Congress Program:
What to See and What to Do in Las Vegas
Registration, Hotel,
and
Travel Info:
Tracks: Continuous Care/Rehabilitation
YEAR IN REVIEW: THE
LATEST IN...
8:30 am – 9:20 am • Rooms N240, 242
Pulmonary Rehabilation: The Last
12 Months
Richard
Casaburi MD PhD, Harbor UCLA Research & Education Institute, Torrance
CA
A systematic overview of significant findings in the area of pulmonary
rehabilitation.
Tracks:
Professional, General, Continuing Care
LUNG CANCER
8:30 am – 9:20 am • Room N253
Caring for the Dying Patient
with Lung Cancer
Gerard
A Silvestri MD, Medical University of South Carolina, Charleston SC
Respiratory therapists are involved in the management of end-stage lung
cancer both in and outside of the hospital. This presentation offers a
frank discussion of the problems experienced by patients with terminal
lung cancer, providing practical tips for recognizing and managing them
that can substantially improve the quality of both living and dying for
these patients.
Tracks: General, Professional
HOW DID WE GET HERE
AND WHERE ARE WE GOING?
PART 3: THE DISEASES AND THEIR MANAGEMENT
8:30 am – 10:10 am • Rooms N255, 257
8:30 am – 9:00 am
From Blue Babies to Healthy Kids: Neonatal Respiratory
Distress Syndrome
Ira
Cheifetz MD FAARC, Duke University Medical Center, Durham NC
During the lifetimes of many current neonatal practitioners, IRDS has
gone from an unpreventable catastrophe with low survival rates and crippling
sequelae to an often preventable and routinely managed syndrome with dramatically
lower mortality and morbidity. This presentation details the story of
this medical miracle of the late 20th century and forecasts further progress
that may lie ahead.
9:05 am – 9:35 am
From Shock Lung to Lung-Protective Management: ARDS
Neil
MacIntyre MD FAARC, Duke University Medical Center, Durham NC
No disorder encountered by respiratory care clinicians has been the subject
of more technical innovation and research than the acute respiratory distress
syndrome. When ARDS was first encountered in the 1960s few patients survived;
now most do. This presentation summarizes the progress of our knowledge
about how ARDS develops, what it does to patients, and what happens to
them, and gives an overview of the approaches to management that have
come and gone in the last 35 years. It reviews current therapy and postulates
how the management of this syndrome will evolve in the coming years.
9:40 am – 10:10 am
From Despair and Disinterest to Rehabilitation and
Prevention: COPD
Richard
Casaburi MD PhD, Harbor UCLA Research & Education Institute, Torrance
CA
Current knowledge and attitudes about COPD have come a long way from “You
have emphysema and there’s nothing we can do.” This presentation
traces the evolution of our understanding of what COPD is, how its course
can be modified, and the development of current techniques of pulmonary
rehabilitation and other therapies. It also lists some plausible developments
to watch for in the future.
Tracks: Management, Subacute Care
USING CPGs
TO ENHANCE CARE OF BONCHIOLITIS
8:30 am – 10:55 am • Room N254
8:30 am – 8:55 am
Bronchiolitis: Facts and Fiction
John
Salyer MBA RRT FAARC, Seattle Childrens Hospital, Seattle WA
Attendees to this presentation will be able to separate facts from fiction
about the etiology, clinical presentation, treatment and prevention of
bronchiolitis. The efficacy of commonly used treatments will be reviewed.
9:00 am – 9:25 am
Developing Evidence-Based CPGs
Kimberly Bennion RRT, Primary Childrens Medical
Center, Lehi UT
Attendees will be able to understand how to identify a process for improvement,
the value of literature searches, selecting and organizing a multidisciplinary
task force for the development of specific clinical practice guidelines
(i.e., care of bronchiolitis patients) and will learn how to collaboratively
write the guideline including algorithms.
9:30 am – 9:55 am
Selecting, Training and Implementing a Multidisciplinary
Assessment Team
Tami A Dunn RRT, Primary Childrens Medical Center,
Lehi UT
Attendees will be able to identify why a multidisciplinary assessment
team is integral in the care plan development for pediatric patients with
respiratory disease. How to select, train and implement an assessment
team as well as educating team members in the use of
clinical practice guidelines will be presented.
