AARC Congress 2018

  Dec. 4–7, 2018

  Las Vegas, NV

Friday, Dec. 7

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Session Descriptions


8:00 a.m.–8:50 a.m. | Mandalay H | Pulmonary Function

34th Phil Kittredge Memorial Lecture: Journey to Zero Harm — Developing a Culture of Safety

Michael Anderson MD MBA, San Francisco CA

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Michael Anderson

Can we be successful in the elimination of nosocomial patient harm? An international expert in patient safety will discuss the journey to zero harm. Strategies that can be employed in all medical facilities to advance a culture of safety will be discussed.

9:15 a.m.–9:50 a.m. | Lagoon F | Management

Searching for Florence: Respiratory Care Needs a “Nightingale”

Mike Hess BS RRT RPFT, Kalamazoo MI

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Mike Hess

Nurses have Florence Nightingale and physicians have Hippocrates. These figures helped define their professions and serve as embodiments of their roles to this day. But respiratory therapy does not have a similar archetype. Does this mean we lack identity? Does this absence make it more difficult to raise our profile in the public eye? If so how do we identify and develop our very own “Nightingale?”

9:15 a.m.–12:30 | Clinical Practice

Journal Symposium — Putting a Paper Together

9:15 a.m.–9:50 a.m. | Mandalay J

Using a Literature Search To Define a Research Question

Dean R Hess PhD RRT FAARC, Danvers MA

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Dean R Hess

Describe methods for searching and reviewing the literature to help define what is known, and how to ask a research question.

9:55 a.m.–10:30 a.m. | Mandalay J

Data Management and Data Analysis

Rob Chatburn MHHS RRT FAARC, Cleveland OH

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Rob Chatburn

Determining how many subjects to study is always a challenge. A power analysis can be helpful but requires some statistical understanding. When do you involve a statistician? What are the rules for data management and analysis?

10:35 a.m.–11:10 a.m. | Mandalay J

IRB, IACUCs, and NCTs — Important Rules and Regs

Rich Branson MSc RRT FAARC, Beaufort SC

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Rich Branson

A discussion of requirements for Institutional Review Board approval, Institutional Animal Care and Use Committees, and registration with the national clinical trials web site. What requirements must be met? How can this affect your papers suitability for publication?

11:15 a.m.–11:50 a.m. | Mandalay J

Methodology — Prospective and Retrospective Trials

Rich Kallet MSc RRT FAARC, San Francisco CA

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Rich Kallet

The research question should lead to an appropriate methodology. The use of retrospective data is popular as it evaluates existing data. Historical controls are also popular but have many confounders. Prospective studies allow for better control of confounders but are more expensive and typically require IRB approval. Research based on quality improvement has also become popular but has limitations. This talk will review these issues.

11:55 a.m.–12:30 p.m. | Mandalay J

How to Discuss the Findings

Rich Branson MSc RRT FAARC, Beaufort SC

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Rich Branson

Research doesn’t prove anything. Research provides data upon which a question can be answered with a degree of certainty (or probability). Presenting your findings is an important part of the publishing process and requires interpretation of the data comparison to the existing literature and acknowledgment of limitations.

9:15 a.m.–11:10 a.m. | Education

Innovations in Simulation

9:15 a.m.–9:50 a.m. | Lagoon L

Using Simulation to Achieve Outcomes

Julia Lawrence MS RRT RRT-NPS, Houston TX

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Julia Lawrence

In this lecture the learner will experience how to use simulation to achieve patient outcomes and understand different ways simulation can be used to improve performance and patient safety.

9:55 a.m.–10:30 a.m. | Lagoon L

How to Train When Performance Matters — RTs and RCDP

Julianne Perretta MSEd RRT RRT-NPS, Eldersburg MD

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Julianne Perretta

Rapid-Cycle Deliberate Practice (RCDP) is an innovative simulation training method incorporating high-fidelity training with rapid directed debriefing and multiple scenario replays. Debriefing is focused on diagnosing performance deficiencies using objective data to direct corrective actions and giving participants solutions to provide faster, safer, and better coordinated patient care.

10:35 a.m.–11:10 a.m. | Lagoon L

Just-in-Time Training: Simulation Right When It Counts

Shannon Poling MEd RRT CHSE, Baltimore MD

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Shannon Poling

Annual training is a luxury many institutions can no longer afford. Even when possible, the timing of this type of “one and done” training frequently does not align with when low-volume high-risk time sensitive skills are needed. This presentation will describe several models of designing and implementing training that can be used “just-in-time” increasing staff confidence and competence and improving patient safety.

