Oct. 4–7, 2017

Indianapolis, IN

Congress Program Sections

Friday, Oct. 6

8:00 am–8:45 am

44th Donald F Egan Scientific Memorial Lecture

Sangeeta Mehta

8:00 am–8:45 am | Room Sagamore Ballroom

Caring for the Mechanically Ventilated Patient - a Patient-Centered Approach

Sangeeta Mehta MD, Toronto ON

Admission to the ICU and mechanical ventilation are difficult experiences for patients and their family members. The goals of patient care have changed tremendously, and now focus on an awake, comfortable, and interactive patient, who can mobilize and participate in care. Achievement of these goals presents new challenges to ICU clinicians. This presentation will highlight important evidence related to comfort and sedation management, ICU delirium, mobilization, and the patient experience.

8:50 am–9:20 am | Room Sagamore Ballroom

Flag Folding Ceremony

An AARC tradition like no other, attend the AARC Flag Folding Ceremony and celebrate the rich tradition of the U.S. Military and Armed Forces. RT Veterans and active duty respiratory therapists conduct a moving ceremony as we recognize those who serve, those who have served and those we have lost.

9:10 am–12:25 pm

Student Symposium for New Professionals

Cheryl Hoerr

9:10 am–9:45 am | Room Room 123/124

Strategic Marketing: Getting That Dream Job

Cheryl Hoerr MBA RRT CPFT FAARC

This presentation will provide an explanation of the value of marketing and how you can use key marketing principles to position yourself for your dream job. We will discuss trends in the respiratory field and show how to gather detailed information about the companies you would like to work for. We will also outline techniques to conduct an effective job search, along with a brief overview on how to develop your cover letter and resume and prep for that all-important interview.

Dana Evans

9:50 am–10:25 am | Room Room 123/124

How To Lose a Job Before You Are Hired

Dana Evans MHA RRT-NPS, Chesterfield MO

You have just landed an interview for your dream job. You are nervous, excited, and really want to impress the hiring leader. Did you know you could lose the job before you even arrive to the interview? The presenter will discuss common mistakes and pitfalls of job seekers, including those that may cost you the position before you are hired.

Crystal Dunlevy

10:30 am–11:05 am | Room Room 123/124

What It Means To Be a Professional

Crystal Dunlevy EdD RRT, Columbus OH

This presentation will provide an overview of the profession of respiratory care, including its history, evolution, role, and value. Emphasis will be placed on the characteristics and behaviors of a professional and the critical importance of being involved and engaged in the profession and maintaining professional membership.

Bill Galvin

11:10 am–11:45 am | Room Room 123/124

Acquiring Your Credential: Success on the Therapist Multiple Choice Examination

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

The presentation will address the factors that make for success in the examination process. It will cover preparatory issues and what you will experience onsite, as well as test-taking strategies and techniques. Emphasis will be placed on the new Therapist Multiple-Choice Examination (TMC) implemented by the NBRC in January 2015.

Bill Galvin

11:50 am–12:25 pm | Room Room 123/124

Acquiring Your Credential: Success on the Clinical Simulation Examination

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

This presentation will serve as a sequel to the previous one and will address the factors that make for success on the Clinical Simulation Examination. It will cover such issues as exam content, structure, and unique strategies for progressing through a branching logic type of exam. It will also highlight recent changes implemented in January 2015.

9:30 am–11:30 am

Open Forum Editors' Choice

9:30 am–9:43 am | Room Room 107/108

A Comparative Analysis of Ideal Body Weight Methods for Pediatric Mechanical Ventilation

Jeffrey R Bilharz RRT-NPS, Boston MA

9:45 am–9:58 am | Room Room 107/108

Evaluation of a Ventilator Bootcamp Improves the Knowledge and Skills Associated With Mechanical Ventilator Use During Inter-Facility Transport of Intubated Pediatric Patients

Teresa A Volsko MBA MHHS RRT CMT-E FAARC, Akron OH

10:00 am–10:13 am | Room Room 107/108

Comparison of the RAM Cannula to Conventional Bi-nasal Prongs in the Delivery of Noninvasive Respiratory Support to Very Low Birth Weight (VLBW) and Extremely Low Birth Weight (ELBW) Infants in the NICU

Cathy W Hughes RRT, Annapolis MD

10:15 am–10:28 am | Room Room 107/108

Accuracy of Transcutaneous CO2 Values Compared to Arterial and Capillary Blood Gases

