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Celebrate 50 years with us in Dallas!

Join ANNA as we celebrate 50 years of promoting excellence in nephrology nursing practice and patient care.

Enhance your knowledge and energize your practice while learning from expert speakers.

Learn, collaborate, and network with nephrology nurses from across the nation and the world at the 2019 ANNA National Symposium.

Explore practice innovations and engage with nurse colleagues who share your commitment to quality patient care.

Connect with friends at social events and interact with industry representatives in the exhibit hall.

3ANNA National Symposium annanurse.org/2019-symposium

Preconference Workshops

Sunday, April 14

7:15 am - 1:15 pm Optional Preconference Workshops (010-030) Separate registration fee required (includes breakfast) 010 Certification Review Course

5.75 CH, 2.0 Rx Lynda Ball, MSN, RN, CNN, Chair Deborah Brooks, MSN, RN, APN-BC, CNN, CNN-NP Diane Derkowski, MA, RN, CNN, CCTC Joanna Neumann, RN, CNN

This workshop will provide a comprehensive review of nephrology nursing, including nephrology concepts and treatment modalities, and is ideal for individuals preparing for certification in nephrology nursing. 020 Update in Acute Care Nephrology

5.75 CH Donna Braun, BSN, CNN Julie Davis, MSN, RN, CNN M. Lee Sanders, PhD, MD Mary Schira, PhD, RN, ACNP-BC

Explore issues related to patient care in the acute care setting. Topics will include complex patient care following kidney transplantation, caring for patients with cardiac assist devices who require renal replacement therapy, using biomarkers to assess acute kidney injury, and plasmapheresis. 030 Kidneys Inside and Out

5.75 CH, 1.75 Rx David Goldfarb, MD Kambiz Kalantari, MD Robin Landgraf, MSN, RN, PNP-PC Bharathi Reddy, MD

This workshop will focus on complex clinical issues that may be seen in patients with chronic kidney disease (CKD). Explore the care and treatment of scleroderma, Alport syndrome, renal stones, and genetic transmission of renal dysfunction and disease. Learn how these conditions affect patients who have CKD, or how they may lead to CKD in the future. 7:15 am - 1:15 pm Leadership Education and Development (LEAD) Workshop (040 or 050) (by invitation only) 040 LEAD Workshop for Chapter Officers This workshop will provide leadership training and development for ANNA chapter officers. Invitations and complete program details will be provided to incoming 2019-2020 chapter officers in February 2019. 050 LEAD Workshop for SPN Leaders/Advisors This workshop will provide leadership training and development for Specialty Practice Network (SPN) Leaders and Advisors. Invitations and complete program details will be provided to incoming 2019-2020 SPN Leaders/Advisors in February 2019. Note: The LEAD orientation program includes the preconference workshop as well as two symposium sessions on Monday, April 15 (session #135 or #136 AND session #145 or #146).

ANNA National Symposium annanurse.org/2019-symposium4

Sunday, April 14 1:15 pm - 3:00 pm 101 Lunch / Symposium (pending corporate support) 3:00 pm - 3:45 pm 102 Orientation for New Members, First-Timers, & International Attendees 4:00 pm - 4:30 pm Opening Ceremonies 4:30 pm - 5:30 pm Janel PaRkeR MeMoRial SeSSion

103 Keeping Our Promise to Patients: Guided by Why 1.0 CH Christine Schulman, MS, RN, CNS, CCRN-K This session will challenge us as nursing professionals to remember the pledge we made to our patients to care for them with all our skill and understanding, and to recommit to that promise by reaffirming why we, as nurses, do what we do.

