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

PhysicalAssessmentA CERTIFICATE TRAINING WORKSHOP FOR PHARMACY PRACTICIONERS

August 26-28, 2016

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

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

Fee

Pharmacists: $2,000Required Online Textbook and Equipment INCLUDED IN COURSE FEE

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

• Physical Assessment Kit which includes the following:Stethoscope, Sphygmomanometer, Pocket Illuminator andDiagnostic Penlight, Otoscope, Hammer, Digital BloodPressure, Pulse Oximeter.

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

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

Friday 1:00 p.m. – 5:00 p.m.Saturday 8:00 a.m. – 6:00 p.m.Sunday 8:00 a.m. – 6:00 p.m.

CE AccreditationTarget Audience: Pharmacists

Activity Type: Practice

Western University of Health SciencesCollege of Pharmacy is accredited bythe Accreditation Council for

Pharmacy Education as a provider ofcontinuing pharmacy education.

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

Participants will only be allowed to attend thelive session after successful completion of the11.5 hours of pre-course work. There will be apre and post examination for this course.Additionally, the participants must obtainsuccessful performance on the physicalassessment practicum along with thecompletion of the physical exam skills sheetchecklist. Participants will be responsible toobtain the faculty initials on the skills checklistfor completion and credit. Participants mustachieve 70% or higher in both written andphysical assessment practicum for successfulcompletion of the physical assessment course,or will be held over to remediate that day. Aftercompletion of all the requirements CPE creditwill be electronically uploaded to participantsCPE monitor account after they successfullycomplete their exams and evaluation online.

CE Coordinator ContactInformationRenee Cook, Manager of CE & Events

WesternU College of PharmacyPhone: 909-706-3826 • Fax: 909-706-3473Email: rxevents@westernu.edu

Physical AssessmentKit and OnlineTextbook Included!

Deadline to register August 19, 2016 or upon full class

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

Document encounters using the SOAP format

The pharmacist will be able to:

1.Document a patient encounter using the SOAPformat

As pharmacists expand their scope of practice undernew legislation (SB493), physical assessment is a keyskill necessary for advanced practice. This 32.25 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,videos, lectures, demonstrations and hands onpractice and feedback.

Friday 1:00 p.m. – 5:00 p.m.Saturday 8:00 a.m. – 6:00 p.m.Sunday 8:00 a.m. – 6:00 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

INCLUDED IN COURSE FEE

Physical Assessment Kit • Stethoscope• Sphygmomanometer• Pocket Illuminator and Diagnostic Penlight• Otoscope• Hammer• Digital Blood Pressure• Pulse Oximeter

Online TextbookBickley, L. Bates’ Guide to PhysicalExamination and History Taking, 11th ed.,Philadelphia: J.B. Lippincott, 2012. (online bookwith videos)