Fifteenth Rural Weekend Update on Cardiovascular Management

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Fifteenth Rural Weekend Update on Cardiovascular Management Nurse Registration Pack 23-24 September 2017 Rydges South Park Adelaide 1 South Terrace, Adelaide & Adelaide Pavilion Corner South Terrace and Peacock Road, Adelaide RSVP by 8 September 2017 Nurse Registration Pack 2017 Page 1 of 10

Delegate Information (Please complete all sections) iccnet CHSA Fifteenth Rural Weekend Update on Cardiovascular Management Registration Form On-line registrations available: http://www.iccnetsa.org.au/meetings.aspx Title (Prof/Dr/Mr/Mrs/Ms/Miss): First Name: Last Name: Organisation: Postal Address: Suburb: State: Postcode: Tel: ( ) Fax: ( ) Mobile: Email: Name & Organisation/Practice for your name badge: (e.g. Chris Jones, Smithtown Medical Practice) Special Requirements (dietary/other): Delegate Meeting Registration Nurse Meeting Registration: No Charge Full program Saturday & Sunday Saturday Only Sunday Only Delegate Social Program Registration Delegate Cocktails/Dinner: $55.00 per adult (GST Inc.) (Please note: Payment for the dinner is required by 8 September 2017 to secure your booking. Refunds for dinner cannot be made after 8 September 2017) Subtotal Delegate $ Accompanying Partner Social Program Registration Accompanying Partner Cocktails/Dinner: $110.00 per adult (GST Inc.) (Please note: Payment for the dinner is required by 8 September 2017 to secure your booking. Refunds for dinner cannot be made after 8 September 2017) Title (Prof/Dr/Mr/Mrs/Ms/Miss): First Name: Last Name: Special Requirements (dietary/other): Subtotal Accompanying Partner $ Nurse Registration Pack 2017 Page 2 of 10

Registration Information Date Function Attendance (please indicate) Delegate Saturday 23 September Lunch Yes No Saturday 23 September Evening Cocktails (6:00 pm - 7:00 pm) Yes No Saturday 23 September Dinner (7:00 pm to late) Yes No Sunday 24 September Lunch Yes No Accompanying Partner Saturday 23 September Evening Cocktails (6:00 pm - 7:00 pm) Yes No Saturday 23 September Dinner (7:00 pm to late) Yes No Payment options: Payment Summary for Delegate and Accompanying Partner 1) Direct Deposit Bank Details: Name: Australian Network Solutions Trust ABN: 28 805 219 007 BSB Number: 105-084 Account Number: 049 005 140 2) Cheque Details: Payable to: Australian Network Solutions Trust ABN: 28 805 219 007 Mitcham Shopping Centre PO Box 952 MITCHAM SA 5062 Attn: Gilbert Bruno Please quote your name & invoice number as the reference when paying by EFT Delegate Dinner @ $55.00 ea (GST Inc.) $ Accompanying Partner @ $110.00 ea (GST Inc.) $ Total Amount Paid $ Cheque / Direct Deposit (select payment method) Please return Registration Form to: iccnet CHSA Telephone: (08) 7117 0600 Mail Box 28, Level 2B Fax: (08) 7117 0635 Mark Oliphant Building, Science Park Email: HEALTHFMCiCCnetSA@sa.gov.au Laffer Drive BEDFORD PARK SA 5042 RSVP by 8 September 2017 Nurse Registration Pack 2017 Page 3 of 10

Integrated Cardiovascular Clinical Network (iccnet CHSA) Fifteenth Rural Weekend Update on Cardiovascular Management Rydges South Park Adelaide 1 South Terrace Adelaide SA 5000 23 24 September 2017 Nurse Program Adelaide Pavilion Cnr South Terrace & Peacock Road Adelaide SA 5000 Saturday 23 September From 08:30 Registration at Rydges South Park Adelaide 09:00 11:05 Nurse ECG Workshop Mrs Teena Wilson / Mrs Claudine Clark (Interactive) - at Rydges Adelaide Clinical Practice Consultants Cardiovascular, iccnet CHSA 10:15 10:30 Break for Morning tea 11.05 11:50 Recognition, Assessment and Carole Hampton Management of Stroke - at Rydges Adelaide Stroke Clinical Practice Consultant, RAH 11:50 12:00 Travel from Rydges South Park to Adelaide Pavillion 12:00 12:45 Lunch and remainder of program at Adelaide Pavilion 12:45 13:05 Welcome and iccnet CHSA Update Dr Philip Tideman Clinical Director, iccnet CHSA 13:05 13:15 Our Country Health Prof Paul Worley Executive Director Medical Services, CHSALHN 13:15 14:00 Heart Failure Update with Cases A/Prof Carmine De Pasquale (Interactive) Consultant Cardiologist, FMC 14:00 14:45 Heart and Stroke Plan Dr Philip Tideman Clinical Director, iccnet CHSA 14:45 15:15 ACS Discharge and Early Follow-up Rosy Tirimacco/Jan Dale-Harris through Cardiac Rehab Network Operations and Research Manager, (Interactive) iccnet CHSA / Senior Project Officer, iccnet CHSA 15:15 15:30 Afternoon Tea 15:30 15:35 Diamond Sponsor Presentation Roche 15:35 16:15 New Intra-Cardiac Devices Dr Ajay Sinhal Consultant Cardiologist, FMC 16:15 17:00 New Horizons for Structural Heart Disease Dr Majo Joseph (Case studies - interactive) Consultant Cardiologist, FMC 18:00 19:00 Evening Cocktails 19:00 Late Dinner Nurse Registration Pack 2017 Page 4 of 10

