You are on page 1of 19

AUT

MemorialHospital
UNIVERSITYOF COLORADOHEALTH

DECLARATIONOFBLSCERTIFICATION

Participant'sName ^0r^Qvxe fcfeW


MHUCHID#
ClassDate:

1/13/15

ExpirationDate: 1/31/17

Atthecompletionofthiscoursetheaforementionedindividualhassuccessfully
demonstratedthecognitiveandpsychomotorskillsin1and2personAdult,Child,
InfantCPRwithForeign BodyAirwayObstruction,anduseofanAEDwhichisrequired
forcourseproficiencyintheAmericanHeartAssociation'sBasicLifeSupportfor
HealthcareProvidersCourse2010AHAguidelinescurriculum.ForAACNpurposes,this
isequalto8"categoryA"CERPcreditsforCCRN.

IstvanJHfipszky,EMTI
'anJHu
AHAKegionalFaculty
ARes

gmT

Foster,Monique
From:
Sent:
To:
Subject:

^0.^ lAsf)

ConnieMunson<connie.munson@Ochealth.org>
Friday,December26,201411:36AM
Foster,Monique

UniversityofColoradoHealthCustomerReceipt/PurchaseConfirmation

Thankyouforyourorder!
Order(ntorniation
Merchant:

UniversityofColoradoHealth

Description:

MemorialHospitalBLS(CPR)fortheHealthCareProviderClass

InvoiceNumber: 9FqxIQvfsQ2x5RJEld5G
BillingInformation

ShippingInformation

MoniqueLemoiFoster
2485HaystackDr
ColoradoSPrings,Colorado80922
moniaue.foster@childrenscolorado.org
7608461864

MoniqueLemoiFoster
2485HaystackDr
ColoradoSPrings,Colorado80922

Item

Description

MH40007223 Payment

Qty

Taxable

UnitPrice ItemTotal

US$50.00 US$50.00

MemorialHospitalBLS(CPR)fortheHealthCareProvider Class

Total: US$50.00

Date/Time:

26Dec201410:36:00PST

TransactionID:

6788212220

ContinuingNursingEducation

VerificationofSuccessfulCompletion

Children'sHospitalColorado

r
,ifl
RHT

2b5%H5

GrandRoundsColoradoSprings
PediatricOrthopaedicsinaDevelopingWorld
June17,2014
Children'sHospitalColorado
hasattendedandiscreditedwithcompleting1contacthour
Children'sHospitalColoradoisanapprovedproviderofcontinuingnursingeducation
bytheColoradoNursesAssociation,anaccreditedapproverbythe
AmericanNursesCredentialingCenter'sCommissiononAccreditation.
ProviderNumberCHC1116;ExpirationNovember30,2016

KathleenBradley,DNPRNNEABC
Director,ProfessionalDevelopmentDepartment
Children'sHospitalColoradoislocatedat13123East16thAvenueinAurora,Colorado80045

Page1of1

Children'sHospitalAssociationCECertificate

CHiLOfJEN'S

HOSiHTAl

MoniqueFoster
2485HaystackDr
ColoradoSprings,CO80922
License#2654665
Hascompletedacourseofinstructionin

Precepting:PreceptorRolesand
Responsibilities
1.1
ContactHoursEarned

March12,2015
Date

JenniferWilson,MS,BSN,NNPBC
LeadNursePlanner,Children'sHospitalAssociation
6803W.64thStreet,ShawneeMission,KS66202
(913)2621436
Children'sHospitalAssociationisaccreditedasaproviderof
continuingnursingeducationbytheAmericanNurses
CredentialingCenter'sCommissiononAccreditation.

http://secure.chexweb.com/reach/library/kp/cne/certificate/00005.asp?cdate=3/12/20153:2... 3/12/2015

Page1of1

Children'sHospitalAssociationCECertificate

MoniqueFoster
2485HaystackDr
ColoradoSpring,CO80922
License#2654665
Hascompletedacourseofinstructionin

