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3.225 CEU’s or 32.25 Contact Hours To register visit www.westernu.edu/pharmacy-ce Physical Assessment A CERTIFICATE TRAINING WORKSHOP FOR PHARMACY PRACTICIONERS November 6-8, 2015 Instructors Hyma Gogineni, MS, PharmD, TTS Assistant Professor of Pharmacy Practice and Administration Western University of Health Sciences College of Pharmacy Marie Davies, PharmD, MS Assistant Professor of Pharmacy Practice and Administration Western University of Health Sciences College of Pharmacy Roger S. Klotz, RPh, FASCP, FACA, FCPhA Associate Professor of Clinical Practice and Administration Western University of Health Sciences College of Pharmacy Elizabeth Maugh, MS, PA-C Instructor of Physician Assistant Education Community Liaison Western University of Health Sciences College of Allied Health Professions Lisa Munoz, BS, MPH Simulation & Clinical Skills Educator Western University of Health Sciences College of Osteopathic Medicine of the Pacific Ray M. Yutani, DO, PharmD, MS, FACOFP Associate Professor of Family Medicine Patient Care Center Western University of Health Sciences College of Osteopathic Medicine of the Pacific Fee Pharmacists: $2,000 Required Online Textbook and Equipment (included in Course Fee) • Bickley, L. Bates’ Guide to Physical Examination and History Taking, 11th ed., Philadelphia: J.B. Lippincott, 2012. (online book with videos) • Physical Assessment Kit which includes the following: MD One Stethoscope, Taylor Hammer, LUMiNiX Penlight, 128Hz & 512Hz Tuning Fork, Otoscope/ Ophthalmoscope Kit Cancellations made 10 days in advance of class date are fully refundable less a $25 administrative fee. If cancelled in less than 10 days, there is no refund, however, you may reschedule for a future class. Deadline to register October 26, 2015 or upon full class Location Information Western University of Health Sciences Health Sciences Center 2nd floor, OMM Clinic 450 E. Second Street, Pomona, CA 91766 CE Accreditation Target Audience: Pharmacists Activity Type: Practice Western University of Health Sciences College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. (UAN) # 0059-0000-15-008-B04-P 32.25 Contact Hours or 3.225 CEUs. Participants will only be allowed to attend the live session after successful completion of the 11.5 hours of pre-course work. There will be a 50 question multiple choice final examination based on the pre-course assignments and lecture content. Additionally, the participants must obtain successful performance on the physical assessment practicum along with the completion of the physical exam skills sheet checklist . Participants will be responsible to obtain the faculty initials on the skills checklist for completion and credit. Participants must achieve 70% or higher in both written and physical assessment practicum for successful completion of the physical assessment course. After completion of all the requirements CPE credit will be electronically uploaded to participants CPE monitor account. CE Coordinator Contact Information Renee Cook, Manager of CE & Events WesternU College of Pharmacy Phone: 909-706-3826 • Fax: 909-706-3473 Email: [email protected]
Transcript

3.225 CEU’s or 32.25 Contact HoursTo register visit www.westernu.edu/pharmacy-ce

PhysicalAssessment

A CERTIFICATE TRAINING WORKSHOP FOR PHARMACY PRACTICIONERS

November 6-8, 2015

Instructors

Hyma Gogineni, MS, PharmD, TTSAssistant Professor of Pharmacy Practice and AdministrationWestern University of Health SciencesCollege of Pharmacy

Marie Davies, PharmD, MSAssistant Professor of Pharmacy Practice and AdministrationWestern University of Health Sciences College of Pharmacy

Roger S. Klotz, RPh, FASCP, FACA, FCPhAAssociate Professor of Clinical Practice and AdministrationWestern University of Health SciencesCollege of Pharmacy

Elizabeth Maugh, MS, PA-CInstructor of Physician Assistant EducationCommunity LiaisonWestern University of Health SciencesCollege of Allied Health Professions

Lisa Munoz, BS, MPHSimulation & Clinical Skills EducatorWestern University of Health SciencesCollege of Osteopathic Medicine of the Pacific

