Tuesday, November 13, 2012

Does Your Ventilatory Strategy Affect the Heart?

8:30 am – 9:00 am
George Ofori-Amanfo MD
George Ofori-Amanfo MD
George Ofori-Amanfo MD, Durham NC

Much is taught about lung protective ventilation, but what about cardiac protective ventilation? How does your ventilatory strategy affect the heart and your patient’s hemodynamics? This presentation will review the principles of cardiorespiratory interactions in a user-friendly, understandable fashion.

Surfing the Wave of the Silver Tsunami

8:30 am – 9:00 am
Helen M Sorenson MA RRT FAARC
Helen M Sorenson MA RRT FAARC
Helen M Sorenson MA RRT FAARC, San Antonio TX

The speaker will define “Silver Tsunami” and discuss the impact that the aging population will have on health care facilities, health care economics and the future workforce and caregiver shortages. The speaker will also present potential solutions for “surfing the wave” of the growing elderly population. Are you ready? Grab your surf board and hop on the wave!

Critical Issues in the Transport of Critically Ill Patients

8:30 am – 9:00 am
Steven E Sittig RRT-NPS FAARC
Steven E Sittig RRT-NPS FAARC
Steven E Sittig RRT-NPS FAARC, Rochester MN

The importance of critical care transport is well established in media and literature, but are all transport programs truly prepared to transport the critical care patient? The presenter will describe the issues faced by the Commission on Accreditation for Medical Transport Systems (CAMTS) to determine if a program applying for accreditation is truly critical care based on scope of practice and training. This lecture will explain the development and define the 4 levels of critical care developed by the CAMTS Board. What roles and opportunities exist for RTs in transporting the critical care patient? You’ll have to attend this presentation to find out!

International Respiratory Care

8:30 am – 9:45 am
Lisa Trujillo MS RRT
Lisa Trujillo MS RRT
8:30 am – 9:10 am

Planning Your Trip to the Moon: Pursuing Unique Opportunities

Lisa Trujillo MS RRT, Ogden UT

This lecture will explore the possibilities each RT has in making a greater impact on the world around them. Examples of developing respiratory care in Xi’an, China, and providing medical humanitarian projects in Ghana, West Africa, will be discussed. The presenter will provide insight into how one person can really make a difference. This difference will not only impact the practitioners themselves, but those they serve, care for and teach throughout this process.

9:15 am – 9:45 am

Research with a Global Reach: PFT Research in Obscure Environments

Lisa Trujillo MS RRT

This lecture will share research opportunities in different corners of the world, including the planning, funding, coordinating and data collecting involved in such a project. Preliminary research results will also be shared from a project in Ghana to illustrate the necessity of research of this kind and what can be done within this and other countries to improve the identified problem(s) once the data has been analyzed.

Reduce the “Despair” in Disparities

8:30 am – 10:00 am
Crystal Dunlevy EdD RRT RCP
Crystal Dunlevy EdD RRT RCP
8:30 am – 9:00 am

Healthcare Disparities

Crystal Dunlevy EdD RRT RCP, Columbus OH

Discussing the root cause of healthcare disparities in vulnerable populations can foster both understanding and willingness to adapt current practice among healthcare providers. This presentation will examine individual differences in patient/client populations from the perspectives of disability, chronic disease and culture, and the impact of these factors on health and wellness.

Georgianna Sergakis PhD RRT RCP
Georgianna Sergakis PhD RRT RCP
9:05 am – 9:35 am

Health Literacy

Georgianna Sergakis PhD RRT RCP, Columbus OH

Low health literacy impacts the health and vulnerability of patients. This presentation will address fundamental concepts related to health literacy and describe strategies in which to take individual and institutional responsibility for reducing the impact of low health literacy in respiratory care. Use of interactive vignettes will put your health literacy evaluation skills to the test to improve your professional skills in providing clear health communications.

9:40 am – 10:00 am

Mechanisms to Reduce Healthcare Disparities

Crystal Dunlevy EdD RRT RCP

No RCP working in the current healthcare system would dispute the fact that vulnerable populations do not receive the same quality of care as their more fortunate counterparts. This presentation will discuss mechanisms to improve the healthcare of vulnerable populations. What is the role of the RT? What skills, traits and attributes are needed? This presentation will answer those and other questions.

I’m an RC Manager, Now What?

8:30 am – 10:05 am
Garner Faulkner RRT
Garner Faulkner RRT
8:30 am – 8:50 am

How Did I Get Here?

Garner Faulkner RRT, San Diego CA

Leaders in respiratory care often evolve from the exceptional performance in the clinical environment with little or no formal training in leadership practice or management essentials. Qualities valued in leadership, avoidance of common pitfalls, and the most important qualities to be successful will be presented. This presentation is ideally suited to the new or inexperienced manager. Those aspiring for leadership roles in respiratory therapy are also welcome.

Jan Phillips-Clar RRT
Jan Phillips-Clar RRT
8:55 am – 9:15 am

Allocating Resources through Creative Scheduling

Jan Phillips-Clar RRT, La Jolla CA

Regardless of your department size, scheduling staff effectively is critical to success. Scheduling systems need to address work area(s), special assignment rotations, facilitate cross-utilization, and provide a clear representation of equity. A staffing plan will be presented with tools that have contributed to its success. This presentation is a “must see” for any manager struggling with staffing and productivity management issues.

9:20 am – 9:40 am

The “A” Team: How Do I Make the Roster?

Garner Faulkner RRT

Developing high-functioning teams and being designated as an “employer of choice” requires leadership to commit to developing and living in a new culture. The elements of team development, programs that engage staff, and sustaining a focused environment will be presented. Attend this lecture to find out how you can turn your “B” team into an “A” team.