Randy Willis MBA RRT-NPS, Little Rock AR

10:30 am–10:43 am | Room Room 107/108

Laboratory Evaluation of Continuous Cuff Pressure Control Systems

Sherry A Babic RRT, Cleveland OH

10:45 am–10:58 am | Room Room 107/108

Increasing ARDS Severity by Berlin Definition Reflects Overall Illness Severity

Richard H Kallet MSc RRT FAARC, San Francisco CA

11:00 am–11:13 am | Room Room 107/108

Prevalence, Knowledge, Beliefs, and Attitude of Waterpipe (Hookah) Smoking among Health Care Student at a Southeastern Urban Research University

Mohammed M Alqahtani MSc RRT-NPS RRT-ACCS CPFT, Atlanta GA

11:15 am–11:28 am | Room Room 107/108

Perspectives from COPD Subjects on Long Term Oxygen Therapy (LTOT) Devices

Constance Mussa PhD RRT-NPS, Chicago IL

9:55 am–10:25 am | Room Room 120-122

Adult Acute Care Section Membership Meeting

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 participate.

10:00 am–2:30 pm | Room TBA

Open Forum Posters Only #2

Researchers and clinicians present the results of their work in this Posters Only session. Authors available from 12:00 pm - 1:30 pm for questions and interaction.

10:30 am–11:05 am | Room Wabash 1 | Clinical Practice

Entering into Unchartered Territory: Hospital RT to Home Care RT

Kimberly S Wiles

Kimberly S Wiles RRT CPFT , Kittanning PA

With the surge of transition of care programs across the country many hospitals are incorporating a home visit by an RT from the hospital. This lecture will discuss the competencies required for the RT to navigate the home setting and uncover potential barriers to care.

10:30 am–11:05 am | Room Wabash 2 | Management

Applying Artificial Intelligence to Optimize Respiratory Therapy Staffing

Madhu Sasidhar MD FCCP , Pepper Pike OH

The field of artificial intelligence is expanding rapidly with promising applications in health care. Platforms such as IBM Watson are being applied to optimize health care delivery in a variety of settings. This talk will focus on a real-world example of applying artificial intelligence algorithms to predict short-term respiratory therapist staffing requirements for an integrated health care system.

10:30 am–11:05 am | Room Room 101/102 | Clinical Practice

The Manikin Challenge

Sherry Whiteman

Sherry Whiteman MS RRT , Neosho MO

High-fidelity simulation has proven to be a useful tool for the health care educator, but purchasing the manikins can be quite costly. This lecture will look at various options to increase the fidelity of simulations without breaking the bank!

10:30 am–11:05 am | Room Room 103/104 | Neonatal/Pediatric

Visualizing Infant Ventilator Synchrony

John Emberger

John Emberger RRT-ACCS CPHQ FAARC, Newark DE

This lecture will cover the literature as well as review video cases of graphics to improve ventilator synchrony of very low birth weight infants. Attendees will understand how to identify asynchrony and optimize the ventilator to improve synchrony for premature infants receiving mechanical ventilation.

10:30 am–11:05 am | Room Room 105/106 | Clinical Practice

Incorporating Complementary and Alternative Medicine into Pulmonary Rehabilitation Programs

Aaron McColpin

Aaron McColpin DNP RRT-NPS NP CPFT, Camarillo CA

This lecture will review the most commonly used complementary and alternative medicine (CAM) therapies used by patients today. Also, we'll review the current evidence for these common CAM therapies and ways to incorporate them into your pulmonary rehabilitation program.

10:30 am–11:50 am | Room Room 120-122

PRO/CON: High Flow Nasal Oxygen is First-Line Treatment for ARF Not NIV

PRO: Keith D Lamb 
CON: Brady Scott

PRO: Keith D Lamb RRT-ACCS FCCM , Warrenton VA
CON: Brady Scott MS RRT-ACCS FAARC Chicago IL

High flow nasal oxygen by nasal cannula has been applied to any number of disease states. Recent publications suggest HFNC is better tolerated and more effective than noninvasive ventilation. However, while HFNC reduces ventilator requirements, it doesn't reduce the work of breathing in the same fashion as NIV. So, which should be applied first?

10:30 am–11:45 am

PFT Interpretation

Jeffrey M Haynes

10:30 am–11:05 am | Room Wabash 3 | Pulmonary Function

Part One: Reference Equations and Test Quality

Jeffrey M Haynes RRT RPFT FAARC , Pembroke NH

There are several factors involved in the accurate interpretation of pulmonary function test results. Part one of this two-lecture symposium will review the process of selecting the best reference equations for the patient population being tested and ensuring a high level of test quality.