9:15 a.m.–9:50 a.m. | Mandalay L | Adult Acute

Gender Differences in Asthma Severity

Joe Zein MD, Mayfield Heights OH

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Joe Zein

Asthma is more prevalent in boys before puberty. However, after puberty it becomes more severe and prevalent in women. Asthma severity fluctuates across the lifespan in women. It changes during the menstrual cycle and during pregnancy and menopause. It is also influenced by oral contraceptives and hormone replacement therapy. This lecture discusses the approach to asthma management in women.

9:15 a.m.–9:50 a.m. | Mandalay C | Neonatal/Pediatric

Evidence-Based Management Strategies for Bronchiolitis

Dana Evans MHA RRT RRT-NPS, Chicago IL

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Dana Evans

Bronchiolitis is one of the most common reasons for an infant to present for medical care; however, clinical practice can be variable and is not always evidence-based. This presentation will review the current medical literature and offer an evidence-based approach to the management of the infant with bronchiolitis.

9:15 a.m.–10:30 a.m. | Breakers D | Adult Acute

PRO/CON: Driving Pressures are Superior to Tidal Volumes in ARDS

PRO: Robert Kacmarek PhD RRT FAARC, Littleton MA
CON: Neil R MacIntyre MD FAARC, Durham NC

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Robert KacmarekNeil R MacIntyre

Current guidelines suggest that tidal volume set to ideal body weight (IBW) of the patient is the right thing to do in the setting of ARDS. However, some data has emerged that lungs still undergo significant stress and strain even when these guidelines are used. The experts in this pro/con debate will discuss the utility of driving pressure as a way to protect the lungs.

9:55 a.m.–10:30 a.m. | Mandalay C | Neonatal/Pediatric

Surfactant Administration: Beyond the Traditional Approaches

Shari Toomey MBA RRT RRT-NPS, Hardy VA

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Shari Toomey

Surfactant administration in the neonate is standard practice. Alternative noninvasive administration techniques have been developed with the goal of minimizing potential damage caused by mechanical ventilation during surfactant administration. This lecture will explore alternative methods of surfactant delivery and discuss potential benefits.

9:55 a.m.–10:30 a.m. | Adult Acute

Respiratory Care in Trauma

9:55 a.m.–10:30 a.m. | Mandalay L

From the ED to the ICU: Mechanical Ventilation in Trauma

Carl Hinkson MS RRT FAARC, Marysville WA

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Carl Hinkson

This presentation will cover ventilator management for the trauma patient from the emergency room to the intensive care unit. Unique strategies related to special injuries will also be covered.

10:35 a.m.–11:10 a.m. | Mandalay L

When It All Goes Wrong: Rescue Strategies in Trauma

Keith Lamb BS RRT RRT-ACCS, Warrenton VA

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Keith Lamb

During this lecture the presenter will cover special rescue strategies for the trauma patient that does not respond to conventional measures. The presenter will also discuss the emerging role of ECMO in the trauma population. Leadership Lessons in Trying Times

9:55 a.m.–10:30 a.m. | Lagoon F | Management

Leadership Lessons in Trying Times

Michael Anderson MD MBA, San Francisco CA

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Michael Anderson

Balancing the multiple competing interests of a healthcare organization is becoming increasingly challenging given the rapidly changing healthcare field and increasing financial pressures. This presentation will provide leadership lessons from the range of perspectives from bedside clinicians to hospital president.

10:35 a.m.–11:10 a.m. | Mandalay C | Neonatal/Pediatric

High Flow Nasal Cannula: Where Are the Data?

Joel Brown BS RRT FAARC, Oxford PA

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Joel Brown

The use of high flow nasal cannula in the neonatal-pediatric population continues to grow at a near exponential rate. But where are the data? This presentation will review the available data and offer a comprehensive evidence-based approach to the application of HFNC in infants and children.

10:35 a.m.–11:10 a.m. | Lagoon F | Management

The 4 Rs Every Manager Needs to Know to Create and Manage a Successful Professional Ladder Program

Lori Green BSRT RRT RRT-NPS, Herriman UT

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Lori Green

The 4 Rs are: Recruit, Recognize, Reward, and Retain your employees. A successful professional ladder program at the University of Utah Hospital is outlined. The program encourages further career development, education, credentialing, and retention of staff. In addition, this program also increases retention of highly skilled employees, improves quality outcomes, and raises the staff to a higher level of clinical practice.

10:35 a.m.–11:10 a.m. | Breakers D | Ethics

Hospice and Palliative Care: What’s the Difference?

Shawna Strickland PhD RRT FAARC, Irving TX

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Shawna Strickland

Palliative care and hospice are frequently confused as the same component of care. In reality these two care options are independent of each other. This presentation will compare and contrast the elements of palliative care and hospice as well as discuss the RT’s role in both.

