Planning Form
The planning document identifies the following:
- Name and date of CNE activity
- Contact Person
- Number of Contact Hours
- Nurse Planner
- Planning Committee Members
- Target Audience
- Purpose/Desired Outcomes
- Needs Assessment
- Speakers
- Joint Provider
- Commercial Support
- Advertising
Educational Design Form
The educational design form identifies:
- Speaker
- Objectives
- Content
- Time Frame
- Teaching Methods
- Evidence Based References
Biographical Data/Conflict of Interest
A biography is required all member of the planning committee as well as speakers. This document identifies:
- The individual and their role within the CNE activity
- Demographic information
- Expert statement
- Conflict of Interest
Joint Provider
The document identifies when an approved provider and an inidividual activity applicant are jointly providing the educational activity.
Exhibitor
This document identies the guidelines as well as the entity that has been choosen to be an exhibitor at a CNE activity.
Commercial Support
This document identifies an entity that has chosen to give commercial support to a CNE activity.
Disclosures
This document identifies any disclosures any member involved in the CNE activity may have in regard to the topic.
Evaluation Form
The evaluation evaluates:
- The speakers of the CNE activity
- The purpose of the CNE activity
- The objectives of the CNE activity
Contact Hour Certificate
This document identifies:
- Name and date of CNE activity
- Number of Contact Hours
- Name of participant
- Name of Provider Unit and Provider Number
Roster
The roster identifies all participants at a CNE activity.
Evaluation Summary
The evaluation summary provides the detailed information of the CNE activity evaluation.
