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Annual Institute and Conference

46th

NBNA

Tuesday | July 31 – Sunday | August 5St. Louis Union Station Hotel

St. Louis, MO

www.nbna.org

N AT I O N A L B L AC K N U R S E S A S S O C I AT I O N

Registration

NATIONAL BLACK NURSES ASSOCIATION

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Dear NBNA Members and Attendees,

We are delighted that you will be joining us at the 46th Annual Institute and Conference in St. Louis, Missouri, Tuesday, July 31 to Sunday, August 5, 2018 at the historic St. Louis Union Station Hotel.

Please review the registration materials carefully as there are several changes and additions to the conference schedule and we don’t want you to miss a single activity. Our goal is to continue to offer you the very best in continuing education, career development and networking opportunities during the conference. Plans are well underway to ensure that you will have a productive and memorable experience at the 2018 conference. If you attended the 2017 conference in Las Vegas, we thank you for joining us for this very successful conference. For those who missed Las Vegas, the City of St. Louis is waiting to welcome you!

Dr. Eric J. Williams, DNP, RN, CNE, FAAN

President and the NBNA Board of Directors

Welcome to the 46th Annual Institute and Conference of the National Black Nurses Association, Inc.!

The Art & Science of Nursing

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2017 Photo Highlights...

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IMPORTANT DATES TO REMEMBERFOR MEMBERS AND NON-MEMBERS

Saturday March 31 Early Bird Registration Ends

Friday June 8 LAST dAy to request a refund for Conference Registration Friday June 15 Pre-Conference Registration Ends Friday June 15 On-Site Registration Fees are in effect Friday June 15 No Checks Will be Accepted for Payment Friday June 15 LAST dAy to send written request to your cancel registration Friday June 29 LAST dAy for refunds on individual banquet or brunch tickets Tuesday July 10 LAST dAy to take advantage of the NBNA group rate for hotel

reservations

WHY YOU SHOULD ATTEND• Earnupto35contacthoursofContinuingEducation(CE)credit.• Learnaboutthenewestinnovationsinpatientcare&thepracticeofnursing• LearnthelatesttrendsinNursingEducation• IdentifyaMentorthatwillhelpyoutakethenextstepinyourcareer• Abroadenedprofessionalandcollegialnetwork• Deepenyourcommitmenttoinvestinginprofessionaldevelopment

REQUEST TO ATTEND Todownloadatemplatelettertorequestapprovaltoattendtheconference.(Thelettershouldbeaddressedtoyourinstitutionandsupervisorandsignedbyyou.)clickhere:

➞ http://www.nbna.org/con_reg

SPEAKER REGISTRATIONIf you have submitted an abstract for presentation, dO NOT use this form to registerfortheconference.Pleaseusethespeakerregistrationformwhichmaybe found in Part 2 of the ABSTRACT FORMSat:

➞ http://www.nbna.org/abstracts

TO REGISTER ONLINEToRegisterfortheNBNAConferenceonline,clickhere:

➞ http://www.nbna.org/ev_calendar_day.asp?date=7%2F31%2F18&eventid=20

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St. Louis Union Station Hotel, Curio Collection by Hilton

AlleventswilltakeplaceattheSt.LouisUnionStationHotel,CurioCollectionbyHilton.

HOTEL INFORMATIONWithin sweeping archways, fresco and gold leaf detailing, mosaics and glass windows, you’ll find the St. Louis Union Station Hotel, Curio Collection by Hilton. Our AAA Four Diamond Hotel provides a truly elegant experience in the heart of a bustling metropolitan area. Transport yourself to a time when travel was an art and the fine details were important. All sleeping rooms have mini refrigerators, and Keurig coffee makers. On-site dining available for breakfast, lunch and dinner along with full room service. There is complimentary premium WiFi throughout the property. At the end of a long day, you can take a dip in the pool. Grand Hall Market and Starbucks offer grab and go stuff from 6:30 am – 10:00 pm. At the end of the day have a cocktail and snack in the gorgeous Grand Hall from 4:00 pm – 1:00 am.

Clickheretoviewtheproperty.

➞ http://curiocollection3.hilton.com/en/hotels/missouri/st-louis-union-station-hotel-curio-collection-by-hilton-STLCUQQ/index.html

St. Louis Union Station Hotel, Curio Collection by Hilton Grand Ballroom

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HOTEL & CONFERENCE INFORMATIONSt.LouisUnionStationHotel,CurioCollectionbyHilton1820MarketStreet•St.Louis,Missouri,63103314-231-1234

RESERVATIONS: PLEASE BOOK EARLY!