Jeffrey M. Haynes

11:10 am–11:45 am | Room Wabash 3 | Pulmonary Function

Part Two: Statistics and Normal Vs Abnormal

Jeffrey M. Haynes RRT RPFT FAARC , Pembroke NH

There are several factors involved in the accurate interpretation of pulmonary function test results. Part two of this symposium will review the best method of utilizing statistics to determine "normal" and "abnormal" results. Percent predicted, lower limit of normal, and z-scores will be discussed and case studies will be included.

11:10 am–11:45 am | Room Wabash 1 | Clinical Practice

Maintaining Quality With Declining Reimbursement

Cynthia Anne Gray BS RRT RPFT , Edmond OK

This lecture will look at the techniques and skills that allow home care companies to maintain or enhance quality with a declining reimbursement. Understanding how Quality Improvement programs can make the difference between surviving and thriving will be reviewed and presented.

11:10 am–11:45 am | Room Wabash 2 | Management

Interdisciplinary Care Redesign: Achieving Continuous Improvement in Quality, Cost, and Patient Experience Through a Standardized Approach

Julianne Buchler

Julianne Buchler BN MBA , Chicago IL

Care Redesign aims to improve outcomes through a structured, interdisciplinary process of standardizing approaches to patient management. A key goal to success of such a process is the need for Management to empower their staff to 'think outside the box.' This presentation will provide an overview of this novel approach, including tools and key success factors for achieving sustained change aligned with organizational objectives and informed by data.

11:10 am–11:45 am | Room Room 101/102 | Clinical Practice

Designing a Simulation of Any Kind

Phillip Stark

Phillip Stark RRT , Hershey PA

Simulation has become the premiere educational method to obtain and enhance clinical skills. Incorporating an educational curriculum into any simulation session is essential to its success. This discussion will focus on describing and implementing the 6 steps of Kern's educational curriculum into a simulation of any kind.

11:10 am–11:45 am | Room Room 103/104 | Neonatal/Pediatric

Methods for Surfactant Delivery in Infants: To Tube or Not To Tube?

Rob DiBlasi

Rob DiBlasi BSRT RRT-NPS FAARC , Seattle WA

The gold standard in artificial surfactant administration for infants with respiratory distress has been to administer the drug directly through an endotracheal tube during assisted ventilation. With the trend of supporting neonates with noninvasive respiratory support, is there a simple and safe strategy for delivering lung surfactant without intubation? This presentation will review novel, minimally-invasive strategies that offer the potential to effectively deliver surfactant noninvasively.

11:10 am–11:45 am | Room Room 105/106 | Clinical Practice

Pulmonary Rehabilitation: Exercise and Oxygen for the IPF Patient

Debbie Koehl

Debbie Koehl MS RRT-NPS AE-C FAARC , Indianapolis IN

Cough and severe activity-related hypoxemia (SARH) can be as disabling as dyspnea. Attend this session for a review on supporting evidence for PR exercise and management of supplemental oxygen.

11:50 am–12:25 pm | Room Wabash 1 | Clinical Practice

Portable Oxygen Concentrators: Patient-Driven Evidence is Lacking

Kimberly S Wiles

Kimberly S Wiles RRT CPFT , Kittanning PA

Patients are purchasing small, lightweight portable oxygen concentrators (POCs) to use that only have pulse mode delivery. How effective are these devices? Patients don't care, but the RT should. Multiple variables impact pulse dose delivery. This lecture will discuss the pros and cons of utilizing POCs for long-term use.

11:50 am–12:25 pm | Room Wabash 2 | Management

Health Care Regulatory Compliance is Boring… Does It Really Apply to Respiratory Care?

Kim Bennion

Kim Bennion MHS RRT CHC , Salt Lake City UT

This presenter is certified in health care compliance which is a new role for RTs. She will share her corporation's process of bridging the communication chasm between the clinical and business arms of health care. She will also describe how the corporation's respiratory care clinical service line's annual activity tracker, based on the seven elements of an effective compliance program as well as dimensions of clinical care, assisted in bridging the gap and expanding roles for respiratory therapists in the organization. With this information, attendees will have the knowledge necessary to create this value-added role in your organization.

11:50 am–12:25 pm | Room Wabash 3 | Pulmonary Function

Interventional Pulmonology - A New Horizon Utilizing the Expertise of the Respiratory Therapist

Heidi Gibson

Heidi Gibson RRT , Minneapolis MN

This lecture will describe the development of an "Interventional Respiratory Therapist" and their role in an Interventional Pulmonology program. The lecture will include a discussion of the essential responsibilities of the respiratory therapist in bronchoscopy. Descriptions of specialized equipment used to perform diagnostic and therapeutic procedures will be covered along with a case review to illustrate the expanding role of the respiratory therapist in the bronchoscopy suite.

