American Association for Respiratory Care

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Monday, November 18, 2013

 

12:15 am–12:45 am

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Sleep Section Membership Meeting

Mike Runge BSRT RRT FAARC/Presiding

Section members meet to determine their needs and priorities, as well as how to use AARC resources to accomplish them. All Congress attendees, including section non-members, are invited to attend and to participate.

 

12:50 am–1:20 am

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Continuing Care/Rehab Section Membership Meeting

Gerilynn Connors RRT FAARC/Presiding

Section members meet to determine their needs and priorities, as well as how to use AARC resources to accomplish them. All Congress attendees, including section non-members, are invited to attend and to participate.

 

1:30 am–2:00 am

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Education Section Membership Meeting

Joseph G Sorbello MEd RRT/Presiding

Section members meet to determine their needs and priorities, as well as how to use AARC resources to accomplish them. All Congress attendees, including section non-members, are invited to attend and to participate.

 

2:10 am–4:25 am

 

Noninvasive Ventilation: The Norwegian Perspective

 

2:10 pm–2:40 pm

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Chronic Hypoventilation: Diagnosis & Patient Selection

Magnus Qvarfort MD, Bergen Norway

S157

Content Category: Clinical Practice
Chronic hypoventilation is a primary cause of long-term mechanical ventilation. Perhaps of greater importance is proper diagnosis of these patients. This presentation will highlight management strategies of the hypoventilated patient and offer helpful hints in identifying which patients are most likely to thrive when placed on noninvasive ventilatory support.

 

2:45 pm–3:15 pm

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NIV: Methods & Modes

Ove Fondenes MD, Bergen Norway

S158

Content Category: Clinical Practice
Noninvasive ventilation poses many challenges to the respiratory therapist. Which interface (and size) is most appropriate for the patient? And which modes, settings, and alarms are most indicated for the patient and their condition are just a few of the questions therapists must answer when placing patients on NIV. Attendees will leave this presentation with a better understanding of how our colleagues in Norway tackle these challenges.

 

3:20 pm–3:50 pm

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Monitoring of Noninvasive Ventilation

Siguard Aarrestad MD, Bergen Norway

S159

Content Category: Clinical Practice
Monitoring of long-term noninvasive ventilator support for chronic hypoventilation is a critical component of providing safe patient care. This presentation will highlight and discuss key monitoring strategies for the NIV patient with the end-goal of improving survival and quality of life. The presenter will discuss pulse oximetry, transcutaneous CO2 , and sleep studies as just a few examples of how RTs can optimize care of the NIV patient. Do our Norwegian counterparts know something about noninvasive monitoring that we don't? You'll have to attend this lecture to find out!

 

3:55 pm–4:25 pm

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NIV Competencies: The Norwegian Model

Heidi Markussen RN MHSc, Bergen Norway

S160

Content Category: Clinical Practice
This presentation will provide a comprehensive overview of how competency training and evaluation is conducted in Norway. Is NIV considered a low-volume/high-risk procedure in Norway? How are caregivers educated on the use of NIV? How frequently is competency measured? Is simulation technology used? These and other questions will be answered on the basis of a Norwegian perspective.

 

2:10 am–4:25 am

 

Clinical Controversies in Pediatric Respiratory Care

 

2:10 pm–3:15 pm

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Choice of Ventilator Mode Affects Clinical Outcome

Pro: Robert M DiBlasi RRT-NPS FAARC, Seattle WA
Con: Brian K Walsh MBA RRT-NPS FAARC, Boston MA

S161

Content Category: Neonatal/Pediatric
Each generation of mechanical ventilators brings new and innovative modes of ventilation. Debate continues as to whether such novel modes offer true clinical benefit or simply add to the purchase price. Two experts in the field will debate this controversial topic from outcome and economic vantage points. Time will be allocated for audience participation.

 

3:20 pm–4:25 pm

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Adjunct Therapies Improve Outcome for Pediatric Acute Lung Injury

Pro: David A Turner MD, Durham NC
Con: Ken Tegtmeyer MD FCCM, Cincinnati OH

S162

Content Category: Neonatal/Pediatric
Most would agree that low tidal volume ventilation improves ARDS outcome, but what about adjunct therapies? Does prone positioning, inhaled nitric oxide, and exogenous surfactant improve clinical outcomes or simply add to the cost and/or RT workload. Two experts will debate this controversial topic from outcome and economic vantage points. Time will be allocated for audience participation.