10:00 am – 10:25 am
The Outcomes of a Patient Care Assessment Team in
the Utilization of a CPG for the Care of Bronchiolitis: A Ten Year Review
Kimberly Bennion RRT
Reviews the step-by-step approach to standardizing the care of bronchiolitis
patients through the use of a clinical practice guideline and multidisciplinary
interaction.
10:30 am – 10:55 am
Bronchiolitis: An Acute Care System Redesign in
the Pursuit of Perfection
Edward Conway RRT, Cincinnati Childrens Hospital,
Cincinnati OH
Discusses the national initiative of pursuing perfection. Describes the
project using a redesigned evidence based system for bronchiolitis, how
it related to decreasing our mean aerosol therapy delivered from 6.0 in
the 2000-2001 season to 4.5 in the 2001-2002 season.
Track: Home Care
HOME CARE ACCREDITATION:
YOUR CHOICE
8:30 am – 9:10 am • Room N252
JCAHO Accreditation of Home Medical
Equipment Providers
Allan B Saposnick MS RRT FAARC, ABSCO Enterprises,
Newton Square PA
Reviews the transition from 2003 into 2004-2005 standards and process
changes. Describes the JCAHO’s HME standards with an emphasis on
the definition of clinical respiratory services and associated requirements.
Tracks: Management, Professional
MANAGING RESPIRATORY
CARE SERVICES:
MAKING SENSE OF IT ALL
8:30 am – 10:40 am • Rooms N232, 234, 236
8:30 am – 9:10 am
Missed Respiratory Medications
Lucy Kester MBA RRT FAARC, Cleveland Clinic Foundation,
Cleveland OH
Detailsl the development of strategies to reduce missed medication treatments
and the optimization of RTs.
9:15 am – 9:55 am
Impact of Therapist Driven Protocols on LOS
Ruth Krueger RRT, Sioux Valley Hospital, Sioux
Falls SD
The demonstration of implementation and adminis of TDP effectiveness in
reducing hospital LOS for patients admitted with pulmonary related diagnosis.
10:00 am – 10:40 am
Changing Patterns of Respiratory Care Inpatient
Services
Lucy Kester MBA RRT FAARC
Discusses the use of a respiratory care consult service and its impact
on changing respiratory care utilization.
Tracks: Neonatal, Pediatric
Open Forum #13 —
NEONATAL/PEDIATRIC MECHANICAL VENTILATION
9:00 am – 10:55 am • Rooms N231, 233, 235
Presented
by the Journal RESPIRATORY CARE
The results of scientific studies are presented. Abstracts with a similar
focus are clustered into a symposium to encourage discussions and interactions
among investigators and observers; posters expand the information presented.
- Intrapulmonary Percussive Ventilation in the Non-Intubated Pediatric Patient: A Retrospective Review—Charlie Diaz RRT, Kansas City MO
- Using HFOV for Surfactant Administration—Ryan Berg RRT, Provo UT
- Pulmonary Outcome at 6 Years of Age Following RDS Treated with Early HFOV Using Lung Recruitment—Dale Gerstmann MD, Provo UT
- High Frequency Percussive Ventilation in Premature Infants with Respiratory Distress Syndrome: Randomized Trial and 14 Years of Experience—Adel Bougatef MD, Brussels, Belgium
- A Comparison of Intrapulmonary Percussive Ventilation and Conventional Chest Physiotherapy as an Adjunctive Protocol to Neonatal Weaning After Mechanical Ventilation—Adel Bougatef MD, Brussels, Belgium
- Sample Line Modification to Avoid “Monitoring Failure” Alarms When Using the INOVent with a Fluidic Nasal CPAP Generator—Michael Tracy RRT-NPS, Cleveland OH
- Clinical Effects of Maintaining Mean Airway Pressure During IPV on Mechanically Ventilated Pediatric Patients in the PICU—Kathleen Deakins RRT-NPS, Cleveland OH
- Comparison of Manual Ventilation Using the Neopuff Infant Resuscitator and Flow Inflating Anesthesia Bag—Kathleen Deakins RRT-NPS, Cleveland OH
- Use of a Modified Syringe to Determine Endotracheal Intubation in a Neonatal Model—James E Martin RRT-NPS CPFT, Cleveland OH
- Early Use of Nasal CPAP (NCPAP) in Extremely Preterm Infants: Can Sequelae of Positive Pressure Ventilation (PPV) Be Reduced?—Christine Kelly MPA RRT, San Francisco CA
- Using a Dual Control Mode of Ventilation in the Neonatal/Pediatric Age Range: Validation Studies in Four Ventilators—Giulia Mesiano RRT, Montreal, Quebec, Canada
- Total Minute Ventilation Is Not an Accurate Representation of Alveolar Ventilation—Donna Hamel RRT, Durham NC
Tracks: Continuing Care/Rahab,
Pediatric, Continuing Care, Home Care
Open Forum #14 —
RC POTPOURRI
9:00 am – 10:55 am • Rooms N237, 239, 241
Presented
by the Journal RESPIRATORY CARE
The results of scientific studies are presented. Abstracts with a similar
focus are clustered into a symposium to encourage discussions and interactions
among investigators and observers; posters expand the information presented.