9:45 am – 10:05 am

Staying Connected – The Challenge of Communication

Jan Philips-Clar RRT

Communicating critical information to staff 24/7 is a challenge. A leader will fail without being able to share ideas, issue mandates, and provide solutions. The attendee will gain a new appreciation for pitfalls in communication and the use of tools and systems that ensure every staff member has access to needed information. What mechanisms are in place at your institution to communicate important issues to staff efficiently? Attend this presentation and identify how you can compliment what you already have in place.

Respiratory Care Symposium

8:30 am – 11:50 am
Dean R Hess PhD RRT FAARC
Dean R Hess PhD RRT FAARC
8:30 am – 9:00 am

The Current State of the Journal

Dean R Hess PhD RRT FAARC, Boston MA

An update of activities of the Journal over the past 5 years.

Richard D Branson MSc RRT FAARC
Richard D Branson MSc RRT FAARC
9:05 am – 9:35 am

The Best 5 Research Papers Published in RESPIRATORY CARE in 2012

Richard D Branson MSc RRT FAARC, Cincinnati OH

An overview of the 5 best research papers published in RESPIRATORY CARE in 2012.

9:40 am – 10:10 am

The 5 Best Case Reports Published in RESPIRATORY CARE in 2012

Dean R Hess PhD RRT FAARC

An overview of the 5 best case reports published in RESPIRATORY CARE in 2012.

Neil R MacIntyre MD FAARC
Neil R MacIntyre MD FAARC
10:15 am – 10:45 am

Oxygen: Summary of the RESPIRATORY CARE Journal Conference

Neil R MacIntyre MD FAARC, Durham NC

An overview of the RESPIRATORY CARE Journal Conference on Oxygen.

Richard H Kallet MS RRT FAARC
Richard H Kallet MS RRT FAARC
10:50 am – 11:20 am

Adult Mechanical Ventilation in Acute Care: Summary of the RESPIRATORY CARE Journal Conference

Richard H Kallet MS RRT FAARC, San Francisco CA

An overview of the RESPIRATORY CARE Journal Conference on adult mechanical ventilation.

11:25 am – 11:50 am

Roundtable: Questions for the Editors

Dean R Hess PhD RRT FAARC
Richard D Branson MSc RRT FAARC

An opportunity for persons in the audience to ask questions of the editors.

The Pursuit of Excellence: The Deployment of a Respiratory Care Practitioner as Part of a Disaster Team

9:05 am – 10:30 am
Alan Roth MS MBA RRT-NPS FAARC
Alan Roth MS MBA RRT-NPS FAARC
9:05 am – 9:45 am

Deployment as Part of an NDMS DMAT

Alan Roth MS MBA RRT-NPS FAARC, Modesto CA

Most RTs feel compelled to offer expertise and support during a disaster. For many, this inner desire results in the enrollment in a government DMAT. This presentation will provide an overview of the overall commitment required for participation on a DMAT. The presenter will describe the expanded skill set necessary for participation and the personal training and hardship required with a DMAT commitment.

9:50 am – 10:30 am

Respiratory Care Practitioners Working in Developing Countries

Alan Roth MS MBA RRT-NPS FAARC

This presentation will describe educational requirements necessary to train medical staff in developing countries. The presenter will highlight the integration of respiratory therapists into a non-governmental organization (NGO) care team. The lecturer will describe the necessary requirements for long-term mission planning and the need for cultural sensitivity specific to local customs. The presentation will also highlight the viewpoints and feelings of developing countries as to their wants, desires, and expectations of care teams traveling to their country.

Issues in Long-Term Care

9:05 am – 10:45 am
Eric Anderson RRT
Eric Anderson RRT
9:05 am – 9:35 am

Controlling Nosocomial Infections in the Post-Acute Care Setting

Eric Anderson RRT, Bremerton WA

This presentation will describe the process of using an existing acute care model to minimize nosocomial infections in a skilled nursing facility. Attendees will learn of mechanisms to track infection rates and introduce corrective measures to improve staff practices in multiple facilities.

Gene Gantt RRT
Gene Gantt RRT
9:40 am – 10:10 am

The Role of the “Middle Space” in Reducing 30-day Readmissions

Gene Gantt RRT, Livingston TN

There is a growing emphasis on preventing readmission in the 30-day period following acute hospital discharge and admission to a long-term facility. Strategies for identifying those newly admitted residents at highest risk for readmission and appropriate interventions will be presented. Useful tools will be shared on how to not only “red flag” patients at risk for recidivism, but how to care for them as well.

Joseph Kretz MBA RRT
Joseph Kretz MBA RRT
10:15 am – 10:45 am

Sustaining the Role of the RT in Sub-Acute Care

Joseph Kretz MBA RRT, Aldan PA

How will the role of the RT be impacted in the newly emerging health care system? Will they be looked upon less, or will more be expected? This presentation will discuss the expanding role of the entire post-acute care continuum and explain how RTs can make themselves indispensible in the sub-acute arena.

Pediatric Noninvasive Ventilation: Facts, Myths and Evidence

9:05 am – 10:55 am
Peter Luckett MD
Peter Luckett MD
9:05 am – 9:40 am

Indications for Noninvasive Ventilation

Peter Luckett MD, Dallas TX

The use of noninvasive ventilation in the pediatric population continues to increase, but why? Is there data to support this trend? If not, what is the clinical rationale behind it? This presentation will review the current indications for noninvasive ventilation in the pediatric population.

