Monday, November 12, 2012

28th Phil Kittredge Memorial Lecture

8:30 am – 9:20 am

This lecture provides a critical and incisive evaluation of an aspect of clinical respiratory care of emerging or increasing importance.

Timothy R Myers MBA RRT-NPS
Timothy R Myers MBA RRT-NPS

Thinking Outside the Box: Moving the Profession Beyond the Hospital Walls

Timothy R Myers MBA RRT-NPS, Irving TX

Healthcare delivery in the United States is facing a crisis of epic proportions with costs easily exceeding overall inflation by more than 3%. Many believe the system is broken and must be fixed as the US spends over $2.7 trillion (18% of GNP) on healthcare annually. While healthcare celebrates its innovation with cutting-edge technology and strives for clinical excellence, it is also complex and chaotic, extraordinarily expensive, and borders on irrelevancy for today’s healthcare issues – it is not optimized or targeted for the day-to-day management of 21st century chronic diseases, wellness and disease prevention. The profession of respiratory care was born within the hospital walls just over 6 decades ago. While the knowledge, skills and attributes of the respiratory therapist are critically necessary in the acute care setting, the profession must move itself to a stronger position across the continuum of care within the next several years to stay ahead of the curve of healthcare reform. This presentation will look at the necessary strategies and values that respiratory therapists will need to embrace to move the profession beyond the hospital walls.

Tidal Volume Determination for Neonatal Ventilation

9:30 am – 10:00 am
Sherry Courtney MD
Sherry Courtney MD
Sherry Courtney MD, Stony Brook NY

Everyone in the respiratory care field knows about the ARDS Network low tidal volume study for adults with acute lung injury. But what about neonates? What is the optimal tidal volume for neonates? Does the answer vary for those infants with lung injury as compared to those with normal lungs? This presentation will attempt to answer these very important questions and more.

Portable Sleep Studies

9:30 am – 10:00 am
Jessica Schweller MS RRT-RCP RN NP-C
Jessica Schweller MS RRT-RCP RN NP-C
Jessica Schweller MS RRT-RCP RN NP-C, Columbus OH

This discussion will lead the audience down the path of how to setup and implement a portable sleep program. The presenter will discuss anticipated successes and failures that one is likely to experience along the way. The audience will also learn about the pros and cons of portable sleep testing, reimbursement, and reliability of results.

The Berlin Definition of ARDS

9:30 am – 10:00 am
William Hurford MD
William Hurford MD
William Hurford MD, Cincinnati OH

A new definition and classification of ARDS (the Berlin Definition) has been proposed. How does this compare to other definitions and classifications of ARDS severity? Will this new definition lead to new treatment strategies. Attend this presentation to find out!

Shared Governance, a Multidisciplinary Approach

9:30 am – 10:10 am
Regina Stull MSN RN CNO
Regina Stull MSN RN CNO
Regina Stull MSN RN CNO, Rolla MO

Shared governance is a collaborative decision-making model initially implemented in hospitals by nursing staff. Benefits of shared governance are well documented, but can the same results be expected when utilized in RT departments? This presentation will discuss the shared-governance model and strategies for implementation. Attendees will learn how this model of leadership can lead to a more engaged workforce and a safer environment for patients.

Research and the Respiratory Therapist

9:30 am – 11:00 am
John D Davies MA RRT FAARC
John D Davies MA RRT FAARC
9:30 am – 10:00 am

How to Come Up with a Good Research Question and What to Do with It

John D Davies MA RRT FAARC, Durham NC

This lecture, led by an experienced researcher, will discuss perhaps the single most common deterrent to engaging in research… “How do I come up with a good research question and hypothesis?” Once attendees learn to overcome this hurdle, the process of developing an abstract and then authoring a manuscript will be discussed.

Robert Chatburn MHHS RRT FAARC
Robert Chatburn MHHS RRT FAARC
10:05 am – 10:30 am

The Institutional Review Board – What Is It and How Does It Help Guide Research

Robert Chatburn MHHS RRT FAARC, Cleveland OH

So you’ve developed a great idea for a research project. You’ve asked the question, identified the problem, and established a hypothesis… now what? This lecture will discuss the role of the Institutional Review Board, its role to protect patients, and as a facilitator between institutional research and the FDA. The resources that the IRB has to offer will also be highlighted.

John D Davies MA RRT FAARC
John D Davies MA RRT FAARC
10:35 am – 11:00 am

What Are the Different Types of Research Projects in Which RTs Can Play a Vital Role? From Bench to Publication

John D Davies MA RRT FAARC

This lecture will examine the different types of research projects available to respiratory therapists. Bench studies, case studies, prospective studies, retrospective reviews and equipment evaluations will be discussed.

OPEN FORUM #11 and #12

9:30 am – 11:25 am

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.

Pulmonary Diagnostic: Evaluation of Dyspnea in the Teenage Population

9:30 am – 11:40 am
Matthew J O'Brien MS RRT RPFT
Matthew J O'Brien MS RRT RPFT
9:30 am – 10:10 am

Assessing the Cause of Dyspnea in the Teenager: There’s a Test for That

Matthew J O'Brien MS RRT RPFT, Madison WI

A frequently utilized tool to assist in the assessment of dyspnea in young patients is Exercise-Induced Bronchospasm testing. This lecture will also cover testing methods, monitoring, motivation and report output options that should be implemented in pediatric PFT labs.

Ralph Stumbo Jr RRT CPFT
Ralph Stumbo Jr RRT CPFT
10:15 am – 10:55 am

Alternative Airway Challenge Methods: Isocapnic Voluntary Hyperventilation and Cold Air

Ralph Stumbo Jr RRT CPFT, Tacoma WA

Alternative-testing options for bronchoprovocation can prove valuable when exploring vague complaints of dyspnea in otherwise healthy young patients. This presentation covers the basics of using isocapnic hyperventilation and cold air generators including video presentation of a CAC test being performed.