- Effects of Secondhand Tobacco Education in Head Start Parents—April Badger CRT, Indianapolis IN
- Outcomes of a Computerized Tobacco Documentation Program—Nanette Sorensen RRT, Salt Lake City UT
- Difference in Left and Right Lung Critical Opening Pressures in Post-Operative TAAA Procedures—Raymond Wolff Jr RRT, Houston TX
- Ehler-Danlos Syndrome (EDS) Presenting As Respiratory Failure—Jessica L Dietrich RRT, Boston MA
- Detection of Pulmonary Emboli in the Swine Model—John Davies MA RRT, Durham NC
- Pulmonary Embolism Following Gastric Bypass Surgery at a Military Medical Center: A Retrospective Review—Austin E Delacruz Jr RRT-NPS RPFT, Travis AFB CA
- The Antimicrobial Effect of Nitric Oxide on Bacterial Pathogens Causing Pneumonia in the ICU—Bevin McMullin RRT, Surrey, BC, Canada
- Importance of Definitions in Estimating the Prevalence of Smoking Behavior in Adolescents—Arthur A Taft PhD RRT, Augusta GA
- Predictors of Smoking Behavior Among Adolescents—Randall R Baker PhD RRT RPFT, Augusta GA
- Supplemental CO2 During the Post-Operative Period—Lisa Cracchiolo RRT, St Louis MO
- Predictive Value of the Gram Stain in the Diagnosis of Ventilator Associated Pneumonia (VAP) from Bronchoscopic and Blind Bronchoalveolar Lavage (BAL) Specimens—Robert S Campbell RRT FAARC, Cincinnati OH
- The Study of the Influence of Sleep Position on Sleep Apnea— Guo Xiheng, Beijing, China
Tracks: Diagnostics, Acute Care
ADVANCES IN BRONCHOSCOPY
9:30 am – 10:55 am • Room N252
9:30 am – 9:55 am
Bronchoscopy: Advances in Techniques
Karen L Swanson DO, Mayo Clinic, Rochester MN
Participants will learn of promising newer techniques to diagnose and
treat pulmonary disorders using bronchoscopic techniques such as laser
therapy, needle aspiration, brachytherapy, electrocautery, cryotherapy,
stent placement, ultrasound, fluorescence and balloon dilation. These
emerging techniques are interesting but not yet found at every institution.
Ideas can be brought back to the workplace to expand services in future
directions.
10:00 am – 10:25 am
Conscious Sedation in the Procedure Suite: Implications
for RTs
Keith
Littlewood MD, University of Virginia Health Science Center, Charlottesville
VA
Who should participate in conscious sedation? The need for individuals
with patient assessment skills, monitoring competencies, and airway skills
could easily be filled by experienced respiratory therapists. Most experienced
respiratory therapists can manage airway problems in addition to monitoring
vital signs and assessing the level of sedation. With additional training
and experience, RTs can become competent in inserting IV catheters and
titrating analgesics and sedatives according to a physician’s direction.
Currently, only a few states allow RTs to perform all these functions
however, most will allow them to perform many of these activities. RTs
routinely provide airway skills on an emergency basis to patients receiving
conscious sedation. They monitor and support patients on mechanical ventilation
during invasive procedures. It is a logical extension to move to providing
care for the unintubated patient needing conscious sedation. By developing
expertise in this emerging area, RTs can improve the safety and quality
of patient care and enhance the prestige of their profession.