Brian K Walsh MBA RRT-NPS FAARC
Brian K Walsh MBA RRT-NPS FAARC
9:45 am – 10:20 am

Alternative NIV Modes: Ready for Primetime or Not?

Brian K Walsh MBA RRT-NPS FAARC, Dallas TX

Are alternative modes of noninvasive support really ready for primetime? Non-traditional strategies for noninvasive ventilation will be reviewed along with the available data. Are newer approaches to noninvasive support really indicated or just fancy marketing schemes? This presentation will provide a balanced review of this clinically relevant topic.

Thomas J Cahill RRT
Thomas J Cahill RRT
10:25 am – 10:55 am

Does the Benefit Outweigh the Risk?

Thomas J Cahill RRT, Erlanger KY

What are the real and potential risks/benefits for the noninvasive support of the pediatric patient? In which direction do the data point? This presentation will discuss the advantages and disadvantages of noninvasive ventilation for varying patient conditions.

OPEN FORUM #17 and #18

9:30 am – 11:25 am

Researchers will present the results of their scientific studies. Abstracts with a similar focus are clustered into their own OPEN FORUM symposium to encourage discussion and interaction among investigators and observers. Posters are used to expand the information presented.

Respiratory Care in Resource Limited Settings

9:50 am – 11:45 am
Robert M DiBlasi RRT-NPS FAARC
Robert M DiBlasi RRT-NPS FAARC
9:50 am – 10:15 am

The Vietnam, India, and Egypt Experience

Robert M DiBlasi RRT-NPS FAARC, Seattle WA

Come listen to the global accounts of unique opportunities to practice (and teach) respiratory care in resource limited countries like Vietnam, India, and Egypt. This presentation will discuss the approaches used in locations with limited access to trained therapists, respiratory support devices, and other aspects of medical care. Become inspired by these experiences and learn what you can do to assist those in need.

Cynthia White RRT-NPS AE-C FAARC
Cynthia White RRT-NPS AE-C FAARC
10:20 am – 10:45 am

The China Experience

Cynthia White RRT-NPS AE-C FAARC, Cincinnati OH

This presentation will discuss the impact of the AARC, ARCF, and the International Council on Global Development of the Respiratory Care Profession. A focus will be placed on the speaker’s experience in Hangzhou, China. The audience will gain a greater appreciation for the respiratory care experience in a resource-limited region of the world.

Edward Leo Schneider RRT-NPS
Edward Leo Schneider RRT-NPS
10:50 am – 11:15 am

The Brazil Experience

Edward Leo Schneider RRT-NPS, Rochester MN
Krist Prihoda RRT
Krist Prihoda RRT
Kristy Prihoda RRT, Rochester MN

This presentation will discuss the impact of the AARC, ARCF, and the International Council on Global Development of the Respiratory Care Profession. A focus will be placed on the speaker’s experience in Brazil. The audience will gain a greater appreciation for the respiratory care experience in a resource-limited region of the world.

Maneesh Batra MD
Maneesh Batra MD
11:20 am – 11:45 am

Neonatal Respiratory Care “The Africa Experience”

Maneesh Batra MD, Seattle WA

This presentation will discuss the impact of the AARC, ARCF, and the International Council on Global Development of the Respiratory Care Profession. A focus will be placed on the speaker’s experience of over 10 years assisting a rural special care nursery in Uganda. The audience will gain a greater appreciation for the respiratory care experience in a resource-limited region of the world.

Sleep Deprivation and Its Impact on You

10:05 am – 10:50 am
10:05 am – 10:25 am

No Sleeping in the Break Room...Managing Fatigue in the Workplace

Karla Smith

Healthcare is a 24/7 industry, so how do those of us who work varying shifts manage our families, work, play and still sleep well? This presentation will help raise awareness of fatigue, discuss how to manage it, and define responsibilities for managing fatigue in the workplace. Most importantly, attendees will better understand how to ensure patient safety during periods of fatigue while on the job.

10:30 am – 10:50 am

Wake Up Before You Kill Someone!

Karla Smith

With millions of Americans having undiagnosed sleep disorders, what impact does this have on safety while traveling on roads, railways, and in the sky? This presentation will discuss historical accidents and how fatigue and untreated sleep disorders played a role in those events. Don't be "that person". Attend this lecture and find out how to avoid serious sleep-related injury on the road, in the workplace, and in life.

Zip Line Leadership: Health Care Delivery Transformations

10:10 am – 10:40 am
Stan Holland MS RRT FAARC
Stan Holland MS RRT FAARC
Stan Holland MS RRT FAARC, Harrisonburg VA

A zip line allows a person to move quickly from one point to another either under their own power or by gravity. As more healthcare reforms take effect, there is a critical need for RTs to quickly adjust current practices to accommodate evolving quality goals. Interdisciplinary collaboration can be the zip line that allows RT departments to take the risk of jumping out of their comfort zone while building momentum for necessary practice changes. Attend this lecture and learn from an experienced and successful RT manager who will share concrete examples of successful collaboration with other disciplines that have contributed to improved patient outcomes while enhancing patient safety. If you’re seeking ways to thrive in this “brave new world,” then grab hold of the zip line and hang on!

The Pursuit of Excellence

10:35 am – 11:25 am
Shawna Strickland PhD RRT-NPS AE-C FAARC
Shawna Strickland PhD RRT-NPS AE-C FAARC

The Role of Ethical Decision-Making in Multifaceted Emergencies

Shawna Strickland PhD RRT-NPS AE-C FAARC, Columbia MO

This lecture will describe the nuances involved in ethical decision-making in austere environments and critical care. This presentation will describe the ethics when emergency capacity surpasses human and capital resources. The presenter will describe new mindsets for such events when our medical background trains us to be resource intense. Tools used domestically and abroad will also be discussed that rely less on morality in the decision making process and more on the science.