Ray M. Yutani, DO, PharmD, MS, FACOFPAssociate Professor of Family MedicinePatient Care CenterWestern University of Health SciencesCollege of Osteopathic Medicine of the Pacific

FeePharmacists: $2,000Required Online Textbook and Equipment (included in Course Fee)

• Bickley, L. Bates’ Guide to Physical Examination and History Taking, 11th ed., Philadelphia: J.B.Lippincott, 2012. (online book with videos)

• Physical Assessment Kit which includes the following: MD One Stethoscope, Taylor Hammer, LUMiNiXPenlight, 128Hz & 512Hz Tuning Fork, Otoscope/ Ophthalmoscope Kit

Cancellations made 10 days in advance of class date are fully refundable less a $25 administrative fee. If cancelled in less than 10 days, there is no refund, however, you may reschedule for a future class.

Deadline to register October 26, 2015 or upon full class

Location InformationWestern University of Health SciencesHealth Sciences Center2nd floor, OMM Clinic450 E. Second Street, Pomona, CA 91766

CE AccreditationTarget Audience: Pharmacists

Activity Type: Practice

Western University of Health SciencesCollege of Pharmacy is accredited by theAccreditation Council for PharmacyEducation as a provider of continuingpharmacy education.

(UAN) # 0059-0000-15-008-B04-P32.25 Contact Hours or 3.225 CEUs.

Participants will only be allowed to attend the livesession after successful completion of the 11.5hours of pre-course work. There will be a 50question multiple choice final examination basedon the pre-course assignments and lecturecontent. Additionally, the participants mustobtain successful performance on the physicalassessment practicum along with the completionof the physical exam skills sheet checklist .Participants will be responsible to obtain thefaculty initials on the skills checklist forcompletion and credit. Participants must achieve70% or higher in both written and physicalassessment practicum for successful completion ofthe physical assessment course. After completionof all the requirements CPE credit will beelectronically uploaded to participants CPEmonitor account.

CE Coordinator ContactInformationRenee Cook, Manager of CE & EventsWesternU College of PharmacyPhone: 909-706-3826 • Fax: 909-706-3473Email: [email protected]

Agenda Day 2: 8:00 a.m. – 6:00 p.m.Physical Assessment Techniques ContinuedExamination of the Cardiovascular SystemApproximately 2.0 hours

The pharmacist shall be able to:

1.Auscultate the heart in the locations for the 4 heart valves,identifying S1 and S2 heart sounds.

2.Palpate the point of maximal impulse, indicating location.

3.Palpate the following pulses: carotid, radial, dorsalis pedis,posterior tibial, and popliteal.

4.Utilizing proper technique, measure the jugular venouspressure.

5.Palpate the lower extremities for edema, appropriatelygrading the edema.

6.Demonstrate appropriate documentation to document thephysical findings of the cardiovascular system.

Examination of the Gastrointestinal SystemApproximately 1.0 hours

The pharmacist shall be able to:

1. Identify where the internal organs are located with respectto the abdomen.

2.Demonstrate the proper sequence of examining theabdomen.

3.Auscultate the abdomen for bowel sounds in 4 quadrants.

4.Percuss the abdomen in 4 locations, identifying organmargins.

5.Palpate the abdomen to examine for tenderness, landmarksof the liver or spleen, fluid, and masses, starting with lightpalpation and followed by deep palpation.

6.Demonstrate appropriate documentation of gastrointestinalfindings.

Examination of the Musculoskeletal SystemApproximately 2.0 hours

The pharmacist shall be able to:

1.Examine joints for symmetry and deformities, as well ascolor changes.

2.Assess significant joints for range of motion, both passivelyand actively, comparing bilaterally.

3.Demonstrate appropriate documentation ofmusculoskeletal findings.

Examination of the Nervous/Psychiatric SystemApproximately 2.0 hours

The pharmacist shall be able to:

1.Evaluate level of consciousness, appearance, behavior andorientation.