Carl D Mottram RRT RPFT FAARC
Carl D Mottram RRT RPFT FAARC
11:00 am – 11:40 am

Could This be Vocal Cord Dysfunction?

Carl D Mottram RRT RPFT FAARC, Rochester MN

This presentation will include methods used to identify airway anomalies/vocal cord dysfunction as well as interesting case examples.

CoARC Workshop: Program Strategies for Transforming Your Students into Competent Therapists

9:30 am – 11:45 am
Pat Munzer DHSc RRT FAARC
Pat Munzer DHSc RRT FAARC
9:30 am – 10:00 am

How to Evaluate Students in the Classroom – an Accreditor’s Perspective

Pat Munzer DHSc RRT FAARC, Topeka KS

As a program director, your definition of a quality student may not coincide with the definition from an accreditor. This presentation will describe methods for evaluating student performance in the classroom, the role of formative and summative evaluations, and maintaining records of a student’s evaluation to comply with CoARC standards.

Bradley Leidich MSEd RRT FAARC
Bradley Leidich MSEd RRT FAARC
10:05 am – 10:35 am

Resources to Assist Students in Preparing for Credentialing Success

Bradley Leidich MSEd RRT FAARC, Harrisburg PA

Is your program struggling with pass rates on credentialing exams? Are you insistent that your curriculum adequately prepares students for the rigors and critical thinking that come with a credentialing exam? The presentation will identify and compare resources available during and after program completion for improving success on credentialing examinations. The speaker will also include strategies for implementing these resources into the program curriculum.

David Shelledy PhD RRT FAARC
David Shelledy PhD RRT FAARC
10:40 am – 11:10 am

Methods of Incorporating Critical Thinking in Your Curriculum

David Shelledy PhD RRT FAARC, Chicago IL

Everyone knows that critical thinking is essential for long-lasting success in the profession, but not everyone knows how to implement critical thinking tools into a program’s curriculum. This presentation will define critical thinking, identify and describe learning activities, and foster development of student critical thinking skills. The speaker will also describe methods of evaluating critical thinking proficiency in students.

Thomas R Smalling PhD RRT RPFT RPSGT FAARC
Thomas R Smalling PhD RRT RPFT RPSGT FAARC
11:15 am – 11:45 am

Competency-based Standards for Respiratory Care Education

Thomas R Smalling PhD RRT RPFT RPSGT FAARC, Bedford TX

The presenter will describe the concept of competency-based standards and will highlight the process for identifying professional competencies. Attendees will leave with the ability to compare a curriculum based on competencies vs. a curriculum based on tasks. The speaker will explain how competencies are likely to be incorporated into accreditation standards in the future.

Lung Protective Ventilation

9:30 am – 12:15 pm
Richard H Kallet MS RRT FAARC
Richard H Kallet MS RRT FAARC
9:30 am – 10:30 am

What Tidal Volume Should Be Used?

Richard H Kallet MS RRT FAARC, San Fransico CA

Does controversy still exist as it relates to the selection of tidal volume? Should 6 mL/kg be used for all patients with ALI/ARDS? What about those at risk for ALI? The presenter will discuss aspects RTs should consider when making tidal volume selections. Is a plateau pressure > 30 always bad? How low should we keep the plateau pressure? These and other questions will be answered in this presentation.

Richard D Branson MSc RRT FAARC
Richard D Branson MSc RRT FAARC
10:35 am – 11:05 am

How Is PEEP Selected for Patients with ALI/ARDS?

Richard D Branson MSc RRT FAARC, Cincinnati OH

This presentation will detail the evidence related to higher versus lower levels of PEEP in patients with ARDS? Is there a best way to determine the appropriate PEEP for an individual patient? Is there a place for recruitment maneuvers? Attend this session and better learn how to manage patients with ARDS.

Neil R MacIntyre MD FAARC
Neil R MacIntyre MD FAARC
11:10 am – 11:40 am

Gas Exchange Targets During Mechanical Ventilation

Neil R MacIntyre MD FAARC, Durham NC

The presenter will discuss the appropriate gas exchange target for patients on mechanical ventilatory support. Attendees will also gain a better understanding of the evidence on permissive hypercapnea and its role in identifying acceptable gas exchange targets. The speaker will answer the age-old question – “How does one balance lung protection and gas exchange?”

Robert M Kacmarek PhD RRT FAARC
Robert M Kacmarek PhD RRT FAARC
11:45 am – 12:15 pm

Are New Ventilator Modes Lung Protective?

Robert M Kacmarek PhD RRT FAARC, Boston MA

In today’s age of exploding technology, it seems as though new ventilator modes are released to market on a daily basis. Yesterday’s “best thing since sliced bread” is tomorrows “thing of the past.” Do these new modes of ventilation really provide protection to the lung or are they simply re-packaged modes of the past? Are new modes really needed, or is simple volume/pressure controlled ventilation the only tool an RT needs in their arsenal? Attend this presentation to find out!

Palliative Care Symposium

9:30 am – 12:25 pm
Robert Aranson MD FCCP FACP
Robert Aranson MD FCCP FACP
9:30 am – 10:00 am

Educating Patients and Families About End-of-Life Care: Who, When and How

Robert Aranson MD FCCP FACP, Freeport ME

The presenter will discuss the reality of end-of-life care, futility and the need to educate the patient and family members about quality vs. quantity of life at the end. The role of the RT in supporting the physician and helping to educate the patient and family will be discussed.

Paul Selecky MD FACP FCCP FAASM FAARC
Paul Selecky MD FACP FCCP FAASM FAARC
10:05 am – 10:40 am

Palliative Care in Lung Cancer

Paul Selecky MD FACP FCCP FAASM FAARC, Newport Beach CA

This presentation will review the scientific evidence on symptoms and specific pulmonary complications associated with lung cancer. The presenter will provide RTs with information on the best way to palliate pulmonary symptoms in patients with lung cancer.

