CRNA Educational Conference Registration Form

SAS CRNA Educational Conference Registration

Please fill in the form below. Once registration is completed, you will receive an email with instructions on how to access your program within 24 hours from our program director at customerservice@sascrna.com. Thank you for your patronage!
Full Name*

First NameLast Name
Title
Email*
personal email recommended
Certification/AANA Number*
This is located on your NBCRNA card. In order to record your credits accurately and promptly please double check your response is accurate
Address*

Street Address

Additional information [ Apt no. etc., ]

CityState

Zip Code
Employer
Town and name of facility
Please note that this option DOES NOT HAVE A POST TEST.

It is self directed with an assigned moderator per the

AANA PDIS program requirements.

SHOULD YOUR EMPLOYER REQUIRE A POST TEST FOR CE COURSES YOU NEED TO GO TO OUR ON DEMAND PLATFORM @ https://sasllc.ksucrna.com/ and purchase your program rather than complete this registration form.
Phone Number*

Area CodePhone Number
How did you hear about us?*
Who referred you?
We reward referrals! Tell us who and we will thank them!
Military 20% Discount! Enter the coupon code MILITARY in the coupon code section above!
Thank you for your service! Please enter Branch and rank for discount.
Coupon Codes:

Please enter Coupon code above if we have issued one to you. If you are a member of the military, enter code MILITARY and note details below.

My Products

Conference Registration *20 per credit$20.00

Step 1: Select number of courses hours you desire. We have 100 CE hours available at this time. If you would like all 107 please indicate 107 in box below and there is no need to select courses below :)

Quantity

Please include Core Modules in my program!$60.00

SAS is an NBCRNA approved core module provider. You can add the module to your create your own conference week or purchase now and access at your convenience! If you select the bundle, we have marked the price down 30% for you! Work at your own pace. Modules available for access through approval dates. Airway module [1.5CE] & Equipment/ tech [3CE] available immediately. The remaining modules are under production and will be submitted for NBCRNA approval in 2023.

Core Module options	Quantity	Price
Individual core module: Airway Management Module 1.5CE		$60.00
Individual core module: Anesthesia Equip & Tech Module 3CE		$90.00

CE subscription plan$1.00

Need to purchase a plan you can access at anytime? This plan allows you to PREPAY with your CE funds and apply toward any Summit Anesthesia program whenever you are ready. Your credits NEVER expire!

Value in dollars that you would like to prepurchase

Enter coupon

Total $0.00

Credit Card

Courses are valued at 1 Class A CE unless otherwise noted.
llStep 2. If you would like to build your own conference, please Select your courses from the list. Courses are 1 Class A CE unless noted otherwise. Make sure you select the quantity above so final amount due is accurate. Note the name of presenter next to the title