CALL IN RESERVATIONSHotel Reservation Department: 1- 314-231-1234 or Toll free: 855-271-3627. When calling in, the guest should refer to the National Black Nurses Association Conference.

ONLINE RESERVATIONSPlease visit the dedicated booking website that has been created for NBNA.

➞ http://group.curiocollection.com/natlblacknursesassociation

The deadline date for making reservations at the St. Louis Union Station Hotel is July 10, 2018, 5:00 pm. Eastern Time, after this date, reservations will be accepted on a space and rate availability basis. If the Group Rate is not available, the Hotel’s rack rate will apply.

ROOMRATES:King or 2 Queen Beds: Single, Double, Triple or Quad Rate is $169 plus 18.4%. Junior Suite: King Bed and Pullout Sofa Bed: $269 plus 18.4% tax. Connecting rooms are available at the group rate.

CHECKIN:4:00pm/CHECKOUT:11:00am

LATECHECKOUT:Please check with the front desk for availability, hours and fees.

ROOMGUARANTEE:Attendees should be prepared with a credit card to which the first night’s room and tax at the time the reservation is made. All guaranteed reservations will be held until 6:00 am only on the day after the confirmed arrival date. We strongly suggest that you do NOT use a debit card to guarantee your room or incidentals at check-in.

CANCELLATIONS: Refunds will be issued at the time of cancellation of individual attendee’s reservations only if canceled at least seventy-two (72) hours in advance of the confirmed arrival date. If you cancel your reservation after the deadline, your credit card will be charged for one night’s stay. When you cancel, please note the canceled reservation number. There is no charge for early departures.

TRANSPORTATION / PARKINGAIRTRAVEL:All major airlines have flights into the St. Louis International Airport. Book early for the best rates!

GROUNDTRANSPORTATION: The NBNA 2018 Annual Conference and GO BEST Express are teaming up! The NBNA Deal: Book now through July 29th, 2018 & take an additional 15% off! This Discount Rate is ONLY available by booking through the link (below) in advance. Reservations made on-the-spot at the counter or after the above deadline will be subject to standard rates of $45 roundtrip. Discount code: NBNA2018

➞ https://gobestexpress.com/reservations?code=NBNA2018

TAxI SERvICE is available for $16 - $20 for up to 5 persons.

HOTELPARKINGRATES:Parking at the St. Louis Union Station Hotel, Hourly rates are available. Self-parking for overnight hotel guests: $20 per day with in and out privileges. Self-parking for up to 8 hours for local attendees. Valet Parking: 24 hrs: $38 with in and out privileges.

SCOOTERS:Scoot-a-Round Rentals. Please do not delay making your reservation!

➞ https://locations.scootaround.com/NBNAAnnual

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CONFERENCE REGISTRATION: 1ST FLOOR, BALLROOM FOYER Registration for all attendees will begin on Tuesday, July 31 from 3:00 to 7:00 pm. Attendees who registered in advance may check in at the registration desk and pick up all meeting materials, including badges, special session tickets and conference program book. On-site registration and individual ticket purchases will end at 2:00 pm on Thursday, August 2.

NOTE: “GUESTS” are defined as Non-Nurses. A RN/LPN/LVN cannot register as a guest. Guest registration includes sessions open to the public, conference institutes and workshops, refreshment breaks, exhibits, special activities, scheduled receptions, President’s Gala, and Sunday Brunch. Guests are considered FULL conference attendees. Ticket purchases are available to all interested parties and are restricted to the event indicated.

FIRST TIME ATTENDEESWelcome! if you are a new member or this is your first time attending the conference, this is the session for you. Learn more about NBNA and how to make the most of your attendance at the conference. It is all about networking, continuing education, and meeting new friends. You will also learn how to make the most of the exhibit hall experience, see what is new in nursing, meet the top health care providers in the country, and learn how you can earn your next degree at one of the finest nursing programs in the country. Bring your business cards and resume!

NBNA REGISTRATION PAYMENT AND CANCELLATION POLICYPayments by CHECK must be received in the NBNA office by Friday, June 15, 2018. NO CHECKS WILL BE ACCEPTED AFTER JUNE 16. Payments may be made by money order or credit card (MasterCard or VISA) ONLY. You may register on-line at NBNA.org until Friday, July 8. Should it become necessary for you to cancel your registration, WRITTEN notification must be received (not postmarked) by Friday, June 15. Refunds will be made 90 days following the conclusion of the NBNA Conference. A $50 administrative fee will be deducted from the total amount refunded. No request for refunds will be granted after Friday, June 8.