NewbornMetabolicDisorders
0.8
ContactHoursEarned

March17,2015
Date

LeadNursePlanner,Children'sHospitalAssociation
6803W.64thStreet,ShawneeMission,KS66202
(913)2621436
Children'sHospitalAssociationisaccreditedasaproviderof
continuingnursingeducationbytheAmericanNurses
CredentialingCenter'sCommissiononAccreditation.

http://secure.chexweb.com/reacMibrary/kp/cne/certificate/00005.asp?cdate=3/17/20152:3... 3/17/2015

Page1of1

Children'sHospitalAssociationCECertificate

MoniqueFoster
2485Haystackdr
ColoradoSprings,CO80922
License#2654665
Hascompletedacourseofinstructionin

BasicMedicationCalculation
1.4
ContactHoursEarned

March17,2015
Date

LeadNursePlanner,Children'sHospitalAssociation
6803W.64thStreet,ShawneeMission,KS66202
(913)2621436
Children'sHospitalAssociationisaccreditedasaproviderof
continuingnursingeducationbytheAmericanNurses
CredentialingCenter'sCommissiononAccreditation.

http://secure.chexweb.com/reach/library/kp/cne/certificate/00005.asp?cdate=3/17/20154:1... 3/17/2015

Page1of1

Children'sHospitalAssociationCECertificate

MoniqueFoster
6364CouncilPointApt303
ColoradoSprings,CO80923
License#2654665
Hascompletedacourseofinstructionin

Coaching
0.7
ContactHoursEarned

May13,2015
Date

JenniferWilson,MS,BSN,NNPBC
LeadNursePlanner,Children'sHospitalAssociation
6803W.64thStreet,ShawneeMission,KS66202
(913)2621436
Children'sHospitalAssociationisaccreditedasaproviderof
continuingnursingeducationbytheAmericanNurses
CredentialingCenter'sCommissiononAccreditation.

http://secure.chexweb.com/reach/Iibrary/kp/cne/certificate/00005.asp?cdate=5/13/20153:5... 5/13/2015

Page1

Children'sHospitalAssociationCECertificate

MoniqueFoster
6364CouncilPointApt.303
ColoradoSprings,CO80923
License#2654665
Hascompletedacourseofinstructionin

AssessmentoftheCriticallyIIIChild
0.8
ContactHoursEarned

May13,2015
Date

LeadNursePlanner,Children'sHospitalAssociation
6803W.64thStreet,ShawneeMission,KS66202
(913)2621436
Children'sHospitalAssociationisaccreditedasaproviderof
continuingnursingeducationbytheAmericanNurses
CredentialingCenter'sCommissiononAccreditation.

http://secure.chexweb.com/reach/library/kp/cne/certificate/00005.asp?cdate=5/l3/201512:... 5/13/2015

Children'sHospitalAssociationCECertificate

Page1of1

Children^Mercy
ContinuingMedicalEducation
CategoryI
Children'sMercyHospital
certifiesthat

MoniqueFoster
hascompletedtheenduringmaterialeducationactivitytitled

LeadershipEssentials:CoreCharacteristicsand
Techniques
May11,2015
andisawarded1credithoursofAMAPRACategoryICredit

Children'sMercyHospitalisaccreditedbytheMissouriStateMedical
Assocationtosponsorcontinuingmedicaleducationforphysicians.

http://secure.chexweb.com/reach/library/kp/cne/certificate/00004.asp?cdate=5/l1/20155:2... 5/11/2015

Page1of1

Children'sHospitalAssociationCECertificate

ML

Jf CHILDREN'S

os?tTAi

WA| OCl*TIOB

MoniqueFoster
6364CouncilPointAp.303
ColoradoSprings,CO80923
License#2654665
Hascompletedacourseofinstructionin

BuildingEffectiveTeams
1.4
ContactHoursEarned

May13,2015
Date

LeadNursePlanner,Children'sHospitalAssociation
6803W.64thStreet,ShawneeMission,KS66202
(913)2621436
Children'sHospitalAssociationisaccreditedasaproviderof
continuingnursingeducationbytheAmericanNurses
CredentialingCenter'sCommissiononAccreditation.

http.7/secure.chexweb.com/reach/library/kp/cne/certificate/00005.asp?cdate=5/13/20152:3... 5/13/2015