2. Identify speech and language.

3.Asks appropriate questions to determine a patient’s mood,affect, attitude, orientation, memory, and higher cognitivefunctions.

4.Assess reflexes (patellar, Achilles, brachioradialis, biceps,and triceps) grading responses appropriately.

5.Assess muscle strength and grade appropriately, comparingbilaterally.

6.Assess sensation (light touch, sharp, proprioception,protective, etc.) and compare bilaterally

7.Assess balance of your patient through proper examinationtechniques (i.e Romberg, Pronator drift, gait, etc.)

8.Assess cerebellar function through proper examinationtechniques (i.e. Rapid Alternating Movement, point to pointmaneuvers, etc.)

9.Demonstrate appropriate documentation of neurologicaland psychiatric findings.

Q & A and Practice Session | Approximately 0.75 hour

Agenda Day 3: 8:00 a.m. – 12:00 p.m.Physical Assessment Techniques ContinuedExamination of the Dermatological SystemApproximately 1.0 hours

The pharmacist shall be able to:

1.List objective terms used to describe the qualities of the hair,skin, and nails.

2.Use appropriate terms to describe the color, shape, size,structure.

3.Demonstrate appropriate documentation of dermatologicalfindings.

Practice & Exam Preparation | Approximately 1.0 hour

Session 1: Exam or Practicum | Approximately 1.0 hour

Session 2: Exam or Practicum | Approximately 1.0 hour

Agenda Day 1: 8:00 a.m. – 6:00 p.m.General Assessment & Health HistoryApproximately 1.0 hours

The pharmacist will be able to:

1.Explain the components, content and organization of thehealth history (e.g. chief complaint, history of presentillness, past medical history, etc.).

2.Utilize “The seven attributes of a symptom” to obtain acomplete descriptive history of present illness.

3.Obtain and record a Review of Systems on an adult.

4. Interpret symptoms for comparison to their chart or toidentify the progression or improvement of the disease state.

5.Complete and record a health history on an adult.

Documentation Utilizing SOAP FormatApproximately 1.0 hours

The pharmacist shall be able to:

1.Properly document all findings in the subjective or objectivesections accordingly.

2.Review medical record(s) to assess the effectiveness oftreatment regimen and determine the progression of thedisease.

Physical Assessment TechniquesVitals | Approximately 1.0 hours

The pharmacist shall be able to:

1.Demonstrate appropriate technique for obtaining vital signs in adults.

2.Accurately measure blood pressure using asphygmomanometer.

3.Accurately measure the pulse rate.

4.Accurately measure the respiratory rate.

5.Accurately measure the oxygen level of a patient using apulse oximeter.

6.Accurately measure the glucose level of a patient using ablood glucose monitor.

7.List the normal ranges of vital signs in adults.

Examination of the Head, Eyes, Ears, Nose, Throat (HEENT)Approximately 2.5 hours

The pharmacist shall be able to:

1. Identify the structures of the head, eyes, ears, nose andthroat.

2.Describe the findings, both normal and abnormal on physicalexamination of the head eyes, ears, nose and throat.

3.Examine the head, recognizing the abnormalities using thecorrect terminology.

4.Examine the eyes, including visual acuity, visual fields, theexternal eye structures, extraocular movements, andpupillary response to light.

5.Examine the ears, visual inspection of the external ear,inspection of the ear canal and tympanic membrane usingan otoscope, and testing hearing.

6.Examine the nose and mouth, describing structures.

7.Examine the neck, with palpate the lymph nodes.

8.Demonstrate appropriate documentation to document thephysical findings of the head, eyes, ears, nose, throat, and skin.

Examination of the Respiratory SystemApproximately 2.25 hours

The pharmacist shall be able to:

1. Inspect the chest, identifying symmetry, chest shape, andother abnormalities such as accessory muscle use andretractions.

2.Auscultate the lungs.

3.Percuss the lungs for resonance, indicating causes ofdullness on percussion.

4.Palpate the chest for tenderness and symmetry ofrespiratory motion.

5.Demonstrate appropriate documentation of pulmonaryfindings.

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.


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