PERI-OPERATIVE PAEDIATRIC LIFE SUPPORT (PPLS)
Full time one day course,( 07:30-16:30) - Priority will be given to those who provide care for the paediatric surgical patients.-
1.Select preferred PPLS course date
Target group- Doctors /Nurses caring for paediatric surgical patients ( OT/ICU/ETU)
9th July 2018 -Peradeniya- attended
10th July 2018 -Peradeniya- attended
2. Full Name
As per your ID card/Passport/Birth Certificate
3. Surname followed by initials
e.g; Premaratne E.M.J
4. How your name should appear on the certificate
Please double check the Name.
5. First name
For the name tag
6. Mobile number
If answer is other - Please mention in your comments
8. Specialty / Area of practice
9. If your answer is "Other" to above question, state the specialty or place of work
10. Hospital/ Institution
e.g , P.G.H Badulla , D.G.H. Gampaha / B.H. Panadura / NHSL / Locum, None
11. Date of Birth
e.g- Colombo University
13. If your answer is " Overseas or Other" for above question, state the University
14. Post graduate qualification if any
15. SLMC Registration number
If not registered yet , indicate " No"
16. Have you completed any of following life support courses with in last 2 years ?
ALS/ILS Sri Laaka
17. Meal preference
18. A r u willing to become an PPLS Instructor
There will be an Instructor course for selected & limited candidates who have shown interest in teaching
19. Please provide any other relevant Information to Support your application
e.g. You are involving in teaching CPR ,
20. I hereby agree that the above information are true and correct according to my knowledge, and will check my email box and respond accordingly
A copy of your responses will be emailed to the address you provided.
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