Forms (for IAT's only)

Nursing CEU’s Update

We are pleased to announce that ICEA has been approved by Upper Valley Medical Center (UVMC) of Ohio to offer 16.0 Nursing Credits to accompany both our Professional Childbirth Educator Workshops AND Doula and Labor Support Training Workshops.  In order to attach nursing CEUs to your workshops, there are certain criteria that must be met including:

  1. ICEA must have an electronic copy of your Resume/CV on file here at the main office.  If you wish or choose to offer 16.0 Nursing CEUs with your workshops, we will need your updated Resume/CV.
     
  2. Your certificates of completion that you give your workshop participants MUST have the following statement:
    This offering has been approved by the Ohio Board of Nursing through their OBN Approver at UVMC OBN-005-92
    Sample certificates (childbirth educator / doula) are posted below, however, IAT's may develop their own certificates as long as the above statement is included.
     
  3. At the conclusion of any workshop where CEU's are awarded, a copy of the sign in sheets (childbirth educator / doula) and all the evaluations (childbirth educator / doula), or, a summation, must be sent to the ICEA office which is then forwarded to Upper Valley Medical Center for each presentation. 
     
  4. Each attendee must attend the entire 16 hours of the workshop in order to receive credit.  Partial Nursing CEU’s will not be awarded. 
     
  5. The above criteria are strictly for those who are going to offer Nursing CEUs with their workshops.  Remember, regardless of the decision to offer Nursing CEUs, ALL IAT's are REQUIRED to turn in a workshop attendance list to the ICEA main office IN ADDITION to ICEA workshop evaluations (childbirth educator / doula) following completion.
     

WORKSHOP FORMS

AttachmentSize
Upcoming Workshop Schedule (For Main Office)99.12 KB
Request For Support Materials (For Main Office)151.91 KB
Request For Membership List-Logo (For Main Office)157.24 KB
IAT Flier (For Attendees)102.64 KB
Certification Enrollment Form (For Attendees)179.37 KB
Workshop Attendance List Sheet (For Main Office)97.58 KB
Professional Childbirth Educator Workshop Evaluation (For Main Office)156.42 KB
Professional Childbirth Educator Workshop Evaluation For UVMC Nursing CEUs (For Main Office)51.5 KB
Professional Childbirth Educator Sign-In Sheet For UVMC Nursing CEUs (For Main Office)803.5 KB
Professional Childbirth Educator Sample Certificate For UVMC Nursing CEUs (For Main Office)25.5 KB
Doula And Labor Support Workshop Evaluation (For Main Office)157.66 KB
Doula and Labor Support Workshop Evaluation For UVMC Nursing CEUs (For Main Office)831.5 KB
Doula and Labor Support Sign-In Sheet For UVMC Nursing CEUs (For Main Office)803.5 KB
Doula and Labor Support Sample Certificate For UVMC Nursing CEUs (For Main Office)805 KB
Approved Workshop Annual Training Report (For Main Office)106.31 KB
Re-Approval Criteria (For Main Office)86.72 KB
Re-Approval Application (For Main Office)288.05 KB
Re-Approval Workshop Offerings Summary Sheet (For Main Office)86.83 KB