Fireproof Leadership through Stewardship and Accountability

10:45 am – 11:15 am
Stan Holland MS RRT FAARC
Stan Holland MS RRT FAARC
Stan Holland MS RRT FAARC, Harrisonburg VA

Leaders are developed by successfully resolving a myriad of challenges on a daily basis; they become tempered and are able to withstand great heat. This tempering, or fireproofing, gives them the ability to take a more global/systems approach to problem-solving through responsible planning and management of limited resources. Fireproof leaders develop win/win solutions that often involve unique approaches not limited to a single discipline or process. This presenter will walk us through the fires of change as he deals with the challenges of managing both the RT and the emergency departments.

Diagnosis and Management of Pulmonary Arterial Hypertension (PAH)

10:50 am – 11:30 am

Diagnosis and Management of Pulmonary Arterial Hypertension

Avery McKee RN BSN RRT, New Orleans LA

Those attending this lecture will gain an understanding of the classification and diagnosis of PAH. The presenter will also discuss the management of PAH, including general and specific therapies and goals of care. It will conclude with an overview of resources available for RTs interested in the treatment and care of PAH.

Pediatric Acute Lung Injury

11:00 am – 11:40 am
Peter Luckett MD
Peter Luckett MD
Peter Luckett MD, Dallas TX

Much attention is paid to the infant or child with acute lung injury in the acute care setting, but what happens to these patients beyond the critical care environment? This session will discuss the pulmonary and neurodevelopment outcomes for these pediatric patients. Specific discussion of the various aspects of acute care management on long-term outcomes will be considered.

Making the Most of Changes: A Survival Guide for Bedside RCPs

11:00 am – 11:50 am
Dana Evans MHA RRT-NPS AE-C
Dana Evans MHA RRT-NPS AE-C
Dana Evans MHA RRT-NPS AE-C, St Louis MO

Today’s healthcare environment is one of fast paced change. Frequent, large changes can be difficult to understand, work with and adapt to. This presentation will review the components of change management programs and give insight into the manager’s thought process. Why do individuals respond to change the way they do? Attend this presentation to find out!

AARC Uniform Reporting Manual

11:20 am – 12:00 noon
Bill Dubbs MHA MEd RRT FAARC
Bill Dubbs MHA MEd RRT FAARC
Bill Dubbs MHA MEd RRT FAARC, Irving TX

The presenter will provide an overview of the recently revised URM, with regard to function, utility, and value for the RT director and respiratory therapy department. Every manager should have a URM on the bookshelf in their office. Attend this lecture to find out why.

Disease Management

11:30 am – 12:15 pm
Jeremy Parks RRT
Jeremy Parks RRT

A Unique Inside Look into the Life of a CF Patient: From the Patient and RRT Perspective

Jeremy Parks RRT, St Louis MO

Most healthcare professionals experience cystic fibrosis (CF) as a pulmonary disease from a caregiver’s perspective and through the secondhand experiences of our patients. This presentation offers a unique look into the life of one of our RRT peers living with CF. It will provide insight into the meaning of living with CF as a patient and RRT, including the impact of molding your lifestyle around the disease. The speaker will discuss the impact of CF on patients, families, and respiratory care practitioners from a personal perspective. Attendees will have a valuable opportunity to hear insights, facts, myths, and expectations from firsthand experiences. This presentation will also highlight the impact and value of the excellent care provide by RCPs, including the gratitude and respect CF patients have for the respiratory care profession.

Agencies Update

11:30 am – 12:15 pm
George Gaebler MSEd RRT FAARC - AARC President
Michael T Amato MBA - ARCF Chair
Stephen P Mikles EdS RRT FAARC - CoARC President
Kerry George MEd RRT FAARC - NBRC President

The leadership of the AARC, ARCF, CoARC and NBRC will present the most updated information affecting the profession, research, accreditation, and credentialing. A must-attend session in your agenda!

George Gaebler MS RRT FAARC
George Gaebler MS RRT FAARC
Michael T Amato MBA
Michael T Amato MBA
Stephen Mikles EdS RRT FAARC
Stephen Mikles EdS RRT FAARC
Kerry George MEd RRT FAARC
Kerry George MEd RRT FAARC









A Clinician’s Guide to Individualizing the Ventilator Prescription

1:00 pm – 1:30 pm
David M Wheeler RRT-NPS
David M Wheeler RRT-NPS
David M Wheeler RRT-NPS, Cleveland OH

Individualized evidence-based care requires a formal set of constructs. This presentation will define and outline the concept of N of 1 care and the outcomes derived from individualized context bases and assessment driven care. Not sure what N of 1 is? Looking for an easier way to conduct group comparison studies? Attend this presentation and learn the art of mastering mechanical ventilatory support to one patient.

Idiopathic Pulmonary Fibrosis: Pathophysiology and Treatment

1:00 pm – 1:30 pm
Chris Garvey FNP MSN MPA AE-C FAACVPR
Chris Garvey FNP MSN MPA AE-C FAACVPR
Chris Garvey FNP MSN MPA AE-C FAACVPR, Daly City CA

RTs attending this presentation will learn of the unique challenges this patient population presents, especially with respect to maintaining adequate oxygenation. The presenter will discuss the important role of rehabilitation and more specifically, the role of the RT in caring for patients with this disease.