 

2:10 am–5:00 am

 

Management Boot Camp

 

2:10 pm–2:40 pm

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Affordable Care Act and Its Impact on the Profession

Douglas S Laher MBA RRT FAARC, Irving TX

S163

Content Category: Management
2012 officially welcomed in the third reimbursement model of the last 35 years. In the 1970s and early 1980s there was fee-based reimbursement, in the mid-1980s and beyond we were exposed to DRG-based reimbursement, and in 2012 we embarked on a new era of Pay4Performance. While P4P incentives have been in place for a few years prior to 2012, the government got serious about not only incentivizing organizations to commit to quality practice but also began to penalize organizations with poor outcomes. This presentation will give a brief overview of the ACA, but most importantly will focus on how it has affected hospitals and health care in general over the last year. Did it accomplish financial and quality improvement or is it a failed attempt with unintended consequences? You'll have to attend this lecture to find out.

 

2:45 pm–3:15 pm

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Understanding the Managing Styles of Both Genders

Mark D Babic RRT, Lakewood OH

S164

Content Category: Management
Men and women think and respond in different ways and have managing styles that also differ. Although there are gender differences in management, there isn't any one right way in which to manage. Both men and women can learn from each other to incorporate new skills when dealing with people.

 

3:20 pm–3:50 pm

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How To Manage Different Generations

Mark D Babic RRT

S165

Content Category: Management
In today's workforce, we have several generations all trying to work together. Each generation differs in their approach to work ethic and what they expect of their leaders. A good leader will learn how to bridge these generational gaps to build a highly functioning multi-generational team.

 

3:55 pm–4:25 pm

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Excellence in the ICU: Multidisciplinary Communication and Collaboration!

Patti DeJuillo MS RRT-NPS, Winfield IL

S166

Content Category: Management
This presentation will highlight multi-disciplinary best practices of one institution. This hospital transformed two ICUs by utilizing collaboration of team members and a medical director that believed in empowering talented caregivers at the bedside. In this model, RTs attend all patient rounds, play a key role in care planning and delivery, and provide education. After this robust rounds model was initiated, mortality was reduced and patient satisfaction scores soared. Attend this presentation and implement a similar program in your institution.

 

4:30 pm–5:00 pm

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SIT: Systematic Innovative Thinking

Bill Cohagen RCP RRT FAARC, Salt Lake City UT

S167

Content Category: Management
SIT is a process of opening your mind as a leader. Similar to, but quicker and easier than Six Sigma or Lean, SIT lets you channel the power of your team, opens your mind to new horizons, and challenges you to be innovative in your approach to day-to-day activities. Attend this lecture and maximize the performance of your department through a new and innovative way of thinking.

 

2:10 am–5:00 am

 

Who's in Control...the Patient, the Practitioner, or the Disease?

 

2:10 pm–2:40 pm

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A Health Plan's Successful Asthma Disease Management Program

Jakki Grimball MA RRT AE-C, Columbia SC

S168

Content Category: Clinical Practice
This presentation will describe the asthma disease management program at BlueChoice HealthPlan, a managed care health plan and subsidiary of BlueCross BlueShield of SC. The Great Expectations® for Health Asthma management program has experienced improved outcomes in reducing ER visits, hospitalization rates and positive ROIs.. Attend this lecture and learn how to set up a successful program, as well as how RTs fit into a non-traditional work setting.

 

2:45 pm–3:15 pm

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Developing An Asthma Response Team for the Emergency Room

Clifton Dennis RRT AE-C, Augusta GA

S169

Content Category: Clinical Practice
This presentation describes an innovative program that provides guideline-based asthma management and patient education in the emergency room setting. The Asthma Response Team (ART) has shown positive measurable outcomes including decreases in admissions, decreases in PICU admits, and an increase in the use of written asthma action plans. Attend this presentation and find out how you can do the same!

 

3:20 pm–3:50 pm

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Focused Asthma Education and Interventions: A State Perspective

Cynthia Keely RRT LRTR, Charleston WV

S170

Content Category: Clinical Practice
For over a decade, state health departments have been given the opportunity to apply for federal funds through the Centers for Disease Control and Prevention to focus initiatives on asthma. This presentation highlights the successes and barriers of one state health department. The state asthma program manager will share information regarding key issues such as stakeholder engagement, effective activities, coalition building, administrative structure, financial sustainability, and the role of evaluation and data surveillance for rating successes, barriers, and sustainability.