5:45 pm - 8:15 pm 104 Exhibit Hall Grand Opening / Reception

Monday, April 15 7:15 am - 8:45 am 110 Breakfast / Symposium (pending corporate support) 8:45 am - 10:15 am 120 Exhibits / Posters / Coffee Break

2.0 CH Contact hours are available for viewing posters during exhibit hours.

Symposium Agenda


Symposium Agenda10:15 am - 11:30 am

Concurrent Sessions (131-136) 131 Kidney Function and Failure in Neonates

1.25 CH, .25 Rx Danielle Soranno, MD

Renal function in neonates is different from older children, which is important to note when caring for neonates experiencing renal failure. Risks and benefits of dialysis in neonatal patients along with indications for treatment will be discussed. 132 Confirming the Importance of Oral Health in CKD

1.25 CH Mary Brennan, DNP, AGACNP-BC, ANP, FAANP

Patients with CKD may have poor oral health and have to deal with the associated consequences. Learn more about these consequences and how to develop an individualized approach to good oral health. 133 Cardiac Dysrhythmias in Patients with CKD Therapy

1.25 CH Brenda Jahnke, MSN, RN, CNS

Explore the pathophysiology, epidemiology, and risk factors of cardiac dysrhythmias in patients with CKD; and develop strategies to prevent and treat dysrhythmias in this patient population. 134 Don’t Get Mad, Get Involved: Advocacy in Action

1.25 CH Gale Adcock, MSN, APRN, FNP-BC, FAANP, FAAN

Nurses can play a vital role in advocating for changes in health policy. Learn how nurses can be involved individually and collectively to influence health policy in our communities and our country. *135 Effective Communication and Coaching Skills for the

Nephrology Nurse Leader 1.25 CH Jennifer Payton, MHCA, BSN, RN, CNN

Effective communication and coaching are primary tools for success in our volunteer and professional lives. Learn the essential guidelines for effectively communicating with colleagues. *136 Technology – Novice

1.25 CH Celess Tyrell

As an ANNA leader, there are many online tools that can make your volunteer job easier. Review the basics of the tools you will need to use most: ANNA Connected, social media for your chapter, Doodle, Dropbox, and more as time allows. *Sessions 135 and 136 are designed for ANNA volunteer leaders as part of the LEAD orientation program.

Monday, April 15

My first ANNA conference exceeded my expectations by 100%. I got a major injection of inspiration to learn more, lead more, and become a more valuable hemodialysis nurse to my company and my patients.

Maria A., RN San Francisco, CA


11:45 am - 1:00 pm Concurrent Sessions (141-146)

141 Sepsis Recognition 1.25 CH, .5 Rx Rasheed Balogun, MD, FACP, FASN, HP(ASCP)

What are the signs and symptoms of sepsis in a patient with CKD? How does sepsis affect kidney function, and how does that impact sepsis treatment? Learn the answers to these questions as well as the long-term effects of septic shock. 142 Burnout and Resilience: A Preventive Strategy

1.25 CH Judy Kauffman, DNP, MSN, RN, CNN

How can you deal with burnout? How do you maintain – or build – resilience? Dr. Kauffman will share tips for preventing or circumventing burnout and achieving re-silience in your professional life. 143 Home Therapy: Physical Assessment

1.25 CH Marijo Johnson, BSN, RN, CNN

How does the interprofessional approach to home therapy comprehensive assessment differ from an assessment for an in-center patient? This and other questions will be addressed in this discussion of patient assessment in the home setting. 144 Resistant Hypertension

1.25 CH, 1.25 Rx George Bakris, MD

Explore the characteristics of resistant hypertension, including epidemiology, how to evaluate volume control, and what to expect in patients. Frequency of management follow up as well as the education and lifestyle reinforcement necessary to manage this disease process will be discussed. *145 Mentoring Discussion Roundtables

1.25 CH Cindy Richards, BSN, RN, CNN and ANNA Leaders

An ANNA leader will facilitate mentoring and discussion at each table. Targeted questions will start the interaction, and then each group will determine topics for discussion. *146 Technology – Intermediate


As an ANNA leader, there are many online tools that can make your volunteer job easier. Review the basics of ANNA Connected, social media for your chapter, Doodle, Dropbox, Google Drive, Eventbrite, and more. Also, learn some new online tools, tips, and tricks that may work for your chapter. *Sessions 145 and 146 are designed for ANNA volunteer leaders as part of the LEAD orientation program.

1:00 pm - 1:30 pm 150 Box Lunch (included in registration fee)

Symposium AgendaMonday, April 15

Networking with fellow experts in the nephrology specialty is by far the most valuable takeaway from the ANNA symposium.