Pulmonary Diagnostic: New Wave Challenge Testing

1:00 pm – 1:30 pm
Ellen Moran RRT RPFT AE-C
Ellen Moran RRT RPFT AE-C

Mannitol Challenge Testing: What’s New and Lessons Learned

Ellen Moran RRT RPFT AE-C, Chicago IL

Bronchial provocation testing uses a variety of direct and indirect inhalational challenges to evaluate airway hyperactivity. Mannitol is a simple, easy-to-administer hypertonic stimulus that has been recently approved by the FDA in the US. This lecture will explore the evidence in the use and clinical efficacy of this new method of challenge testing.

Pediatric Pulmonary Hypertension

1:00 pm – 1:55 pm
Jenni Raake MBA RRT-NPS
Jenni Raake MBA RRT-NPS
1:00 pm – 1:25 pm

Pulmonary Hypertension in the Pediatric Patient

Jenni Raake MBA RRT-NPS, Cincinnati OH

Respiratory therapists are well versed in the pathophysiology and treatment of PH. But is PH treated differently in the adult than it is in the pediatric population? This presentation will describe the current state of pulmonary hypertension in pediatric patients and discuss current and future treatments.

Nancy Johnson RRT-NPS
Nancy Johnson RRT-NPS
1:30 pm – 1:55 pm

Pulmonary Hypertension in the Neonatal Patient

Nancy Johnson RRT-NPS, Medina OH

Respiratory therapists are well versed in the pathophysiology and treatment of PH. But is PH treated differently in the adult than it is in the pediatric population… in neonates? This presentation will describe the current state of pulmonary hypertension in the neonatal population and discuss current and future treatments.

Patient Simulation for Respiratory Therapy

1:00 pm – 2:05 pm
Roberta Hales MHA RRT-NPS RN
Roberta Hales MHA RRT-NPS RN
1:00 pm – 1:30 pm

Overview of Clinical Simulation

Roberta Hales MHA RRT-NPS RN, Philadelphia PA

This presentation will provide an overview of clinical simulations. The participant will be able to discuss the role simulation holds for the future of RT education, both in the classroom and at the bedside. Included will be guidelines set by The Joint Commission and CoARC for designing simulation curriculum. Different methods of simulation will be discussed and how it can be used for RT training, competency assessment and skills acquisition.

1:35 pm – 2:05 pm

Performing a Needs Assessment for Your Institution

Roberta Hales MHA RRT-NPS RN

This presentation will discuss the importance of a needs assessment for implementation and use of clinical simulators. Participants will be able to identify key elements of the needs assessment and develop various topics for their collegiate or hospital program.

Managing Service Utilization

1:00 pm – 2:25 pm
Suzan Herzig RRT
Suzan Herzig RRT
1:00 pm – 1:40 pm

After “Fat Tuesday”

Suzan Herzig RRT, Alpine CA

Fat Tuesday… the last day of eating rich, fatty foods before one must fast for Lent. Fat Tuesday in healthcare is over and it’s now time for the fasting to begin. With new healthcare mandates, we must find ways to cut the fat of operations in all aspects. Well-planned protocols can serve as armor for your department and the field of respiratory care. The speaker will share protocols and how they may protect your organization from fasting and protect quality patient care.

Richard M Ford RRT FAARC
Richard M Ford RRT FAARC
1:45 pm – 2:25 pm

So Where Do We Cut the Fat Without Cutting Services?

Richard M Ford RRT FAARC, San Diego CA

Reforms and pressure to reduce expenses remain a challenge for managers. Mandated reductions in expenses are common encounters as there are fewer margins available to support inpatient services. This presentation will include ideas from managers across the country in which costs have been reduced without compromising quality. Best practices will be shared so that attendees can apply like ideas in their workplace.

OPEN FORUM #19 and #20

1:00 pm – 2:25 pm

Researchers will present the results of their scientific studies. Abstracts with a similar focus are clustered into their own OPEN FORUM symposium to encourage discussion and interaction among investigators and observers. Posters are used to expand the information presented.

Inhaled Gases

1:00 pm – 2:40 pm
Robert M Kacmarek PhD RRT FAARC
Robert M Kacmarek PhD RRT FAARC
1:00 pm – 1:30 pm

What’s New with Heliox?

Robert M Kacmarek PhD RRT FAARC, Boston MA

Heliox has been around since the 1930s. There’s no denying the clinical benefits it provides to patients with airway obstruction. But what does the current scientific literature state regarding this inhaled gas? Should doses remain the same, and are there benefits to new patient populations? This presentation will summarize the recent evidence related to the use of heliox, including patient selection and technical aspects of administration.

Paul F Nuccio MS RRT FAARC
Paul F Nuccio MS RRT FAARC
1:35 pm – 2:05 pm

Physiologic Benefits of Inhaled Carbon Monoxide

Paul F Nuccio MS RRT FAARC, Boston MA

Inhaled carbon monoxide is usually considered a toxic gas. However, recent experimental data suggest that low-dose carbon monoxide might have a clinical benefit. The lecture will discuss potential therapeutic benefits of inhaled carbon monoxide. Risks for this new experimental treatment will also be explored.

2:10 pm – 2:40 pm

Inhaled Pulmonary Vasodilators: Adult Applications

Robert M Kacmarek PhD RRT FAARC

While nitric oxide is not FDA-approved in the adult population, it is often used in an “off-label” capacity. This presentation will review the current literature in utilizing inhaled nitric oxide for adults in post cardiac surgery, pulmonary hypertension, and ARDS? What is the role of alternatives such as aerosolized prostacyclin? The costs may be cheaper, but is the benefit the same? Attend this presentation and get the answers to these and other questions.