11:50 am–12:25 pm | Room Room 101/102 | Clinical Practice

The ARISE Project Augmented Reality Integrated Simulation Education

Kim Ernstmeyer 
Theresa Meinen

Kim Ernstmeyer RN MSN ANP-BC , Eau Claire WI
Theresa Meinen MS RRT CHSE Chippewa Falls WI

The Augmented Reality Integrated Simulation Education (ARISE) project was developed as part of a federal grant from the Department of Labor. The ARISE project designs health care simulations using iPads, QR codes, and rich media via the ARISE open-source platform to augment both high- and low-fidelity simulation and enhance learner engagement. Join us and interact with this unique advancement to health care simulation education.

11:50 am–12:25 pm | Room Room 103/104 | Neonatal/Pediatric

Pediatric Cardiac Critical Care: Essentials for the Respiratory Therapist

Alexandre T Rotta

Alexandre T Rotta MD, Cleveland OH

This presentation will discuss the many challenges and common pitfalls of caring for infants and children in a cardiac intensive care unit, including the intended and unintended consequences of "routine" therapies in those with non-traditional cardiorespiratory physiology.

11:50 am–12:25 pm | Room Room 105/106 | Clinical Practice

Incorporating Pulmonary Rehab Into Skilled Nursing

Stephanie Williams

Stephanie Williams BS RRT , Nashville TN

A golden opportunity is waiting for RTs in the Skilled Nursing space. While RT services cannot be billed as a separate item in skilled facilities, the patient will benefit significantly from having RT expertise in SNFs to help augment the PT/OT departments. This lecture will provide learners with the skills to sell their services to skilled nursing facilities.

11:50 am–12:25 pm | Room Room 120-122

Ex Vivo Lung Perfusion (EVLP): Emerging Role for the Respiratory Therapist in the Assessment, Evaluation, and Resuscitation of the Harvested Human Lung

David M Wheeler

David M Wheeler M. Ed. RRT-NPS FAARC , Charleston SC

This discussion will center on the emerging technologies for the evaluation, rescue, and resuscitation of the harvested human lung in the ex-vivo state. The focal point of this discussion will be the crucial role of the respiratory therapist in the process of harvested lung resuscitation. Currently less than 20% of harvested lungs are transplanted while the remaining 80% are wasted. This discussion will identify and explain the management techniques of human lung preservation and rescue, compare competing technologies, and describe the steps needed to create a lung lab. Several videos and pictures of human lungs being treated and evaluated will be utilized to highlight case studies from the lab.

12:30 pm–2:55 pm | Room Room 107/108

Open Forum Poster Discussion #9

Researchers and clinicians present findings of studies on aerosol therapy, mechanical ventilation, neonatal and pediatric care, education, management, and every other mode of practice in our profession.

12:30 pm–2:55 pm | Room Room 109/110

Open Forum Poster Discussion #10

Researchers and clinicians present findings of studies on aerosol therapy, mechanical ventilation, neonatal and pediatric care, education, management, and every other mode of practice in our profession.

1:15 pm–1:45 pm | Room Wabash 1

Education Section Membership Meeting

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 participate.

1:15 pm–1:45 pm | Room Room 105/106

Continuing Care/Rehab Section Membership Meeting

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 participate.

1:45 pm–2:20 pm | Room Wabash 1 | Education

Opening a Can of Worms: What Do I Do Now?

Brady Scott

Brady Scott MS RRT-ACCS FAARC , Chicago IL

Educational programs have established policies and procedures as well as professional codes of conduct. However, not all situations are included in these documents. How does the program handle unique and unexpected breaches of professionalism? The presenter will provide a series of unique situations to highlight potential gaps in departmental and institutional policy as well as garner discussion about the appropriate courses of action.

1:45 pm–2:20 pm | Room Room 101/102

Waving the Caution Flag: Why Your Equipment May Not Be Clean

Cheryl Hoerr

Cheryl Hoerr MBA RRT CPFT FAARC , Rolla MO

The increasing incidents of patients being infected as a result of contaminated equipment has many waving a caution flag and warning that there are gaps in our knowledge and processes. Come and hear what has been discovered about why your "clean" equipment may not be as clean as you think and what steps you can take to minimize your patients' risk of infection.