10:30 am – 10:55 am
Bronchoscopy Best Practice
Karen L Swanson DO
The audience will gain knowledge of best practices in infection control
in endoscopy answering the question, “Does Bronchoscopy propagate
infection?” Bronchoscopy is the most commonly utilized invasive
pulmonary medical procedure and the basics are important to patient care
and optimum diagnostic yield.
Tracks: Home Care, Diagnostics
WAKE UP TO SLEEP
TESTING
9:30 am – 11:25 am • Rooms N240, 242
9:30 am – 10:25 am
Current Thoughts on Split Night Studies
Suzanne Bollig RR RPSGT, Hayes Medical Center,
Hayes KS
This presentation will be a discussion of the criteria used to identify
suitable patients for split-night sleep studies.
10:30 am – 11:25 am
MSLT and MWT Scoring Skills
Thomas Smalling RRT RPSGT, State University of
New York, Stony Brook NY
A review of current guidelines for interpreting MSLTs and MWTs.
Tracks: Acute Care, Subacute Care
LUNG CANCER UPDATE:
DIAGNOSIS, STAGING, AND OUTCOMES
11:00 am – 11:50 am • Room N253
Lung Cancer Update: Diagnosis,
Staging, and Outcomes
Gerard
A Silvestri MD, Medical University of South Carolina, Charleston SC
Lung cancer is the most common malignancy in both men and women as a cause
of death. This presentation reviews current information on the detection,
diagnosis and staging of lung cancer, and updates information on responses
to present-day management regimens and survival statistics.
Tracks: Subacute Care, Continuous
Care/Rehabilitation
GENDER DIFFERENCES
IN RESPIRATORY DISEASE
11:00 am – 11:55 am • Rooms N232, 234,
236
Supported by an unrestricted educational
grant from Boehringer
Ingelheim.
11:00 am – 11:25 am
COPD and Women
Brian Carlin MD, Drexel University College of
Medicine, Pittsburgh PA
Discusses the impact of COPD on women and the physiological differences
regarding women and the development of COPD.
11:30 am – 11:55 am
Pulmonary Rehabilitation: Why Women are Different
Brian Carlin MD
This presentation will discuss the differences in therapy for women when
using rehabilitation.
Tracks: Professional, General
ALTERNATIVE MEDICINE
AND THE RESPIRATORY PATIENT
1:00 pm – 2:35 pm • Rooms N240, 242
1:00 pm – 1:45 pm
Selected Herbs and Respiratory Therapy (Chicken
Soup: Fact or Fiction?)
Op Walker DPh PharmD, Cookeville Regional Medical
Center, Cookeville TN
Reviews selected herbs and their effect on human respiration, German Commission
E and reliable reference sources for alternative medicine, and will include
an analysis of Chicken Soup reference sources to determine the validity
of the use of chicken soup in the treatment of the common cold, influenza,
and respiratory disease.
1:50 pm – 2:35 pm
Herbs, Vitamins and Minerals: Building the Immune
System
Op Walker DPh PharmD
Describes a scientific approach to the utilization of herbs, vitamins,
and minerals for disease prevention as well as drug interactions with
herbs, vitamins, and minerals.
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Tracks: Acute Care, Subacute Care,
Home Care
WHAT YOU NEED TO
KNOW ABOUT VENTILATOR ASSOCIATED PNEUMONIA (VAP)
1:00 pm – 2:55 pm • N255, 257
1:00 pm – 1:35 pm
Overview of VAP and its Impact in the ICU
Kenneth
P Steinberg MD, University of Washington School of Medicine, Seattle WA
Ventilator associated pneumonia is the most common and most serious nosocomial
infection in the ICU and it impacts respiratory clinicians in several
ways. This presentation reviews current understanding about its definition,
demographics, and impact on mortality and costs.
1:40 pm – 2:15 pm
Prevention of VAP: Role of the Respiratory Therapist
Dean R Hess PhD RRT FAARC, Massachusetts General
Hospital, Boston MA
This presentation reviews the impact of ventilator circuit changes, aerosol
delivery techniques, humidification, and suctioning procedures on the
incidence of VAP. It emphasizes the central role of the RT in determining
an institutions role of VAP.