Helen Sorenson MA RRT FAARC
Helen Sorenson MA RRT FAARC
10:45 am – 11:15 am

Palliative Care and Dyspnea: Management of the End-Stage COPD Patient

Helen Sorenson MA RRT FAARC, San Antonio TX

The speaker will discuss mechanisms of dyspnea in COPD and the difficulty treating refractory dyspnea, common to well over 50% of patients with end-stage COPD. Following this presentation, attendees will be able to describe conventional therapy, the use of opioids and reasons why physicians may be reluctant to prescribe them.

11:55 am – 12:25 pm

Wrap Up – An Overview of Palliative Care

Paul Selecky MD FAARC FAASM FACP FCCP

Dr. Selecky will discuss the scope of palliative care that must include the physical, emotional and spiritual suffering of the patient and family. The role of the RT as part of a multidisciplinary palliative care team will be discussed as well as ways one can respond to a patient who asks “Am I dying?”

Mary Hart MS RRT AE-C FAARC
Mary Hart MS RRT AE-C FAARC
11:20 am – 11:50 am

Addressing End-of-Life Care in a Pulmonary Rehabilitation Program

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

Discussions regarding end-of-life are never easy, but it’s a conversation RTs must be prepared to have with their patients. This presentation will describe ways for the RT to introduce the end-of-life topic into a pulmonary rehabilitation program. The speaker will provide RTs with the information and tools they need to “start the hard conversations.”

Sepsis and the Role of the RT

10:10 am – 11:00 am
Lesley Smith RRT-NPS RPFT
Lesley Smith RRT-NPS RPFT
Lesley Smith RRT-NPS RPFT, Oakhurst CA

Once reserved for physicians and nurses, this presentation will discuss the role of the respiratory therapist in the initial assessment and treatment of sepsis. The presenter will emphasize the importance of early goal-directed therapies and their effect on patient outcomes. If you’re seeking opportunities to expand the role of the RT in your facility, you won’t want to miss this presentation!

Respiratory Therapeutics in the Neo/Peds ICU

10:10 am – 11:40 am
Kathleen M Deakins MSHA RRT-NPS FAARC
Kathleen M Deakins MSHA RRT-NPS FAARC
10:10 am – 10:40 am

Airway Clearance: Is It Worth the Effort?

Kathleen M Deakins MSHA RRT-NPS FAARC, Cleveland OH

This presentation will describe the evidence behind airway clearance devices and their benefits for infants and children in the critical care setting. The speaker will provide an overview of the cadre of devices available on the market and share with attendees an approach toward optimizing device selection.

Nancy Johnson RRT-NPS
Nancy Johnson RRT-NPS
10:45 am – 11:10 am

Neonatal Oxygenation: Hitting the Sweet Spot

Nancy Johnson RRT-NPS, Cleveland OH

This lecture will discuss the nuances of oxygenation in the neonatal population. The pros and cons of providing supplemental oxygenation for neonates will be discussed. How much is too much? What is the optimal saturation range? This lecture will also describe practical approaches to oxygen saturation targeting.

Cynthia White RRT-NPS AE-C FAARC
Cynthia White RRT-NPS AE-C FAARC
11:15 am – 11:40 am

Noninvasive Monitoring of the Child in Respiratory Distress

Cynthia White RRT-NPS AE-C FAARC, Cincinnati OH

This lecture will describe the various approaches in the ICU setting to assess the child in respiratory distress. Devices for noninvasive monitoring available to clinicians will also be discussed. The presentation will provide case scenarios to demonstrate the benefits of various monitoring devices. Have recent advances in monitoring really improved outcomes? Attend this session to learn the answer to this question and many others.

Credentialing for Sleep Practitioners: What Options Do I Have?

10:10 am – 11:50 am
Brian W Carlin MD FAARC
Brian W Carlin MD FAARC
10:10 am – 11:00 am

The Personal Credential (BRPT, NBRC, AMSM credentials): Similarities and Differences

Brian W Carlin MD FAARC, Pittsburgh PA

This session will review the content outlines for the various types of certification programs available for sleep specialist certification including the NBRC, BRPT and AASM credential. Similarities and differences amongst the program will be discussed. Is one credential superior to the others? Which one(s) should you acquire? This presentation will help guide you in your decision making.

Sheri Tooley BSRT RRT-NPS CPFT AE-C
Sheri Tooley BSRT RRT-NPS CPFT AE-C
11:10 am – 11:50 am

The Program Credential (AASM, ACHC, TJC): Similarities and Differences

Sheri Tooley BSRT RRT-NPS CPFT AE-C, Adams Center NY

This session will review the similarities and differences between the various types of program certification programs that are currently available through the AASM, ACHC and The Joint Commission. Strategies to assist programs to successfully gain accreditation will be discussed. Is one program superior to the others? Attend this presentation to find out.

Reporting of Adverse Events: Priority One!

10:15 am – 10:55 am
Thomas R Lamphere RRT RPFT
Thomas R Lamphere RRT RPFT
Thomas R Lamphere RRT RPFT, Sellersville PA

It is estimated that 100,000 deaths a year are attributed to medical errors in hospitals. In addition, the US Office of the Inspector General has estimated that the costs to Medicare associated with adverse and temporary harm events are approximately $4.4 billion per year and CMS has begun holding hospitals financially accountable for preventable errors. It is vitally important that all respiratory therapists and managers understand the magnitude of this problem and how the reporting of adverse effects is the MOST important step in solving it.

Succession Planning: Preparing Your Staff to Replace You

11:00 am – 11:50 am
Jan Thalman MS RRT FAARC
Jan Thalman MS RRT FAARC
Jan Thalman MS RRT FAARC, Durham NC

The prospects of planning retirement can be both enlightening and daunting for the department manager. Far too many organizations do not fully commit to creating a plan to select, educate, and mentor the individuals to take over the reins. As a result, organizations are thrust into either hiring externally or hastily promoting a proven clinician to the ranks of leadership without having invested in them until the last minute. The speaker will provide a template to follow for creating a logical, systematic, and proven method of preparing for the transition of leadership.