1:45 pm–2:20 pm | Room Room 105/106 | Clinical Practice

COPD Case Management Led By RTs Reduces Readmissions

Krystal Craddock

Krystal Craddock BSRC RRT-NPS CCM, Sacramento CA

This lecture will give you a look at what RT COPD case managers at UC Davis have been doing to improve patient education and facilitate health care navigation and utilization to achieve better outcomes and cost savings. A review of the COPD case management program includes education, medication, and treatment recommendations and CMS discharge planning standards.

1:45 pm–2:20 pm | Room Room 123/124 | Clinical Practice

Virtual Respiratory Care: The Future or a Threat To Our Jobs

Zach Gantt

Zach Gantt RRT, Livingston TN

Telemedicine is an exploding industry that is rapidly becoming part of every major Health care ecosystem in the U. S., so why are Respiratory Therapist not in the forefront of the telemedicine movement? This presentation will outline opportunities to extend Respiratory Care into any environment in the country, including, long term care.

1:45 pm–4:20 pm

Controversies in Respiratory Care: Part One

PRO: David VinesCON: John Davies

1:45 pm–3:00 pm | Room Room 120-122

PRO/CON: Asynchrony - Sedation/Paralysis Vs. the Ventilator

PRO: David Vines MHS RRT FAARC, Chicago IL
CON: John Davies BS MA RRT FCCP Durham NC

Asynchrony is common in mechanical ventilation and is associated with poor outcome. However, the effect is not causal. Is asynchrony a marker of illness or does asynchrony impact outcomes? Is the answer just to take the patient out of the equation? Early sedation and/or paralysis eliminates the WOB and makes asynchrony irrelevant. Or, is maintenance of spontaneous breathing and diaphragmatic function important to outcomes and matching the ventilator to patient demand to relieve asynchrony the key issue?

PRO: Robert M KacmarekCON: Rich Kallet

3:05 pm–4:20 pm | Room Room 120-122

PRO/CON: Recruitment Maneuvers Should be Used Routinely in ARDS

PRO: Robert M Kacmarek PhD RRT FAARC , Boston MA
CON: Rich Kallet MS RRT FAARC San Francisco CA

Recruitment maneuvers can reverse alveolar collapse and reduce the regional differences in lung mechanics associated with ARDS. Recruitment can increase compliance and improve gas exchange. However, hemodynamic consequences are common and both air leaks and hypoxemia have been reported.

1:45 pm–4:20 pm

NIOSH and RTs: Working Together to Support Lung Health in the Workforce

1:45 pm–2:20 pm | Room Wabash 3 | Pulmonary Function

Special Spirometry Training for the Occupational Setting: What's the Big Deal?

Kathleen A Clark PhD RRT CPFT , Morgantown WV

The first lecture in this four-part symposium will discuss the recommendation that anyone performing occupational testing attend a National Institute for Occupational Safety and Health (NIOSH)-approved Spirometry Training Course. Specific real-time errors that affect the accuracy and precision of spirometry test results will be reviewed and examples demonstrating the need for a properly trained technician/clinician to recognize and troubleshoot errors routinely encountered during occupational spirometry testing will also be given.

2:25 pm–3:00 pm | Room Wabash 3 | Pulmonary Function

Development of a National Spirometry Facility Occupational Surveillance Network

Kathleen A Clark PhD RRT CPFT , Morgantown WV

The second lecture in this four-part symposium will discuss the process of developing a national spirometry facility network for the expansion of the NIOSH-based Coal Worker Health Surveillance Program (CWHSP). Key components of this program and specific initial barriers that must be overcome during the developmental stages of the national network will be reviewed.

Susan Blonshine

3:05 pm–3:40 pm | Room Wabash 3 | Pulmonary Function

Management of Work- Related Asthma: When Punching the Clock Gets Serious

Susan Blonshine RRT RPFT FAARC AE-C , Mason MI

The third lecture in this four-part symposium will advocate for a paradigm shift necessary to bond the world of occupational health and respiratory care. We will examine the triggers of work-related asthma - new-onset asthma caused by work as well as pre-existing asthma exacerbated by work. The imperative role of the respiratory therapist in closing the gap between prevention and management of work-related asthma will be illustrated through a case presentation.

Susan Blonshine

3:45 pm–4:20 pm | Room Wabash 3 | Pulmonary Function

Occupational Risks: Interstitial Lung Disease

Susan Blonshine RRT RPFT FAARC AE-C , Mason MI

The fourth lecture in this four-part symposium will discuss work-related interstitial lung diseases and the five primary industry culprits as described by NIOSH. Personal protective equipment required by employers to prevent the development and progression of disease and key diagnostic tests recommended to expose and prevent the silent disease progression will be reviewed.

