PHRN Application | LifeTeam Education

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PHRN Application

First name

Last name

Current Employer

Email

Phone

Department / Unit

Previous ICU / ED Experiene: * Required

ICU Less than 1 year

ICU Greater than 1 year

ED Less than 1 year

ED Greater than 1 year

No ICU / ED experience

I am interested in completin, for additional cost, the following courses (Optional):

Pediatric Advanced Life Support (PALS)

CPR Recertification

ACLS Recertification

I attest that I have (or will have by the start of the program) current CPR and ACLS certifications

Thanks for applying! We’ll get back to you soon.

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Lemoyne, PA 17043

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