Tuesday, Nov. 12

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8:00 a.m.–8:50 a.m. | La Nouvelle Orleans Ballroom | Education

35th Phil Kittredge Memorial Lecture

Closing the Gap: Improving Critical Thinking Skills for the Respiratory Therapist

Shelley Mishoe PhD RRT FAARC, Virginia Beach VA

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Shelly Mishoe

Several publications indicate that critical thinking is an integral part of the delivery of health care. This would suggest that fostering the development of critical thinking skills is a vital component of preparing RTs for the health care of today and the future. However, we know very little about critical thinking in the context of respiratory care as it’s not an area that has been thoroughly studied. This presentation will discuss the core components of fostering critical thinking skills in formal education and at the bedside from one of the few recognized experts in the field.

9:15 a.m.–12:30 p.m. | Clinical Practice

Journal Symposium

9:15 a.m.–9:50 a.m. | 260–262

Five Best Original Papers in Respiratory Care

Richard Branson MS RRT FAARC, Beaufort SC

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Richard Branson

Respiratory Care publishes over 200 papers per year. What are the most influential papers published in 2019 that clinicians should understand? These papers question old ideas and suggest alterations to practice.

9:55 a.m.–10:30 a.m. | 260–262

Most Common Mistakes by New Authors

Dean Hess PhD RRT FAARC, Danvers MA

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Dean Hess

How do I create a paper that has the best chance of being accepted? What are the most common mistakes made by new authors that preclude acceptance of their paper? What are checklists and practices that improve the probability of getting your paper accepted.

10:35 a.m.–11:10 a.m. | 260–262

Creating a Successful Research Program in Your Department

Richard Kallet MSc RRT FAACP, San Francisco CA

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Richard Kallet

Research requires expertise and time to be successful. How can a respiratory therapy department create a culture that prioritizes research? What infrastructure is required and how important are mentors?

11:15 a.m.–11:50 a.m. | 260–262

Simulation Studies for Publication — Principles and Pitfalls

Robert Chatburn RRT RRT-NPS MHHS, Cleveland Hts OJ

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Robert Chatburn

Simulation can be used for education and research. However, simulation research is a science to itself. What are the best practices and what are the pitfalls of simulation research?

11:55 a.m.–12:30 p.m. | 260–262

Five Best Bench Studies in Respiratory Care

Richard Branson MS RRT FAARC, Beaufort SC

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Richard Branson

Bench studies of technology represent a focus of Respiratory Care. This lecture will describe the 5 top bench studies of technology and list the characteristics of exceptional studies.

9:15 a.m.–11:50 a.m. | Education

Teaching the Tough Stuff: Preparing for Real World Practice

9:15 a.m.–9:50 a.m. | 272–273

GRIT: Growth, Resilience, Interpersonal Communication & Teamwork

Georgianna Sergakis PhD RRT FAARC, Columbus OH

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Georgianna Sergakis

This interactive session will explore the core traits and related literature on the development of GRIT (growth mindset, resiliency, interpersonal communication and teamwork) in clinical training. We will discuss how to develop strategies to improve the learners’ critical thinking skills by questioning their own assumptions and practicing for real world application.

9:55 a.m.–10:30 a.m. | 272–273

Too Soon? Navigating Tough Topics with Student Learners

Samantha Davis MS RRT CHSE, Boise ID

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Samantha Davis

This session will explore different instructional approaches for integrating the tough topics, such as resiliency, compassion fatigue, hospice, and palliative care into your own curriculum. Audience dialogue and sharing of current practices will be encouraged.

10:35 a.m.–11:10 a.m. | 272–273

Out of Our Comfort Zone: Conversations About Comfort

Shawna Strickland PhD RRT FAARC, Irving TX

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Shawna Strickland

Many clinicians feel uncomfortable discussing palliative efforts and end-of-life options and most have no formal training in these conversations. Role-playing and simulation can be helpful to practice these difficult conversations and help refine approaches to conversations with patients and families.

11:15 a.m.–11:50 a.m. | 272–273

What About Us? An Exploration of Self-Care and Compassion Fatigue

Gabrielle Davis MPH RRT CHES, Boise ID

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Gabrielle Davis

This session will explore compassion fatigue and how lack of self-care can affect our interactions with patients, students, colleagues, and life outside of work.

9:15 a.m.–10:30 a.m. | Theater A | Neonatal/Pediatric

PRO/CON — Racing to Extubation: Should All Pediatric Post-Operative Congenital Heart Patients Be in the Race

PRO: Teresa Volsko MBA RRT FAARC, Canfield OH
CON: Katherine Fedor MBA RRT RRT-NPS, Cleveland OH

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Teresa VolskoKathy Fedor

There is increasing interest in reducing the duration of mechanical ventilation after surgery for pediatric congenital cardiac defects. However, the contemporary use of an early extubation strategy and its effect on clinical outcomes is poorly understood. Two clinicians will debate the benefits and risks of such an approach. Should a fast track weaning protocol be used on all intubated children following surgical correction of a congenital cardiac defect?