 

3:55 pm–4:25 pm

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Quality Standards for Asthma Education Programs

Shawna L Strickland PhD RRT-NPS AE-C FAARC, Irving TX

S171

Content Category: Clinical Practice
This presentation will highlight successful facets of asthma education programs administered in a variety of settings. Program aspects such as program leadership, resources, measurable outcomes, and evaluation will be discussed. The presentation will also explore reimbursement for education and training for patient self-management.

 

4:30 pm–5:00 pm

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Panel Discussion

Shawna L Strickland PhD RRT-NPS AE-C FAARC/Presiding
Jakki Grimball MA RRT AE-C
Clifton Dennis RRT AE-C
Cynthia Keely RRT LRTR

S172

Content Category: Clinical Practice
This session will be an interactive panel discussion, with several asthma experts representing different perspectives on the disease. At the end of the presentation, the panel will be taking questions from participants, talking through the issues that people face every day, etc. This will be a session filled with take-home messages people can really use in daily practices - and a panel that represents the reality of various perspectives that we live and work in every day.

 

2:45 am–5:00 am

 

Non-COPD Pulmonary Rehabilitation: Modification for ILD and PH Patients

 

2:45 pm–3:15 pm

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Interstitial Lung Disease

Neil R MacIntyre MD FAARC, Durham NC

S176

Content Category: Clinical Practice
This presentation will briefly review the current state of interstitial lung disease to include diagnosis and the latest treatment options.

 

3:20 pm–3:50 pm

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Pulmonary Rehabilitation Program Modifications for interstitial Lung Disease

Connie Paladenech RRT RCP, Winston-Salem NC

S177

Content Category: Clinical Practice
This presentation will review the program modifications necessary when providing pulmonary rehabilitation to patients diagnosed with interstitial lung disease.

 

3:55 pm–4:25 pm

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Pulmonary Hypertension

Philip Gold MD, Loma Linda CA

S178

Content Category: Clinical Practice
This presentation will briefly review the current state of pulmonary hypertension to include diagnosis and the latest treatment options.

 

4:30 pm–5:00 pm

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Pulmonary Rehabilitation Program Modifications for Pulmonary Hypertension

Gerilynn L Connors RRT MAACVPR FAARC, Falls Church VA

S179

Content Category: Clinical Practice
This presentation will review the program modifications necessary when providing pulmonary rehabilitation to patients diagnosed with pulmonary hypertension.

 

3:20 am–4:25 am

 

Fatigue...How Can We Put This Issue To Sleep?

 

3:20 pm–3:50 pm

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Are You Sleeping on the Job?

Karla M Smith RRT RPSGT, Bismarck ND

S184

Content Category: Sleep Medicine
Fatigue is a major problem in the workplace. Our bodies do not adapt well to sleep deprivation. This presenter will discuss tools that the average person can use to combat fatigue and will share stories about what happens when we do not make sleep a priority.

 

3:55 pm–4:25 pm

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Wake Up Before You Kill Someone!

Karla Smith RRT RPSGT

S185

Content Category: Sleep Medicine
We rely on pilots and drivers to get us to our destination safely. How can we be sure that these people are fit for duty? The presenter will discuss industry safety guidelines for those who are driving on our highways and flying in the air.

 

3:55 am–5:00 am

 

PFT Skills Symposium: HAST and VO2 Testing

 

3:55 pm–4:25 pm

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High Altitude Simulation Test Demonstration

Matthew J O'Brien MS RRT RPFT, Madison WI

S187

Content Category: Pulmonary Function
This presentation includes a demonstration that will walk attendees through performing a High Altitude Simulation Test using various equipment set-ups. It will include actual equipment configurations including use of a canopy and mask delivery methods.

 

4:30 pm–5:00 pm

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VO2 Testing

Carl D Mottram RRT RPFT FAARC, Rochester MN

S188

Content Category: Pulmonary Function
How frequently do you perform VO2 testing? If your answer is "very little," or "not at all," then this lecture is for you! This presentation will discuss the value of adding VO2 testing to your diagnostic lab, opportunities to build your program, adding revenue and expanding your patient base. A review of VO2 testing, the procedure, and its application will also be discussed.