Page1of1

Children'sHospitalAssociationCECertificate

MoniqueFoster
6364CouncilPointApt.303
ColoadoSprings,CO80923
License#2654665
Hascompletedacourseofinstructionin

EmpoweringTeams
0.8
ContactHoursEarned

May18,2015
Date

LeadNursePlanner,Children'sHospitalAssociation
6803W.64thStreet,ShawneeMission,KS66202
(913)2621436
Children'sHospitalAssociationisaccreditedasaproviderof
continuingnursingeducationbytheAmericanNurses
CredentialingCenter'sCommissiononAccreditation.

http://secure.chexweb.com/reacMibrary/kp/cne/certificate/00005.asp?cdate=5/l8/201512:... 5/18/2015

Page1of1

DOMAIN<*DETECTING*>
learning.childrenshospitals.org:1.0
Pleasewait...

CHILDREN'S
HOSPITAL
ASSOCIATION

CNECertificate
Foster,MoniqueYvette
(2654665)

Hascompletedacourseofinstructionin

AgeSpecificCareforAdolescents(12to21years)
0.5contacthoursearned
May14,2015

JenniferWilson,MS,BSN,NNPBC
LeadNursePlanner
Children'sHospitalAssociation
6803W.64thStreet
ShawneeMission,KS66202
(913)2621436

Children'sHospitalAssociationisaccreditedasaproviderofcontinuingnursingeducationbytheAmericanNurses
CredentialingCenter'sCommissiononAccreditation.

http://learning.childrenshospitals.Org/template/l.0.0.0/certificate.html?id=cne&task=certifi... 5/14/2015

Page1of1

DOMAIN<*DETECTING*>
learning.childrenshospitals.org:1.0
Pleasewait...

CHILDREN'S
HOSPITAL

W Hi

A S S O C I A T I O N

CNECertificate
Foster,MoniqueYvette
(2654665)

Hascompletedacourseofinstructionin

AgeSpecificCare:Infant(29days12months)
O.Scontacthoursearned
May14,2015

LeadNursePlanner
Children'sHospitalAssociation
6803W.64thStreet
ShawneeMission,KS66202
(913)2621436

Children'sHospitalAssociationisaccreditedasaproviderofcontinuingnursingeducationbytheAmericanNurses
CredentialingCenter'sCommissiononAccreditation.

http://learning.childrenshospitals.org/template/1.0.0.0/certificate.html?id=cne&task=certifi.. 5/14/2015

2.YM& $2lp5HlpbS

ContinuingNursingEducation
ChSdren'sHospitaIColorado

VerificationofSuccessfulCompletion
GrandRoundsColoradoSprings
PreceptorWorkshop

May19,2015
Children'sHospitalColorado
MoPuqnP. FroVfr
hasattendedandiscreditedwithcompleting4contacthours
iscredi
Children'sHospitalColoradoisanapprovedproviderofcontinuingnursingeducation
bytheWesternMultiStateDivision,anaccreditedapproverbythe
AmericanNursesCredentialingCenter'sCommissiononAccreditation.
ProviderNumberCHC1116;ExpirationNovember30,2016

KathleenBradley,DNPRNNEABC
Director,ProfessionalDevelopmentDepartment
Children'sHospitalColoradoislocatedat13123East16thAvenueinAurora,Colorado80045

Children'sHospitalColorado

InterdisciplinaryPreceptor
Application/ApprovalForm
NamerVAQCWVcpte Wer

Date:

Department:CCJZb>*Q ^Sr\cx<~QnAe

MinimalQualifications
1. Minimumof36monthsemployment@the
discretionofmanager.(NursingMinimumofthree
monthsasClinicalNurseIIorhigher.)
2. SatisfactoryEmployeePerformanceonannualbasis.
3. AbsenceofactivePerformanceImprovementPlan
(PIP).
4. PerformancePlanincludesgoalindicatingpreceptor
developmentaspartofprofessionalgrowth.

PreceptorRolestobemet
1. Protector: Supportsdevelopingskillswhileensuring
2.
3.