1:45 pm–3:40 pm

Oxygen: Basics To Cutting Egde

John Kheir

1:45 pm–2:20 pm | Room Room 103/104 | Neonatal/Pediatric

Oxygen Delivery: The Essentials for Every RT

John Kheir MD, Charlestown MA

A clear understanding of the physiologic principles of oxygen delivery is essential for every respiratory therapist. This clinically relevant discussion will be presented with a clinical focus by an expert in the field.

2:25 pm–3:00 pm | Room Room 103/104 | Neonatal/Pediatric

Target Oxygen Saturation Limits

Aasma Chaudhary BS RRT, Philadelphia PA

The NeOProM Collaboration was expected to help determine the optimal oxygen saturation limits for ELBW Infants. The NeOProM Collaboration was a meta-analysis based on 5 major oxygen trials. However, the results of these trials have raised more questions than answers.

John Kheir

3:05 pm–3:40 pm | Room Room 103/104 | Neonatal/Pediatric

IV Oxygen: Not Science Fiction

John Kheir MD, Charlestown MA

Oxygen delivery beyond inhalation - really? This presentation will explore the concept of intravenous oxygen delivery. This novel approach will be discussed by one of the pioneers in the field.

1:45 pm–3:00 pm

What's In Your Garage

Joel M Brown II Cheryl Hoerr

1:45 pm–2:20 pm | Room Wabash 2 | Management

How to Fine Tune a Hot Rod - Leading a High- Performing RT Professional

Joel M Brown II BS RRT FAARC , Wilmington DE
Cheryl Hoerr MBA RRT CPFT FAARC Rolla MO

This lecture will provide the learners with tips and methods for leading, motivating, and retaining high-performing RT professionals. It will also provide insight on how to enhance their leadership skills and explore their untapped potential.

Joel M Brown II 
Cheryl Hoerr

2:25 pm–3:00 pm | Room Wabash 2 | Management

Tuning Up a Potential Lemon - How to Lead a Low Performing RT Professional

Joel M Brown II BS RRT FAARC , Wilmington DE
Cheryl Hoerr MBA RRT CPFT FAARC Rolla MO

It has been established that organizations with engaged employees have a better bottom line. This lecture will provide the learners with tips and methods for leading motivating and retaining high performing RT professionals. It will also provide insight on how to enhance their leadership skills and explore their untapped potential.

2:25 pm–3:00 pm | Room Wabash 1 | Education

Systematic Interpretation of Adult ICU Radiographs and CTs

Jeff Anderson

Jeff Anderson MA RRT, Meridian ID

This presentation will provide learners with a systematic, comprehensive method to evaluate adult ICU chest radiographs and CT scans. Anatomic structures will be identified both on plane films and CT scans, and common critical care pathology will be identified both on plane films and accompanying CTs. Various CT formats will also be reviewed, including body windows, lung windows, axial, sagittal, and, coronal views.

2:25 pm–3:00 pm | Room Room 101/102 | Bioterrorism/Emergency Preparedness

The Impact of Common Disasters on the Health Care Provider

Joe Hylton

Joe Hylton MA RRT-ACCS/NPS NRP FAARC , Charlotte NC

Disaster situations can manifest in many forms. This presentation will highlight common disaster types and how it might impact the health care provider in emergency and critical care environments.

2:25 pm–3:00 pm | Room Room 105/106 | Clinical Practice

Pulmonary Rehabilitation: Where Do We Stand with Reimbursement?

Debbie Koehl

Debbie Koehl MS RRT-NPS AE-C FAARC, Indianapolis IN

CMS coverage rules for COPD and Non-COPD differ. Attend this session for a review and to discuss how to manage a diverse payer referral base.

2:25 pm–3:00 pm | Room Room 123/124 | Clinical Practice

21st Century RT Practice in Long Term Care

Kathryn Thompson RRT, Masontown PA
Lisa Ziller BS RRT Bloomsburg PA

This lecture will explain how value based care delivery meets the objectives of the "Triple Aim" for health care. Identify resources and tools for providing adult patients and families with the best in value based, patient-centered care utilizing top of license practice, evidenced-based approaches and alternative modes of therapy.

3:05 pm–3:40 pm | Room Wabash 1 | Education

Interprofessional Education (IPE) - Make It Happen in Your School!

Karen S Schell

Karen S Schell DHSc RRT-NPS RRT-SDS RPFT , Kansas City KS

Interprofessional Education is here! Are you ready for it? Learn what it is and how to implement it in your classroom and courses.