 

8:30 am–9:25 am

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29th Phil Kittredge Memorial Lecture - Electronic Distractions of the RT and Their Impact on Patient Safety

Peter J Papadakos MD FCCM FAARC, Rochester NY

S122

Content Category: Patient Safety
With the explosion of Electronic Medical Records (EMRs), health care facilities have become computer-rich environments and have forever changed the way in which we interact with patients. Societal changes in interpersonal communications have also led to individual health care practitioners being tied to their smart devices. The ECRI Institute (a safety and quality research entity) has identified both alarm fatigue and caregiver distractions from smartphones and other mobile devices as two of the top ten health technology hazards for 2013. The Joint Commission has also just recently announced that "Clinial Alarm Safety" will be added as a National Patient Safety Goal in 2014. To maximize patient safety, it is critical to educate current and future generations of RTs in dealing with technology and in developing skills in electronic etiquette and the interface between the practitioner and device. Only through personal evolution and education can we continue to provide patient-centered care and be advocates for our patients.

This presentation will address the science of electronic distractions and the psychology of why caregivers are so easily distracted. The foundation of the presentation will be built around the science, literature, and research of electronic distractions with outcomes on how distractions impact patient safety.

 

9:30 am–11:25 am

 

Open Forum #10 - Ventilation/Ventilators - Part 3

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. The titles and authors of all abstracts will be posted by Aug 31.

 

9:30 am–11:25 am

 

Open Forum #11 - Management - Part 1

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. The titles and authors of all abstracts will be posted by Aug 31.

 

9:30 am–11:25 am

 

Open Forum #12 - Asthma and Pulmonary Disease

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. The titles and authors of all abstracts will be posted by Aug 31.

 

10:30 am–11:00 am

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Gas Exchange Monitoring in Critically Ill Pediatric Patients

Craig Smallwood RRT, Boston MA

S126

Content Category: Neonatal/Pediatric
Gas exchange monitoring may be utilized to detect clinical changes in a patient's condition, support ventilator optimization, and facilitate optimal nutrient intake during critical illness. This talk will include the physiologic rationale for gas exchange and metabolic monitoring, an overview of accepted methods as well as future directions, and emerging techniques.

 

10:30 am–11:00 am

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Move To Improve Lung Health!

Patti DeJuilio MS RRT-NPS, Winfield IL

S127

Content Category: Management
This presentation will provide a best practice overview of mobility of the critically ill patient. A multidisciplinary team within Central DuPage Hospital was formed including APNs, RNs, pharmacists, physical therapists, RTs, and physicians to implement an ICU mobility protocol. The project expanded to all inpatient units. Ambulation in both ICUs increased from 20% mobilized in less than 48 hours to 60% in less than 48 hours currently. Not only was respiratory therapy an integral part of the process, one RT FTE was added. The presenter will share step-by-step instructions on how to establish a similar program in your hospital.

 

11:05 am–11:35 am

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RT Asthma Educators - Asthma Patient Navigators

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

Content Category: Management
While RTs have provided exemplary clinical services for decades and will continue to do so in the future, their role as "patient navigator" is critically important for managing asthmatic and COPD patients. The value of this "navigator" in terms of quality outcomes, financial performance, and patient/family satisfaction will be shared in a way that the attendees can implement in their organizations.

 

11:05 am–12:10 pm

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Neonatal-Pediatric Interactive Cases

Ira M Cheifetz MD FCCM FAARC, Durham NC
Lisa Tyler MSM RRT-NPS CPFT, Philadelphia PA

S144

Content Category: Neonatal/Pediatric
Back by popular demand! This interactive, audience response session returns to the program. Interesting and informative neonatal and pediatric cases will be presented in an interactive, audience-response fashion. Come learn and share your thoughts on the management of difficult, critically ill neonatal and pediatric patients with respiratory failure.

 

11:40 am–12:10 pm

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Clinical Vignettes and Their Pulmonary Function Test Results

Carl D Mottram RRT RPFT FAARC, Rochester MN

S145

Content Category: Pulmonary Function
This presentation will include case studies of patients that include the initial presentation of symptoms, diagnostic test results (CXR, CT, laboratory, and PFTs), treatment, outcome, and literature related to the disease.

 

11:40 am–12:10 pm

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Social Media in Health Care - What's the Big Deal with Twitters, Tweets, Blogs, and Status Updates?

