CAWC and SWRWCP Wound Care Educational Program A joint educational Program of: The Canadian Association of Wound Care (CAWC) The South West Regional Wound Care Program (SWRWCP) nd rd April 22 & 23 , 2015 – THE ARDEN PARK HOTEL, 552 ONTARIO ST, STRATFORD – KROEHLER D, E, F ROOM Who Should Attend – Given the interdisciplinary nature of wound care, topics covered in this Program will appeal to a wide range of primary care providers, including (but not limited to) those in the South West LHIN that have been designated by their organization as a SWRWCP ‘Wound Care Champion’, physicians, nurses, and therapists (occupational therapists, physiotherapists, etc.). Managers and practice change leaders of such primary care providers are STRONGLY encouraged to attend, as based on the contents of the Program the need for organizational practice change will be realized. This Program is not appropriate for those with advanced knowledge in wound care, i.e. those with an ET certificate (or equivalent), IIWCC certification, or a MClSc degree. Event Details - In collaboration with the CAWC, the SWRWCP is pleased to offer a wound care educational Program that offers professionals with the opportunity to broaden their knowledge base and to meet with others who share their concern in improving quality wound care. The nd Program consists of five on-line modules (to be completed BEFORE attending the Program April 22 ) and a two day interactive case-based workshop, led by an interprofessional faculty, which focuses on the prevention and management of various wound types, i.e. pressure ulcers, lower-limb ulcers, diabetic foot ulcers and acute wounds, via the utilization of local resources and critical thinking skills. This is NOT a dressing workshop. Check the box if this is a SWRWCP funded Registrant Information registration FIRST NAME LAST NAME E-MAIL Registration Fees Cost: $525.00 per person (for those with non-SWRWCP funded positions)  this includes access to the five online modules, admission to the two-day workshop, daily lunch and refreshments at the workshop, Program materials, access to CAWC education extras post-program, and a one year membership to the CAWC. Receipts are available upon request. Payment TITLE COMPANY / INSTITUTION HOME STREET #/NAME CITY POSTAL CODE HOME PHONE NO. WORK PHONE NO. * Payment (cheque or cash) must be received to confirm your registration, unless this registration is for a funded position (the form only is require in this situation – no payment). Please mail this completed registration form and payment (if applicable) to: The South West CCAC – Attn: Michele Dalton 32 Centennial Drive, PO Box 580 Seaforth, ON, N0K 1W0 Or fax/e-mail to 519-527-1255 or [email protected] *Please make cheques payable to The South West CCAC LEVEL OF WOUND EXPERIENCE ABILITY TO AFFECT ORG. CHANGE Registration Deadline – All registrations and payment must be received by April 13, 2015. Registrations received after this date will be considered only if space permits (maximum of 100 registrants). WORK PLACE SETTING I.E. HOSP, LTC, TYPE OF WORK ACTIVITIES I.E. Front line, Manager Accommodations The Arden Park Hotel offers overnight accommodations at rate of $135 plus tax a night. Please visit www.ardenpark.on.ca or call 519275-2936 for more information. Parking – Free parking for all guests. Privacy The CAWC and SWRWCP hold all information supplied by Program registrants in the strictest confidence. E-mail addresses will not be shared with outside companies. Notice of registration withdraw must be received via e-mail ([email protected]) by April 6, 2015 to receive a full refund. No refunds will be issued to those who withdraw after April 6, 2015 – without exception. Registered participants who are unable to attend are welcome to send a colleague in their place (please notify [email protected] of your replacement’s name and email address should this occur). Special Accommodations/Meal Request - If you require any special dietary arrangements or if you have any special physical/mobility requirements, please specify so that we may meet your needs to the best of our ability: _________________________________________________________ _______________________________________________________ Case-Based Workshop: Changing Practice through Applied Knowledge Agenda Day 1: April 22, 2015 0830: Introduction 0900: Best practice, principles of wound healing and ‘Wound Bed Preparation’ 1100: Break (and exhibitor activity) 1130: Interactive case-based learning 1200: Pressure ulcer case study: Key principles, hands-on, case study, learning needs 1300: Lunch (and exhibitor activity) 1400: Pressure ulcers continued 1430: Surgical wound case study: Key principles, hands-on, case study, learning needs 