CONFERENCE INFORMATIONAll events will take place at the St. Louis Union Station Hotel, Curio Collection by Hilton.

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FIND OUT WHAT’S NEW ➞ https://www.nbna.org/files/NBNA-WHATS%20NEW%202018.pdf

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WHAT TO WEARThe attire for business sessions and educational sessions is business casual. Always bring a sweater or wrap, meeting rooms can be chilly. FRIDAY, AUGUST 3: show solidarity with women and heart health by wearing a red item of clothing or a red accessory. Please wear comfortable shoes.

PRE-CONFERENCE REGISTRATION TICKETING■ ALL members, guests, VIPS, honorees, awardees, exhibitors, speakers, sponsors,

spouses and children MUST have a ticket with a table assignment to attend the Gala.

■ CHAPTER TABLES will be designated based on the number of registered members and registered guests that have purchased tickets to the Gala by June 15, 2018.

■ GALA TICKETS with your table number will be included in the REGISTRATION PACKET of all Conference Attendees and Registered Guests. Individually purchased tickets will also be included in the packet of the Registered Attendee.

■ Individual ticket purchases to the President’s Gala MUST be purchased by June 15, 2018 AND the NBNA Member/Guest relationship must be clearly identified at time of purchase in order to guarantee appropriate seating.

■ Present your ticket at the door. NBNA Members and their guests will be guaranteed seating with their chapter if their registration form and payment are received in the National Office by June 15, 2018.

ON-SITE REGISTRATION TICKETING(REGISTRATIONS OR TICKETS PURCHASED AFTER JUNE 15)

■ Every attempt will be made to seat you with your chapter and accommodate your guests at the chapter table. After the June 15 deadline, seating will be assigned on a space availability basis.

■ ON-SITE ticket sales will end at 2 pm, THURSDAY, AUGUST 2.

■ For your convenience, a floor plan of the banquet seating will be on view prior to the day of the Gala. On the night of the Banquet, hostesses will have a list of each attendee’s table assignment.

■ There will be no refunds for individual banquet or brunch tickets after FRIDAY, JUNE 29.

■ There will be NO REFUND for banquet and brunch tickets that are included with your full registration.

PRESIDENT’S GALA & BRUNCH SEATING PROCEDURES■ Ticket sales at the conference (ON-SITE) will end at 2 pm on THURSDAY, AUGUST 2.

■ All members, guests, VIPS, honorees, awardees, exhibitors, speakers, sponsors, spouses, and children MUST have a Gala or Brunch Ticket. Reserved seating for Lifetime Members only, open seating for all other attendees at the Sunday Brunch.

■ Tickets will be collected at the door.

■ All tickets will be placed in your Registration Packet and will be available on-site at the REGISTRATION DESK.

CONFERENCE INFORMATIONAll events will take place at the St. Louis Union Station Hotel, Curio Collection by Hilton.

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Things to do in St. Louis www.explorestlouis.org

■ St. Louis Cardinals at Busch Stadium.

■ Take a 630-foot ride to the top of this world-famous stainless steel monument for the finest view in the Gateway City.

■ When you visit Six Flags St. Louis you can also see live shows and concerts, meet your favorite cartoon characters and have tons of fun in the sun at Hurricane Harbor Water Park.

■ The National Blues Museum explores the Blues and celebrates the genre as the foundation of all modern American music. The facility educates guests in an entertaining environment that includes high impact technology driven experiences, a state-of-the-art theater, artifact-driven exhibits and robust public programming. Plan your visit early.

And much more!

WelcometoSt.Louis,Missouri!

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46THNBNAANNUALINSTITUTEANDCONFERENCESCHEDULEAT-A-GLANCESUNDAY • JULY 29 9:00 am – 5:00 pm NBNA National Office

9:00 am – 5:00 pm Registration Office

1:00 pm – 5:00 pm Bag Stuffing

9:00 am – 1:00 pm Local Chapter Health Fair

TUESDAY, JULY 31 8:00 am – 5:00 pm NBNA National Office

8:00 am – 5:00 pm Registration Office

9:00 am – 1:00pm LOCAL CHApteR HeALtH FAIR: “empowering the Community through the Art and Science of Nursing” O’Fallon park Recreation Complex Facility 4343 W Florissant Ave., St. Louis, MO 63115

1:00 pm – 4:00 pm Board of Directors Meeting

3:00 pm – 7:00 pm Registration

4:00 pm – 5:00 pm Moderators and Monitors

5:00 pm – 7:00 pm Speaker Ready Room

WEDNESDAY • AUGUST 1 7:00 am – 5:00 pm Registration

7:30 am – 4:30 pm presidents Leadership Institute (Chapter presidents and Vice presidents)