Diane Oldfather MHEd RRT, Rolla MO

S146

Content Category: Education
Social media such as Facebook, Twitter, and YouTube are commonly used to communicate feelings and events to others in a group of friends. Is there a place for social media in the classroom? Within the workplace? This presentation will address how social media can be employed in the classroom to enhance learning and how it can be employed in the workplace to enhance training, teamwork, and communication.

 

11:40 am–12:10 pm

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OSA Perioperative Programs for Risk Reduction and Revenue Enhancement

Peter Allen RRT-NPS-SDS RST RPSGT, Devon PA

S147

Content Category: Sleep Medicine
This lecture will provide the attendee with tools for implementing a coordinated perioperative screening program for patients at risk for sleep-disordered breathing. Discussion will focus on ways to reduce risk for your organization while increasing revenues in your sleep center.

 

11:40 am–12:10 pm

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Use of Carbogen As a Safer Method for Apnea Testing

Maria Madden RRT-ACCS, Baltimore MD

S148

Content Category: Adult Critical Care
This presentation will review the updated Brain Death Guidelines as suggested by the American Academy of Neurology. The lecture will cover the risks of traditional apnea testing and how the addition of carbogen alleviates many of the risks. A summary of how to administer carbogen for apnea tests including patients on VV and VA extracorporeal membrane oxygenation will be discussed.

 

11:40 am–12:10 pm

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Developing an Effective Educational Plan for Respiratory Care Departments

Shawna L Strickland PhD RRT-NPS AE-C FAARC, Irving TX

S149

Content Category: Management
This presentation will assist participants in identifying pertinent stakeholders affected by RT department education, discussing applicable adult learning principles, and setting goals and objectives. The presenter will identify barriers to effective education among stakeholders, identify ways to engage staff, satisfy accreditation, and avoid duplication of efforts.

 

12:30 pm–2:25 pm

 

Open Forum #13 - Neonatal/Pediatrics - Part 2

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. The titles and authors of all abstracts will be posted by Aug 31.

 

12:30 pm–2:25 pm

 

Open Forum #14 - Diagnostics, Sleep, and Pulmonary Rehab

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. The titles and authors of all abstracts will be posted by Aug 31.

 

12:30 pm–2:25 pm

 

Open Forum #15 - Monitoring/Equipment

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. The titles and authors of all abstracts will be posted by Aug 31.

 

2:10 pm–2:40 pm

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Anesthetic Agents for Status Asthmaticus: Methods, Evidence, and the Therapist's Role

John S Emberger RRT FAARC, Newark DE

S153

Content Category: Adult Critical Care
Status asthmaticus is a life-threatening situation. When the patient fails to respond to conventional therapy and safe ventilation is difficult, anesthetic agents are an option. Overview of the literature will be presented as well as several cases that benefited from anesthetic agents during status asthmaticus.

 

2:10 pm–2:40 pm

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The Pulmonary Education Program: Extending the Benefit of Rehab After Graduation

Scott Cerreta RRT, Washington DC

S154

Content Category: Clinical Practice
The Pulmonary Education Program (PEP) is designed to assist patients after graduation from rehabilitation and provides quality support materials for PR staff and patients. The program includes an option for COPD Associates to offer motivation and coaching support by phone. This discussion will share outcomes data from the first six months of this ongoing support program.

 

2:10 pm–2:40 pm

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Update on Portable Sleep Studies

Jessica Schweller MS RRT-RCP RN NP-C, Columbus OH

S155

Content Category: Sleep Medicine
Portable sleep studies are becoming as popular as in lab studies. This presentation will provide discussion on the types of portable monitoring devices (PMD) that are available and a decision matrix to use when trying to decide if portable testing is appropriate. The presentation will also cover reimbursement for PMD as well as treatment options for those patients.

 

2:10 pm–2:40 pm

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Take the "Red Pill": Understanding the Multiple Methods of

Joel M Brown RRT FAARC, Newark DE

S156

Content Category: Adult Critical Care
Have you been presented with one of the many methods of determining optimal PEEP and struggled with understanding the theory or evidence behind it? This lecture will use the storyline of the sci-fi film "The Matrix" to help the attendees better understand the theories, evidence, and pros and cons of each method. From the ARDS Net approach to electrical impedance tomography, you will get to see what actually happens after you take the "Red Pill."