2:20 pm – 2:55 pm
Diagnosis of VAP: Controversies and Recommendations
Kenneth
P Steinberg MD
This presentation reviews current controversies over clinical versus invasive
diagnostic criteria for VAP including bronchoscopic and non-bronchoscopic
quantitative techniques. It offers a practical approach to diagnosing
VAP in the context of current scientific and economic data.
Tracks: Management, Education,
Professional
ETHICS AND THE RESPIRATORY
THERAPIST:
DEALING WITH DEATH AND DYING
1:00 pm – 3:10 pm • Room N253
1:00 pm – 1:40 pm
Talking to Patients and Families about Death
and Dying
Helen
Sorenson MA RRT FAARC, University of Texas Health Science Center, San
Antonio TX
1:45 pm – 2:25 pm
Communicating Bad News
Russell
Acevedo MD FAARC, Crouse Hospital, Syracuse NY
2:30 pm – 3:10 pm
Compassion Fatigue
Paul
A Selecky MD FAARC, Hoag Memorial Hospital-Presbyterian, Newport Beach
CA
Tracks: Management, Education
EXPANDED ROLES FOR
THE RESPIRATORY THERAPIST
1:00 pm – 4:20 pm • Rooms N245
1:00 pm – 1:55 pm
Delivery Room Exit Procedure and Respiratory Therapist
Roles
Michael R Jackson RRT CPFT, Brigham and Women’s
Hospital and Nancy Craig RRT, Childrens Hospital, Boston MA
Before the umbilical cord is cut, baby is partially delivered and life
saving interventions performed, the EXIT procedure is applied for problems
such as severe congenital diaphragmatic hernia or airway compromising
neck masses. In Boston, newborn and pediatric RT specialists from adjoining
hospitals team up to provide critical EXIT procedure services.
2:00 pm – 2:45 pm
Use of Respiratory Care Specialists in Primary Care
Practice
Mari Jones MSN FNP RRT, Mid-South Pulmonary Specialists,
Memphis TN
This presentation details how the use of respiratory therapists in the
primary care physician’s office improves outcomes.
2:50 pm – 3:35 pm
Making the Most of Your Respiratory Therapists in
the Nursing Crunch
Kay Martin RRT-NPS, Childrens Medical Center of
Dallas, Dallas TX
Childrens Medical Center of Dallas has taken advantage of the nursing
shortage by extending the services of respiratory care across all areas
of the hospital. This lecture will discuss the many opportunities to promote
and expand the role of respiratory therapists to meet the expectations
and needs of your hospital.
3:40 pm – 4:20 pm
Allergen Skin Testing
Paul L Enright MD, University of Arizona College
of Medicine, Tucson AZ
The Inner City Asthma Study has proven that asthma control is improved
when environmental mitigation is driven by positive allergen skin test
results. RTs can learn this test for asthma management.
Tracks: Home Care, Management,
Continuous Care
HOME CARE OUTCOMES
MEASUREMENT AND COMPLIANCE
1:00 pm – 4:35 pm • Room N254
1:00 pm – 1:45 pm
Techniques for Measuring and Improving CPAP Compliance
Timothy W Buckley RRT FAARC, Walgreen’s
Health Initiatives, Deerfield IL
1:50 pm – 2:35 pm
Outcomes Measurement for Home Care Organizations
Joan A Kohorst MA RRT, Apria Healthcare, St Louis
MO
This presentation will review how the home care organization can use outcome
measurements to support annual and long range planning. Identify training
needs and retain/increase revenue. Practical application of outcome measurements.
2:40 pm – 3:25
Compliance and Long Term Oxygen Therapy
Robert W McCoy RRT, Valley Inspired Products,
Burnsville MN
Compliance has become an issue in sleep therapy, the second largest program
in home care. This program will describe how compliance is monitored in
LTOT and if this issue will become as important in LTOT as it has in sleep
therapy.
3:30 pm – 4:35 pm
Mandatory Requalification of Home Oxygen Patients
at Three Months: The Ontario, Canada Experience
Michael Pohanka and Miriam Turnbull, Professional
Respiratory Home Care Services Corp, London Ontario Canada
Home oxygen in Ontario, Canada’s largest province, is funded by
the Ministry of Health’s Home Oxygen Program. Effective January
1, 2002, mandatory retesting/requalification of home oxygen patients was
implemented. This is similar to the proposal advanced by Medicare in the
US. A report on the overall impact of the three-month requalification
on program costs and patient discontinuance rates will be presented. Also
a report on the impact on service provider workloads and patient bases
will be discussed.