11:15 a.m.–11:50 a.m. | Mandalay C | Neonatal/Pediatric

The Future is Here — Pediatric Innovation

Kathleen Deakins RRT RRT-NPS, Cleveland OH

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Kathleen Deakins

Pediatric Innovation is an established program designed to incorporate respiratory therapists in improving clinical processes and designing products that improve bedside clinical care. This presentation will produce a comprehensive review of this novel program with an emphasis on respiratory care.

11:15 a.m.–12:30 p.m. | Breakers D | General

Agency Update

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

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Karen SchellMichael AmatoKatherine FedorAllen Gustin

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

11:15 a.m.–11:50 a.m. | Lagoon F | Management

Don’t Block It Out: Using Feedback to Advance Your Career

Dana Evans MHA RRT RRT-NPS, Chicago IL

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Dana Evans

Bypassing feedback, even when it seems unfair, can bring your career growth to an immediate halt. This presentation will discuss ways you can accelerate your career by listening to and understanding feedback.

11:15 a.m.–12:30 p.m. | Adult Acute

Ventilator Waveforms: Assessment and Decision Making

11:15 a.m.–11:50 a.m. | Mandalay L

Ventilator Waveforms: Fundamental Concepts

Ruben Restrepo MD RRT FAARC, Boerne TX

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Ruben Restrepo

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

11:55 a.m.–12:30 p.m. | Mandalay L

Using Ventilator Waveforms to Support Clinical Decisions

John Davies MSc RRT FAARC, Cary NC

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John Davies

Ventilator waveforms can be used to detect and identify many situations that may require actions by the respiratory care clinician. This presentation will include discussion and case-based examples of how ventilator waveforms can drive decisions at the bedside.

11:15 a.m.–11:50 a.m. | Lagoon L | Education

Competency in the Affective Domain

Sarah Varekojis PhD RRT FAARC, Columbus OH

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Sarah Varekojis

Clinical educators, managers, and program faculty all have a need to assure students and staff have appropriate affective behaviors and professional behaviors. This presentation is designed to help participants develop defensible affective domain assessments that will help ensure the delivery of quality respiratory care.

11:55 a.m.–12:30 p.m. | Mandalay C | Neonatal/Pediatric

All Clear! Pediatric Airway Clearance

Katina Griffith BHS RRT, Louisville KY

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Katina Griffith

An evidence-based approach, this presentation will discuss the various modalities for airway clearance in the pediatric critical care environment. The discussion will include thoughts regarding the utilization of airway clearance scoring tools and therapist driven-care management recommendations.

11:55 a.m.–12:30 p.m. | Lagoon L | Education

Nuts and Bolts of Clinical Education Development

Shawna Murray MEd RRT, Taylorsville UT

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Shawna Murray

New equipment process and procedures require staff education. Learn the nuts and bolts of clinical education development including defining obtainable learning objectives, developing criteria specific to the learning objectives, and then measuring success. Make the most of education dollars by making the most of effective staff education!

11:55 a.m.–12:30 p.m. | Lagoon F | Management

Respiratory Therapy is Leading the Advanced Care Planning Project in This System: Learn How You Can Too!

Kim Bennion MHS RRT CHC, Salt Lake City UT

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Kim Bennion

Follow the presenter as she shares how Respiratory Care Clinical Services was selected to lead her corporation’s Advanced Care Planning integration process. She will share how to uniquely position your service line to be the natural experts and leaders for such high-level projects and will share tools to be successful.

12:45 p.m.–2:15 p.m. | Mandalay H | Patient Safety

Closing Ceremony

Owning Patient Safety — Our Time, Our Responsibility!

Patrick Dunne MEd RRT FAARC, Fullerton CA
Edward Salazar RRT CPFT RPSGT, Coral Springs FL
Yvonne Gardner

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Patrick Dunne
Edward Salazar
Yvonne Gardner

Two stories — a trach patient recovering from an automobile accident and a 20-year-old post-surgical patient with prescription opioid pain control — two otherwise unremarkable medical patients who had their entire lives ahead of them, until things went horribly wrong. Medical errors are the 3rd leading cause of death in the United States. These deaths, this epidemic, these tragedies are 100% preventable, but why are preventable deaths on the rise? Attend the AARC Congress Closing Ceremony to find out.

Led by moderator Patrick Dunne, the AARC Closing Ceremony will go on a personal journey with two families who tragically lost family members. Were these deaths preventable? Were mistakes made? Blossoming from these tales of sorrow are opportunities for the respiratory profession. What can be done? What are the opportunities? Join us during this emotional, educational, and critically important Closing Ceremony as these families help us connect the dots on what respiratory therapists can do to make a difference — to take the lead in eliminating preventable deaths in our country.