Nenita C., BSN, RN, CNN Dallas, TX

Symposium Agenda1:30 pm - 2:30 pm

Specialty Practice Networking Sessions (161-165)

161 Health Policy ~ The advocacy Puzzle: Putting the Pieces Together 1.0 CH

162 Home Therapies ~ Helping Patients Choose Home Dialysis: an interactive Role-Playing Session 1.0 CH

163 Transplantation ~ Wanted Dead or (even Better) alive: encouraging living kidney Donation 1.0 CH

164 Acute Care ~ Veteran nurses are Priceless: So How Do We Prevent Burnout? 1.0 CH

165 Chronic Kidney Disease ~ CkD education: an initiative to impact Patient-Centered outcomes 1.0 CH

2:30 pm - 4:00 pm Exhibits / Posters / Beverage Break

4:15 pm – 5:15 pm Specialty Practice Networking Sessions (171-175)

171 Hemodialysis ~ organ Stunning: The nurse’s Role and implications of

Rapid Fluid Removal 1.0 CH

172 Advanced Practice ~ aPRn-led CkD Clinics: What Do You Do in Your Clinic? 1.0 CH

173 Administration ~ Yodeling away Generational Gaps in Communication and leadership: Come Boot Scootin’ Boogie with Us! 1.0 CH

174 Pediatrics ~ “all i ate Was a Hamburger!”: Treatments and outcomes of Hemolytic Uremic Syndrome 1.0 CH, .5 Rx

175 Educator ~ Strategies to improve Current issues in nephrology education: Recruitment, Retention, and Patient and Staff education 1.0 CH

Join colleagues and friends as we celebrate nephrology nursing and ANNA’s 50th anniversary with a special gala. The evening will open with a cocktail reception and networking opportunity. Then, enjoy dancing and refreshments during a special anniversary celebration event.

Cocktail/party attire encouraged.

Monday, April 15

Monday, April 15 7:30 pm - 10:30 pm

50th Anniversary Celebration Gala


Tuesday, April 16 7:00 am - 8:30 am 201 Breakfast / Symposium (pending corporate support) 8:45 am - 10:30 am Exhibits / Posters / Coffee Break

10:30 am - 11:45 am Concurrent Sessions (211-215)

211 Ins and Outs of Clinic Development in Nephrology Practices

1.25 CH Leah Foster Smith, MSN, APRN, FNP-C, CNN-NP

If you are interested in starting an APRN-led CKD clinic, this session is for you! From the beginning details to guideline development, financial considerations, and impact on quality of care, learn about the many factors involved in establishing a CKD clinic in a nephrology practice. 212 Pressure Injuries

1.25 CH Christine Thies Berke, MSN, APRN-NP, CWOCN-AP, AGPCNP-BC

Develop a more in-depth understanding of pressure injury risk and prevention in patients in clinics, at home, and in acute care settings. Learn tips and techniques for assessing for pressure injuries in dialysis units when patients are fully clothed and what staff can do to help prevent pressure injuries. 213 Transplant Readiness: Fundraising

1.25 CH Yulanda Horton, MBA/MHA, BS

What are the costs related to transplantation? How can a patient in need of a transplant obtain financial support? This session will explore potential sources of transplant funding, the increasing use of fundraising, and the pros and cons of fundraising websites. 214 Recognition of the Patient Abusing Alcohol

1.25 CH Susan Crosland, MSN, RN

It is important for clinicians to be able to recognize alcohol abuse in patients. This session will address alcohol cues, index of suspicion, and assessment tools. In addition, discover ways to initiate a discussion about alcohol abuse and to identify the effect of an individual’s support system on recovery. 215 Palliative Dialysis as an Option for Older Adults

1.25 CH Debra Hain, PhD, APRN, ANP-BC, GNP-BC, FAANP

Traditionally, older adults on dialysis have been considered higher risk than younger patients. Dr. Hain will share information about newer treatment models for older adults with end-stage renal disease and explore the concept of palliative dialysis in this important session for nurses who care for older patients. 12:00 nn - 1:30 pm 220 Nephrology Nurse Recognition Luncheon Celebrate your colleagues’ accomplishments as the ANNA Outstanding Achievement Award winners are announced. The luncheon also will include the annual ANNA business meeting and induction of the 2019-2020 Board of Directors.