3:05 pm–3:40 pm | Room Wabash 2 | Management

Patient Education and the Respiratory Therapist: Improving Outcomes

Shawna Strickland

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

A patient's ability to manage his/her disease process can impact long-term health goals, cost of health care, and whether or not that patient can be successfully managed at home. This presentation will define health literacy and discuss its impact on several factors, including patient health outcomes and health care costs. In addition, the presentation will identify barriers to effective patient education and how the respiratory therapist can overcome those barriers to promote effective disease self-management, reduce readmissions, and improve the burden of health care costs.

3:05 pm–3:40 pm | Room Room 105/106 | Clinical Practice

Pulmonary Rehabilitation: A Year in Review

Brian Carlin

Brian Carlin MD, Sewickley PA

Attend this session for a year's worth of review of the more important studies impacting care of the chronic lung disease patient.

3:05 pm–3:40 pm | Room Room 123/124 | Clinical Practice

Driving Outcomes Through Technology in Post-Acute Care

Gene Gantt

Gene Gantt RRT FAARC, Livingston TN

The Skilled Nursing Facility (SNF) industry is quickly catching up with the readmission penalties. This presentation will outline the need for the advancement of respiratory technology in the LTC market and how RT's in Tennessee have driven policy to create a successful program.

3:05 pm–4:20 pm

Ventilator Alarm Safety

Marc Schlessinger

3:05 pm–3:40 pm | Room Room 101/102

Ventilator Alarms: Driving Patient Safety or Driving RTs Crazy?

Marc Schlessinger MBA RRT-NPS RPFT FACHE , Plymouth Meeting PA

A major focus of The Joint Commission's surveys for the next several years will be clinical alarm management. One key component of clinical alarm management is alarm fatigue. There has been much work done on physiologic monitoring and the attention will be now moving toward ventilator alarms. This presentation will help therapists take an objective look at alarm fatigue as it pertains to ventilators, BiPAPs, and pulse oximeters.

Connie Dills

3:45 pm–4:20 pm | Room Room 101/102

Solutions for Ventilator Alarm Management

Connie Dills MBA RRT RPFT, West Hartford CT

This presentation will discuss technology solutions for improving ventilator alarm notifications: which alarms are actionable, which are not actionable, and how the clinician is notified.

3:15 pm–5:10 pm | Room Room 107/108

Open Forum # 11 Education - Part 2

Researchers and clinicians present findings of studies on aerosol therapy, mechanical ventilation, neonatal and pediatric care, education, management, and every other mode of practice in our profession.

3:15 pm–5:10 pm | Room Room 109/110

Open Forum # 12 Asthma/Pulmonary Disease

Researchers and clinicians present findings of studies on aerosol therapy, mechanical ventilation, neonatal and pediatric care, education, management, and every other mode of practice in our profession.

3:45 pm–4:20 pm | Room Wabash 1 | Education

Interprofessional Coaches: Facilitating Transformational Learning

Jody Delp

Jody Delp MSEd RRT CPFT, Evansville IN

This presentation was created to discuss how interprofessional coaches facilitate transformational learning and inspire teamwork in interprofessional teams working together in outpatient primary health care settings.

3:45 pm–4:20 pm | Room Wabash 2 | Management

The Respiratory Dashboard: What Every Director Needs to Know to Wed Respiratory Care Clinical Goals with the Tenets of a Compliance Program

Kim Bennion

Kim Bennion MHS RRT CHC, Salt Lake City UT

The presenter will share the seven elements of a compliance program as they can relate to Respiratory Care Service Line clinical goals.

3:45 pm–4:20 pm | Room Room 105/106 | Clinical Practice

Pulmonary Rehabilitation and Readmissions: Does Rehab Really Help to Reduce Readmissions?

Brian Carlin

Brian Carlin MD, Sewickley PA

Some controversy exists as to the benefits that PR provides in regards to readmission reduction programs. This session will review the literature surrounding the use of PR in regards to readmission reductions as well as discuss a proposed trial for studying such effects in a prospective fashion.

3:45 pm–4:20 pm | Room Room 123/124 | Clinical Practice

Telemedicine: Remote Ventilated Patient Management Using Mobile Devices

Armando Kurili

Armando Kurili BS CRT , Canton MI

This presentation provides background on the adult, ventilator-dependent patient population and the benefits involved with implementing smartphone videoconferencing for remote patient management in outpatient settings.

3:45 pm–5:00 pm

Importance of the Team: Interdisciplinary Approaches to Optimize Quality and Safety

Julianne Buchler

3:45 pm–4:20 pm | Room Room 103/104 | Neonatal/Pediatric

Improve Quality While Reducing Cost - Really?