9:15 a.m.–9:50 a.m. | 286–287 | Adult Acute Care

Acute Pulmonary Embolism in Adults

Neil R MacIntyre MD FAARC, Durham NC

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Neil MacIntyre

Respiratory therapists frequently encounter patients that are suffering from PE. Because PE can be dangerous, even fatal, it is imperative that it is recognized and treated quickly. In this lecture the presentation, evaluation, and treatment of PE will be discussed.

9:15 a.m.–9:50 a.m. | Theater B | Adult Acute Care

Designing Evidence-Based Protocols for Use in the Intensive Care Unit

Eduardo Mireles-Cabodevila MD, Cleveland Hts OH

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Eduardo Mireles-Cabodevila

This talk shares the practical experience of a director of a medical intensive care unit in a large academic medical center in designing and implementing respiratory care protocols. It will emphasize how to find, evaluate, and incorporate the latest evidence.

9:15 a.m.–9:50 a.m. | TBA | Management

Interviewing for Clinical Skills

TBA

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TBA

Currently, due to a lack of standardized terminology, respiratory care data are seldom captured and aggregated in health information systems to help us generate meaningful information, link respiratory care interventions and outcomes, and evaluate the cost-effectiveness of care. This session will describe work that is currently underway to label and define key respiratory care concepts that describe patient responses to respiratory system dysfunction, events, and interventions.

9:55 a.m.–10:30 a.m. | Theater C | Management

Secrets to Creating a Dynamic Team Amid Organizational Change!

Steve Abplanalp RRT CPFT, Murray UT

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Steve Abplanalp

Success in the constantly changing health care environment depends upon strong “teaming.” Creating an environment where employees feel safe to take professional risks, learn from experience, and then grow new ideas into opportunities enables them to reach their highest potential. Strong leadership teams that are dynamic, flexible, and organized to learn make a positive difference for every patient, every day while they revolutionize the health care workplace.

9:55 a.m.–10:30 a.m. | 286–287 | Clinical Practice

Family ICU Syndrome: What It Is and What an RT Can Do About It

Deborah Linehan RRT RRT-NPS RRT-ACCS, Littlestown PA

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Deborah Linehan

A devastated family at the bedside of a loved one: we see this all the time as respiratory therapists, but have you ever stopped to consider the psychological issues confronting this family, and how it affects them? These effects can be felt long after their loved one has left the ICU. In this lecture, Family ICU Syndrome and practical ways respiratory therapists can help the families in their care will be discussed.

9:55 a.m.–10:30 a.m. | Theater B | Adult Acute Care

PRO/CON — VV-ECMO Should be Considered a First-Line Treatment for Severe ARDS

PRO: Karsten Roberts MSc RRT RRT-ACCS, Philadelphia PA
CON: Maria Madden MS RRT RRT-ACCS, Baltimore MD

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Maria MaddenKarsten Roberts

In recent years, VV-ECMO has been utilized as a salvage therapy in severe ARDS. Since techniques and technology have improved, should it now be used as a first-line therapy when conventional mechanical ventilation has failed? During this session, two clinicians will debate the evidence that supports or refutes the use of ECMO as a first-line treatment for severe ARDS.

10:35 a.m.–11:10 a.m. | Theater C | Management

Departmental Research and QI Implementation on a Limited Budget

Dave Crotwell RRT RRT-NPS FAARC, Kirkland WA

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Dave Crotwell

Leaders theoretically know that having research and/or a formal QI program within respiratory care departments is ideal. However, implementing them can prove daunting. How do you put a program together with a limited budget? Join the presenter as he shares some practical steps to implementation success.

10:35 a.m.–11:10 a.m. | 286–287 | Ethics

Case Studies in Palliative Care

Allen Gustin Jr MD FCCP, Maywood IL

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Allen Gustin

Respiratory therapists may be uncomfortable with their role in assessing for and engaging in palliative care measures. This presentation will focus on appropriate engagement by the respiratory therapist as presented in various case studies.

10:35 a.m.–11:10 a.m. | TBA | Adult Acute Care

A Look Inside the Lungs: Electrical Impedance Tomography

Daniel Rowley MS RRT FAARC, Charlottesville VA

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Daniel Rowley

Electrical impedance tomography (EIT) is an emerging bedside monitoring technique that does not produce radiation. It provides real-time dynamic image and numeric data that may be use to rapidly assess for regional lung volume changes. This lecture will provide an overview of this new technology and emerging evidence to support its use.