Symposium Agenda


Symposium Agenda1:45 pm - 3:00 pm

Concurrent Sessions (231-235) 231 Hypotension Basics

1.25 CH, .75 Rx Barbara Odom, BSN, RN, CDN

This session will examine the basics of hypotension, including causes across the continuum of CKD, signs, symptoms, and treatment options. When should treatment be initiated? And, what are the differences in treatment when caring for acute, chronic, or transplant patients? 232 When the State Comes Marching In: Is Your Staff Prepared?

1.25 CH Gail Dewald, BS, RN, CNN

How do you prepare your unit for a survey? What is the process for the new and experienced APRN, RN, and PCT? Learn more about differentiating between surveys initiated due to patient complaints and those that are standard reviews; and develop an action plan for survey responses. 233 Fabry Disease: An Uncommon Disorder with Serious Renal

Consequences 1.25 CH Cynthia Smith, DNP, CNN-NP, FNP-BC, APRN, FNKF

Learn all you need to know about Fabry disease. This session will cover the disease pathology, genetics, inheritance pattern, associated renal changes, risks for progression to ESRD, and the role of nephrology nurses in patient care. 234 From Idea to Article: Writing for Publication Workshop

1.25 CH Beth Ulrich, EdD, RN, FACHE, FAAN

This session will review manuscript development and publication processes and help participants create a plan for writing a manuscript for publication. 235 Gut Microbiome: How the Gut Affects the Kidney

1.25 CH, .5 Rx Mary Schira, PhD, RN, ACNP-BC

What is the gut microbiome? Explore how the gut microbiome is involved in CKD progression and the development of complications. Recent interventions targeting the gut microbiome for therapeutic purposes also will be shared.

Tuesday, April 16


3:15 pm - 4:15 pm Concurrent Sessions (241-245)

241 Social Media Pitfalls


Social media can be a wonderful tool, but there are potential pitfalls and dangers associated with this technology. Learn tips for what should and should not be posted on social media, ramifications of sharing inappropriate information, and ways to make social media more productive and beneficial. Instructions for using this technology also will be provided as time permits. 242 Beers Criteria for Potentially Inappropriate Use (of Medications) in

Older Adults 1.0 CH, 1.0 Rx Rowena Elliott, PhD, RN, CNN, AGNP-C, FAAN

The Beers Criteria for determining the appropriateness of using various medications in older adults will be the basis of this presentation. Application of this information to patients with CKD also will be explored. 243 Vascular Access in Pediatric Patients with CKD and ESRD: How

Nurses Can Impact Care 1.0 CH Tyson Moore, APRN, FNP-C, CPN

This session will address vascular access in pediatric patients with kidney disease, including the impact of the size of vessels, strategies for cannulation, and assessment and care of the cannulation site. 244 The Synergy Between a Fulfilling Nursing Career and ANNA

1.0 CH Lesley Dinwiddie, MSN, RN, FNP, CNNe

Ms. Dinwiddie will share her experience in fostering professionalism and expertise by creating synergy between a nursing career and involvement in a professional nursing organization (ANNA). Explore the many facets of building a professional nursing career during this informative session. 245 Getting to the Heart of Malnutrition: Connecting Inflammation,

Malnutrition, and Cardiovascular Health in CKD 1.0 CH Wai Yin Ho, MSEd, MS, RDN

Malnutrition in patients with CKD is not uncommon, and there is growing understanding of the connection among inflammation, malnutrition, and cardiovascular health in CKD. Inflammation leads to protein energy wasting and is the basis for CKD and cardiovascular issues. Strategies to address these complexities will be the focus of this session.

4:30 pm - 5:30 pm Concurrent Sessions (251-253)

251 Abstracts Presentations: Clinical Focus

1.0 CH 252 Abstracts Presentations: Research Focus

1.0 CH 253 Abstracts Presentations: Potpourri

1.0 CH

Symposium AgendaTuesday, April 16


Symposium Agenda

Wednesday, April 17 7:15 am - 9:00 am 301 Top Pharmacologic Conundrums in CKD

1.75 CH, 1.75 Rx Tracy Anderson-Haag, PharmD, BCPS

Learn more about the many medications that patients with CKD may take and their interactions. For instance, how do pain management medications/opioids, proton-pump inhibitors, steroids, immunosuppressants, anticoagulants, diabetic drugs, and cardiac drugs interact, and what information is important for the nephrology nurse to know?