Tracks: Professional, Education,
General
RESPIRATORY CARE
JOURNAL SYMPOSIUM:
THE ABCs OF RESEARCH
1:00 pm – 4:40 pm • Rooms N237, 239, 241
Descriptions and discussions of the different types of research projects
carried out in respiratory care departments and by respiratory care clinicians.
Covers elements and problems unique to each type, how to avoid common
pitfalls, and how to increase the projects chances of being publishable.
Includes the best ways to present the findings and how to use statistics
most effectively for each research category.
1:00 pm – 1:25 pm
Overview of Respiratory Care Research
Robert L Chatburn RRT FAARC, University Hospital
of Cleveland, Cleveland OH
How is research different from what we do every day in patient care, management,
or education? This presentation reviews the basic principles of the research
process, defines concepts and terms such as bias, sampling, and generalizability,
and discusses the role of institutional review boards and patient confidentiality.
1:30 pm – 1:55 pm
Device and Equipment Evaluations
James B Fink MS RRT FAARC, Aerogen Inc, Mountain
View CA
Assessing a new device or comparing several types of available equipment
in a controlled fashion may be the most readily attainable form of research
for many people in respiratory care. This presentation summarizes requirements
for valid, relevant, and scientifically acceptable bench studies, and
discusses how to avoid common mistakes in design, measurement, and statistical
analysis.
2:00 pm – 2:25 pm
Clinical Studies
Charles
G Durbin Jr MD FAARC, University of Virginia Health Sciences Center, Charlottesville
VA
This presentation discusses what the would-be researcher needs to know
about research involving human subjects. It describes the spectrum of
clinical studies from short-term responses to interventions to outcome
studies, and summarizes what is necessary to design and conduct this type
of research.
2:30 pm – 2:55 pm
Retrospective Studies and Chart Reviews
Dean R Hess PhD RRT FAARC, Massachusetts General
Hospital, Boston MA
A review of clinical experience or the results of previous interventions
can characterize illness, identify problems, and point the way for future
research, but it has to be done carefully and correctly in order to be
valid and useful. This presentation outlines the process of conducting
a retrospective study and provides helpful tips for avoiding common mistakes
with this type of study design.
2:55 pm – 3:05 pm
Break
3:05 pm – 3:30 pm
When Can Departmental QA&I Also Be Research?
Studying the Process of Care
James
K Stoller MD MSc FAARC, The Cleveland Clinic, Cleveland OH
A department’s ongoing activities related to quality assessment
and improvement have similarities to research but also important differences.
Using familiar examples, this presentation reviews the issues involved
and provides suggestions for designing departmental process improvement
projects that are also valid (and potentially publishable) research.
3:35 pm – 4:10 pm
Research Using Surveys and Questionnaires
Gordon
D Rubenfeld, MD MSc, University of Washington Harborview Medical Center,
Seattle WA
Investigating the knowledge, attitudes, and interests of people involved
in respiratory care can be informative and useful, whether they are patients,
clinicians, students, or educators. However, research based on surveys
and questionnaires is commonly flawed and unacceptable for publication.
This presentation summarizes the requirements for scientifically valid
surveys and offers guidelines for doing them right.
4:15 pm – 4:40 pm
Case Reports
David
J Pierson MD FAARC, University of Washington School of Medicine, Seattle
WA
A carefully documented individual case can establish a new disease or
finding, illustrate a new approach or technique, show a previously unreported
outcome, or serve as an effective instructional tool. This presentation
reviews the attributes of a "reportable" case, lists the elements
of a good case report, and outlines a number of common but avoidable mistakes
in preparing a report for possible publication.
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Tracks: Continuous Care/Rehabilitation,
Management
PULMONARY REHABILITATION:
THE COMPLETE PICTURE
1:00 pm – 4:50 pm • Room N252
1:00 pm – 1:40 pm
How to Market Your Program
Trina M Limberg RRT FAARC, University Medical
Center, San Diego CA
A discussion of how to best market your program based on success.
1:45 pm – 2:25 pm
The Importance of Having a Multidisciplinary Pulmonary
Rehab Team
Mark Millard MD, Baylor Medical Center, Dallas
TX
Describes the use of a multidisciplinary team, their roles, and the expertise
each brings to the team.
