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Saturday, November 16, 2013

 

2:10 am–4:25 am

 

Year in Review 2013 - Part I

 

2:10 pm–2:40 pm

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Neonatal Respiratory Care

Craig Smallwood RRT, Boston MA

S013

Content Category: Neonatal/Pediatric
An overview of the important literature published in 2013 related to neonatal respiratory care.

 

2:45 pm–3:15 pm

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Pulmonary Function Testing

Jeff Haynes RRT RPFT, Nashua NH

S014

Content Category: Pulmonary Function
An overview of the important literature published in 2013 related to pulmonary function testing.

 

3:20 pm–3:50 pm

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Airway Management

Charles G Durbin Jr MD FAARC, Charlottesville VA

S015

Content Category: Adult Critical Care
An overview of the important literature published in 2013 related to airway management.

 

3:55 pm–4:25 pm

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Invasive Mechanical Ventilation

Eddy Fan MD, Toronto Ontario

S016

Content Category: Adult Critical Care
An overview of the important literature published in 2013 related to invasive mechanical ventilation.

 

2:10 am–3:15 am

 

What Is Your Cardiopulmonary Exercise Test and Clinical Trial IQ?

 

2:10 pm–2:40 pm

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Cardiopulmonary Testing Survey - What Are Labs Doing Correctly?

Katrina Hynes RRT RPFT, Rochester MN

S007

Content Category: Pulmonary Function
This presentation is the result of a survey performed in 2012 to learn more about the knowledge base of those performing cardiopulmonary exercise and metabolic testing. Additionally, who is performing testing, their experience/training, procedures, and QA activities. Attend this lecture, absorb the data, and identify opportunities to improve practices in your cardiopulmonary testing lab.

 

2:45 pm–3:15 pm

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Man You're Fussy - Participating in a Clinical Trial Using Cardiopulmonary Exercise Testing (CPET)

Katrina Hynes RRT RPFT

S008

Content Category: Pulmonary Function
Cardiopulmonary exercise testing for a clinical trial is more involved than standard patient testing. This presentation will review the nuances related to collecting accurate data for this type of testing, and provide recommendations for changes in practice to best meet the needs of all stakeholders.

 

2:10 am–3:50 am

 

Ventilator Waveforms: Beyond Pretty Lines on the Screen

 

2:10 pm–2:40 pm

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Ventilator Waveforms 101: Down To the Basics

Ruben D Restrepo MD RRT FAARC, San Antonio TX

S010

Content Category: Adult Critical Care
Recognizing how ventilator waveforms are displayed is critical to understanding 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.

 

2:45 pm–3:15 pm

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Understanding Patient-Ventilator Interaction: the Importance of Asynchrony

Jonathan Waugh RRT PhD FAARC, Birmingham AL

S011

Content Category: Adult Critical Care
Patient-ventilator asynchrony is one of the most common unrecognized events in the ICU. Its recognition and management is important to changing patient outcomes. Attend this lecture to better understand the different types of asynchrony, conditions (and modes of ventilation) in which asynchrony is most likely to occur, and what the respiratory therapist can do to mitigate the risk of asynchrony and/or eliminate it altogether.

 

3:20 pm–3:50 pm

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How Can I Use Waveforms to Optimize the Management of Patients with ARDS?

Neil R MacIntyre MD FAARC, Durham NC

S012

Content Category: Adult Critical Care
Ventilator management of the ARDS patient is perhaps the most challenging aspect of a respiratory therapist's skillset. Consistent vigilance of the patient-ventilator interaction plays an important role in the management of this patient population. Waveforms often display patient response to ventilator changes and patient status beyond what clinicians suspect. Attend this lecture to expand your ventilator management skills of the ARDS patient.

 

3:20 am–5:00 am

 

Air Goes In...What Comes Out? - A Symposium on Exhaled Biomarkers

 

3:20 pm–3:50 pm

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Biomarkers in Exhaled Breath Condensate

Michael D Davis RRT, Richmond VA

S029

Content Category: Pulmonary Function
This presentation will include an overview of exhaled breath condensate (EBC), its collection techniques, and biomarkers that can be measured in it. Ongoing respiratory research will be presented, as will potential clinical uses for EBC biomarkers. How can this information be applied to practice? What are the roles of the respiratory therapist? Attend this lecture to find out!

 

3:55 pm–4:25 pm

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Exhaled Breath Condensate PH

Michael D Davis RRT, Richmond VA

S030

Content Category: Pulmonary Function
This presentation will include an overview of exhaled breath condensate pH. The relevance and complications of airway acidification, therapies for reversing airway acidification, and as current and ongoing research will be presented.

