21 Contact HoursTo register visit www.westernu.edu/pharmacy-ce
PhysicalAssessmentA CERTIFICATE TRAINING WORKSHOP FOR PHARMACY PRACTICIONERS
June 1-3, 2018
Instructors
Hyma Gogineni, MS, PharmD, TTSAssistant Professor of Pharmacy Practice and AdministrationWestern University of Health Sciences College of Pharmacy
Josephine Aranda, PharmDAssistant Professor of Pharmacy Practice and AdministrationWestern University of Health Sciences College of Pharmacy
Lisa Munoz, BS, MPHExecutive Director, Simulation CenterPacific Northwest University
Pharmacists: $1,700Course Includes a Physical Assessment Kit• Stethoscope• Sphygmomanometer• Pocket Illuminator and Diagnostic Penlight• Otoscope• Hammer• Pulse Oximeter
Cancellations made 10 days in advance of class dateare fully refundable less a $25 administrative fee. Ifcancelled in less than 10 days, there is no refund,however, you may reschedule for a future class.
Deadline to register March 2or upon full class whichever comes first
Location and TimeWestern University of Health SciencesHealth Professions Center1st floor, Classroom 1550 E. Second Street, Pomona, CA 91766
Friday 8:00 a.m. – 5:30 p.m.Saturday 8:00 a.m. – 5:30 p.m.Sunday 8:00 a.m. – 1:00 p.m.
CE AccreditationTarget Audience: Pharmacists
Activity Type: Practice
Western University of HealthSciences College of Pharmacy is
accredited by the Accreditation Councilfor Pharmacy Education as a provider ofcontinuing pharmacy education.
(UAN) # 0059-0000-16-081-L04-P21 Contact Hours
There will be a pre and post examinationfor this course. Additionally, theparticipants must obtain successfulperformance on the physical assessmentpracticum along with the completion ofthe physical exam skills sheet checklist.Participants will be responsible to obtainthe faculty initials on the skills checklistfor completion and credit. Participantsmust achieve 70% or higher in both anonline post test and physical assessmentpracticum for successful completion ofthe physical assessment course, or will beheld over to remediate that day. Aftercompletion of all the requirements CPEcredit will be electronically uploaded toparticipants CPE monitor account afterthey successfully complete their examsand evaluation online.
CE Coordinator ContactInformationRenee Cook, Director of ProfessionalDevelopment and Community Outreach
WesternU College of PharmacyPhone: 909-706-3826Fax: 909-469-5539Email: [email protected]
Stephanie White, DO Associate Professor of Family MedicineChief Medical Officer at the Patient Care Center
PHYSICALASSESSMENTKIT INCLUDED• Stethoscope• Sphygmomanometer• Diagnostic Penlight• Otoscope• Hammer• Pulse Oximeter
Examination of the Head, Eyes, Ears, Nose, Throat(HEENT)
The pharmacist shall be able to:
1. Identify the normal structures of the head, eyes,ears, nose and throat
2. Properly use the otoscope
3. Examine the head, eyes, ears, nose, and throat andrecognize selected abnormal findings
Examination of the Cardiovascular System
The pharmacist shall be able to:
1. Properly auscultate the heart using a stethoscope
2. Recognize and properly identify the normal S1 andS2 sounds
3. Recognize and properly identify selected abnormalrhythms
4. Palpate the carotid and radial pulse
5. Properly measure and grade pretibial edema
Examination of the Respiratory System
The pharmacist will be able to:
1. Properly auscultate the lungs using a stethoscope
2. Recognize and identify normal and selectedabnormal breath sounds
3.Define the pathophysiology of abnormal sounds ofwheezing and crackles
4.Define percussion and specialty exams and thereason for performing them.
Examination of the Gastrointestinal System
The pharmacist will be able to:
1. Identify where the internal organs are located withinthe abdomen
2. Palpate the abdomen to examine for tenderness andrebound
3. Auscultate the abdomen for bowel sounds in all 4quadrants
4.Define percussion and specialty exams and thereason for performing them.
Examination of the Musculoskeletal System
The pharmacist will be able to:
1. Assess major joints for range of motion
2. Assess muscular strength using the 5 point gradingsystem
Examination of the Dermatological System
The pharmacist will be able to:
1.Describe and analyze the clinical features associatedwith common dermatological lesions and drug-induced dermatological reactions
2.Design a management plan for both commondermatological lesions and drug-induced reactions
3. Recognize "red flag" signs and symptoms and initiatereferrals
Examination of the Neuro/psychiatric system
The pharmacist will be able to:
1. Assess, screen and triage cerebellar function
2. Recognize signs and symptoms of benign positionalvertigo vs. orthostasis
3. Assess and monitor diabetic neuropathy
4. Assess deep tendon reflex (DTR) of the patellarand Achilles tendon
5. Utilize screening tools for depression and memoryimpairment
Review medical records and document findingsaccordingly
The pharmacist will be able to:
1. Review medical records and document findingsaccordingly
As pharmacists expand their scope of practice undernew legislation (SB493), physical assessment is a keyskill necessary for advanced practice. This 21 hourcourse will prepare the pharmacist to obtain ahistory and perform a basic physical examinationthat will enable them to assess and monitor drugtherapy. The course will employ written materials,lectures, demonstrations and hands on practice andfeedback.
Friday 8:00 a.m. – 5:30 p.m.Saturday 8:00 a.m. – 5:30 p.m.Sunday 8:00 a.m. – 1:00 p.m.
Course Goals
The Health HistoryThe pharmacist will be able to:
1. Explain the components, content, and organizationof the health history (e.g. chief complaint, history ofpresent illness, past medical history, etc.)
2.Obtain information to present in the S.O.A.P.format of documentation
3.Utilize different methods of obtaining a focuseddescriptive history of present illness/problem :including the “Seven attributes,” “OPQRST,” and“SCHOLARMAC”
4.Determine the utility of a focused review of systems(ROS)
5. Propose a plan of action after a health assessment indisease management
Physical Examination TechniquesVitals
The pharmacist shall be able to:
1.Demonstrate the appropriate technique forobtaining vital signs in adults
2. Accurately measure blood pressure using a manualand automated sphygmomanometer
3. Accurately measure the pulse rate and respiratoryrate
4. Accurately measure the oxygen saturation levelusing a pulse oximeter
5. Accurately measure the glucose level using a bloodglucose monitor
6. Recogize the normal ranges of vital signs in adults
Objectives for PharmacistsAt the conclusion of the course the pharmacist attendee will be able to:
1. Explain the components of effective communication to obtain a comprehensive health history.
2. Perform a basic physical assessment of the following organ systems using the appropriateassessment tools: Vitals, Head, Eyes, Ears, Nose, Throat (HEENT), Cardiovascular, Respiratory,Gastrointestinal, Dermatological, Musculoskeletal and Central Nervous System.
3. Review medical records and document findings in a SOAP format.
register now: www.westernu.edu/pharmacy-ce
“The program was top notch andfocused on improving our clinicalpharmacists capabilities during faceto face clinic visits. This training hastransformed our pharmacist patientencounters and now we are referringthese patients back to our PCP’s withissues identified during theseassessments. The possibilities nowremain endless for our pharmacists –as we create our own future insteadof waiting for it to arrive. “
Brian Hodgkins, PharmD, FCSHP, FASHPEVP Clinical Operations & HPN ACODesert Oasis Healthcare