*1.We are glad you are here!  Please briefly tell us about yourself.(Required.)

Name

Credentials

Employer (or School if a student)

Number of years in critical care nursing

*2.Which critical care topics or products are you interested in learning about in 2024?  (Select 3) (Required.)

Hemodynamics, hemodynamic devices, and/or management of shock

Critical care pharmacology 

Skin and/or prevention of HAPI 

Lines - CVC, PICC, Swan, Port, Midline, PIV, etc. and/or prevention of CABSI

Urinary catheters/devices and/or prevention of CAUTI

Age-related development and care 

Mental health (caring for self or others) 

Beds, mobilizers, immobilizers and transfer equipment

AHA guidelines 

Communicating with patients

Death, dying & bereavement

Other (please specify)

None of the above

3.What types of community outreach events are you interested in supporting?

*4.Are you planning to attend NTI in Denver this May?(Required.)

Yes

No

Undecided

5.If you have sponsor contacts, we would love to reach out to them to potentially sponsor a meeting.  Please enter contact information below. 

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number