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ENPC Provider Registration Form  

The Emergency Nursing Pediatric Course is designed to provide core-level pediatric knowledge and psychomotor skills needed to care for pediatric patients in the emergency setting. The course presents a systematic assessment model, integrates the associated anatomy, physiology and pathophysiology and identifies appropriate interventions. Triage categorization and injury prevention strategies are also included in the course content. In this course, participants will enhance their skills in the treatment of pediatric emergencies through lectures and active participation in a series of psychomotor skills stations designed to reinforce important concepts. 


  • Prerequisites for all ENPC Classes
  • Participants must be a registered nurse (RN) to officially attend ENPC. 
  • Participants should have at least 6 months clinical nursing experience managing pediatric patients.
  • Participants should have a basic understanding of emergency care terminology and be familiar with standard emergency equipment.
  • Participants must have a current ENPC Provider Manual (4th Edition). These books may be purchased in Life Support Education.   


Course Completion 

Successful completion requires the learner to score a minimum of 80% on the written evaluation as well as demonstrate all critical criteria and at least 70%of all steps in the evaluated psychomotor skill station. Participants may repeat the written exam or a skill station if needed.

Contact Hours: 

Contact hours are awarded by the Emergency Nurses Association. The hours awarded are based on hours attended, regardless of performance during evaluation. This class typically provides up to 15.33 contact hours.


Employee : No Charge.

*Must obtain current ENPC Provider Manual which can be purchased in Life Support Education for $60.* 

Outside Student:  $200 (includes ENPC Provider Manual) 

*Refunds will not be given if you are unable to attend this class. Please do not pay for a class unless you are prepared to attend the class date that you have scheduled. If unable to attend your scheduled date, we will gladly move you to a different day that will work with your schedule.


Class Time: 8:00 am - 5:00 pm both days


Are you an Employee?  
If YES, are you an NCBH, WFUHS, Wilkes Regional,
Cornerstone, Community Physicians, or Travel Nurse?
If NO, place of Employment?
Date to Attend  
Last Name  
First Name  
Middle Initial  
Employee ID  
Credentials (MD, RN, etc)  
City and State
Zip Code  
Phone Number  
If an Employee, Manager's Name / Department  
E-mail Address  
Method of Payment:

$200 (includes student manual)
If payment will be by check, please mail to: 

Department of Life Support Education 
Wake Forest Baptist Medical Center 
Medical Center Boulevard 
Winston-Salem, NC 27157

If paying in cash, please deliver in person to the Department of Life Support Education on the 3rd floor South Building. 

If paying by credit card, please call 336-716-2800 or stop by Life Support Education.  
We will notify you of your acceptance into the class through the email address you provided in this registration form.  



Quick Reference

Life Support Education
Kathy Nelson

Phone 336-716-2005
Fax 336-716-5927

Contact Kathy

Mikell White
Education Systems Specialist

Phone 336-716-2800
Fax 336-716-5927

Contact Mikell


3rd Floor South Building

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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.

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