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- 2/17/2010
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minimum number of registrants is not met at least 30 days prior to the program.
NOTE: Please be advised that this program is subject to postponement or cancellation if the required
Telephone Number
Mailing Address (Not a PO Box)
Name – Please Print or Type
To register for this program, please complete and fax this form by March 8, 2010 to:
Current Status: Pharmacist
Email Address
HOSTED BY: For a more complete list of program learning objectives,
No, I do not have a current CPR certificate. I plan to become certified by
Yes, I have a current CPR certificate. Exp. Date:
please go to APhA’s website, www.pharmacist.com/ctp.
University of Maryland School of Pharmacy ATTN: Morgan Bukszar Continuing Education Coordinator
THE UNIVERSITY OF MARYLAND
SCHOOL OF PHARMACY
______
APRIL 11, 2010
SEMINAR AGENDA
20 N. PINE STREET
BALTIMORE, MD 21201 • Registration/Check-in and Continental Breakfast
At 410-706-0761 mbukszar@rx.umaryland.edu FAX:410-706-4012
This program is limited to the first 25 registered participants.
Pharmacy-Based Immunization Delivery is an innovative • Welcome, Introductions and Acknowledgements
and interactive training program that teaches pharmacists • Program Overview
the skills necessary to become a primary source for vaccine • The Importance of Vaccines and The Pharmacist’s
information and administration. The program teaches the Role in Vaccine Delivery
basics of immunology and focuses on practice • How Do Vaccines Prevent Disease?
implementation and legal/regulatory issues. • Vaccine-Preventable Diseases (Part I)
The purpose of this educational program: • Morning Break
Student
1. Provide comprehensive immunization education and • Vaccine-Preventable Diseases (Part II)
training • Identifying Vaccination Needs
2. Provide pharmacists with the knowledge, skills, and • Lunch
Fax Number
resources necessary to establish and promote a • Establishing a Pharmacy-Based Immunization
successful immunization service Program
3. Teach pharmacists to identify at-risk patient populations • Practice Implementation
needing immunizations • Afternoon Break
City
4. Teach pharmacists to administer immunizations in • Adverse Events Following Vaccination and
Other: _________________________
compliance with legal and regulatory standards Emergency Preparedness
Pharmacy-Based Immunization Delivery certificate • Vaccine Administration Technique
training program is a Practice-based activity conducted in • Transitional/ Summary Remarks
two parts – a self-study learning component and a live • Skills Training and Assessment
training seminar. A Certificate of Achievement will be
awarded to participants who successfully complete all Instructors: Cherokee Layson-Wolf PharmD and
program components. LISA CHARNESKI PHARMD
Key learning objectives for the live training seminar:
• Identify opportunities for pharmacists to become CONTINUING PHARMACY EDUCATION (CPE) CREDIT
involved in immunization delivery. CPN: 202-0014: Expiration Date: 12/31/10
Successful completion of the live seminar component
____
• Describe how vaccines evoke an immune response and
involves passing the final exam with a grade of 70% or
State
provide immunity.
• Identify the vaccines available on the U.S. market for higher and demonstrating competency in 2 intramuscular
each vaccine-preventable disease and classify each and 1 subcutaneous injection. Successful completion of
vaccine as live attenuated or inactivated. this component will result in 8.0 contact hours of
• Outline the target groups for vaccination based on the continuing pharmacy education credit (0.80 CEU).
Zip Code
Advisory Committee for Immunization Practices ACPE UAN: 202-000-09-001-L01-P
recommendations.
• Review patients’ medical and immunization histories Successful completion of the self-study component
and determine vaccine recommendations based on involves passing the self-study assessment questions with
current immunization schedules. a grade of 70% or higher and will result in 12.0 contact
• Outline the steps involved in establishing a pharmacy- hours of continuing pharmacy education credits (1.2 CEU).
ACPE UAN: 202-000-09-002-H01-P Tuition: ___$300.00 ___$325.00 ___$350.00
based immunization delivery program. Preceptor Alumni Non-preceptor/non-alumni
• Discuss the legal, regulatory, and liability issues
The American Pharmacists Association is Check # ______ payable to: University of Maryland Baltimore
involved with pharmacy-based immunization programs.
accredited by the Accreditation Council for
• Describe the signs and symptoms of adverse reactions
Pharmacy Education as a provider of continuing Credit Card: VISA or MASTERCARD ONLY (circle one)
that can occur after vaccination and the emergency Number: _______________________________________________
pharmacy education.
procedures for management of patients with adverse
reactions to vaccination. Security Code: ____________ Exp. Date: ____________
Pharmacy-Based Immunization
• Describe the appropriate technique for administration of Delivery: A Certificate Program for Name on Card: __________________________________________
the live attenuated influenza vaccine. Pharmacists was developed by the American Pharmacists
• Demonstrate appropriate intramuscular and Association, and is supported in-part by an educational grant Signature:_____________________________________________
subcutaneous injection technique for adult from VaxServe.
immunization. MD County of Residence:
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