Course #1 A&P of Surgical Pain [Baribeault]Course #2 Acid Base Management [Azam]Course #3 Anesthesia in the highly opioid tolerant patient [Baribeault]Course #4 Anesthesia in Interventional Radiology [Velocci]Course #5 Anesthesia for the Morbidly Obese [Sullivan]Course #6 Anesthesia and OB Complications [Debroeck]Course #7 Anesthesia for the Breastfeeding Patient [Sullivan]Course #8 Anesthesia for Cancer Surgery: Impact on Reoccurrence [Dunworth]Course #9 Anesthesia in the Mass Casualty Setting [Debroeck]Course #10 Patient Positioning: Real or Perceived Problem?Course #11 Barriers in Independent CRNA Practice [Collins]Course #12 BIS Monitoring Technology [Mahoney]Course #13 Brachial Plexus Blocks [DeBroeck]Course #14 Basic Pediatric Review [Massie]Course #15 Cardiac Pharmacology [Massie]Course #16 Covid-19 and Deep MAC Sedation [Gordon]Course #17 CPC Core Cycle: Roadmap to Success [Sullivan]Course #18 CRNA Scope of Practice [Debroeck]Course #19 Dashboard, Metrics and Improving Outcomes [Strube]Course #20 Dogma, Traditions: What is the Evidence? [Strube]Course #21 E-Cigarettes, Vaping and Anesthesia [Gordon]Course #22 Healthcare Economics [Massie]Course #23 Emotional Intelligence in the Clinical Setting [Massie]Course #24 Endoscopy Suite Anesthesia [Gordon]Course #25 Enhanced Recovery After Surgery (ERAS) Protocols [Dunworth]Course #26 Enhanced Recovery After Surgery (ERAS) Pharmacology [Strube]Course #27 Ethical Decisions in Anesthesia [DeBroeck]Course #28 Fascial Plane Nerve Blocks [Baribeault]Course #29 Fatigue in Anesthesia [Tomas]Course #30 Fluid Management [Baribeault]Course #31 Forensics of Anesthesia: What Went Wrong? [Strube]Course #32 Gadgets, Gizmos and Trivial Things That Impact Patient Care [Strube]Course #33 Geriatrics: Postoperative Cognitive Dysfunction [Berry]Course #34 Health & Wellness: Taking Care of Ourselves [Baker]Course #35 Healthcare Informatics [Sullivan]Course #36 Massive Blood Transfusions [Collins]Course #37 Herbal Medications and Anesthesia [Strube]Course #38 History of Trauma Resuscitation [Davis]Course #39 Hot Topics in Anesthesia: Respiratory Issues [Berry]Course #40 Illegal Drugs and Impact on Anesthesia [Strube]Course #41 Clinical ConundrumsCourse #42 Incivility in the OR [Bennett]Course #43 Independent CRNA Practice [DeBroeck]Course #44 Ketamine Recipes [DeBroeck]Course #45 Killing me Softly: Caregiver "Compassion Fatigue" PTSD & Vicarious Trauma [Traut]Course #46 Emotional Intelligence [Berry]Course #47 Legal Implications of Nurse Anesthesia [Tomas]Course #48 Liposuction Procedure Anesthesia [Sullivan]Course #49 Local Anesthetics and LAST [Sullivan]Course #50 Local Anesthetic Toxicity [Baribeault]Course #51 Lower Extremity Block [Debroeck]Course #52 Malignant Hyperthermia Planning in Outpatient Center [Gordon]Course #53 Maternal Mortality & Morbidity [Collins]Course #54 Medical Marijuana/CBD Oil: Anesthetic Implications [Tomas]Course #55 Neuraxial Anesthesia in OB suite [Borza]Course #56 Neuromuscular Junction, Neuromuscular Blocking Agents and Nerve Stimulator Review [Sullivan]Course #57 Neuroprotection [Lindstrom]Course #58 Obstructive Sleep Apnea Trends and Treatments [Gordon]Course #59 Office Based Anesthesia [Cooper]Course #60 Offsite Anesthesia [Sullivan]Course #61 Opioid Free Anesthesia [Baribeault]Course #62 Opioid Free Anesthesia: Are We Crazy or Bold? [Strube]Course #63 Opioid Free Anesthesia [Sullivan]Course #64 Opioid Free Anesthesia in Bariatrics [Collins]Course #65 Opioid Sparing Anesthesia for Obstetric Surgery [Collins]Course #66 Patient Selection for Outpatient Surgery and Anesthesia [Sullivan]Course #67 Pediatric Airway Management [Massie]Course #68 Pediatrics for Non-Ped providers [Strube]Course #69 Pediatric Update [Massie]Course #70 Pharmacogenetics and Personalized Anesthesia Care [Strube]Course #71 So You Want to Be Independent: W2 versus 1099 Contracting [Hoeman]Course #72 Postoperative Pulmonary Complications: Anesthetic Strategies for Avoidance [Herman]Course #73 Postpartum Hemorrhage and Tranexamic Acid [Collins]Course #74 Promotion of Minority Representation and Inclusion in Advanced Practice Nursing Specialties [Adams-Strong]Course #75 Providing Culturally Sensitive Care to Transgender Individuals [Gordon]Course #76 Procoagulants [Swedeen]Course #77 Virtual Reality in Anesthesia & the Future of Anesthesia [Stallo]Course #78 PTSD: Anesthetic Recommendations [Strube]Course #79 Qualitative vs Quantitative Nerve Monitoring [Dunworth]Course #80 Radiation Safety for the Healthcare Worker [Sullivan]Course #81 Recognition and Management of Amniotic Fluid Embolism [Collins]Course #82 Remote Anesthesia [Strube]Course #83 Risk Management in Anesthesia [Sullivan]Course #84 Risk Management: How the Work Environment Influences Outcomes [Tomas]Course #85 Safety Era, Challenges and Pitfalls [Strube]Course #86 Constructive Feedback in the Clinical Setting [Massie]Course #87 Team STEPPS [Bennett]Course #88 Tomorrow's Pharmacology and Beyond [Strube]Course #89 Trauma Update [Massie]Course #90 Ultrasound Basics [Baribeault]Course #91 Ultrasound: The Very, Very, Very Basics [DeBroeck]Course #92 "Value vs. Volume" in Healthcare [Berry]Course #93 Ventilation in the OR [Haffey}Course #94 Pacemakers, ICD & Lead Extactions [Olinsky]Course #95 ENT Anesthesia [Haffey]Course #96 Postoperative Cognitive Dysfunction [Haffey]Course #97 CRNA: Professional or Just a Profession? [Haffey]Course #98 Pediatric Ambulatory Surgery [Haffey]Course #99 Anesthesia for the Watchman Procedure [Kay]Course #100 OB Anesthesia [Ranalli]Course #101 Difficult Airway [Debroeck]Course #102 Ambulatory Surgery Update [Massie]Course #103 Antidotes, Syndromes, Challenges & Treatments [Strube]Course #104 Obstructive Airway Disease and Anesthesia [Debroeck]Course #105 Covid-19 Disease Course and Implications in the Pediatric Population [Massie]Course #106 Advanced OB Anesthetic Techiques [Baribeault]Course #107 Clinical Challenges: Substance Use Disorder [Ranalli]Course #108 Coagulation & Trauma [Collins]Course #109 Enhanced Recovery after Anesthesia (ERAS) & Goal directed Fluid Therapy [Ranalli]Course #110 Catch Me if You Can: Impaired Provider [Garcia]Course #111 Leadership: For Folks with and without Titles [Berry]Course #112 Difficult Airway: Interpretation of 2022 Difficult Airway GuidelinesCourse #113 Neuromuscular Blockade and Residual Paralysis [Ranalli]Course #114 Nondelivery Surgery for the Pregnant Patient [Ranalli]Course #115 Renal System and Diuretics Review [Tomas]Course #116 Heart Failure and Valvular Diseases [Shields]Course #117 Thoracic and Abdominal Fascial Plane Blocks [Collins]Course #118 Outpatient Gastroanesthesia [Stoeber]
How would you like your custom program delivered to you?*