9:15 am - 10:30 am Concurrent Sessions (311-314)

311 Transplant Allocation

1.25 CH Amy Woodard, BSN, RN, CNN, CCTC

How is the allocation system for transplants working? This session will focus on how kidneys are distributed and how patients and kidneys are matched for transplantation. Why the wait for transplants can be so long and how this time might potentially be reduced also will be addressed. 312 Stroke in Individuals with CKD

1.25 CH, .75 Rx Karen Merriman-Noesges, MSN, RN, ACNP-BC

Patients with CKD are at risk for strokes. This session will examine the specific risk factors for stroke in patients with CKD, emergency management if a stroke occurs, and the evidence-based guidelines for the care of this patient population. 313 Vascular Access: An International Perspective

1.25 CH Lynda Ball, MSN, RN, CNN Maria Teresa Parisotto, RN

Nephrology nurse experts from the United States and Europe will discuss vascular access in their respective countries with the goal of learning from each other and identifying best practices. 314 How to Become a Leader: Primer for Millennials

1.25 CH Loretta Jackson Brown, PhD, RN, CNN

How do you become a leader – at work, in your chapter, or in a volunteer role? Do you just “jump in”? Dr. Brown will discuss various pathways to leadership and provide tips for how to begin, or continue on, your own journey to leadership.


10:45 am - 12:00 nn Concurrent Sessions (321-324)

321 Stop the Train: The Older Adult Using Peritoneal Dialysis

1.25 CH, .5 Rx Lucy Todd, MSN, ACNP-BC, CNN

This “stop the train” session will focus on the care of older adults using peritoneal dialysis. Case studies will be presented to determine the assessment and treatment plans for various patient scenarios. 322 Nephrology Nursing Malpractice: How to Avoid Being Sued

1.25 CH Sue Cary, MN, RN, APRN-BC, CNN

This session will provide nephrology nurses with invaluable information on how to prevent a malpractice case. Case studies and discussion will showcase various pit-falls to avoid in your professional life. 323 Kidney Child Life Specialist: Developmentally Supportive Care in the

Dialysis Clinic 1.25 CH Erin Panzella, BS, CCLS, CIMI

Child life specialists are being used to great benefit with pediatric dialysis patients because of the support and developmental expertise they provide. Discussion will include therapeutic play to promote positive coping and the application of this technique in other settings. 324 Acid Base in CKD

1.25 CH, .5 Rx Denise Link, MPAS, PA-C, FNKF

This session will examine acid base balance in patients with CKD with a focus on differentiating metabolic versus pulmonary imbalances and acute versus chronic imbalances. The impact of the grade of imbalance on kidney function as well as strategies to restore balance across the continuum of CKD will be shared. 12:00 nn National Symposium Adjourns

Symposium AgendaWednesday, April 17

13

General Information

Continuing Nursing Education Gain contact hours (CH) for your professional development, recertification, and relicensure. Here’s what you can earn: • Optional Preconference Workshops – 5.75 CH • Symposium – up to 16.25 • Bonus* – 5.0 CH for a total of 21.25 CH *After the meeting evaluation period closes, full symposium registrants (not daily) will have access to an additional 5.0 CH in the ANNA Online Library. Additional contact hours may be available if corporate support is received for pending symposia. Sessions marked with Rx contain pharmacology credit hours, which are time-based on the session content. Up to 6.75 pharmacology hours can be accumulated from symposium sessions; additional hours are available for optional workshops as indicated. ANNA urges participants to be aware of the CNE requirements for relicensure in the states in which they hold a license. American Nephrology Nurses Association is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center. ANNA is a provider approved by the California Board of Registered Nursing, provider number CEP 00910. Online Library & Symposium Educational Materials Speaker reference materials will be available for viewing/download in the ANNA Online Library at www.annanurse.org/library prior to the symposium.

