payment
Please complete a separate form for each method of payment. If submitting one payment to cover multiple registrants, use the space provided
on this side and reverse, and attach additional forms as necessary. Earlybird registration ($50.00) must be submitted postmarked by September 9,
2011. All registrations postmarked or received by fax after that date will be charged the full on-site registration fee ($75.00). Full refund of registration
fee(s) is available when requested in writing through September 9, 2011. Registration is not complete until payment is received.
FORM OF PAYMENT
Check VISA MasterCard # OF REGISTRANTS:
AmEx
CREDIT CARD #
EXP. DATE
CARDHOLDER NAME
SSIC CODE (3-DIGIT OR 4-DIGIT)
REGISTRATION FEE:
ADDRESS TO WHICH CREDIT CARD IS BILLED
CITY
STATE
ZIP
TOTAL ENCLOSED/
TO BE CHARGED:
AUTHORIZED SIGNATURE
“I hereby authorize Turenne PharMedCo to use the above credit card to charge applicable registration fees.”
Return with payment to: Turenne PharMedCo, Attn: TPU Registration, 355 Industrial Park Blvd., Montgomery, AL 36117
Registrant 1 Information
Please Note: We cannot process CEs without the correct name and license number of the individual. Providing accurate information in
advance will save you considerable time during the on-site check-in process.
NAME (AS IT APPEARS ON YOUR LICENSE):
TITLE:
FACILITY / ORGANIZATION:
MAILING ADDRESS:
CITY:
STATE:
PHONE:
FAX:
ZIP:
EMAIL:
CERTIFICATE NEEDED (CHECK ALL THAT APPLY): NOTE: WE CANNOT PROCESS CEs WITHOUT THE CORRECT NAME AND LICENSE NUMBER OF THE INDIVIDUAL.
RN / LPN
LIC NO
LNHA / ALA
LIC NO
SOCIAL WORKER
DIETICIAN
LIC NO
LIC NO
RISK MANAGER
LIC NO
Registrant 2 Information
Please Note: We cannot process CEs without the correct name and license number of the individual. Providing accurate information in
advance will save you considerable time during the on-site check-in process.
NAME (AS IT APPEARS ON YOUR LICENSE):
TITLE:
FACILITY / ORGANIZATION:
MAILING ADDRESS:
CITY:
STATE:
PHONE:
FAX:
ZIP:
EMAIL:
CERTIFICATE NEEDED (CHECK ALL THAT APPLY): NOTE: WE CANNOT PROCESS CEs WITHOUT THE CORRECT NAME AND LICENSE NUMBER OF THE INDIVIDUAL.
RN / LPN
LIC NO
LNHA / ALA
LIC NO
SOCIAL WORKER
LIC NO
DIETICIAN
LIC NO
RISK MANAGER
LIC NO
Fax: 1.877.453.2184 • Email: [email protected] • Phone: 1.800.278.1777
Turenne PharMedCo University
September 16, 2011 • Embassy Suites Hotel & Conference - Montgomery
SYMPOSIUM REGISTRATION (CONT’D)
If submitting one payment to cover multiple registrants, attach additional forms as necessary. We cannot process CEs without the correct name
and license number of the individual. Providing accurate information in advance will save you considerable time during the on-site check-in process.
Registrant 3 Information
Please Note: We cannot process CEs without the correct name and license number of the individual. Providing accurate information in
advance will save you considerable time during the on-site check-in process.
NAME (AS IT APPEARS ON YOUR LICENSE):
TITLE:
FACILITY / ORGANIZATION:
MAILING ADDRESS:
CITY:
STATE:
PHONE:
FAX:
ZIP:
EMAIL:
CERTIFICATE NEEDED (CHECK ALL THAT APPLY): NOTE: WE CANNOT PROCESS CEs WITHOUT THE CORRECT NAME AND LICENSE NUMBER OF THE INDIVIDUAL.
RN / LPN
LIC NO
LNHA / ALA
LIC NO
SOCIAL WORKER
DIETICIAN
LIC NO
LIC NO
RISK MANAGER
LIC NO
Registrant 4 Information
Please Note: We cannot process CEs without the correct name and license number of the individual. Providing accurate information in
advance will save you considerable time during the on-site check-in process.
NAME (AS IT APPEARS ON YOUR LICENSE):
TITLE:
FACILITY / ORGANIZATION:
MAILING ADDRESS:
CITY:
STATE:
PHONE:
FAX:
ZIP:
EMAIL:
CERTIFICATE NEEDED (CHECK ALL THAT APPLY): NOTE: WE CANNOT PROCESS CEs WITHOUT THE CORRECT NAME AND LICENSE NUMBER OF THE INDIVIDUAL.
RN / LPN
LIC NO
LNHA / ALA
LIC NO
SOCIAL WORKER
DIETICIAN
LIC NO
LIC NO
RISK MANAGER
LIC NO
Registrant 5 Information
Please Note: We cannot process CEs without the correct name and license number of the individual. Providing accurate information in
advance will save you considerable time during the on-site check-in process.
NAME (AS IT APPEARS ON YOUR LICENSE):
TITLE:
FACILITY / ORGANIZATION:
MAILING ADDRESS:
CITY:
STATE:
PHONE:
FAX:
ZIP:
EMAIL:
CERTIFICATE NEEDED (CHECK ALL THAT APPLY): NOTE: WE CANNOT PROCESS CEs WITHOUT THE CORRECT NAME AND LICENSE NUMBER OF THE INDIVIDUAL.
RN / LPN
LIC NO
LNHA / ALA
LIC NO
SOCIAL WORKER
LIC NO
DIETICIAN
LIC NO
RISK MANAGER
LIC NO
Fax: 1.877.453.2184 • Email: [email protected] • Phone: 1.800.278.1777