Google Drive link (released via email within 24 hours)USB drive mailed to me (allow for 5-7 day delivery time)
Would you like a custom brochure as part of your program for 1099 tax expense purposes? If yes, note 2 day minimum (10 CE required) for US and 4 day minimum for international. *
Conference start date for brochure

MonthDayYear
Date
Conference end date for brochure

MonthDayYear
Date
Any requests/comments for our staff to add to brochure? Location and dates are common responses. *
If you have selected a core module as part of your purchase today, would you like that added to your program brochure?*

Yes, please add the modules I purchased to my program brochure [Airway valued at 1.5Class A CE and Equipment/tech module valued at 3Class A CE] are available at this time for immediate access.No. I do not want the core module(s) I purchased listed on the brochure. I will access them at another timeI did not purchase core modules, this does not apply to me
Acknowledgment statement*

By clicking this acknowledgement box, you are aware our staff will contact you if adjustments are required prior to program release, specifically if the 5CE per day for destination brochure request is not met.I am not requesting a destination brochure, this rule does not apply to me
Did you choose a quantity for purchase? if not your program release will be delayed and an invoice issued*

yes. the correct amount is selected and reflected in my balance due
Did you make your course selections for your "create your own" conference? See step 2 above*

yes, please continue with my registration
Conference registration is NOT COMPLETE until payment is submitted.

You will be redirected to PayPal for completion of payment. You can pay with any major credit card. PayPal membership is NOT REQUIRED. Just choose the pay with credit card option.
Should be Empty:

SAS CRNA Educational Conference Registration

Credit Card