Pulmonary Diagnostics: Special Studies Your Pulmonary Lab Should Consider

1:35 pm – 3:00 pm
Mary Jo Biebl-Yahnke RRT RPFT
Mary Jo Biebl-Yahnke RRT RPFT
1:35 pm – 2:15 pm

The ABCs of Performing a Shunt Study

Mary Jo Biebl-Yahnke RRT RPFT, Madison WI

The expansion of pulmonary diagnostic services is important in a cost-containment healthcare setting for survivability and growth. This is true for improved accessibility as well as increased revenue. This presentation will address patient populations usually considered for shunt studies, the procedure and equipment required, as well as the calculation of results and clinical significance.

Matthew J O'Brien MS RRT RPFT
Matthew J O'Brien MS RRT RPFT
2:20 pm – 3:00 pm

Breath Hydrogen Testing – Is This a Diagnostic Test Our Lab Should Offer?

Matthew J O'Brien MS RRT RPFT, Madison WI

Breath hydrogen testing is an exhaled breath test used to help determine malabsorption following ingestion of various sugars. An overview of equipment options, calibration, testing procedures and report generation will be covered. Learn how this GI requested diagnostic test could bolster your pulmonary lab to maintain its bottom line.

What Every Sleep Educator Should Know About…

1:35 pm – 3:10 pm
Thomas R Smalling PhD RRT RPFT RPSGT FAARC
Thomas R Smalling PhD RRT RPFT RPSGT FAARC
1:35 pm – 2:25 pm

Accreditation and Credentialing Pathways for Sleep Specialists

Thomas R Smalling PhD RRT RPFT RPSGT FAARC, Bedford TX

This presentation will describe the different pathways for completing an accredited sleep education program. Following this talk, attendees will be able to describe the different credentialing pathways available for program graduates and discuss the advantages/limitations of each pathway.

2:30 pm – 3:10 pm

Competency-Based Standards for Sleep Disorders Specialist Education

Thomas R Smalling PhD RRT RPFT RPSGT FAARC

Competency standards for hospital-based RTs are robust in nature; however, there are far fewer, with little evidence for the RT sleep technician. This presentation will describe the concept of competency-based standards as they relate to sleep and describe a process for identifying professional competencies in the sleep environment. The lecturer will also compare a sleep disorders program curriculum based on competencies to that of a curriculum based on tasks.

Considerations in Exercising Patients in Pulmonary Rehabilitation

1:35 pm – 3:15 pm
Debra Koehl MS RRT-NPS
Debra Koehl MS RRT-NPS
1:35 pm – 2:05 pm

Exercising the Patient with COPD

Debra Koehl MS RRT-NPS, Indianapolis IN

This presentation will address issues experienced during exercising patients diagnosed with COPD. A discussion of indications and contraindications for exercise in this population will be provided. The presenter will also identify oxygenation considerations, goals, techniques, protocols and outcomes associated with exercising this patient population. Is there a difference between exercising the patient with COPD from those with other pulmonary diseases? Attend this lecture to find out!

June Schulz RRT AE-C FAACVPR
June Schulz RRT AE-C FAACVPR
2:10 pm – 2:40 pm

Exercising the Patient with Pulmonary Hypertension

June Schulz RRT AE-C FAACVPR, Brandon SD

This presentation will address issues experienced during exercising patients diagnosed with pulmonary hypertension. A discussion of indications and contraindications for exercise in this population will be provided. The presenter will also identify oxygenation considerations, goals, techniques, protocols and outcomes associated with exercising this patient population. Is there a difference between exercising the patient with pulmonary hypertension from those with other pulmonary diseases? Attend this lecture to find out!

2:45 pm – 3:15 pm

Exercising the Patient with Pulmonary Fibrosis

Debra Koehl MS RRT-NPS

This presentation will address issues experienced during exercising patients diagnosed with idiopathic pulmonary fibrosis. A discussion of indications and contraindications for exercise in this population will be provided. The presenter will also identify oxygenation considerations, goals, techniques, protocols and outcomes associated with exercising this patient population. Is there a difference between exercising the pulmonary fibrosis patient from those with other pulmonary diseases? Attend this lecture to find out!

Quality Improvement for the RT in the NICU

2:00 pm – 2:55 pm
Roger Soll MD FAAP
Roger Soll MD FAAP
2:00 pm – 2:25 pm

Evidence-Based Medicine: Applying Evidence to Your Practice

Roger Soll MD FAAP, Burlington VT

This session will discuss how to critically evaluate a respiratory care intervention or therapy and how improper evaluation of interventions can lead to patient harm. Routine clinical care examples, including oxygen administration, high-flow nasal cannulae, intubations, and basic ventilator support will be discussed. Both case-based and unit-based examples will be highlighted.

2:30 pm – 2:55 pm

Reducing Chronic Lung Disease: Impact of Collaborative Quality Improvement

Roger Soll MD FAAP

This presentation will describe the process of multidisciplinary collaborative quality improvement with a specific focus on the potentially better practices that may reduce the risk of chronic lung disease in preterm infants. The talk will focus both on the process of quality improvement and the specific respiratory management practices that can minimize the risk of chronic lung disease.

Discharging a Vent-Dependent Patient to Home: Do You Think You’re Ready?

2:10 pm – 3:45 pm
Gary Jeromin MA RRT LRT
Gary Jeromin MA RRT LRT
2:10 pm – 2:55 pm

Standing on the Precipice: What Do You Need to Know?

Gary Jeromin MA RRT LRT, Ann Arbor MI

This presentation will review best practices for discharging a ventilator-dependent patient to home. What is the role of the hospital-based RT? What is the role of the homecare RT? Those in attendance will be asked to participate through audience response technology by indicating their agreement or disagreement with selected processes and steps that the speaker will present.

