Sixteenth Rural Weekend Update on Cardiovascular Management

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Sixteenth Rural Weekend Update on Cardiovascular Management Nurse Registration Pack 22-23 September 2018 Rydges South Park Adelaide 1 South Terrace, Adelaide & Adelaide Pavilion Corner South Terrace and Peacock Road, Adelaide RSVP by 7 September 2018 Nurse Registration Pack 2018 Page 1 of 11

Delegate Information (Please complete all sections) iccnet CHSA Sixteenth 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): Privacy Act In registering for this event your name and organisation details may be incorporated into a delegate list for distribution to fellow delegates and sponsors directly related to the event. If you DO NOT wish to have your name/organisation details included in the list of delegates please tick here 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 7 September 2018 to secure your booking. Refunds for dinner cannot be made after 7 September 2018) 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 7 September 2018 to secure your booking. Refunds for dinner cannot be made after 7 September 2018) Title: First Name: Last Name: Special Requirements (dietary/other): Subtotal Accompanying Partner $ Nurse Registration Pack 2018 Page 2 of 11

Registration Information Date Function Attendance (please indicate) Delegate ECG Interpretation Workshop Saturday 22 September 9:00 am - 12:00 noon Nurse session on ECG Interpretation with Teena Wilson & Claudine Clark Yes No Held at Rydges South Park Adelaide Country ACS Case Audits Sunday 23 September 9:00 am - 12:00 noon Held at Adelaide Pavilion Country Case Presentations Interactive Session with Various Consultants Combined GP/Nurse Session Yes No Delegate Saturday 22 September Lunch Yes No Saturday 22 September Evening Cocktails (6:00 pm - 7:00 pm) Yes No Saturday 22 September Dinner (7:00 pm to late) Yes No Sunday 23 September Lunch Yes No Accompanying Partner Saturday 22 September Evening Cocktails (6:00 pm - 7:00 pm) Yes No Saturday 22 September Dinner (7:00 pm to late) Yes No Nurse Registration Pack 2018 Page 3 of 11

Payment Options: DIRECT DEPOSIT CHEQUE NOT APPLICABLE 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 $ 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 7 September 2018 A confirmation email will be sent to you and should be received within 7 days. If you do not receive confirmation of your registration please contact the iccnet CHSA Office to confirm your registration. Nurse Registration Pack 2018 Page 4 of 11

Integrated Cardiovascular Clinical Network (iccnet CHSA) Sixteenth Rural Weekend Update on Cardiovascular Management Rydges South Park Adelaide 1 South Terrace Adelaide SA 5000 22 23 September 2018 Nurse Program Adelaide Pavilion Cnr South Terrace & Peacock Road Adelaide SA 5000 Saturday 22 September From 08:30 Registration at Rydges South Park Adelaide 09:00-11:50 Nurse ECG Workshop Mrs Teena Wilson / Mrs Claudine Clark (Interactive) - at Rydges Adelaide Nurse Consultant Cardiovascular, iccnet CHSA Break for Morning tea 10:15 10:35 11:50-12:00 Travel from Rydges South Park to Adelaide Pavillion 12:00-13:00 Lunch and remainder of program at Adelaide Pavilion 13:00-13:30 Welcome and iccnet CHSA Update Dr Philip Tideman Clinical Director, iccnet CHSA 13:30-14:00 CHSALHN Update Dr Hendrika Meyer Executive Director of Medical Services, CHSA LHN 14:00-14:15 Introducing My Health PoCiTT Rosy Tirimacco My Health Point of Care Innovative Network Operations & Research Manager, Technologies Trial iccnet CHSA 14:15-15:00 Heart Failure Update with Cases A/Prof Carmine De Pasquale (Interactive) Consultant Cardiologist, FMC 15:00-15:15 My Health PoCiTT HF Cases Teena Wilson Nurse Consultant Cardiovascular, iccnet CHSA 15:15-15:45 Afternoon Tea 15:45-15:50 Diamond Sponsor Presentation Roche 15:50-16:20 Management of COPD in Primary Dr Anand Rose Care (Interactive) Respiratory/Sleep Physician, FMC 16:20-16:35 My Health PoCiTT COPD Cases Paul Simpson Clinical Network Scientist, iccnet CHSA 16:35-17:15 AF Management for the Rural GP Dr Anand Ganesan (Interactive) Consultant Cardiologist, FMC 18:00-19:00 Evening Cocktails 19:00 - Late Dinner Nurse Registration Pack 2018 Page 5 of 11

Integrated Cardiovascular Clinical Network (iccnet CHSA) Sixteenth Rural Weekend Update on Cardiovascular Management 22 23 September 2018 Adelaide Pavilion Cnr South Terrace & Peacock Road, Adelaide Nurse Program Sunday 23 September From 08:30 Registration at Adelaide Pavilion 09:00-10:30 Country Case Presentations Various Consultants (Interactive) 10:30-11:00 Morning Tea 11:00-11:45 Country Case Presentations Various Consultants (Interactive) 11:45-12:30 Update in Diabetes Management Dr Wilton Braund (Interactive) Endocrinologist 12:30-12:45 My Health PoCiTT Diabetes Cases May Siew Clinical Network Scientist, iccnet CHSA 12:45-13:00 Cardiac Rehab - GP Hybrid / CATCH Claudine Clark Telephone Program Nurse Consultant Cardiovascular, iccnet CHSA 13:00 Close of Meeting and Lunch Nurse Registration Pack 2018 Page 6 of 11

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 paid on-site car parking, payable to the hotel 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 2018 Page 7 of 11

Social Program Evening Cocktails Saturday 22 September 2018 6.00pm 7.00pm Terrace Room, Adelaide Pavilion Join colleagues for drinks and canapés for this relaxed social gathering. Informal Dinner Saturday 22 September 2018 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 2018 Page 8 of 11

ACCOMMODATION Below is a list of hotels that we have negotiated corporate rates. Please note: You will be required to book your own accommodation. Quest on King William South Rydges South Park Adelaide* 379 King William Street, Adelaide 1 South Terrace, Adelaide $147.00 studio apartment $146.00 standard room only $177.00 1 bedroom apartment $180.00 superior 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 ICCNET18 at the time of reservation see details below Delegates are entitled to 15% off the best available rate, discounted breakfast and complimentary car parking Sage Hotel Adelaide* Chifley on South Terrace* 208 South Terrace, Adelaide 226 South Terrace, Adelaide $125.00 standard room only $110.00 standard room only $145.00 executive king room only $125.00 executive king 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 *When booking your accommodation, to secure corporate rates please state you are a SA Health/Country Health SA government employee, and attending the iccnet Rural Weekend Update on Cardiovascular Management. Rooms are subject to availability and start from the above mentioned rates. Nurse Registration Pack 2018 Page 9 of 11

Accommodation Details for Quest King William South Nurse Registration Pack 2018 Page 10 of 11

Nurse Registration Pack 2018 Page 11 of 11