Ventilator-Induced Surfactant Dysfunction

11:10 am – 11:50 am
Peter J Papadakos MD
Peter J Papadakos MD
Peter J Papadakos MD, Rochester NY

This presentation will describe a new pathophysiologic scenario for the development of acute respiratory distress syndrome (ARDS). Ventilatory strategies aimed at preventing the development of ARDS will be presented. Is one mode superior to another? What can the clinician do? This presentation will answer those and other questions.

Venous Blood Gases: Friend or Foe?

11:10 am – 11:50 am
Andrew G Miller RRT
Andrew G Miller RRT
Andrew G Miller RRT, Durham NC

This lecture will differentiate between peripheral and central venous blood gases. The evidence supporting the use of peripheral venous gases will be discussed. This presentation will highlight when one test should be recommended over the other and when venous blood gas values offer insight to the RT that arterial gases do not.

OPEN FORUM #13 and #14

12:30 pm – 2:25 pm

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.

Nutritional Support of the Critically Ill Mechanically Ventilated Patient

1:00 pm – 1:30 pm
Ulrich Schmidt MD PhD
Ulrich Schmidt MD PhD
Ulrich Schmidt MD PhD, Boston MA

Respiratory therapists often overlook nutritional support required by mechanically ventilated patients. This presentation will discuss current guidelines for dietary needs for this patient population and potential benefits of proper nutrition. The presenter will also review results of the ARDSNet trials related to nutritional support, such as omega-3 fatty acids and statins. How can RTs make a difference? What additional equipment requirements are needed? Attend this lecture to find out!

Respiratory’s Role in the Incident Command System

1:00 pm – 1:30 pm
Mark D Babic RRT
Mark D Babic RRT
Mark D Babic RRT, Lakewood OH

When a disaster happens and your hospital activates the Incident Command Center (ICC) what does it mean? This presentation will address the ICC and the valued role of the RT with regards to planning, implementation, and measurement of performance. In addition, the presenter will provide a brief description of the Department of Homeland Security’s free program.

Sleep Apnea in the Bariatric Population

1:00 pm – 1:30 pm
Jessica Schweller MS RRT-RCP RN NP-C
Jessica Schweller MS RRT-RCP RN NP-C
Jessica Schweller MS RRT-RCP RN NP-C, Columbus OH

Many bariatric patients have OSA pre-operatively, but how many resolve their OSA after weight loss surgery? This discussion will allow the audience to understand the correlation between OSA and obesity and to understand how significant weight loss via surgery can impact the severity of their apnea. The audience will also learn how to reduce the rate of surgical complications in these patients and understand how monitoring and compliance of therapy is continued after surgery.

Developing Your Skills as a Patient Educator

1:00 pm – 1:30 pm
Bill Galvin MSEd RRT CPFT AE-C FAARC
Bill Galvin MSEd RRT CPFT AE-C FAARC
Bill Galvin MSEd RRT CPFT AE-C FAARC, Gwynedd Valley PA

With patients leaving the hospital sicker and with more care being done in outpatient settings or at home, patients need to become active, informed participants on their health care team. This presentation will address the essential skills that therapists need to develop in order to provide effective education to patients with specific diseases, including special populations. The speaker will share teaching strategies that result in better informed patients and a more positive teaching/learning experience.

Exhaled Nitric Oxide in Pediatric Asthma: Friend or Fallacy

1:00 pm – 1:30 pm
Bruce K Rubin MD MEngr MBA FAARC
Bruce K Rubin MD MEngr MBA FAARC
Bruce K Rubin MD MEngr MBA FAARC, Richmond VA

An exhaled nitric oxide test is a non-invasive testing methodology that has been proposed as a non-invasive biomarker of the inflammatory aspects of asthma. This lecture will discuss the current and future clinical utility of this non-invasive testing in the diagnosis and management of pediatric asthma. Attend this lecture and determine whether exhaled nitric oxide is a viable diagnostic tool for you.

Moving New and Emerging Technology from Laboratory to Bedside: The Use of Therapeutic Intrathoracic Pressure Regulation (TIPR) for the Apneic Hypotensive Patient

1:00 pm – 1:30 pm
Richard D Branson MSc RRT FAARC
Richard D Branson MSc RRT FAARC
Richard D Branson MSc RRT FAARC, Cincinnati OH

This lecture will describe the process and challenges experienced when moving technology from the bench to the bedside. The author’s experience with integrating TIPR for the apneic hypotensive patient will be described. Don’t miss out on this opportunity to hear from one of the world’s leading respiratory researchers on this new and innovative technology!

Home Oxygen Therapy: Growing Demand in a Challenging Environment

1:00 pm – 2:05 pm
Robert W McCoy RRT FAARC
Robert W McCoy RRT FAARC
1:00 pm – 1:30 pm

Finding a Way in Spite of the Obstacles

Robert W McCoy RRT FAARC, Apple Valley MN

This presentation will detail the comprehensive list of obstacles that home care companies face as a result of on-going cost-containment initiatives. Regardless of these obstacles, the respiratory therapist must still identify opportunities to provide value-added care. The presenter will discuss strategies that can be used to provide effective LTOT in spite of such challenges.

Louis M Kaufman RRT-NPS AE-C FAARC
Louis M Kaufman RRT-NPS AE-C FAARC
1:35 pm – 2:05 pm

Educating the COPD Patient at Home: What Works, What Doesn’t and Why

Louis M Kaufman RRT-NPS AE-C FAARC, Germantown MD

Providing education to COPD patients in the home is a necessary but challenging undertaking, made more difficult with the lack of any such training prior to hospital discharge. The presenter will discuss and share “tricks of the trade” to help COPD patients understand their self-care responsibilities and promote sustained adherence. This presentation will benefit the hospital-based RT and homecare therapist alike. Don’t miss out on this opportunity to truly impact the lives of the COPD patients you serve!

