SPACE LIMITED This Continuing Education Program is being provided by Sterile Processing University, LLC. (SPU) SPU established in 2005 to develop and administer sterile processing training programs, Continuing Education and consultation services for Central Service, SPD, OR, Ambulatory Surgery, Physician and Dental office personnel. In addition, educational materials such as textbooks and workbooks have been developed by Sterile Processing University. The educational materials are all based on scientific principles and include all current AAMI standards. Nancy Chobin Sterile Processing University LLC C/o 59 Allerton Road Lebanon, NJ 08833 REGISTER EARLY 13th Annual Processing And Regulatory Issues in Sterilization A Continuing Education Program for Personnel Performing Decontamination, Disinfection and Sterilization Saturday, November 1, 2014 Co-Sponsored by and held at: All SPU faculty members are Credentialed in their profession and have extensive experience in teaching, lecturing and have been published numerous times. Dartmouth-Hitchcock Medical Center Lebanon, New Hampshire REGISTER EARLY Co-Sponsored by Sterile Processing University, LLC REGISTRATION: The registration fee for this program is $80 per person. Registration deadline is October 24, 2014. Fee includes continental breakfast, breaks, luncheon and handout materials. Registration should be by mail. We cannot guaranty space for door registrants. VISA and MasterCard also accepted. Call 908-735-8944 for a credit card form. CANCELLATIONS: In order to obtain a refund you must cancel no later than October 24, 2014 by calling 908-735-8944. A $10 Administrative fee will be retained. Sterile Processing University, LLC reserves the right to cancel this program due to insufficient registration. A full refund will be made. FACULTY: Nancy Chobin, RN, CSPM is the Asst. Vice President, Sterile Processing Services. Barnabas Health System in New Jersey and founder/past Executive Director of the Certification Board for SPD. She is a member of AORN, AAMI, SGNA and IAHCSMM. Nancy has lectured extensively and been published numerous times. She is the President of Sterile Processing University, LLC an on-line educational website. Stephen Kovach – is the Director of Education for Healthmark Industries, Fraser, Michigan. He has a BS degree from Central MI University with a major in Biology and History. Here has been in healthcare for 37 years and has received recognition is both his personal and business profession during this time frame. CEUs: This program has been approved for 6.0 contact hours from the CBSPD and IAHCSMM. PROGRAM AGENDA 8:00 - 8:45AM Registration with Continental Breakfast 8:45 - 8:50 Welcome 8:50 - 9:50 “Water Quality – Its Impact on Cleaning” Stephen Kovach 9:50 - 10:50 “Peel Pouching 101”– Stephen Kovach 10:50 - 11:15 Break 11:15 - 12:15 “ Rigid Container Testing Are you Doing It Correctly?” Nancy Chobin 12:15 – 1:00 PM Luncheon 1:00 - 2:30 PM “Murden in the 10th Degree – Effective Steam Sterilization” Nancy Chobin 2:30 Stretch Break 2:30 - 4:00 PM “Setting Up a Quality Surgical Instrument Reprocessing Program” Nancy Chobin NOTE: Please indicate on the registration form if you need directions to Dartmouth- Hitchcock Medical Center. Register early! DEADLINE is October 24, 2014 NOTE: To comply with Certification regulations for CEUS, CEU Certificates will be distributed at the END of the conference. If you must leave before the end of the program, your CEU points will be adjusted. REGISTRATION FORM NOTE: This form can be duplicated to register different people Please register me for the “Processing & Regulatory Issues in Sterilization” at Dartmouth-Hitchcock Medical Center PLEASE PRINT ALL INFORMATION: NAME:______________________________ HOSPITAL:__________________________ _____________________________________ DEPT:_______________________________ ADDRESS:___________________________ _____________________________________ Is this your home address?____________ CITY:_______________________________ ST:________ ZIPCODE:_______________ TEL:________________________________ (Area Code) Ext. FAX:________________________________ (Area Code) Email:__________________________________ Check here if directions to DHMC needed:_______ Please make checks payable to: Sterile Processing University Mail to: Nancy Chobin RN 59 Allerton Road Lebanon, NEW JERSEY 08833 STERILE PROCESSING UNIVERSITY, LLC 59 Allerton Road, Lebanon, NJ 08833 PLEASE FAX COMPLETED FORM TO FAX# 908-730-6025 (SECURE FAX) CREDIT CARD FORM Name Course Name First Name Last Name Address City State Zip Billing Credit Card Information Name on Credit Card First Name Last Name Address City State Credit Card Type Account Number Security Code VISA / / / Zip MASTERCARD AMERICAN EXPRESS Expiration Date (3 digit number on back of card) Authorized Signature One Time Charge of $ Date____________________________________________