4.

5.

safecareandsafepractice.
Educator: Demonstratestheabilitytoinstruct,
supportandencourageothers.
Socializer: Fostersintegrationofothersintonewrole,
environment,workplacecultureandorganizational
structures,asappropriate.
RoleModel:Leadsbyexample,demonstrates
professionalmodelofhighqualitypatientandfamily
centeredcareandconsistentlydemonstrates
organizationalStandardsofBehavior.
Evaluator: Objectivelydocumentsandevaluates
progresstowardgoals,suchasthosebasedon
CompetencyGuidelinesorclinicalobjectives,and
modifiesplanasnecessary.

ApplicationProcess

DepartmentCostCenter#

Met
[r
LM

M
[5
Met

2. CompleteCHEXPreceptorModulepriorto
workshopattendance;willbeassignedasneeded
withsubmissionofthisapplication.

Not
Comments
Met

&
0*

ET

DT

Met

1. ObtainandsubmitApplication/ApprovalForm
signedbyUnitEducatororManager.

Not
Comments
Met

Cf

Not
Met

SendtoPreceptorProgramCoordinator:
ProfessionalDevelopmentDepartment,Box
#444

&
12/05/2014
Page1of2

TobecompletedbyPreceptor:
IacknowledgeandIhavereadthePreceptorPolicyincludingminimalqualifications,rolesandresponsibilities. I
agreetocommittoaboveexpectationsandunderstandtheongoingrequirementstoremaineligiblefor
preceptorpayperpolicyguidlines.
P r e c e p t o n U f y , ,
Q

Date:

(PreceptorSignature)

PreceptorEmployeeID#:

TobecompletedbyUnitEducator/Manager:

P~\0^ ftcCyyirnc

]^1 Recommendedforpreceptorrole
ApprovedforInterdisciplinaryPreceptorWorkshop

Approvedby:

(UnitEdddator/ManagerSignature)

PreceptorDepartment#:

Date:

'illI

mOH550

12/05/2014
Page2of2

Children'sHospitalAssociationCECertificate

Page1of2

Children^Mercy
ContinuingMedicalEducation
CategoryI
Children'sMercyHospital
certifiesthat

MoniqueFoster
hascompletedtheenduringmaterialeducationactivitytitled

BuildingEffectiveTeams
July29,2015
andisawarded1.5credithoursofAMAPRACategoryICredit

Children'sMercyHospitalisaccreditedbytheMissouriStateMedicalAssocation
tosponsorcontinuingmedicaleducationforphysicians.

http://seciire.chexweb.com/reach/library/kp/cne/certificate/00004.asp?cdate7/29/201511:... 7/29/2015

Page1of1

Certificate

ContinuingMedicalEducation
NonPhysicianCertificateofAttendance
CMfinH&UsspfciiCefewl

Children'sHospitalColoradocertifiesthat:
MoniqueFoser,MA
hasparticipatedintheliveactivitytitled:

2ndAnnualResiliencyConference
September24,2015
ChildrensHospitalColorado
AuroraCO

Thisactivitywasdesignatedfor6.00AMAPRACategory1Credit(s).

ShaunAyon,BS
Manager
ContinuingMedicalEducation

Children'sHospitalColorado13123East16thAvenueAurora,Colorado800457207771234

http://cmetracker.net/CHCOL/Files/Certificates/W1641634438Certificate5.html

10/1/2015

Page1of1

Children^Mercy
ContinuingMedicalEducation
CategoryI

Children'sMercyHospitalsandClinics
certifiesthat

Foster,MoniqueYvette
(2654665)

hasparticipatedintheeducationalactivitytitled

PatientSafetyforLeaders
October22,2015
andisawarded0.5credithoursofAMAPRACategoryICredit

FEUX OKAH. MO

Mmam.mm mmmmcam
Children'sMercyHospitalisaccreditedbytheMissouriStateMedicalAssociationtoprovidecontinuingmedicaleducation
forphysicians.

http://Iearaing.childrenshospitaIs.Org/template/l.0.0.0/certificate.html?id=cme&task=certi... 10/22/2015

You might also like