You are on page 1of 2

Registration Form

35th Annual

Phoenix, Arizona
Permit No. 685
35 Annual Barrow Nursing Symposium | October 18-19, 2016
th

Nonprofit Org.
U.S. Postage
PAID
Name __________________________________________________________________________________________________________ Barrow Nursing Symposium
Email _______________________________________________________________________________________________________

o RN o NP o CNS o Therapist Institution_________________________________________________________________

Address____________________________________________________ City___________________ State______ Zip_____________


Looking Back: Nursing Forward
Business Phone_________________________________________________ Fax_______________________________________________

Early Bird Registration Late Registration


Deadline 9/15/16 After 9/15/16
Barrow Nursing Symposium
BNI/Dignity Health staff & students (Tue., Oct. 18 ONLY) $115 $125
BNI/Dignity Health staff & students (Wed., Oct. 19 ONLY ) $115 $125
BNI/Dignity Health staff & students (Both days) $180 $190
Visiting Healthcare Professionals (Tue., Oct. 18 ONLY) $130 $140
Visiting Healthcare Professionals (Wed., Oct. 19 ONLY ) $130 $140
Visiting Healthcare Professionals (Both days) $205 $215

Contribution/Gift/Donation to Neuro Nursing in honor of 35 years ___________

Total ____________ Total ___________

I will attend the Monday Networking Celebration Dinner: YES NO

I will attend the Tuesday Afternoon Wine & Cheese Reception: YES NO

Registration fee includes course syllabus, daily continental breakfast, lunch, celebration 1st Avenue

dinner and Tuesdays Wine & Cheese Reception.

M y 2014
4
Rehabilitation
On-line registration available at www.barrowneuro.org/conferences

Outpatient
114

C t - May
Merrell Street
Catalina Drive
Payment

M di l Center
q Check or money order payable to: St. Josephs Hospital and Medical Center

d Medical
(A $20 charge applies to checks returned for insufficient funds.)

Building
124

Thomas Road
H pit l and
Please send check and completed registration form to:

J ph Hospital
Barrow Neurological Institute Conference Planning Office

Patient Visitor Parking


Attn: Lindsey Possehl

Dignity Health

Parking Garage
Corporate
Phoenix

3rd Avenue

t. Josephs
350 W. Thomas Rd.

Building
222
Phoenix, AZ 85013 USA

St.
St
Mercyy Way

q Charge my: q AMEX q VISA q MC q DISCOVER


2016

Building
240

Auditorium
Tuesday-Wednesday | October 18-19
Card #____________________________________________________________________ Expires_______________________

3rd Avenue Bridge

Goldman
Parking
Verification #_______________________ Billing Zip Code_______________________

Valet
Registration and Agenda Inside
3rd Avenue

Printed Name on Card____________________________________________________________________________________


I authorize Barrow Neurological Institute to charge the amount determined by the Barrow Neurological
Institute as registration fees to my credit card. Leonard Goldman Auditorium
Signature__________________________________________________________________________________________________ 350 West Thomas Road | Phoenix, Arizona

Thomas Road
Inquiries should be directed to the above address, by phone at 602-406-3067,
by fax at 602-294-5028 or by email to lindsey.possehl@dignityhealth.org
350 West Thomas Road

rive

Refund Policy: A refund, less $75.00 processing fee, will be made for cancellations prior to September 15, 2016.
Phoenix, AZ 85013

Earll D

All refund requests must be submitted in writing by September 15, 2016. No refunds will be made thereafter.

St. Josephs Hospital and Medical Center is an approved provider of continuing nursing education by the Arizona
Nurses Association, an accredited approver by the American Nurses Credentialing Centers Commission on
Accreditation. St. Josephs Hospital and Medical Center, AzNA and the ANCC Commission on Accreditation do not
Parking Garage