Permissive Ventilation: Protecting the Lung

1:00 pm – 2:15 pm
Brian K Walsh MBA RRT-NPS FAARC
Brian K Walsh MBA RRT-NPS FAARC
1:00 pm – 1:35 pm

Permissive Hypercapnia: How High Is Too High?

Brian K Walsh MBA RRT-NPS FAARC, Dallas TX

Permissive hypercapnia has been a management strategy for patients with acute lung injury for the past decade. But, to what extreme can this approach be taken? What are the clinical effects of respiratory acidosis? And most importantly, what are the risks and benefits associated with this ventilatory strategy? This national expert will address these clinically relevant questions.

Ira M Cheifetz MD FCCM FAARC
Ira M Cheifetz MD FCCM FAARC
1:40 pm – 2:15 pm

Permissive Hypoxemia: How Low Is Too Low?

Ira M Cheifetz MD FCCM FAARC, Durham NC

As a new approach to lung protection, one may permissively allow hypoxemia in an attempt to minimize ventilator induced lung injury. But, how far can this approach be taken? This presentation will describe the physiologic rationale in support of this approach. The potential future of this therapeutic strategy will be speculated.

The Role of the RT with Lung Transplant

1:00 pm – 2:25 pm
David M Wheeler RRT-NPS
David M Wheeler RRT-NPS
1:00 pm – 1:40 pm

The Human Lung Lab

David M Wheeler RRT-NPS, Cleveland OH

This presentation will discuss inclusion criteria for the harvested human lung and highlight the emerging technologies for the evaluation, rescue and resuscitation of the harvested lung (in the ex-vivo state) that does not meet transplant criteria. The crucial role of the respiratory therapist in the process of harvested lung resuscitation will be highlighted.

Jeffrey Davis RRT
Jeffrey Davis RRT
1:45 pm – 2:25 pm

Optimizing Outcomes for Lung Transplant Recipients

Jeffrey Davis RRT, Los Angeles CA

This lecture will present the differential modalities and therapies required for lung transplant patients, from nitric oxide and inhaled anti-fungals, to chest physiotherapy, mechanical ventilation and everything in between. Respiratory care nuances and clinical outcomes will be presented.

Program Committee Spotlight: Respiratory Controversies

1:35 pm – 3:40 pm
Neil R MacIntyre MD FAARC
Neil R MacIntyre MD FAARC
1:35 pm – 2:35 pm

Do Full Feature Ventilators Add Value?

Pro: Neil R MacIntyre MD FAARC, Durham NC
Dean R Hess PhD RRT FAARC
Dean R Hess PhD RRT FAARC
Con: Dean R Hess PhD RRT FAARC, Boston MA

In today’s age of emerging technology, ventilator manufacturers are continually releasing new modes aimed at improving ventilatory outcomes and improving efficiency of the respiratory therapist, each coming with their own set of “bells and whistles”. Once built with specific patient populations in mind, ventilators of today serve all patients from neonates to geriatrics. Are these ventilators really needed? Are they the future of mechanical ventilation? Or will we eventually return to the day where “good air in, bad air out” is all that is really needed. This lecture will provide a point/counter-point discussion on the relevance and value of full feature ventilators.

Garry W Kauffman MPA FACHE RRT FAARC
Garry W Kauffman MPA FACHE RRT FAARC
2:40 pm – 3:40 pm

Routine Respiratory Care: Should It Be Done by the Respiratory Therapist?

Pro: Garry W Kauffman MPA FACHE RRT FAARC, Winston-Salem NC
Timothy R Myers MBA RRT-NPS
Timothy R Myers MBA RRT-NPS
Con: Timothy R Myers MBA RRT-NPS, Irving TX

In the evolving healthcare arena, a renewed focus on efficiency, effectiveness, quality and productivity is a must for tomorrow’s respiratory care department. With patient acuity and complex technologic interventions on the rise, what is the role of the respiratory therapist in delivering “traditional” routine therapeutic interventions in the new healthcare landscape? Will it be essential for the RT to deliver, or will care by EMTs, nurses or nurses’ aides be the future of routine respiratory care on the floors? This lecture will provide opposing viewpoints from the respiratory care administrator’s office.

Alternatives to Inhaled Nitric Oxide

1:40 pm – 2:20 pm
Rory Mullin RRT
Rory Mullin RRT
Rory Mullin RRT, Cleveland OH

Appropriate and off-label use of nitric oxide has exploded over the last decade. Most RTs will not refute the effectiveness of this drug, but financial constraints limit its use in most facilities. This lecture will discuss the use of inhaled nitric oxide, concerns over cost and pharmacologic alternatives. Delivery methods and patient considerations will also be discussed.

Patient Safety

1:40 pm – 3:10 pm
Dan Grady MEd RRT FAARC
Dan Grady MEd RRT FAARC
1:40 pm – 2:20 pm

Patient Safety and Ventilator Adjustments: Who Changed the Vent Settings?

Dan Grady MEd RRT FAARC, Asheville NC

Patient safety has become a top priority for the profession in 2012. This presentation will discuss patient safety, cost, and communication issues when non-RTs adjust ventilator settings. Research studies will be presented, and the role of a state licensing board in addressing this issue will be described. Regulatory resources, position statement, and a policy template will be described to improve patient safety.

2:30 pm – 3:10 pm

Patient Safety and Staffing Levels: What Are the Consultants Thinking?