10:35 a.m.–11:10 a.m. | Theater A | Neonatal/Pediatric

Putting the Pressure on Pediatric High Flow Nasal Cannula

Ryan Sharkey MSc RRT RRT-NPS, Charlottesville VA

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Ryan Sharkey

High flow nasal cannula is a popular noninvasive therapy in pediatric patients. The pressure delivered during HFNC is difficult to measure and highly variable. These challenges in HFNC delivery can lead to misunderstanding of pressure delivered to the patients. This presentation will review current data on pressure delivery and variables that affect pressure with pediatric HFNC.

11:15 a.m.–11:50 a.m. | Theater A | Neonatal/Pediatric

Unplanned Extubations in the NICU: Are There Gaps in Care, Devices, or Processes?

Kathleen Deakins MHA RRT FAARC, Chardon OH

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Kathleen Deakins

Unplanned extubations in the Neonatal ICU continues to plague this most vulnerable subset of patients. Causes of unintended extubation are variable from institution to institution. This review is intended to identify the most common areas that need attention and potential solutions to standardizing care of neonates.

11:15 a.m.–12:30 p.m. | Adult Acute Care

Ventilator Waveforms: Interpretation and Clinical Application

11:15 a.m.–11:50 a.m. | Theater B

Interpretation of Basic Scalars and Loops

Ruben Restrepo MD RRT FAARC, Boerne TX

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Ruben Restrepo

Recognizing how ventilator waveforms are displayed is critical to understand patient-ventilator interactions and to optimize the management of patients undergoing invasive mechanical ventilation. This interactive (audience-response) presentation is designed to explain the foundational concepts behind every graphic displayed on the ventilator screen.

11:55 a.m.–12:30 p.m. | Theater B

What in the World? Graphic Interpretation Cases

John Davies MA RRT FAARC, Cary NC

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John Davies

This is a case-based presentation, with audience participation, that focuses on graphical waveform interpretation, identification of patient-ventilator synchrony, and recognition of modes of ventilation. The audience can test their knowledge of waveform interpretation.

11:15 a.m.–12:30 p.m. | 286–287 | General

Agency Update

Karen Schell DHSc RRT RRT-NPS RPFT/AARC President
Michael Amato MBA/ARCF Chair
Katherine Fedor MBA RRT RRT-NPS/NBRC President
Allen Gustin Jr MD FCCP/CoARC President

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Karen SchellMichael AmatoKatherine FedorAllen Gustin

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

11:15 a.m.–11:50 a.m. | Theater C | Management

Coaching, Development, and Performance: Managing Isn’t Always Leadership

Matthew Pavlichko MS RRT RRT-NPS, Myerstown PA

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Matthew Pavlichko

The strength of every respiratory department is its’ people. Employee engagement and development sometimes takes a back seat to budget, schedules, and equipment issues. Respiratory care departments spend 70–80% of their budgets on salaries, but do leaders spend 70–80% of their time with their team? This lecture will describe how we can be better leaders by making development a priority. It will also discuss how individual development plans are not just for problem employees.

11:55 a.m.–12:30 p.m. | Theater A | Neonatal/Pediatric

Making Pediatric Intubation Safer: Implementation of an Airway Safety Bundle

Natalie Napolitano MPH RRT FAARC, Philadelphia PA

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Natalie Napolitano

Tracheal intubation is associated with significant complications, including hypotension and cardiac arrest. Risk can be significantly reduced with the implementation of an airway safety bundle. This presentation will review the patient, clinician, and practice factors associated with risk reduction and discuss the process for implementing the bundle.

11:55 a.m.–12:30 p.m. | Theater C | Management

EMR: Ongoing Success Post-Implementation IS Possible

Larae Sams MBA RRT, Wesley Chapel FL

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Larae Sams

Developing a new electronic medical record (EMR) or transitioning to a new EMR platform can be challenging and stressful for the respiratory therapy department. However, there are strategies for ensuring the respiratory therapy department is well-represented in the development phase. This presenter will identify development challenges and opportunities pertinent to the respiratory therapy manager during the pre-go-live phase of installing an EMR as well as assuring ongoing success.

11:55 a.m.–12:30 p.m. | 272–273 | Education

The Earth is Not Flat, So Why Is Your Imaging? Clinical Application of 3D Modeling

Ryan Sharkey MSc RRT RRT-NPS, Charlottesville VA

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Ryan Sharkey

Does your radiographic imaging feel too plain? 3D images and augmented reality are becoming popular education modalities. 3D imaging can help respiratory therapists visualize and teach abnormalities of the respiratory system. Open-source software and applications used to create 3D images will be introduced and augmented reality tools will be covered in this presentation with techniques, from basic to advanced, to create your own 3D models.

12:45 p.m.–2:15 p.m. | TBA | General

Closing Ceremony

Walter Bond, Former NBA Player and Team Building Speaker

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Walter Bond

TBA


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