Parking Garage

e
Employee

6th Avenue

nu
approve or endorse any commercial products displayed. Av
e
5th

6th Avenue
6th Avenue
ng
J
2016 Barrow Nursing Symposium AGENDA | Tuesday - Wednesday, Oct. 18-19, 2016
Looking Back: Nursing Forward Tuesday, October 18, 2016 Wednesday, October 19, 2016
7:15 am Registration and Breakfast 7:15 am Registration and Breakfast
Purpose
7:45 am Opening Remarks Julie Ward 7:45 am Opening Remarks Virginia Prendergast
The purpose of the BNI Nursing Symposium is to provide an educational
opportunity for neuroscience nurses, nurses with an interest in neurological 8:00 am Nurse Power The Barrow Womens Board Keynote 8:00 am Whats so Funny About Stress? Warren & Mary Jane Crist
illness or injury, and our inter-professional colleagues. The goals are to Donna Cardillo, RN, CSP Foundation Keynote
Karyn Buxman, RN, MSN, CSP, CPAE
provide foundational and advanced knowledge, encourage nurse networking, 9:00 am Follow the Swallow: Assessment and Man- Cindy Hoffman, MA, SLP-CCC &
agement of Deficits in the Stroke Patient Faith Pourkavla, SLP 9:00 am Concussion: Education, Prevention Javier Crdenas, MD
and promote excellence in patient care.
& Treatment
9:45 am Break
Program Objectives 10:15 am The Wonder Years: Surgical Robert F. Spetzler, MD
9:45 am Break
Describe essential components of resilience, optimism, and nursing Advancements and Lessons Learned 10:15 am Acute Spinal Cord Injury: New Nicholas Theodore, MD &
leadership. Paradigms of Treatment Cindy Sullivan, MN, ANP-C, CNRN
11:00 am On the Other Side of the Rail: Carl McIntyre
Identify key diagnostic markers found in neuroimmune disorders. Hope is a Four Letter Word 11:10 am On the Other Side of the Rail: Nicholas Theodore, MD &
Explain the methods of diagnosis and treatment for neurological and 12:00 pm Lunch
Our Christmas Miracle Effie Theodore
neurosurgical illness and injury. 12:00 pm Lunch
1:00 pm Name That Spell: Seizure Courtney Schusse, MD
Discuss innovative ways to share information and provide education for Classification & Treatment 1:00 pm Neuromuscular Disorders: The Road from Shafeeq Ladha, MD
patients and families. Detection to Diagnosis
Discover the challenges and the celebrations of the patient with neurological 1:45 pm Minimally-Invasive Epilepsy Surgery: Kris Smith, MD
Not an Oxymoron 1:45 pm Neuroscience Nursing: A Global Global Panel
illness or injury.
2:15 pm Break Perspective
Compare and contrast national and international neuroscience nursing and
patient safety concerns. 2:45 pm Parkinsons Disease and Related Gwyn M. Vernon, MSN, CRNP 2:45 pm Break

Disorders: Gaining Momentum 3:15 pm Brain Tumor Surgery: Eloquence, Nader Sanai, MD
Special Celebration Dinner 3:15 pm Autoimmune Disorders in the Acute Aimee Borazanci, MD Experience and Outcomes
Monday, October, 17, 2016 at 5:30 pm Setting: Diagnosis and Treatment Goals 3:45 pm Patient Communication from a Randall Porter, MD
Get into the fun of this special event as we celebrate nursing at Barrow 3:45 pm I Walk the Line Almost Rachel Lopez, PT Neurosurgeons Perspective
Neurological Institute with fellow nurses, our medical leaders and Barrow 4:15 pm Telepresence Open House/ Reception 4:15 pm Adjourn
Womens Board donors. A special look back and dream forward program will
surround the dinner.

Guest Faculty Faculty | Barrow Neurological Institute


Effie Theodore Aimee Borazanci, MD Nader Sanai, MD
Former Patient Neurologist Director, Barrow Brain Tumor
Keynote Speakers Gwyn M. Vernon, MSN, CRNP Javier Crdenas, MD
Research Center

Carl McIntyre Nurse Practitioner, University of PA Director, Barrow Concussion & Courtney Schusse, MD
The Barrow Womens Board Warren & Mary Jane Crist Foundation Actor, Stroke Survivor Parkinsons Disease and Movement Disorders Brain injury Center Neurologist
Keynote Keynote Center at the Pennsylvania Hospital
Nicholas Theodore, MD, FAANS, FACS Clinical Instructor, University of PA School of Cindy Hoffman, MA, Kris A. Smith, MD Global Panel Members
Donlin M. Long Professor Nursing SLP-CCC Medical Director, Gamma Knife
Professor of Neurosurgery, PAR Steve Smith, RN
National Director, Edmond J. Safra Visiting Speech-Language Pathologist
Director-Neurosurgical Spine Program England
Nurse Faculty Program at the Parkinsons Robert F. Spetzler, MD
The Johns Hopkins Hospital Disease Foundation Shafeeq Ladha, MD President & CEO
Director, Barrow MDA Clinic Ingrid Poulsen, RN
J.N. Harber Chairman of
Denmark
Conference Planning Committee | Barrow Neurological Institute Neurological Surgery
Rachel Lopez, PT
Virginia Prendergast, PhD, NP-C Mary King, MSN, RN, CNRN, CCRN, Neuro-Rehabilitation Cindy Sullivan, MN, ANP-C, Christian Klomfar, RN
Director, BNI Advanced Practice Nursing ACNS-BC CNRN Austria
Clinical Nurse Specialist Randall Porter, MD Nurse Practitioner, Department
Donna Cardillo, RN, CSP Karyn Buxman, RN, MSN, CSP, Therese Bachman, MSN, RN, CNRN, CNS
Director, Interdisciplinary Skull of Neurosurgery Bai Grace, RN
Blogger at DoctorOz.com CPAE Clinical Nurse Specialist Madona Plueger, MSN, RN, CNRN, China
Base Program
Original Dear Donna at Contributing Author: Chicken Soup to Elise Henling, RN, CRRN ACNS-BC
Nurse.com the Soul books Nursing Education Specialist Neuroscience Clinical Nurse Specialist Faith Pourkaveh, SLP Nobuko Okubo, RN
Former Healthcare Careers Creator, Author & Publisher: Book Lanelle Kearney, RN Speech-Language Pathologist Japan
Expert at Monster.com Series Whats So Funny About? Neuroscience Nurse Educator

You might also like