Angela King RPFT RRT-NPS
Angela King RPFT RRT-NPS
3:00 pm – 3:45 pm

When Things Go Wrong: What Would You Do?

Angela King RPFT RRT-NPS, Leo IN

In spite of the best planning and intentions, home ventilation is still problematic and prone to mistakes. Are you confident in your ability to diagnose and correct issues when things go wrong? Are you confident in the ability of family and caregivers to do the same? Those in attendance will be asked to participate through audience response technology by indicating their agreement or disagreement with selected processes and steps that the speaker will present.

Disease State Management: Starting a Clinic-based RT Case Management

2:30 pm – 3:35 pm
Joe Dwan MS Ed RRT-NPS-SDS
Joe Dwan MS Ed RRT-NPS-SDS
2:30 pm – 3:00 pm

Reducing Readmissions with RT Interventions: A Decade of Success with COPD/Asthma RT Case Managers

Joe Dwan MS Ed RRT-NPS-SDS, Beavercreek OR

With changes in the healthcare landscape, many RT managers are considering value-added positions to better serve patients and decrease hospital readmissions. Unfortunately, many do not know what these roles and responsibilities look like, nor do they know how to set up a disease management program. This presenter will describe how to begin an adult asthma/COPD case management program. The lecture will also identify measurable outcomes including utilization rates, costs, physician, and patient satisfaction data.

Mary Hart MS RRT AE-C FAARC
Mary Hart MS RRT AE-C FAARC
3:05 pm – 3:35 pm

Preparing and Training Respiratory Therapists for the Skills Required in Outpatient Management

Mary Hart MS RRT AE-C FAARC, San Antonio TX

This presentation will describe the education and skill set required to convert an inpatient RT into a competent outpatient RT. Attendees will be able to identify skills that include modifying patient behaviors, accessing outpatient information, interdisciplinary communications, as well as referral resourcing, protocols, and documentation of outcomes.

Early Mobility in the ICU

2:45 pm – 3:35 pm
Carl Hinkson RRT FAARC
Carl Hinkson RRT FAARC
Carl Hinkson RRT FAARC, Seattle WA

Once thought of as blasphemy, ambulation of mechanically ventilated patients in the ICU is gaining momentum throughout the world. Deconditioning and weakness are problems common to survivors of critical illness requiring ventilator assistance. Does early ambulation of the mechanically ventilated patient help? This lecture will focus on the feasibility, safety, and benefits of early mobilization of mechanically ventilated patients in the ICU. Current literature will also be reviewed on this new and innovative treatment.

Managing the “Pediatric Adult” Patient

3:00 pm – 3:30 pm
Joel Brown RRT
Joel Brown RRT
Joel Brown RRT, Newark DE

Have you ever had an adult-aged patient who required pediatric ventilator settings and /or management strategies? Or what about the 40-year-old patient residing in the pediatric ICU because of a congenital heart disease at birth. This presentation will address some of the recurring concerns that arise when managing critically ill patients who do not fit the framework of standard pediatric care. Interactive case studies will be presented along with a review of the available evidence to highlight the key learning points.

Critical Care Transport and Intensive Care Issues in Pediatrics

3:05 pm – 4:30 pm
Ami Brownlee RN CFN
Ami Brownlee RN CFN
3:05 pm – 3:45 pm

Early Warning Signs in Pediatric Transport

Ami Brownlee RN CFN, Colorado Springs CO

The transport of critically ill pediatrics is a challenge even for seasoned transport personnel. Pediatric patients are not just little adults but an entirely different patient population. This lecture is designed to highlight early warning signs of potential decompensation in the pediatric patient. The lecture will utilize case scenarios of critically ill pediatric patients for illustration purposes.

3:50 pm – 4:30 pm

Non-Accidental Trauma in Pediatrics

Ami Brownlee RN CFN

This lecture will discuss presentation patterns of non-accidental trauma frequently encountered during transport and in emergency rooms and ICUs. Risk factors for non-accidental trauma will also be discussed, showcased with several case scenarios to illustrate patterns of injury, as well as causative factors leading to non-accidental pediatric trauma.

Negative Pressure Pulmonary Edema: Etiology, Prevention and Treatment

3:15 pm – 3:45 pm
Mark S Siobal RRT FAARC
Mark S Siobal RRT FAARC
Mark S Siobal RRT FAARC, San Francisco CA

Negative pressure pulmonary edema is an uncommon, potentially life threatening complication of upper airway obstruction. Onset and severity of pulmonary edema symptoms can be immediate or delayed. This lecture will review the distinction between other forms of pulmonary edema, describe the most typical causes, examine several unusual etiologies, and review interventions for prevention and treatment.

How a Respiratory Therapist Can Drive Health Systems Change and Improve Quality

3:20 pm – 4:00 pm
Dawn Aberle RRT CTTS AE-C
Dawn Aberle RRT CTTS AE-C
Dawn Aberle RRT CTTS AE-C, Fargo ND

This presentation will review North Dakota’s use of tobacco-control dollars and establishment of the Center for Tobacco Prevention and Control Policy. The speaker will also provide a case example of Sanford Health’s use of a 0.5 FTE grant-funded position to implement a variety of tobacco-control policies and improvement. Outcomes from these programs will be shared with attendees.

Post-Acute Care: Where Are Our Vent-Dependent Patients Going?

