Physiotherapy Department Continuing Professional Development Committee

1
Registration Form Registration Deadline Friday,
Mar. 21, 2008 On this date, a decision will be
made whether there is sufficient registration to
run the course. Pre-registration is required.
Space is limited so please apply early.
Applications will be considered after the
registration deadline until the course
fills. Registrants Name Address
(street)
(city) (province)
(postal
code) Email Employer Tel(res)

(bus) Fax Registration Fee 325/early
400/after Mar. 1, 2008 Amount enclosed
Physiotherapy Department Continuing Professional
Development Committee
ONE BREATH AT A TIME
A Practical Respiratory Course for Physiotherapy
Assistants
Friday, April 18 Saturday April 19, 2008 QEII
Health Sciences Centre Nova Scotia Rehabilitation
Centre 1341 Summer Street, Halifax,
NS 325/early-400/after March 1,
2008 Registration fee includes course syllabus,
refreshment and lunch breaks Deadline to
Register Friday March 21, 2008
(Cheque made payable to Physiotherapy Education
Fund T-053-CPTE. Cheque may be post-dated to Mar.
1/08). Courses are subject to cancellation if
minimum number of applicants are not received by
Mar. 21/08. In this case, a full refund will be
provided. Refund for withdrawal from the course
shall be subject to date of notification of
withdrawal. If notification of withdrawal is
received by the course committee prior to 100pm
on Mar.21/08, a handling fee of 30.00 will be
with held on all refunds. If notification of
withdrawal is received after that time, the
participant will not be refunded unless the
position can be filled. Even if the course has
been confirmed, CPDC is not responsible for
travel/accommodation costs booked in advance, in
the event of sudden unavoidable cancellation of
the course (i.e.. Instructor illness, Acts of
God).
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• Consent and Waiver Form
• (This waiver MUST be signed and enclosed with
  registration form and fee).
• This course may contain lectures, discussion,
  demonstrations and practical components where you
  could be asked to act as a model for the
  instructor, assistant or for fellow participants
  during the course. Acting as a model could
  involve following instructions, undergoing
  assessment evaluation, and/or treatment
  procedures. Signing below indicates that you
  have given consent to full participation in the
  course, including acting as a model for
  demonstrations and practical sessions. However,
  if at any time you feel uncomfortable or wish to
  refuse to participate, you must inform the
  instructors immediately.

• Course Objectives
• Have a working knowledge of anatomy and
  physiology relevant to the respiratory system.
• Be able to perform a basic respiratory
  examination.
• Have a basic understanding of and be able to
  perform common respiratory treatment techniques.
• Have a working knowledge of common respiratory
  conditions including chronic obstructive
  pulmonary disease (COPD), Cystic Fibrosis (CF)
  and other common causes of dyspnea.
• Course Instructors
• Course sessions will be led by physiotherapists
  and other multidisciplinary team members with
  expertise in treating patients with respiratory
  conditions.

I accept all physical and legal risks in
participating in this course. I hereby waiver
and release Continuing Professional Development
Committee, QEII Health Sciences Centre, as well
as all employees, instructors) and assistants)
from all of the above from any claims of loss,
damage or injury which in any way result directly
or indirectly from this course. I have read and
understand the waiver of liability appearing and
I INDICATE MY ACCEPTANCE OF THE SAID WAIVER BY
SIGNING BELOW. (Participants
Signature) (Date) Return complete registration
form, waiver and cheque so that they are
received by March 21, 2008. Mail to Cheryl
Brautigam c/o Physiotherapy
Department 2nd Floor Veterans
Memorial Building QEII Health
Sciences Centre 5955 Veterans
Memorial Lane Halifax, NS B3H 2E1
Course Overview This course will provide
physiotherapy assistants with the fundamentals of
care for the respiratory patient in both acute
and non acute settings. Emphasis will be placed
on basic respiratory knowledge, examination and
treatment skills required for effective practice
through a mix of lecture and lab components.
For additional information contact Cheryl
Brautigam Ph [phone]-0142 E
BRAUTIGAMC_at_cdha.nshealth.ca