7:30 am – 6:30 pm epeC training: education in palliative and end-of-Life Care Sponsored by: VItAS Healthcare / Pre-registration required

8:00 am – 5:00 pm NBNA National Office

8:00 am – 5:00 pm Speaker Ready Room

8:00 am – 5:00 pm Dr. Wallena Gould: Diversity Advanced practice Registered Nurses (CRNA, CNM and Np) Doctorate Symposium. to inform RNs, Nps, CRNAs, and CNMs

Pre-registration required

Click here to register for the diversity symposium: http://www.nbna.org/files/diversity%20symposium%20flyer.pdf

9:00 am – 12:00 pm American Red Cross Workshop: promoting Community Health through NBNA-Red Cross partnership / 3 Ces

10:00 am - 4:00 pm American Red Cross Blood Drive

1:00 pm – 4:00 pm Workshop

1:00 pm – 5:00 pm professional Writing Workshop. please bring a working manuscript and a laptop or tablet. / 4 Ces

2:00 pm - 4:00 pm Infectious Disease and environmental Health / 2 Ces

2:00 pm – 4:00 pm Global Health Workshop

3:30 pm – 5:00 pm Credentialing

4:00 pm – 5:00 pm New Members Orientation

4:00 pm – 5:00 pm Moderators and Monitors

4:30 pm – 5:30 pm Chapter Development

4:30 pm – 6:00 pm NBNA Under 40 Forum: NBNA Hitting a Homerun for Leadership! St. Louis Ball park Village. Sponsored by: VItAS Healthcare

7:00pm – 9:30pm “Forget Me Not” NBNA Fund Development Committee event. Sponsored by the African Americans Against Alzheimer’s /Tax-deductibleticket:$45

Click here to register for “Forget Me Not”: http://www.nbna.org/files/forget%20me%20not%20play%20form(3).pdf

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THURSDAY • AUGUST 2 / Last Day to PurChase eveNt tiCkets. No tickets will be sold after 2:00 pm.

6:00 am – 7:00 am exercise

6:30 am – 7:45 am Ce Breakfast Session. patient Management tools & Resources for Health Care professionals. Sponsored by: the American Heart Association

7:00 am – 4:00 pm Registration

8:00 am – 12:00 pm NBNA National Office

1:00 pm – 5:00 pm NBNA National Office

8:00 am – 10:00 am NBNA Business Meeting / Chartering of New Chapters

8:00 am – 5:00 pm Speaker Ready Room

10:00 am – 4:30 pm epeC training: education in palliative and end-of-Life Care 10 Ces (must attend BOtH sessions: 8/1 & 8/2) Sponsored by: VItAS Healthcare / Pre-registration required

10:30 am – 12:30 pm plenary Session I: “Building a Culture of Health” Sponsored by: Cedars Sinai Health System, CVS Healthcare and Correct Care Solutions

1:00 pm – 5:00 pm eXHIBIt HALL GRAND OpeNING

2:00 pm – 4:00 pm LpN / LVN Forum

2:00 pm – 3:00 pm Innovation theater / 1 Ce

2:00 pm – 4:00 pm LpN / LVN Forum

3:00 pm – 5:00 pm Uniformed Services Forum, Federal Service Nursing Council

4:00 pm – 5:00 pm NBNA Choir Rehearsal

5:30 pm – 6:00 pm Chapter Line-up

6:00 pm – 8:00 pm Opening Ceremony / Keynote Address / enjoy your evening!

FRIDAY • AUGUST 3 / RED DRESS DAY! 6:00 am – 7:00 am exercise

6:30 am – 7:45 am Non-CeU Breakfasts: Zimmer Biomet Abbott Nutrition

7:00 am – 4:00 pm Registration

7:30 am – 4:00 pm NBNA Summer Youth enrichment Institute

8:00 am – 12:00 pm emerging Leaders Forum. (Must be registered as a student for the conference.)

8:00 am – 12:00 pm Founders Leadership Institute “Mentorship Across the profession: the Development of a Leader Over a Lifetime”

8:00 am – 12:00 pm 2018 INStItUteS 1. Brain Health Institute 2. Children in trouble: prevention and treatment 3. Diabetes Institute 4. Heart Health Institute 5. progress and Growth in Nursing Institute 6. Social Determinants of Health: What it Means to African Americans

8:00 am – 5:00 pm NBNA National Office

8:00 am – 5:00 pm Speaker Ready Room

10:00 am – 12:30 pm exhibit Hall / NBNA Career Fair

11:00 am – 12:00 pm CeU Innovation theater

12:30 pm – 2:30 pm NBNA Luncheon and Awards Ceremony / Keynote Address by Gilead Sciences, presentation of the 40 and Under Awards. Sponsored by Gilead Sciences

FRee to all attendees. Confirm attendance.