Dan Grady MEd RRT FAARC

CMS requires adequate numbers of RC staff for “safe” delivery of services to patients. However, consulting firms utilize some metrics that may impact safety with regard to inappropriate staffing levels. This presentation will review evidence-based metrics to determine safe staffing levels, examples of research that link staffing to patient safety, regulatory strategies to ensure safe staffing, and examples of tools to adjust staffing and reduce costs while ensuring patient safety and demonstrating good clinical outcomes. The risks and benefits of developing fixed staffing ratios will be discussed.

Sleep and Internal Medicine

1:40 pm – 3:10 pm
James K O'Brien MD FACP FCCP
James K O'Brien MD FACP FCCP
1:40 pm – 2:20 pm

Obstructive Sleep Apnea: Long-Term Health Consequences, Drowsiness Aside

James K O'Brien MD FACP FCCP, Lakewood CO

There are many long-term health consequences of obstructive sleep apnea that are unrelated to drowsiness. Health concerns including risk of cardiac arrhythmia, atherosclerosis, weight disruption and hormonal changes such as insulin resistance will be discussed. This presentation will review the pathophysiology of the above in a reasonable and understandable fashion.

2:30 pm – 3:10 pm

Sleep and Critical Care

James K O'Brien MD FACP FCCP

Medication administration, patient assessment, bathing, and linen changes are all frequent interruptions that disrupt sleep in the ICU. This presentation will discuss risks and medical implications that take place when constant sleep disruptions occur in the intensive care unit. The lecturer will share the most recent scientific evidence on the importance of sleep in the ICU, clinical outcomes as it relates to the lack of sleep, and what RTs can do to help maximize sleep for the patient.

CANCELLED Pulmonary Physiology

1:40 pm – 3:10 pm
Marshall B Dunning III PhD MS RPFT RCP
Marshall B Dunning III PhD MS RPFT RCP
1:40 pm – 2:20 pm

CANCELLED Non-Respiratory Functions of the Lung

Marshall B Dunning III PhD MS RPFT RCP, Milwaukee WI

Gas exchange is perhaps the most paramount of all functions performed by the lung. RTs should not forget, however, the other vital physiologic roles carried out by the lung. This presentation will discuss the importance of why the RT is “in the know” when it comes to the following roles of the lung: immunology, metabolism, filtering and reservoir for blood.

2:30 pm – 3:10 pm

CANCELLED Physiology of Normal Sleep

Marshall B Dunning III PhD MS RPFT RCP

What happens to the cardiovascular, respiratory, GI, neuromuscular and endocrine systems during sleep? Is it important that you know? This speaker will explore and detail these interactions during normal sleep and the vicious cycle that takes place with the patient’s overall health when sufficient sleep is not experienced.

The Business of Pulmonary Rehabilitation

1:40 pm – 5:00 pm
Debra Koehl MS RRT-NPS
Debra Koehl MS RRT-NPS
1:40 pm – 2:20 pm

Structuring a Pulmonary Rehabilitation Program

Debra Koehl MS RRT-NPS, Indianapolis IN

This presentation will review various models that have been used for pulmonary rehabilitation programs around the country. The speaker will address how each model is unique to the care settings and patient populations being served. This is a “can’t miss” presentation for anyone thinking about starting their own PR program.

Anne Marie Hummel
Anne Marie Hummel
2:30 pm – 3:10 pm

Understanding Reimbursement Issues in Pulmonary Rehabilitation

Anne Marie Hummel, Washington DC

The speaker (AARC’s director of regulatory affairs in Washington, DC) will provide an update regarding changes to insurance coverage for pulmonary rehabilitation, focusing on the changes to Medicare reimbursement of pulmonary rehabilitation. The speaker will also provide a review of current legislative regulations and discuss resource tools available to members of the AARC.

Juen Schulz RRT AE-C FAACVPR
Juen Schulz RRT AE-C FAACVPR
3:20 pm – 4:00 pm

The Necessary Skills for Your Pulmonary Rehabilitation Program

June Schulz RRT AE-C FAACVPR, Brandon SD

The speaker will discuss the skill-sets needed to effectively work in a pulmonary rehabilitation program. Anatomy and physiology, social skills and patient education will be just a few that are discussed. The presenter will discuss components of an effective orientation program as well as the most effective way to structure your annual competency skills validations. Attend this presentation to maximize the knowledge, skills and attributes of your staff.

Trina M Limberg RRT FAARC
Trina M Limberg RRT FAARC
4:10 pm – 5:00 pm

Keeping Your PR Program Vital – Building Your Business

Trina M Limberg RRT FAARC, San Diego CA

This presentation will highlight proven strategies for marketing and growing your slice of the pulmonary rehabilitation pie. The benefits of growing a PR program are obvious, but risks, limitations and other obstacles are far less conspicuous. The speaker will discuss potential hurdles that must be overcome when expanding a PR program.

Pomp & Circumstance: Surviving and Thriving After Graduation

2:10 pm – 4:45 pm
Toni L Rodriguez EdD RRT FAARC
Toni L Rodriguez EdD RRT FAARC
2:10 pm – 2:40 pm

Becoming a Professional in Respiratory Care

Toni L Rodriguez EdD RRT FAARC, Phoenix AZ

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

Bill Galvin MSEd RRT CPFT AE-C FAARC
Bill Galvin MSEd RRT CPFT AE-C FAARC
2:45 pm – 3:00 pm

Getting Credentialed (Part I): An Overview of Professional Credentials

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

The presentation will address the credentialing process. It will specifically provide an overview of the wide array of credentials available to the recent graduate or the seasoned practitioner. Emphasis will be placed on pursuit of additional professional credentials and the value that credentials hold in today’s health care system.

3:05 pm – 3:35 pm

Getting Credentialed (Part II): Success on the Written Exams

Bill Galvin MSEd RRT CPFT AE-C FAARC

The presentation will address factors that allow for successful completion and passing of NBRC written credentialing exams. The lecturer will discuss preparatory issues, what you will experience on-site, as well as test-taking strategies and techniques. Emphasis will be placed on the written component of the NBRC credentialing process. Is there value in taking an exam prep course? What are the pros and cons? Attend this lecture to find out!