2:30 pm – 3:15 pm
Alternatives to Land Based Exercise Programs
Mary Hart RRT, Baylor Medical Center, Dallas TX
Water based PR exercises are as effective as land based PR exercise. Outcomes
from water based PR exercise for patients who may not be able to tolerate
land-based exercise due to arthritis, balance, or other conditions.
3:15 pm – 3:25 pm
Break
3:25 pm – 4:05 pm
Pulmonary Rehabilitation Reimbursement
Mark Millard MD
The latest on issues regarding reimbursement for pulmonary rehabilitation
will be presented.
4:10 pm – 4:50 pm
Pulmonary Rehab Documentation: Making Your Forms
Work for You
Cheri Duncan RRT, Baylor Medical Center, Dallas
TX
Development and use of forms/documentation for pulmonary rehabilitation,
meeting JCAHO and Medicare standards, and examples of documentation will
be presented.
Tracks: Management
Open Forum #15 —
MANAGEMENT IMPROVEMENTS,
INCLUDING PROTOCOLS
1:00 pm – 2:55 pm • Rooms N231, 233, 235
Presented
by the Journal RESPIRATORY CARE
The results of scientific studies are presented. Abstracts with a similar
focus are clustered into a symposium to encourage discussions and interactions
among investigators and observers; posters expand the information presented.
- A Retrospective Analysis of Mechanical Ventilator Days Before and After Implementation of a Therapist Driven Ventilator Weaning Protocol in 1,772 Patients—Thomas Nelson RRT, Charlotte NC
- The Use of a Personal Digital Assistant (PDA) for Ongoing Data Collection Saves Signifcant Time in a Large, Urban, Tertiary Care Facility—Mike Scotton RT, Charlotte NC
- Evaluation Airway Clearance Procedures and Clinical Effectiveness in a Pediatric Intensive Care Setting—Kathleen Deakins RRT-NPS, Cleveland OH
- Improving the Performance of Your Performance Improvement (IPPI)—Ruth Krueger RRT, Sioux Falls SD
- Evaluation of a Trial Ventilator Weaning and Extubation Protocol: Cost Savings Identified—April Farmer CRT, Indianapolis IN
- Evaluation of the Prevalence and Cost Effectiveness for Ventilator Associated Pneumonia at a Large University Teaching Hospital—Sasha Cooper CRT, Indianapolis IN
- Financial and Resource Impact of Nitric Oxide Weaning Guidelines—Brian K Walsh RRT-NPS RPFT, Charlottesville VA
- Conclusions and Outcomes from a Survey to Determine Accuracy in the Transcription and Communication of Patients’ Resuscitation Status—Susan Herzig RRT, San Diego CA
- Post-ICU Mechanical Ventilation at Long Term Hospitals: A Multicenter Outcomes Study—David J Scheinhorn MD, Los Angeles CA
- The Rationale for Therapist Involvement in the Delivery and Utilization Review of Nebulized Medication and Chest Physiotherapy in Acute and General Care Settings—Grey Benton MA RRT, Loma Linda CA
- The Use of a Slow Flow Lower Inflection Point Maneuver to Set PEEP Levels in Cardiovascular Post-Operative Patients—Brian Timon RRT, Houston TX
- A Multi Disiplinary Approach to Improving Accidental Extubation Rates in a Pediatric Intensive Care Unit—Dan Wells RRT RN, Cincinnati OH
- Reducing Ventilator-Associated Pneumonia Rates—A Team Approach—Jody Page RRT, Savannah GA
- Timing of Routine Ventilator Checks in a Medical ICU—William French MA RRT, Kirtland OH
- Results After One Year of Use: Automatically Invoked Protocol for Ventilator Management—John W Farnham RRT, Knoxville TN
- Implementation of a Large Scale Weaning Protocol Reduces Ventilator Time By Twenty Eight Percent—Theodore Stryker RRT, Seattle WA
- Developing an Interdisciplinary Protocol for the Transport of Patients on Nitric Oxide Therapy via Helicopter—Suzanne Durning RRT-NPS, Philadelphia PA
- Results of the Utilization of a Bronchiolitis Clinical Practice Guideline (CPG) in Four Intermountain Health Care (IHC) Regional Medical Centers—Julie Ballard RRT, Salt Lake City UT