Integrated Cardiovascular Clinical Network (iccnet CHSA) Fifteenth Rural Weekend Update on Cardiovascular Management 23 24 September 2017 Adelaide Pavilion Cnr South Terrace & Peacock Road, Adelaide Nurse Program Sunday 24 September 09:00 11:00 Country ACS Case Audits Dr Philip Tideman and (Interactive) Consultant Cardiologists 11:00 11:30 Morning Tea 11:30 12:15 Exacerbation of COPD Dr Anand Rose - Case Presentations (Interactive) Respiratory Physician, FMC 12:15 13:00 Stroke Cases Dr Matthew Willcourt (Interactive) Acting Director Stroke, FMC Infective 13:00 Close of Meeting and Lunch Nurse Registration Pack 2017 Page 5 of 10

Venues & Car parking Nurse ECG/Stroke Workshop is located at the Rydges South Park Adelaide, 1 South Terrace Matthew Flinders Room, located on the Ground Floor. Registration opens at 8:30am The remainder of the conference for Saturday and Sunday will be located at the Adelaide Pavilion, corner of South Terrace & Peacock Road, Adelaide SA 5000. Adelaide Pavilion Entrance Rydges South Park Adelaide Entrance Rydges South Park Adelaide Parking on site Rydges offer an on-site car parking for $5.00 per park and the entrance to the carpark is located off South Terrace. All car parks are subject to availability. Alternatively, there s free on-street parking along South Terrace. Adelaide Pavilion Complimentary Parking on site There is complimentary car parking on site with 80 parking bays and the entrance to the carpark is located off South Terrace, Veale Gardens. The parking is managed by the Adelaide City Council and parking is subject to availability. In addition, there s free on-street parking along South Terrace. Alternately, you may want to consider reaching the Adelaide Pavilion by public transport: Tram The Adelaide Pavilion is adjacent to tram stop South Terrace, corner South Terrace and Peacock Road. Approximate walking distance from the tram stop to the Adelaide Pavilion is 1 minute. Bus The Adelaide Pavilion is serviced by bus route 200 (City to Marion Centre Interchange). Approximate walking distance from the bus stop (Stop K1 King William St - East side) to the Adelaide Pavilion is 2 minutes. For more information click here or visit https://www.adelaidemetro.com.au/routes/200 *** You are advised to contact the respective services for up-to-date timetable information*** Nurse Registration Pack 2017 Page 6 of 10

Social Program Evening Cocktails Saturday 23 September 2017 6.00pm 7.00pm Terrace Room, Adelaide Pavilion Join colleagues for drinks and canapés for this relaxed social gathering. Informal Dinner Saturday 23 September 2017 7.00pm late Parkview Room, Adelaide Pavilion This event is for delegates and partners who wish to mingle with friends and colleagues in an informal setting. Delegate Cocktails/Dinner: $55.00 (GST Inc.) Accompanying Partner Cocktails/Dinner: $110.00 (GST Inc.) Delegates will need to book and pay for these events as part of the registration process. For further information please contact Rosy Tirimacco Network Operations & Research Manager iccnet Country Health SA Local Health Network Mail Box 28, level 2B Mark Oliphant Building Laffer Drive BEDFORD PARK SA 5042 Phone: 08 7117 0600 Mobile: 0412 749 418 Fax: 08 7117 0635 Email: rosy.tirimacco@sa.gov.au May Siew Clinical Network Scientist iccnet Country Health SA Local Health Network Mail Box 28, level 2B Mark Oliphant Building Laffer Drive BEDFORD PARK SA 5042 Phone: 08 7117 0621 Mobile: 0408 277 071 Fax: 08 7117 0635 Email: may.siew@sa.gov.au Nurse Registration Pack 2017 Page 7 of 10

ACCOMMODATION Below is a list of hotels that we have negotiated corporate rates. Please note: You will be required to book your own accommodation. Sage Hotel Adelaide* Chifley on South Terrace* 208 South Terrace, Adelaide 226 South Terrace, Adelaide $169.00 - room only $145.00 - room only 550m from the conference venue 650m from the conference venue Phone: (08) 8223 2800 Phone: (08) 8223 4355 Check in: 2:00 pm Check in: 2:00 pm Check out: 10:00 am Check out: 10:00 am Quest on King William South Rydges South Park Adelaide* 379 King William Street, Adelaide 1 South Terrace, Adelaide $144.00 studio apartment $188.00 room only 400m from the conference venue 1.1km from the conference venue Phone: (08) 8206 6500 Phone: (08) 8407 8888 Check in: 2:00 pm Check in: 2:00 pm Check out: 10:00 am Check out: 10:00 am To secure corporate rates at Quest on King William South, quote code CARDIO at the time of reservation via telephone (online booking not available). *When booking your accommodation, to secure corporate rates please state you are a Country Health SA employee, and attending the iccnet Rural Weekend Update on Cardiovascular Management. See accommodation list attached. Rooms are subject to availability and start from the above mentioned rates. Nurse Registration Pack 2017 Page 8 of 10

Accommodation List for Quest King William South Nurse Registration Pack 2017 Page 9 of 10

Nurse Registration Pack 2017 Page 10 of 10