Colleen L Schabacker RRT FAARC
Colleen L Schabacker RRT FAARC
3:40 pm – 4:10 pm

Networking for Career Success

Colleen L Schabacker RRT FAARC, Cookeville TN

Due to the lack of meaningful work experience, many young RT graduates lack the skills to construct a high quality resume or perform well during the interview process. This presentation will provide an overview of the job selection process to include the resume and culminating with a successful interview. Emphasis will be placed on securing meaningful and satisfying employment.

Lynda T Goodfellow EdD RRT FAARC
Lynda T Goodfellow EdD RRT FAARC
4:15 pm – 4:45 pm

It’s Never Really Over: Continuing Your Education

Lynda T Goodfellow EdD RRT FAARC, Atlanta GA

This presentation will provide an overview of continuing education needs after completion of your RC education. Emphasis will be placed on lifelong learning and the need for continued professional education long after graduation. The presenter will discuss potential benefits to professional learning and opportunities for career growth as a result.

ECMO on the Cutting Edge

2:20 pm – 4:45 pm
Brian K Walsh MBA RRT-NPS FAARC
Brian K Walsh MBA RRT-NPS FAARC
2:20 pm – 2:55 pm

Where Have We Come From, and Where Are We Going?

Brian K Walsh MBA RRT-NPS FAARC, Dallas TX

The field of extracorporeal life support has advanced over the past decade as much as any other in the field of critical care. This presentation will briefly review the current state of ECMO and will then offer thoughts on the future. Will ECMO see increasing use as a lung protective strategy? Is it appropriate that ECMO be reserved for those situations in which all else failed or would earlier use lead to improved outcomes for those with refractory cardiorespiratory failure? The future of this rapidly developing field will be discussed.

Ira M Cheifetz MD FCCM FAARC
Ira M Cheifetz MD FCCM FAARC
3:00 pm – 3:30 pm

Awake and Interactive ECMO: Really?

Ira M Cheifetz MD FCCM FAARC, Durham NC

Critical illness myopathy is a well know entity, which significantly affects long-term outcomes. There is a growing trend toward minimizing sedation for mechanically ventilated patients. But what about those requiring ECMO? Can ECMO patients be awake and interactive? Attend this session to learn the available data, review the rationale behind this approach, and learn novel strategies to the management of the ECMO patient.

Neil R MacIntyre MD FAARC
Neil R MacIntyre MD FAARC
3:35 pm – 4:05 pm

ECMO: Not Just for Kids Anymore!

Neil R MacIntyre MD FAARC, Durham NC

As the use of ECMO in the neonatal population continues to gradually decline, its use in the adult world continues to escalate. This presentation by a pioneer in adult ECMO will review the available data and rationale for adult ECMO. Criteria, management strategies, and limitations of this approach will be discussed.

George Ofori-Amanfo MD
George Ofori-Amanfo MD
4:10 pm – 4:45 pm

Circulatory Support: Not Just for Adults Anymore!

George Ofori-Amanfo MD, Durham NC

As ECMO advances into the adult world, circulatory support in the form of ventricular assist devices is advancing into the pediatric world. This presentation will review the available ventricular assist devices and their application in pediatrics. Thoughts for the future of this life-saving technology will be offered.

Are We Ventilating People to Death?

2:30 pm – 3:10 pm
Dan Davis MD
Dan Davis MD
Dan Davis MD, San Diego CA

The literature demonstrates that over-ventilating brain-injured patients often contributes to poor outcomes. Does the rationale carry over to non brain-injured patients as well? This lecture will review the pathophysiology, mechanisms, and risk factors that influence clinical outcomes. You may rethink your ventilatory strategies following this lecture!

Program Committee Spotlight: Leading from the Front Lines

2:30 pm – 4:45 pm
Regenia Stull MSN RN CNO
Regenia Stull MSN RN CNO
2:30 pm – 3:00 pm

How to “Manage Up”

Regenia Stull MSN RN CNO, Rolla MO

How many of us report to a leader who is not from our profession? How do you translate what you do and how you do it in terms that she/he will understand and appreciate? The speaker (a nurse) will provide attendees with what non RT-leaders need to understand as it relates to the value brought to the table by respiratory therapists. The presenter will provide tips and helpful hints on how RTs can work collaboratively with leaders from different clinical backgrounds.

Teresa A Volsko MHHS RRT FAARC
Teresa A Volsko MHHS RRT FAARC
3:05 pm – 3:35 pm

Therapist as Consultant

Teresa A Volsko MHHS RRT FAARC, Youngstown OH

Therapist-driven protocols have been shown to improve financial, process and patient outcomes across the continuum of care. This lecture will review lessons learned from formally established programs and discuss the process to initiate consultative services along the continuum of care. Is this the new future of respiratory therapy? Will we continue to deliver routine floor therapy or will we be relied upon as consultants? Attend this lecture to find out!

3:40 pm – 4:10 pm

Interdisciplinary Collaboration – Needed Now More Than Ever!

Regina Stull MSN RN CNO

Building from the perspective of a former staff nurse, nurse manager, and manager of a variety of clinical departments – including RT-the speaker will present examples of collaboration between clinicians that have led to improved quality outcomes and operational performance. Don’t miss out on this opportunity to impress your boss with successful, proven best practices!

Scott Reistad RRT CPFT FAARC
Scott Reistad RRT CPFT FAARC
4:15 pm – 4:45 pm

Leading Without a Title

Scott Reistad RRT CPFT FAARC, Colorado Springs CO

For those who think that leadership emanates from a titled position and that those of us providing care at the bedside arent empowered to lead, you’ll be delighted to learn ways in which front-line clinicians can positively impact hospital operations by taking a leadership role. What are those opportunities? How do you lead without a title? How can you do it in the face of adversity from peers? Hear these answers from a successful manager whose entire staff leads his department… without a title.