 

2:45 pm–3:15 pm

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Difficult Airway Management During Pediatric Transport

Tabatha M Dragonberry RRT-NPS AE-C, Washington DC

S173

Content Category: Clinical Practice
This lecture will address the risk factors of difficult airways in pediatric patients and how this population is more problematic on transport. What should the respiratory therapist do when encountering an unanticipated difficult airway while on transport? Are YOU prepared for a difficult airway? Attend this lecture to get answers to these and other questions!

 

2:45 pm–3:15 pm

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Sleep Deprivation and the Medical Community

Brian W Carlin MD FAARC, Pittsburgh PA

S174

Content Category: Sleep Medicine
This session will discuss the evidence behind sleep deprivation and the medical profession. Strategies to reduce the effects of sleep deprivation will then be reviewed.

 

2:45 pm–3:15 pm

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Lung Protective Strategies: ARDSnet for Everyone?

Ruben D Restrepo MD RRT FAARC, San Antonio TX

S175

Content Category: Adult Critical Care
There have been demonstrated outcome benefits by using low tidal volumes in ARDS patients. Should these strategies be used across the board or only in selected patients? Attend this lecture to find out!

 

3:15 pm–5:10 pm

 

Open Forum #16 - Education - Part 2

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. The titles and authors of all abstracts will be posted by Aug 31.

 

3:15 pm–5:10 pm

 

Open Forum #17 - O2 Therapy and Home Care

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. The titles and authors of all abstracts will be posted by Aug 31.

 

3:20 pm–3:50 pm

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Reaching Out: Strategies to Improve Your Outreach Education Efforts

Alex Brendel MBA RRT-NPS, Roanoke VA

S182

Content Category: Clinical Practice
Many medical systems have ideas of doing outreach education with their referral hospitals but cannot implement them because of limited resources. This presentation will show some low-cost, high-impact strategies to improve your relationship with your referral hospitals and improve patient outcomes.

 

3:55 pm–4:25 pm

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A Live Look Inside the Lungs: Electrical Impedance Tomography

John S Emberger RRT FAARC, Newark DE

S186

Content Category: Clinical Practice
Electrical Impedance Tomography (EIT) is a new technology using an electrode chest belt that gives a functional image of the lungs in real-time during ventilation. It is a newer method that allows monitoring of regional ventilation for de-recruitment and over distention. A literature overview will be presented as well as patient cases where EIT was used.

 

4:30 pm–5:00 pm

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Update on Revisions to the CoARC Standards for the Profession of Respiratory Care

Kathy J Rye EdD RRT FAARC, Russellville AR

S189

Content Category: Education
The presenter will describe the process of revision for CoARC Standards and present proposed changes to the existing standards. Time will be allotted for questions and comments from members of the audience.

 

4:30 pm–5:00 pm

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Surfactant Beyond Neonates: Do We Know the Final Answer?

Nancy A Johnson RRT-NPS, Cleveland OH

S190

Content Category: Neonatal/Pediatrics
Exogenous surfactant therapy is standard of care of neonates, but what about children? The available surfactant data for pediatric acute lung injury remains conflicting. This presentation will review the available literature and potential clinical indications for pediatrics. Thoughts for the future of surfactant beyond the neonatal period will be offered.

 

4:30 pm–5:00 pm

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Auto-PAP Vs. CPAP: Which Is Better?

Jessica Schweller MS RRT-RCP RN NP-C, Columbus OH

S191

Content Category: Sleep Medicine
Which is better, auto-PAP or standard CPAP? This topic has been debated for years and opinions vary from provider to provider. This lecture will tackle the questions that many providers battle with and provide answers that may change the course of your patients' treatment. The presenter will provide insight from one clinician's perspective on how simply changing a pressure setting may improve compliance.

 

4:30 pm–5:00 pm

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Sepsis: Ventilator Management of the Septic Patient

Richard H Kallet MS RRT FAARC, San Francisco CA

S192

Content Category: Adult Critical Care
Mortality continues to be very high in the severely septic patient. How can RTs optimally ventilate these patients and ensure adequate gas exchange, as well as protect them from secondary injury? Attend this lecture to find out

 

9:30 pm–10:00 pm

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Adult Acute Care Section Membership Meeting

Keith D Lamb RRT-ACCS/Presiding

Section members meet to determine their needs and priorities, as well as how to use AARC resources to accomplish them. All Congress attendees, including section non-members, are invited to attend and to participate.

