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3.225 CEU’s or 32.25 Contact HoursTo register visit www.westernu.edu/pharmacy-ce
PhysicalAssessment
A CERTIFICATE TRAINING WORKSHOP FOR PHARMACY PRACTICIONERS
May 29-31, 2015
Instructors
Roger S. Klotz, RPh, FASCP, FACA, FCPhAAssociate Professor of Clinical Practice and AdministrationWestern University of Health SciencesCollege of Pharmacy
Hyma Gogineni, MS, PharmD, TTSAssistant Professor of Pharmacy 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
Christham Windross, MSN, C-FNPGastroenterologyVA Loma Linda Healthcare System
Ray M. Yutani, DO, PharmD, MS, FACOFPAssociate Professor of Family MedicinePatient Care CenterWestern University of Health SciencesCollege of Osteopathic Medicine of the Pacific
FeePharmacists: $2,000Cancellations made 10 days in advance of class date are fully refundable.If cancelled in less than 10 days, there is no refund, however, you mayreschedule for a future class.
Deadline to register May 10, 2015 or upon full class
Required Online Textbookand Equipment (included in Course Fee)• Bickley, L. Bates’ Guide to Physical
Examination and History Taking, 11th ed.,Philadelphia: J.B. Lippincott, 2012. (onlinebook with videos)
• Physical Assessment Kit which includes thefollowing: MD One Stethoscope, TaylorHammer, LUMiNiX Penlight, 128Hz &512Hz Tuning Fork, Otoscope/Ophthalmoscope Kit
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 HealthSciences College of Pharmacy isaccredited by the Accreditation
Council for Pharmacy Education as aprovider of continuing 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. At thecompletion of this course, pharmacist(s) willbe expected to demonstrate competence toperform physical assessment skills and historytaking with other participants and/orinstructors with a score of 70% or higher onphysical assessment practicum. Participantswill also take a post-test and evaluation theprogram. After completion of all therequirements 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]
Examination of the Gastrointestinal SystemApproximately 2.0 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 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.
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 of musculoskeletalfindings.
Examination of the Nervous SystemApproximately 2.0 hours
The pharmacist shall be able to:
1.Evaluate level of consciousness, appearance, behavior andorientation.
2. Identify speech and language.
3.Assess reflexes (patellar, Achilles, brachioradialis, biceps,and triceps) grading responses appropriately.
4.Assess muscle strength and grade appropriately, comparingbilaterally.
5.Assess sensation (light touch, sharp, proprioception,protective, etc.) and compare bilaterally
6.Assess balance of your patient through proper examinationtechniques (i.e Romberg, Pronator drift, gait, etc.)
7.Assess cerebellar function through proper examinationtechniques (i.e. Rapid Alternating Movement, point to pointmaneuvers, etc.)
8.Demonstrate appropriate documentation of neurologicalfindings.
Agenda Day 3: 8:00 a.m. – 12:00 p.m.Physical Assessment Techniques ContinuedExamination of the Psychiatric SystemApproximately 2.5 hours
The pharmacist shall be able to:
1.Evaluate appearance, behavior, orientation, and affect in apatient.
2. Identify speech and language.
3.Asks appropriate questions to determine a patient’s mood,affect, and attitude.
4.Determine a patient’s orientation, memory, and highercognitive functions using appropriate questioning andassessment tools (e.g., repeat/recall 3 objects, serial 7subtraction).
5.Demonstrate appropriate documentation of psychiatricfindings.
Documentation Utilizing SOAP FormatApproximately 2.0 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.
Agenda Day 1: 8:00 a.m. – 6:00 p.m.The Health History | Approximately 2.0 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.
Physical Assessment TechniquesVitals | Approximately 2.0 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, and
pupillary 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 Cardiovascular SystemApproximately 2.5 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.
Agenda Day 2: 8:00 a.m. – 6:00 p.m.Physical Assessment Techniques ContinuedExamination of the Respiratory SystemApproximately 2.0 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.