1530: Break (and exhibitor activity) 1600: Surgical wounds continued 1630: Wrap-up Day 2: April 23, 2015 0830: Recap 0845: Lower leg ulcer case study: Key principles, hands-on, case study, learning needs 1000: Break (and exhibitor activity) 1030: Lower leg ulcers continued 1100: Diabetic foot ulcer case study: Key principles, hands-on, case study, learning needs 1200: Lunch (and exhibitor activity) 1300: Diabetic foot ulcers continued 1330: Break (and exhibitor activity) 1400: Making change happen 1500: Wrap-up and post-workshop assessment PLEASE NOTE:    Dress in layers to ensure your comfort This is a fragrance free event Bring your Apple, android, or equivalent phone, tablet, or lap top to access on-line resources during the workshop Registration Process for SWRWCP Funded Positions 1. Confirm that your organization is eligible for a SWRWCP funded spot for the upcoming CAWC-SWRWCP Wound Care Educational Program in April. The following organizations/organizational sites are eligible for one SWRWCP funded Program registration (registration fee only), unless otherwise indicated. NOTE: The staff member funded for a particular hospital site MUST work at that site): o Hospitals: • Alexandra Hospital • Alexandra Marine and General Hospital • Children’s Hospital, London Health Sciences Centre • Clinton Public Hospital • Four Counties Health Services • Grey Bruce Health Services – Lion’s Head Hospital • Grey Bruce Health Services – Markdale Hospital • Grey Bruce Health Services – Meaford Hospital • Grey Bruce Health Services – Owen Sound Hospital • Grey Bruce Health Services – Southampton Hospital • Grey Bruce Health Services – Wiarton Hospital • Hanover and District Hospital • Listowel Memorial Hospital • London Health Sciences Centre – University Hospital • London Health Sciences Centre – Victoria Hospital • Seaforth Community Hospital • South Bruce Grey Health Centre – Chesley • South Bruce Grey Health Centre – Durham • South Bruce Grey Health Centre – Kincardine • South Bruce Grey Health Centre – Walkerton • South Huron Hospital Association • St. Joseph’s Health Care London – Parkwood Hospital • St. Joseph’s Health Care London – St. Joseph’s Hospital • St. Mary’s Memorial Hospital • St. Thomas-Elgin General Hospital • Stratford General Hospital • Strathroy Middlesex General Hospital • Tillsonburg District Memorial Hospital • Wingham and District Hospital • Woodstock General Hospital o South West CCAC Contracted Nursing Agencies: • Revera Home Health • Paramed Home Health • Saint Elizabeth Health Care 2. 3. 4. 5. 6. 7. • Care Partners (2 funded registrations) • Victorian Order of Nurses (2 funded registrations) o Aboriginal/First Nation/Metis Communities/Organizations in the South West LHIN: • Oneida Nation • Munsee-Delaware Nation • Chippewas of the Thames Nation • Chippewas of Nawash First Nation • Saugeen First Nation Confirm with your CNE, senior manager, or their equivalent/delegate that you have been allotted the funded position for your organization Complete the registration form in its entirety and check the box that states, “Check the box if this is a SWRWCP funded registration” to indicate you are registering for the SWRWCP funded position allotted to your organization Fax the completed registration form to 519-527-1255 (attention Michele Dalton) or email it to Michele at [email protected] DO NOT SEND ANY PAYMENT Upon receipts of your completed registration form, Michele will forward your name and e-mail address to the CAWC who will send your information to the Ontario Hospital Association who will e-mail you a passcode and instructions on how to access the five on-line modules which MUST be completed before attending the educational Program April 22-23rd. Attend the Educational Program April 22-23rd in Stratford at the Arden Park. Registration Process for Non-Funded Positions 1. Complete the registration form in its entirety 2. Fax the completed registration form AND a photocopy of your $525.00 cheque (made out to the South West CCAC) to 519-527-1255 (attention Michele Dalton) or email the copies to Michele at [email protected] 3. Mail the original version of your registration form AND your original cheque to: South West CCAC – Attn: Michele Dalton 32 Centennial Drive, PO Box 580 Seaforth, ON N0K 1W0 4. Once Michele receives the faxed or emailed copies of BOTH your registration form and cheque, she will forward your name and e-mail address to the CAWC, who will send your information to the Ontario Hospital Association who will e-mail you a passcode and instructions on how to access the five on-line modules which MUST be completed before attending the educational Program April 22-23rd. 5. Attend the Educational Program April 22-23rd in Stratford at the Arden Park.