2:30 pm – 3:30 pm Innovation theater: Sponsored by pfizer, Inc.

2:30 pm – 4:30 pm exhibit Hall / NBNA Career Fair

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3:30 pm – 4:30 pm plenary II

4:30 pm – 6:00 pm NBNA Under Forty Forum / Sponsored by: VItAS Healthcare

4:30 pm – 6:30 pm NBNA Choir Rehearsal

6:00 pm – 9:30 pm Reclaiming Our Story: exhibit & Movie Screening of the Henrietta Lacks Story.

Sponsored by Susan G. Komen. FRee to all attendees. Confirm attendance.

SATURDAY • AUGUST 4 6:00 am – 7:00 am exercise

6:30 am – 7:45 am CeU Breakfast: “Using evidence-Based practice to Create A Culture of Health for Nursing in the Workplace”

Sponsored by the Ohio State University School of Nursing

6:30 am – 7:45 am CeU Breakfast: “Resilience: the New Measure of Health” Sponsored by Advances in Holistic Nursing Nurse and Health coaches are licensed health professionals who assist individuals and

groups in realizing their full health potential. Both nurse coaches and health coaches coach their clients in all practice areas throughout the community.

RNs can sit for national board certification as a Nurse Coach through AHNCC. 1 Ce

8:00 am – 10:00 am WORKSHOpS 1. Cancer in the 21st Century, Where are We Now? 2. Genetics/Genome 3. Men’s Health 4. Mental Health 5. professional trends and Issues in Nursing 6. patient and provider Safety

8:00 am – 3:00 pm Registration

8:00 am – 5:00 pm NBNA National Office

8:00 am – 5:00 pm Speaker Ready Room

8:00 am – 10:00 am NBNA Chapter Awards / Membership Awards / Scholarship presentations

10:30 am – 11:30 pm Innovation theater, Ce Sponsored by Stevenson Law Firm, pC

11:00 am – 1:00 pm exhibit Hall

12:30 pm – 1:00 pm exhibit Hall / Grand Raffle

1:00 pm – 4:00 pm Breast Cancer Screen practicum / pre-registration required

3:30 pm – 4:30 pm NBNA Choir Rehearsal

6:00 pm – 7:00 pm Lifetime Member photos

7:00 pm – 10:00 pm the NBNA president’s Gala

presentation of Lifetime Achievement and trailblazer Awards

SUNDAY • AUGUST 5 7:30 am – 9:30 am NBNA ecumenical Service

10:00 am – 12:00 pm Brunch and Closing Session presentation of the Life time Membership Awards Installation of New Board Members and Nominations Committee Members Candidates Forum

12:00 pm – 12:30 pm Members Speak / Grand Ballroom

12:00 pm – 1:00 pm post Conference Board Meeting

FRIDAY • AUGUST 3 continued

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1. REGISTRATIONINFORMATION (SPEAKERS, ExhibitoRS & SPonSoRS Do not uSE thiS foRm)

PleasePRINTCLEARLYortype.Oneregistrationperform.Copyformformultipleregistrations.

NAME __________________________________________________________CREDENTIALS _______________________ FIRST MIDDLE LAST MUST PROVIDE

ADDRESS ___________________________________________________________________________________________

CITY ______________________________________________________ STATE _______ ZIP _______________________

WORK PHONE (_______) _______________________HOME/CELL PHONE (_______) ____________________________

FAx _________________________________________E-MAIL ________________________________________________

NAME OF CHAPTER (REQUIRED INFO): __________________________________________________________________

EMERGENCY CONTACT NAME: _________________________________________________________________________

PHONE _____________________________________________________________________________________________

q I AM A DIRECT MEMBER (do not belong to a chapter) NUMBER OF VEGETARIAN MEALS REQUIRED: ________

ARE YOU UNDER AGE 40? ❍  YES ❍  NO ARE YOU A NURSE PRACTITIONER? ❍  YES ❍  NO

MEMBER EARLY BIRD PRE-CON ON SITE THRU3/31/18 4/1-6/15/18 AFTER6/15/18

RN/LPN/LVN $425 $500 $625

Student (NON-Licensed) $280 $330 $455

Retired $350 $425 $550 SUB-TOTAL$_____________

INCLUDES (1) Gala ticket (1) brunch & closing session ticket (1) general raffle ticket