Guest Tickets for Anniversary Gala Tickets ($75 each) are limited to one per registrant and entitle the guest to attend the 50th Anniversary Celebration Gala only. Payment Policy No registration will be processed unless full payment is received with the registration form. If you do not receive an email confirmation regarding your registration, contact the ANNA National Office to confirm receipt of your registration. Refund Policy No telephone cancellations will be accepted. Written notice of cancellation must be sent to the ANNA National Office. A $50 administrative fee will be assessed on all cancellations received in writing and must reach the office no later than March 25, 2019. No refunds will be issued after this deadline. Membership fees are nonrefundable. If ANNA finds it necessary to cancel or postpone this educational offering for any reason, including, but not limited to low registration response, strikes, or acts of God, ANNA shall not be liable for registrant(s)’ expenses. Photographs ANNA occasionally uses photographs of symposium participants in its newsletter, journal, website, social media, and promotional materials. By virtue of your attendance, you agree to usage of your likeness in such material. Questions? Contact ANNA

Email [email protected] Phone 888-600-2662 or 856-256-2320

Fax 856-589-7463 East Holly Avenue Box 56 Pitman, NJ 08071-0056

Deals and Discounts BEST DEAL: Register by February 25 and combine a preconference with symposium registration for one low rate.

FREE T-shirt! Register by February 25 and receive a free ANNA 50th Anniversary T-shirt. ANNA Member Discount: ANNA members save $100 on registration.

Register for the symposium and join ANNA (or renew your ANNA membership) for one low rate. Regular registration fees include a 1-year ANNA membership. (International registrants who register at the Regular rate receive a virtual international membership.)

3 easy ways to register. Reserve your spot today!

BEST DEAL

ONLINE (credit card payments only)

annanurse.org/2019-symosium

FAx (payment with credit card info)

856-218-0557

MAIL (with payment)

ANNA Registration East Holly Avenue/Box 56 Pitman, NJ 08071-0056


Chairperson Elizabeth St. John, MSN, RN, CNN

Chairperson Designate

Mary Schira, PhD, RN, ACNP-BC

Director of Education Services Sally Russell, MN, CMSRN, CPP

Committee Members Ann Hallock, DNP, APRN, CNP, CNN

Marijo Johnson, BSN, RN, CNN Judy Kauffman, DNP, MSN, RN, CNN

Anna Rogers, MBA/HCM, BSN, RN, CNN Mary Schopbach, BSN, RN, CNN

Leah Foster Smith, MSN, APRN, FNP-BC, CNN-NP, FNKF

Amy Woodard, BSN, RN, CNN, CCTC

Hotel Reservations The Hilton Anatole is the official hotel for the 2019 symposium. Reserve your room: Online ~ www.annanurse.org/2019-symposium Phone ~ 214-748-1200 (ask for ANNA National Symposium)

Hilton Anatole 2201 N. Stemmons Freeway, Dallas, TX 75207

Check in: 3:00 pm ~ Check out: 11:00 am $189 single/double + taxes (currently 13%)

Reservations: 214-748-1200 (ask for ANNA National Symposium) The discounted conference rate is available until March 6, 2019 or until rooms sell out. Reservations made after this date are subject to space and rate availability. (Taxes are subject to change without notice.)

Hotel & Travel

Note: ANNA does not use a housing bureau for hotel reservations. No one from ANNA or the conference hotel will call you to make a hotel reservation. Only make reservations via the link or phone number provided above.

Hotel Parking Parking is available at the hotel: $22 for self-parking; $31 for valet parking. (Rates subject to change.) Airports The Hilton Anatole is approximately 20 miles from the Dallas Fort Worth Interna-tional Airport (DFW) and 3 miles from Dallas Love Field Airport (DAL). Weather Dallas during April typically has daytime highs in the mid to upper 70s with lows in the mid to upper 50s. Please pack a sweater (as conference room temperatures may vary) and comfortable walking shoes for your conference activities.