OPEN FORUM #15 and #16

3:00 pm – 4:55 pm

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.

Pro-Con: Clinical Ladder - Does a Truly Professional Workforce Need It?

3:15 pm – 4:00 pm
Richard M Ford RRT FAARC
Richard M Ford RRT FAARC
Pro: Richard M Ford RRT FAARC, San Diego CA
Brian K Walsh MBA RRT FAARC
Brian K Walsh MBA RRT FAARC
Con: Brian K Walsh MBA RRT FAARC, Dallas TX

Most of us have seen clinical ladders come and go throughout the years. Proponents suggest that clinical ladders enable the growth, development, and specialization of professionals while opponents feel that clinical ladders are not needed and only serve as a means of financially compensating some at the expense of others. You’ll hear a host of other reasons as to why you should implement/eliminate the clinical ladder from your department. Attend this lecture and hear from two nationally recognized leaders on issues you should consider when addressing your clinical ladder… or before you start one.

Diagnostics: Stepping Outside of the PFT Suite

3:20 pm – 4:00 pm
John D Davies MA RRT FAARC
John D Davies MA RRT FAARC

The Potential Use of Hyperpolarized Xenon MRI as an Imaging Tool for Ventilation

John D Davies MA RRT FAARC, Durham NC

Although CT imaging is one of the diagnostic mainstays for ventilation defects, it comes with the risk of radiation exposure. The use of hyperpolarized xenon during an MRI is a potentially new diagnostic tool that has the advantage of no radiation exposure to the patient. This lecture will examine how the hyperpolarized xenon MRI works and the potential imaging benefits. What opportunities are there for the RT? You’ll have to attend this presentation to find out!

Screening for Obstructive Sleep Apnea: An Expanded Role for Respiratory Therapists

3:20 pm – 4:00 pm
Andrew J Mazzoli PhD RRT CPFT
Andrew J Mazzoli PhD RRT CPFT
Andrew J Mazzoli PhD RRT CPFT, Augusta GA

The background, knowledge, and clinical expertise of respiratory therapists make them well suited for an expanded role in screening for obstructive sleep apnea (OSA). This presentation includes an overview of screening instruments, with a focus on those shown to be predictors of OSA and the additional physiologic measurements required for their use. The presentation concludes with a report on the successful use of an OSA screening tool by RTs in the community setting.

Asthma: Current Evidence for Emergency Department Management

3:20 pm – 4:10 pm
Dana Evans MHA RRT-NPS AE-C
Dana Evans MHA RRT-NPS AE-C
Dana Evans MHA RRT-NPS AE-C, St Louis MO

This lecture provides an overview of diagnostic options and treatment strategies for patients who present to the ED in an acute exacerbation of asthma. Pharmacological interventions and a brief review of educational approaches will be discussed. This is a “can’t miss” presentation for anyone whose emergency department is inundated with asthmatics.

Oxygenation: A Moving Target Per Diagnosis

3:45 pm – 4:35 pm
Lois Rowland MS RRT-NPS RPFT FAARC
Lois Rowland MS RRT-NPS RPFT FAARC
Lois Rowland MS RRT-NPS RPFT FAARC, Midlothian VA

This presentation will integrate clinical practice guidelines with scientific evidence in establishing diagnosis-specific oxygen targets. Establishing oxygen for premature neonates as well as patients with traumatic brain injury, post cardiac arrest and chronic lung disease will be discussed.

Creating a Culture of Accountability

4:10 pm – 5:00 pm
Cheryl A Hoerr MBA RRT CPFT FAARC
Cheryl A Hoerr MBA RRT CPFT FAARC
Cheryl A Hoerr MBA RRT CPFT FAARC, Rolla MO

Many have a negative impression of “accountability,” and most think of it as knowing who to blame when things go wrong. However, good managers and leaders define accountability in a positive way and use it as a framework to develop and coach their employees. This presentation will review several different frameworks for developing an accountable culture within your organization and the positive outcomes that can be achieved in terms of patient safety, employee engagement, and patient satisfaction.

Challenges in Medical Transport: Ventilation

4:10 pm – 5:00 pm
Wade Scoles RRT-NPS NREMT
Wade Scoles RRT-NPS NREMT
Wade Scoles RRT-NPS NREMT, Spokane WA

This interactive presentation will discuss actual transport cases of adult, pediatric and neonatal patients. The presenter will focus on the unique challenges and limitations of ventilating critically ill patients with the current generation of transport ventilators. The presentation will also briefly describe the challenges of NIV during transport that does not impose upon our land-based colleagues.

Sleep Apnea in the Preoperative Setting: How to Develop an Effective Detection and Management Program

Sheri Tooley BSRT RRT-NPS CPFT AE-C
Sheri Tooley BSRT RRT-NPS CPFT AE-C
Sheri Tooley BSRT RRT-NPS CPFT AE-C, Adams Center NY

This session will review the pathogenesis of sleep-disordered breathing and the interactions that could potentially occur during the operative and post-operative periods. The presenter will discuss best practices in capturing the undiagnosed sleep apneic patient prior to surgery as well as potential strategies for managing this patient population following surgery. Clinical practice guidelines from the American Academy of Anesthesiologists and American Academy of Sleep Medicine will be discussed.

Hyperbaric Medicine

4:15 pm – 4:55 pm
Clifford E Boehm MD RRT
Clifford E Boehm MD RRT

Hyperbaric Medicine: Physiology and Clinical Application

Clifford E Boehm MD RRT, Baltimore MD

This presentation will provide a physiologic review and clinical application of hyperbaric oxygen therapy. The lecturer will also detail opportunities and roles for the respiratory therapist, especially in those patients with ventilator assistant needs. If your hospital is considering the expansion of outpatient services that includes HBO, then this is a “can’t miss” presentation for you!