(1) CEU program, business meeting (MEMBERS ONLY) (1) Passport raffle ticket

q I AM A NEW MEMBER q THIS IS MY FIRST NBNA CONFERENCE

NON-MEMBER EARLY BIRD PRE-CON ON SITE THRU3/31/18 4/1-6/15/18 AFTER6/15/18

RN/LPN/LVN $600 $675 $825

Student (NON-Licensed) $355 $405 $555

Retired $425 $520 $600 SUB-TOTAL$_____________

INCLUDES (1) Gala ticket (1) brunch & closing session ticket (1) general raffle ticket (1) CEU program (1) Passport raffle ticket

2.REGISTRATIONFEES(PLEASECIRCLETHEAPPROPRIATEFEES)

PAGE 1. NAME: _____________________________________ PHONE: _____________________________

ReGIStRAtION FORM pAGe 1

1. ON-LINEATwww.NBNA.org2. MAILyourcompletedformwithpaymentto: NBNA/Registration 8630FentonStreet,Suite910 Silver Spring, Md 209103. Byfax301-589-3223

(Please allow two weeks for check processing)

▼ THERE ARE 3 WAYS TO REGISTER:

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NON-NURSEADULTS:

________________________________________________

________________________________________________

Address: ________________________________________

________________________________________________ (IF DIFFERENT FROM REGISTRANT’S)

CHILDREN:

_________________________________ (age) __________

_________________________________ (age) __________

_________________________________ (age) __________

_________________________________ (age) __________

3.GUESTREGISTRATION*

5.PAYMENTINFORMATION(NBNAACCEPTSONLYMASTERCARDANDVISACREDITCARDS.)

q Check Enclosed q Check has been requested/ PO# ______________ q Money Order q MasterCard q VISA

AMOUNT ENCLOSEd $ ____________________ (SUB-TOTALS FROM 2, 4 & 5)

Credit Card # _________________________________________________ Exp. Date: ______ Sec. Code: _____________

Cardholder Name (please type or print): __________________________________________________________________

Billing Address _______________________________________________________________________________________

____________________________________________________________________________________________________

Signature ___________________________________________________________________________________________(ALLOW 2 WEEKS PROCESSING TIME IF PAYING BY CHECK)

4.PURCHASEADDITIONALBANQUET,BRUNCHORAWARDSCEREMONYANDLUNCHEONTICKETS

Banquet&BrunchticketsareNOT refundable after FRIdAy JUNE 29, 2018.

q PRESIDENT’S GALA & BANQUET AUG.4 $125 ea x No. of tickets _____ SUB-TOTAL$__________

q BRUNCH & CLOSING SESSION AUG.5 $85 ea x No. of tickets _____ SUB-TOTAL$__________

#OFGUESTS: _________X$275= ____________SUB-TOTAL

* NON-NURSE GUEST(S) REGISTRATION (ADULTS OR CHILDREN) $275 EACH.

REGISTRATION INCLUDES: EDUCATIONAL SESSIONS OPEN TO THE PUBLIC, ExHIBIT AREA,

PRESIDENT’S BANQUET, AND SUNDAY BRUNCH.

NOREQUESTFORREFUNDSWILLBEGRANTEDAFTERJUNE15,2018.

ReGIStRAtION FORM pAGe 2PAGE 3. NAME: _____________________________________ PHONE: _____________________________

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Special Sessions Registration Form • Monitor & Moderators Sign-Upnote: Do not submit this form unless you have alreaDy registereD for the conference.

name ____________________________________________________ organization/chapter _______________________________

phone _____________________________________email ____________________________________________________________

q YES. I am registered for the conference. I am registering for the following sessions (include event number & title, see pages 2 & 3):

1. ______________________________________________________________________________________________________________________

2. ______________________________________________________________________________________________________________________

3. ______________________________________________________________________________________________________________________

4. ______________________________________________________________________________________________________________________

5. ______________________________________________________________________________________________________________________

6. ______________________________________________________________________________________________________________________

7. ______________________________________________________________________________________________________________________

8. ______________________________________________________________________________________________________________________

9. ______________________________________________________________________________________________________________________

10. _____________________________________________________________________________________________________________________

11. _____________________________________________________________________________________________________________________

12 _____________________________________________________________________________________________________________________

Would you like to serve as a session Monitor or session Moderator? Please review the workshops and institutes listed, select up to 3 sessions you are willing to facilitate. Assignments will be in the order of which they are received. PleAse Include event nuMBeR And tItle:

SESSION MONITOR: Responsible for checking attendees in and out of the session, received completed evaluation form in exchange for the certificate of attendance, follow all of the guidelines set out by the credentialing body. Return excess materials to the national office.