Julianne Buchler BN MBA , Chicago IL

Care Redesign is a novel process that aims to improve patient outcomes through interdisciplinary teamwork and a carefully structured process designed to improve consistency in the approach to clinical care. The presentation will provide an evidence- based overview of this important strategy while providing specific examples, including the use of non-pharmacologic strategies for patient comfort to reduce reliance on pharmacology and promote earlier extubation.

Ira Cheifetz

4:25 pm–5:00 pm | Room Room 103/104 | Neonatal/Pediatric

Optimize Patient Safety Through Improved Team Dynamics

Ira Cheifetz MD FAARC, Durham NC

Optimizing patient safety requires teamwork and effective communication among the entire health care team. This presentation will discuss strategies to optimize team dynamics based on well-established approaches that made aviation one of the safest industries. The discussion will be focused on key approaches for the respiratory therapist.

4:25 pm–5:00 pm | Room Wabash 1 | Education

From the Classroom to the Clinic: Growing Students to Clinicians through Interprofessional Competency and Education

Karen S SchellSheri Tooley

Karen S Schell DHSc RRT-NPS RRT-SDS RPFT , Kansas City KS
Sheri Tooley BS RRT-NPS CPFT FAARC Pittsford NY

Education is moving to Interprofessional Practices. Many classroom activities are integrating professions to improve communication collaboration and teamwork. This presentation looks at ideas to make the transition to interprofessional education work with limited time and faculty.

4:25 pm–5:00 pm | Room Wabash 2 | Management

Competencies for Complex Medical Technology

Cheryl HoerrJulie Jackson

Cheryl Hoerr MBA RRT CPFT FAARC , Rolla MO
Julie Jackson BS RRT-ACCS Des Moines IA

As medical technology continues to advance, respiratory therapy managers and educators may struggle with ensuring staff competency to maximize patient safety especially with low volume/high risk procedures. This panel discussion will address the challenges and barriers to developing competencies for complex medical technology from both the manager and educator perspective and provide the attendee with recommendations for improving staff competency assessment.

4:25 pm–5:00 pm | Room Wabash 3 | Pulmonary Function

Review of the 2017 ATS-ERS DLCO Guidelines

Jeffrey M Haynes

Jeffrey M Haynes RRT RPFT FAARC, Pembroke NH

This lecture will review the 2017 ATS-ERS guidelines on the diffusing capacity of the lung (DLCO) and discuss how to implement them and their impact on current testing practices.

4:25 pm–5:00 pm | Room Room 101/102 | Patient Safety

Medical Devices at Risk? Introduction to the Cybersecurity Landscape in Health Care

Marc Schlessinger

Marc Schlessinger MBA RRT-NPS RPFT FACHE, Plymouth Meeting PA

With today's connected health care environment, medical device cybersecurity can no longer be an option. It must be a strategy for every health care organization. Easy access to the hospital network can be achieved through the many connected medical devices. Many health care systems still utilize outdated and unsupported operating systems which pose an additional threat to the network. This talk will address what actions hospitals should take to address the medical device cybersecurity issue.

4:25 pm–5:00 pm | Room Room 105/106 | Clinical Practice

Interpreting the Plain Chest X-Ray for RTs

James K Stoller

James K Stoller MD MS FAARC, Cleveland OH

The lecture will provide a systematic review of plain chest X-ray interpretation. The lecture will be sprinkled with cases to make specific points and to engage the audience.

4:25 pm–5:00 pm | Room Room 120-122

Airway Clearance in Acute Care - Who, When, and How?

Keith D Lamb

Keith D Lamb RRT-ACCS FCCM, Warrenton VA

Airway clearance remains a key component of respiratory care but the efficacy of many treatments is unproven. Often therapies are introduced to replace chest percussion - a therapy that has no evidence of efficacy in acute care. What should we do and what should we avoid?

4:25 pm–5:00 pm | Room Room 123/124 | Clinical Practice

Communication and Quality of Life for the Tracheostomized and Mechanically Ventilated Patient

Ryan Stiles

Ryan Stiles BS RRT , Gallatin TN

Effective communication is paramount to patients with a tracheostomy and mechanical ventilation. Use of a one-way tracheostomy and ventilator speaking valve to provide effective communication as well as other quality of life benefits will be examined. Researched evidence in conjunction with case study review will be used to show how the RT and speech- language pathologist work together to achieve improved quality of life.

5:00 pm–8:00 pm | Room Sagamore Ballroom

Sputum Bowl Finals

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