 

9:30 pm–2:00 am

 

Exhibit Hall

As the "Gold Standard" of all respiratory care meetings, AARC Congress 2013 presents to you all the manufacturers and suppliers in the industry. The Exhibit Hall offers attendees an opportunity to see, touch, and manipulate the latest technology in the field and have clinical conversations with manufacturer representatives. Don't miss this great opportunity!

 

9:50 pm–10:20 pm

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Surface & Air Transport Section Membership Meeting

Billy L Hutchison RRT-NPS/Presiding

Section members meet to determine their needs and priorities, as well as how to use AARC resources to accomplish them. All Congress attendees, including section non-members, are invited to attend and to participate.

 

10:30 pm–11:35 pm

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Agencies Update

George W Gaebler MSEd RRT FAARC - AARC President
Michael T Amato MBA - ARCF Chair
Kathy J Rye EdD RRT FAARC - CoARC President
Kerry E 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!

 

10:30 am–11:00 am

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Are Transport RTs Facing Extinction?

Steven E Sittig RRT-NPS FAARC, Rochester MN

S128

Content Category: Management
With the upcoming changes in health care reimbursement, how can department managers support their transport team when consultant firms say RTs are not needed on interfacility transport? This lecture will cover the evolving area of critical care medical transport and how the AARC is there to help support transport RTs. This lecture will focus on evidence-based literature as well as textbooks and other national organizations that support the need for the transport RT in high-level critical care transport.

 

11:05 am–11:35 am

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Critical Care Transport: An RT Perspective

Steven E Sittig RRT-NPS FAARC

S129

Content Category: Clinical Practice
Critical Care Medical Transport has evolved significantly in the past few decades. The involvement of respiratory therapists in this specialty area, especially in neonatal/pediatrics, has been an integral component in providing high-level critical care in transport for decades. Many critical patients are now potentially being transported on advanced modes of ventilation such as APRV. How do managers and educators prepare and support the role of RTs in interfaculty critical care transport? This lecture will help develop a framework to recruit outstanding students in RT programs as well as outstanding clinical staff to enter this dynamic and rewarding area of critical care.

 

10:30 pm–11:35 pm

 

Critical Care Medical Transport: Evolution of a Profession

 

10:30 am–11:00 am

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Becoming a Professional

David Vines MHS RRT FAARC, Winfield IL

S130

Content Category: Education
This presentation will provide an overview of the profession of respiratory care to include its evolution, role, and value. Emphasis will be placed on the characteristics and traits of a professional and the critical importance of being involved and maintaining professional membership.

 

11:05 am–11:35 am

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Getting Credentialed: Success on the Written Exams

Bill Galvin MSEd RRT CPFT AE-C FAARC, Gwynedd Valley PA

S131

Content Category: Education
The presentation will address the factors that make for success in the examination process. It will cover preparatory issues, what you will experience onsite, as well as test-taking strategies and techniques. Emphasis will be placed on the written component of the NBRC credentialing process.

 

10:30 pm–11:35 pm

 

Student Metamorphosis: Transitioning from Student to Professional

 

10:30 am–11:00 am

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SDB Programs for the Pediatric Population

Kathleen M Deakins MSHA RRT-NPS FAARC, Cleveland OH

S132

Content Category: Sleep Medicine
Sleep-disordered breathing (SDB) is increasing in prevalence across a variety of patient populations and often goes unnoticed in the pediatric population. This lecture will describe a screening and mask-fitting SDB program within a children's hospital. Areas that will be covered are desaturation/hypercarbia screening, setting titration, and mask-fitting components.

 

11:05 am–11:35 am

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Challenges in SDB for the Pediatric Population

Amber Galer RRT, Salt Lake City UT

S133

Content Category: Sleep Medicine
The shift of adult patients from "traditional" sleep labs to a more economical model is occurring at a rapid pace. Due to the complex medical conditions of children, this model is not portable to the pediatric population. This lecture will describe the challenges of SDB studies in the medically complex and fragile pediatric patient.