1. ______________________________________________________________________________________________________________________

2. ______________________________________________________________________________________________________________________

3. ______________________________________________________________________________________________________________________

SESSION MODERATOR: Responsible for welcoming the speakers, introducing the speaker before their presentation, maintain the start and end times as indicated on the speaker line-up in your packet. conclude the workshop or institute with in the allotted time.

1. ______________________________________________________________________________________________________________________

2. ______________________________________________________________________________________________________________________

3. ______________________________________________________________________________________________________________________

EMAIL TO: NBNAMEMBERSHIP@NBNA.ORG OR SCAN AND FAX TO: 301-589-3223

Note: items with this symbol: ✔ require pre-registration even if you are registered for the conference.

items with this symbol: need Monitors. items with this symbol: need Moderators

the 46th Annual Institute and Conference of the National Black Nurses Association, Inc. The Art & Science of Nursing

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6. 9:00am – 12:00pm American Red Cross Workshop, Promoting Community Health Through NBNA-Red Cross Partnership

3 CEs ✔

7. 10:00am - 4:00pm American Red Cross Blood Drive ✔

8. 2:00pm - 4:00pm Infectious Disease and Environmental Health 2 CEs ✔

9. 2:00pm – 4:00pm Global Health Workshop ✔

10. 1:00pm – 5:00pm Professional Writing Workshop. Please bring a working manuscript and a laptop or tablet.

4 CEs ✔

11. 4:30pm – 6:00pm NBNA Under 40 Forum: NBNA Hitting a Homerun for Leadership! St. Louis Ball Park Village. Sponsored by: VITAS Healthcare

✔

12. 7:00pm – 9:30pm “Forget Me Not” NBNA Fund Development Committee Event. Sponsored by the African Americans Against Alzheimer’s

Tax-deductible ticket: $45

THURSDAY, AUGUST 2 Last Day to Purchase EventTickets. No tickets will be sold after 2 pm.

13. 6:30am – 7:45am CE Breakfast Session. Patient Management Tools & Resources for Health Care Professionals. Sponsored by: The American Heart Association

✔

14. 10:00am – 4:30pm EPEC Training: Education in Palliative and End-of-Life Care Sponsored by: VITAS Healthcare

10 CEs (must attend BOTH sessions: 8/1 & 8/2)

✔

15. 10:30am – 12:30pm Plenary Session I, “Building a Culture of Health” Sponsored by: Cedars Sinai Health System, CVS Healthcare and Correct Care Solutions

16. 2:00pm – 3:00pm Innovation Theater 1 CE ✔

17. 2:00pm – 4:00pm LPN / LVN Forum ✔

18. 3:00pm – 5:00pm Uniformed Services Forum, Federal Service Nursing Council ✔

WEDNESDAY, AUGUST 1 3. 7:30am – 4:30pm Presidents Leadership Institute (Chapter Presidents and Vice Presidents) CEs will be awarded ✔

4. 7:30am – 6:30pm EPEC Training: Education in Palliative and End-of-Life Care. Sponsored by: VITAS Healthcare.

10 CEs (must attend BOTH sessions: 8/1 & 8/2)

✔

5. 8:00am – 5:00pm DR. WALLENA GOULD: Diversity Advanced Practice Registered Nurses (CRNA, CNM and NP) Doctorate Symposium. To inform RNs, NPs, CRNAs, and CNMs how to pursue the appropriate doctoral degree for their career trajectory.

8 hours, Class A & BCredits for CRNA attendees

Fee: $50

✔

Click here to register for the diversity symposium ☛ http://www.nbna.org/files/diversity%20symposium%20flyer.pdf

Click here to register for “Forget Me Not” ☛ http://www.nbna.org/files/forget%20me%20not%20play%20form(3).pdf

TUESDAY, JULY 312. 9:00am – 1:00pm LOCAL CHAPTER HEALTH FAIR:

“Empowering the Community through the Art and Science of Nursing”O’Fallon Park Recreation Complex Facility4343 W Florissant Avenue, St. Louis, MO 63115

✔

SUNDAY, JULY 29

1. 1:00pm – 5:00pm Bag Stuffing

# tiMe eveNt Ces / Cost PRE-REG.

Note: items with this symbol: ✔ require pre-registration.

items with this symbol: need Monitors. items with this symbol: need Moderators

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SATURDAY, AUGUST 4

29. 6:30am – 7:45 am CEU Breakfast: “Using Evidence-Based Practice to Create A Culture of Health for Nursing in the Workplace” Sponsored by Ohio State University School of Nursing

✔

30. 6:30am – 7:45 am CEU Breakfast: “Resilience: The New Measure of Health”Sponsored by Advances in Holistic NursingNurse and Health coaches are licensed health professionals who assist individuals and groups in realizing their full health potential. Both nurse coaches and health coaches coach their clients in all practice areas throughout the community. RNs can sit for national board certification as a Nurse Coach through AHNCC.