3:35 pm – 4:40 pm
Thomas J Cahill RRT
Thomas J Cahill RRT
3:35 pm – 4:05 pm

Pediatric Patients

Thomas J Cahill RRT, Erlanger KY

This presentation will discuss how hospital-based RTs can collaborate with entities outside the hospital to determine the best platform for pediatric ventilation outside of the acute care arena. Should the pediatric ventilatory patient be treated as a small adult? What are the risk factors for this patient population once they leave the hospital? The presenter will detail best practices on how to maximize the safety of this fragile patient population.

Ronda Bradley MS RRT
Ronda Bradley MS RRT
4:10 pm – 4:40 pm

Adult Patients

Ronda Bradley MS RRT, St Louis MO

This presentation will discuss how hospital-based RTs can collaborate with entities outside the hospital to determine the best platform for pediatric ventilation outside of the acute care arena. Should adult patients be treated differently than their pediatric counterparts? What are the risk factors for this patient population once they leave the hospital? The presenter will detail best practices on how to maximize the safety of this patient population.

Hot Topics in Disaster Management

3:40 pm – 5:05 pm
Joe Hylton RRT-NPS NCEMT-B FAARC
Joe Hylton RRT-NPS NCEMT-B FAARC
3:40 pm – 4:20 pm

Explosion/Blast Injuries; Mechanisms & Treatment

Joe Hylton RRT-NPS NCEMT-B FAARC, Charlotte NC

Most hospitals like to think they’re prepared for an internal or external disaster, but are they really? Can you really be prepared if you’ve never gone through a “live” incident? This lecture will discuss mechanisms of disaster and injuries associated with explosion/blast trauma. Emphasis will be placed on prehospital/transport management strategies and critical care support. Is your hospital ready for this type of disaster? Are you ready? Attend this presentation to find out.

Keith Lamb RRT
Keith Lamb RRT
4:25 pm – 5:05 pm

Mass Casualty Burn Care

Keith Lamb RRT, Newark DE

Most hospitals like to think they’re prepared for an internal or external disaster, but are they really? Can you really be prepared if you’ve never gone through a “live” incident? This lecture will discuss mechanisms of disaster and injuries associated with burns: fire and chemical. Emphasis will be placed on prehospital/transport management strategies and critical care support. Is your hospital ready for mass casualty burn care? Are you ready? Attend this presentation to find out.

Adding Value to Your Department: The Problem, the Plan and the Answer

3:45 pm – 4:50 pm
Thomas R Lamphere RRT RPFT
Thomas R Lamphere RRT RPFT
3:45 pm – 4:15 pm

New Roles for RTs: Improving Quality and the Bottom Line

Thomas R Lamphere RRT RPFT, Sellersville PA

Traditional roles of RTs find them working in acute care hospitals. In today’s economy, hospitals are facing severe economic challenges that sometimes result in the loss of RT positions. There are, however, other care venues that have been demonstrated the ability to provide care in a less expensive manner and have shown job growth for RTs in untraditional roles. Attendees will leave this presentation with knowledge, intuition, and know-how on how to improve quality and the economics of their department by creating new roles and responsibilities for their staff. A “can’t miss” presentation for the manager needing to cut costs while adding value to their department.

Mary Lou Guy MBA RRT CHT
Mary Lou Guy MBA RRT CHT
4:20 pm – 4:50 pm

Selling the Sizzle: How to Communicate the Value of Untraditional Roles to the C-Suite

Mary Lou Guy MBA RRT CHT, Kansas City MO

How many times have you gone to the C-suite asking for something and not come away with a firm "yes"? Do you know what it is that hospital administrators look for when making decisions that affect the bottom line? Do you have the skills to close out a sales pitch when the stakes are high? Don't miss out on this great opportunity to hear from a seasoned RT manager skilled in the art of selling value and services to hospital administrators. This presentation will address key components of developing a business plan and where to get supporting financial data to support your case. Finally, the lecturer will discuss the art of “the sale,” how to frame your conversation with administrators and close the deal.

Ultrasound for the Respiratory Care Practitioner

3:50 pm – 4:40 pm
Andrew Miller RRT
Andrew Miller RRT
Andrew Miller RRT, Durham NC

There is a plethora of literature supporting the use and clinical application of bedside ultrasonography. This presentation will review the clinical applications of bedside ultrasound, focusing on its use for vascular access, airway management, bedside diagnostics and assessment of lung aeration. Untraditional roles for the RT will be discussed.

AARC’s Hospital-to-Home Initiative: an Update

3:50 pm – 4:55 pm
Greg Spratt RRT CPFT
Greg Spratt RRT CPFT
3:50 pm – 4:20 pm

So, What Have We Learned So Far?

Greg Spratt RRT CPFT, Philadelphia MO

This presentation will provide an update on the impact of the initiative to more closely align the home care and hospital RTs to improve the transition of care for COPD patients.

Nicholas Macmillan AGS RRT FAARC
Nicholas Macmillan AGS RRT FAARC
4:25 pm – 4:55 pm

What Have We Learned From Our Patients?

Nicholas Macmillan AGS RRT FAARC, Bargersville IN

The speaker will present the results of a patient survey conducted as a part of the Hospital-to-Home initiative.

Asthmania Academy: A Successful Asthma Education Program Model

4:05 pm – 4:55 pm
Michael Shoemaker RRT-NPS AE-C
Michael Shoemaker RRT-NPS AE-C
Michael Shoemaker RRT-NPS AE-C , Anderson SC

This presentation will describe an asthma education program model that can not only improve outcomes, but can be replicated. These patient and community-focused programs offer opportunities for RTs to pursue reimbursement for disease management education. Are you seeking opportunities to better serve your asthma population? Attend this lecture and learn how to set up your own program.