 

10:30 pm–11:35 pm

 

Sleep-Disordered Breathing: It's Not Just Adults

 

10:30 am–11:00 am

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Engaging the Anesthesiologist and Respiratory Therapist to Work as a Team

Lori D Conklin MD, Charlottesville VA

S134

Content Category: Clinical Practice
This presentation will discuss how respiratory therapists can maximize their role to the greatest potential. The presenter will share how RTs can better foster professional relationships with the anesthesiologist. Upon completion of this session, participants will be able to develop and enhance communication pathways with the anesthesiologist, with the end goal of optimizing patient care of the perioperative patient.

 

11:05 am–11:35 am

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Medical Direction of Respiratory Professionals

Thomas M Fuhrman MD MMSC FCCP FCCM RRT, Miami FL

S135

Content Category: Clinical Practice
This presentation will describe methods that are best suited to foster the medical direction of trainees, students, and new hires. The presenter will share how to recognize the value of appropriate medical direction and the role of the RT in the critical care setting. Upon completion of this session, participants will be able to discuss role expansion of the RT in the advance practice model.

 

11:40 am–12:10 pm

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Value-based Respiratory Outcomes

Peter J Papadakos MD FCCM FAARC, Rochester NY

S136

Content Category: Clinical Practice
This presentation will describe how to integrate the skills of a respiratory therapist into a rapid response team. The presenter will share the application of locally developed care protocols into their regular practice. Upon completion of this session, participants will be able to illustrate how respiratory therapists can improve patient care outcomes and meet AHRQ indicators.

 

10:30 pm–12:10 am

 

Improving RT and Physician Relations

 

10:30 am–11:00 am

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Why are Patients Readmitted to the ICU: What Effect Does ICU Readmission Have on Outcomes?

Robert F Kopel MD FACP FCCP, Newport Beach CA

S140

Content Category: Clinical Practice
When patients require readmission to an ICU, they experience higher mortality, longer length of stay, and incur increased medical costs. From a quality perspective, readmissions may represent inappropriate premature discharge from an ICU. In this presentation, the associated causes and outcomes from ICU readmission will be discussed. The magnitude of this problem will be described. Possible solutions and approaches to preventing ICU readmission will be developed. Description of one institution's approach and how this affected mortality will be highlighted.

 

11:05 am–11:35 am

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Prevention of ICU Readmissions: Development of a Readmission Risk Assessment Checklist

Charlie G Durbin Jr MD FAARC, Charlottesville VA

S141

Content Category: Clinical Practice
The AARC recently developed an "ICU Readmission" checklist to help clinicians identify which patients might be at high risk for ICU readmission. How the checklist was developed, its possible uses, and limitations will be discussed in this presentation.

 

11:40 am–12:10 pm

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What Should Be Done with the "High Risk" Patient at ICU Discharge?

Charlie G Durbin Jr MD FAARC

S142

Content Category: Clinical Practice
Once an individual patient is identified to be at high risk of returning to an ICU, this obligates the hospital to take efforts in preventing a poor patient outcome. The ways this can be achieved including: delay of discharge, provision of step-down unit care, using remote monitoring systems, and the role of MET teams will be discussed in this presentation.

 

10:30 pm–12:10 am

 

Preventing ICU Readmissions

 

10:30 am–11:00 am

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Long-Term/Skilled Patient Care: Care and Regulation

James E Wood Jr RRT, Oakdale PA

S137

Content Category: Clinical Practice
The long-term care environment presents a variety of practice challenges, including various state, federal, and accreditation regulations that govern the delivery of care. This lecture reviews the necessary compliance that RTs working in long-term care must adhere to.

 

11:05 am–11:35 am

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Respiratory Therapists and Speech Therapy: Multi-Disciplinary Approach to Care

Heather Pazak MA CCC-SLP, Akron OH

S138

Content Category: Clinical Practice
In the long-term care environment, speech therapy operates alongside respiratory therapy in the management of many patients. This lecture reviews the role of the speech therapist working in conjunction with the RT to deliver quality care.

 

11:40 am–12:10 pm

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Respiratory Therapy's Role in Long-Term Care: A Nurse's Perspective

Donna Cooper-Williams MSN Ed RN, Tampa FL

S139

Content Category: Clinical Practice
The long-term care environment presents an excellent opportunity for RTs and nurses to collaborate in the provision of care. This lecture provides a nurse's perspective of the value of an excellent working relationship and effective collaboration.

 

10:30 pm–12:10 am

 

To Infinity and Beyond: Role of the RT in a Multi-disciplinary Team