1 CE ✔

31. 8:00am – 10:00am WORKSHOPS / 7 Concurrent Workshops1. Cancer in the 21st Century, Where are We Now? 2. Genetics/Genome 3. Men’s Health 4. Mental Health 5. Professional Trends and Issues in Nursing 6. Patient and Provider Safety

NOTE:Monitors & Moderators required for

EACH session.

32. 10:30am – 11:30pm Innovation Theater. Sponsored by Stevenson Law Firm, PC

✔

33. 1:00pm – 4:00pm Breast Cancer Screen Practicum ✔

FRIDAY, AUGUST 3 / RED DRESS DAY!

19. 6:30am – 7:45 am Non-CEU Breakfasts 18A. Zimmer Biomet 18B. Abbott Nutrition

✔

20. 7:30am – 4:00pm NBNA Summer Youth Enrichment Institute ✔

21. 8:00am – 12:00pm Emerging Leaders ForumAttendee must be registered as a student for the conference.

✔

22. 8:00am – 12:00pm Founders Leadership Institute “Mentorship Across the Profession: The Development of a Leader Over a Lifetime”

✔

23. 8:00am – 12:00pm 2018 INSTITUTES / 6 Concurrent Institutes1. Brain Health Institute 2. Children in Trouble: Prevention and Treatment 3. Diabetes Institute 4. Heart Health Institute 5. Progress and Growth in Nursing Institute 6. Social Determinants of Health: What it Means to African Americans

NOTE:Monitors & Moderators required for

EACH session.

24. 11:00am – 12:00pm CEU Innovation Theater Career Fair

25. 12:30pm – 2:30pm NBNA Luncheon and Awards Ceremony / Keynote Address by Gilead Sciences, Presentation of the 40 and Under Awards. Sponsored by Gilead Sciences

FREE to all attendees.

Confirm attendance. ✔

26. 2:30pm – 3:30pm Innovation Theater: Sponsored by Pfizer, Inc.

27. 3:30pm – 4:30pm Plenary II

28. 6:00 - 9:30pm Reclaiming Our Story: Exhibit & Movie Screening of the Henrietta Lacks Story. Sponsored by Susan G. Komen

FREE to all attendees.

Confirm attendance. ✔

Note: items with this symbol: ✔ require pre-registration.

items with this symbol: need Monitors. items with this symbol: need Moderators

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1. Sessions start on time.

2. You will receive your CEU certificate upon completion of the class in its entirety and by submitting an evaluation form. The evaluation form is provided to you at the BEGINNING of the class.

3. Ifyouarrivemorethan15 MINUTES after the start of the sessions, you will NOTreceiveaCEUcertificate.

4. If you arrive more than 15 minutes after the start of the sessions, you CAN receive a CERTIFICATE OF ATTENDANCE.

5. You must stay in the room during the entire session in order to receive your CEU or CERTIFICATE OF ATTENDANCE.

6. You cannot switch sessions.

7. You cannot receive a certificate for less than the hours scheduled.

8. If you do not get the CEU certificate on the day of the session, you will not get a certificate. You cannot come the next day to pick up your certificate. You must stay the entire time to receive CEUs.

9. The NBNA National Office does NOT have CEU evaluation forms or CEU certificates. Obtain them from the Cedars Sinai Department of Nursing staff who are on site at the NBNA Conference.

10. There are no CEUs for Opening Ceremony.

11. Treat NBNA staff, paid support staff, volunteers, sponsors, exhibitors and hotel staff with respect.

12. Bring your business card and resume to share with sponsors, exhibitors and speakers.

13. The attire is business casual.

14. Do not place your CEU certificate in your conference book or bag.

15.IfyouareanexhibitorandalsoamemberofNBNA,youmustpaytheconference registration fee if you wish to attend the NBNA Business Meeting.

16. IfyouareaspeakerandalsoamemberofNBNA,youmustpaythespeaker registration fee if you wish to attend the NBNA Business Meeting.

IMPORTANT INFORMATIONNBNA Rules of Engagement at the NBNA Institute and Conference