ANNA Conferences Committee

American Nephrology Nurses Association | REGISTRATION FORM 2019 National Symposium — April 14-17, 2019 — Hilton Anatole | Dallas, Tx

NAME ANNA Membership #

CREDENTIALS RN/NP Non-RN

PREFERRED ADDRESS Personal Business

COMPANY (if work address)

CITY STATE/PROV ZIP/POSTAL CODE COUNTRY

PREFERRED DAYTIME TELEPHONE Personal Business Please indicate if you are:

Attending National Symposium for the first time

EMAIL (required for confirmation)

NICKNAME FOR BADGE

NATIONAL SYMPOSIUM REGISTRATION FEES PAYMENT SUMMARY

You must be an ANNA member in good standing at the time you register to qualify for the “Member” rate. To join ANNA (or renew your ANNA membership) when register-ing, choose the “Regular” registration rate.

Preconference $________

National Symposium $________

Combination/Best Deal (Only before 2/25/19) $________

Daily $________

Guest Ticket ($75) (Anniversary Gala Only) $________

TOTAL DUE $________ See payment policy at www.annanurse.org 50th anniversary T-shirt* T-shirt size

S M L XL 2X 3X

MEMBER REGULAR NONMEMBERPreconference Workshops Received by 2/25 Received 2/26-4/1 Received on/after 4/2 and onsite

■ $180 ■ $195 ■ $205

■ $260 ■ $275 ■ $285

■ $280 ■ $295 ■ $305

National Symposium Received by 2/25 Received 2/26-4/1 Received on/after 4/2 and onsite

■ $450 ■ $500 ■ $550

■ $530 ■ $580 ■ $630

■ $550 ■ $600 ■ $650

Combination Preconference Workshop & National Symposium Registration must be received by 2/25 ■ $595 ■ $675 ■ $695

Daily Registration One Day (check day) __Mon __Tues __ Wed Two Days (check days) __ Mon/Tues __ Tues/Wed

■ $225 ■ $360

■ $305 ■ $440

■ $325 ■ $460

Guest Ticket for Anniversary Gala

Guest Name: _______________________________________________ ■ $75

If submitting registration via UPS or Federal Express, send to: ANNA National Office, 200 East Holly Avenue, Sewell, NJ 08080

If any special disability or diet arrangements are needed, please attach a note of explanation.

BEST DEAL!

SESSION CHOICES: Please mark the sessions and activities you will attendSunday (4/14) Monday (4/15) Tuesday (4/16) Wednesday (4/17)

7:15am 010* 020* 030*

7:15am 040 LEAD (Chapters) 050 LEAD (SPNs)

1:15pm 101 (pending)

3:00pm 102

5:45pm 104

7:15am 110 (pending)

10:15am 131 134 132 135 133 136

11:45am 141 144 142 145 143 146

1:00pm 150

1:30pm 161 164 162 165 163

4:15pm 171 174 172 175 173

7:30pm 180 Gala

7:00am 201 (pending)

10:30am 211 214 212 215 213

12:00nn 220

1:45pm 231 234 232 235 233

3:15pm 241 244 242 245 243

4:30pm 251 253 252

7:15am 301

9:15am 311 313 312 314

10:45am 321 323 322 324

*Optional; additional fee required (see payment summary)

Save time and register online at: annanurse.org/2019-symposium

Indicate session choice below:

010-030

Indicate session choice below:

010-030

Registrations will not be processed without payment. Send completed

registration form with payment to ANNA in U.S. funds to:

ANNA National Symposium East Holly Avenue Box 56 Pitman, NJ 08071-0056

FAX 856-218-0557 [email protected]

Check enclosed Charge my Visa Mastercard Am. Express

for the amount of $ ___________________ If paying by credit card, you may FAX to 856-218-0557 or email to [email protected].

______________________________________ Expiration Date _______ ACCOUNT NUMBER

Card Security Code: ________ (3-Digit code found on back of Visa & Mastercard; 4-Digit code on front of American Express.)

Print Cardholder’s Name __________________________________________ Signature _____________________________________________________

All pre-registrations must be received with payment by

April 8, 2019. Registrations received after this date will be processed onsite.

Fee includes 1-year ANNA membership (new or renewal)

Join ANNA / Renew ANNA Membership with Registration

FRee* only available to attendees

who register by 2/25/19

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