 

4:30 pm–5:00 pm

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Exhaled Nitric Oxide

Bruce K Rubin MD MEngr MBA FAARC, Richmond VA

S031

Content Category: Pulmonary Function
While exhaled nitric oxide is a relatively new technology, it's been around long enough for the profession to make some determinations on it effectiveness and application. This presentation will include an overview of exhaled nitric oxide (eNO), its clinical uses, and shortfalls

 

3:20 am–5:00 am

 

Patient Education Symposium: One Size Doesn't Fit All

 

3:20 pm–3:50 pm

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Teaching Adults: You Better Make It Useful

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

S032

Content Category: Education
Adult learners may represent the majority of the patient population that the RT teaches on a regular basis. But are we effective in our delivery? Are we truly meeting their needs? This presentation will identify characteristics of the adult learner and will address the general principles of adult learner education.

 

3:55 pm–4:25 pm

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Teaching Toddlers and Adolescents: You Can't Do It Alone

Lisa Tyler MSM RRT-NPS CPFT, Philadelphia PA

S033

Content Category: Education
Teaching toddlers and adolescents is certainly very different from the more mature adult or senior. They possess limited life experiences, frequently shorter attention spans, and don't think in the abstract. This presentation will address the unique needs of this younger generation. It will provide general characteristics as well as specific teaching/ learning strategies for the child and adolescent.

 

4:30 pm–5:00 pm

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Teaching Older Adults and the Elderly: It's Not about Shouting

Helen M Sorenson MA RRT FAARC, San Antonio TX

S034

Content Category: Education
A frequent technique to employ when teaching the elderly is to speak louder. Often we will hear the patient say, "I am not deaf." While this gives us reason for pause (and it should), we often cannot truly appreciate and understand the different needs they present to the teaching/learning process. This final presentation will address the unique needs of the elderly patient.

 

3:20 am–5:00 am

 

High-Frequency Ventilation in Neonatal and Pediatric Intensive Care

 

3:20 pm–3:50 pm

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High Frequency Jet Ventilation

Sherry E Courtney MD, Little Rock AR

S035

Content Category: Neonatal/Pediatric
High-frequency jet ventilation (HFJV) has unique features in the management of the neonate with acute respiratory failure. This presentation will review the available data and the clinical indications for HFJV as well as common management strategies.

 

3:55 pm–4:25 pm

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High Frequency Percussive Ventilation

Robert M DiBlasi RRT-NPS FAARC, Seattle WA

S036

Content Category: Neonatal/Pediatric
Can high-frequency percussive ventilation improve outcomes in pediatric patients with acute lung injury? The unique gas delivery properties and potential advantages of this high-frequency modality will be discussed.

 

4:30 pm–5:00 pm

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High-Frequency Oscillatory Ventilation

Christine Kearney RRT, Seattle WA

S037

Content Category: Neonatal/Pediatric
High-frequency oscillatory ventilation (HFOV) is a commonly used modality for neonatal and pediatric patients with acute lung injury. This presentation will review patient selection, management techniques, and the available medical literature. Will the recently published adult study affect HFOV use in pediatrics? This presentation will offer strategies for optimal HFOV use in infants and children.

 

1:00 pm–2:00 pm

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Thomas L Petty Memorial Lecture - Thomas L Petty's Lessons for the Respiratory Care Clinician of Today

David J Pierson MD FAARC, Bellevue WA

S001

Thomas L Petty may be the single most important physician in the history of respiratory care in terms of his contributions to its progress and their practical relevance today. Dr. Petty first described ARDS and showed the effects of PEEP in this syndrome; he demonstrated the benefits of long-term oxygen therapy in COPD and started one of the first pulmonary rehabilitation programs anywhere; he stressed the need for collaborative, multidisciplinary respiratory care; and he was an early advocate for compassionate end-of-life care for patients amidst the complexity and intrusiveness of modern management. This lecture will expand on these and other areas in which Dr. Petty was a true pioneer in our field, most of whose lessons remain relevant and acutely pertinent today.

 

2:10 pm–2:40 pm

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Up in Smoke: Home Oxygen, Smoking, and Safety

Kim S Wiles RRT, Ford City PA

S002

Content Category: Patient Safety
Oxygen therapy for use in the home has been prescribed for the respiratory compromised patient for many years. Unfortunately, the majority of these patients have been long--time smokers. Despite warnings about potential dangers, a considerable number of these patients continue to smoke in the home while wearing supplemental oxygen. At what point does the danger from smoking with oxygen outweigh the benefits? This presentation will answer this and other relevant questions about the care of the home oxygen patient.

 

2:10 pm–2:40 pm

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Games Your Kids Are Dying to Play - Dangerous Asphyxial Games

Douglas E Masini EdD RRT-NPS RPFT AE-C FAARC, Savannah GA

S003

Content Category: Neonatal/Pediatric
Choking games are increasing in prevalence throughout the U.S. and beyond. This presentation will focus on asphyxial games. Emphasis will be placed on the recognition of signs and symptoms that indicate the need for an emergency airway. Suggestions will be offered for effectively educating today's youth about the games they are "dying to play."

 

2:10 pm–2:40 pm

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Advanced Pharmacology of Airway Management & RSI - Emergency Airway Management / RSI

Joe C Hylton RRT-NPS NCEMT-B FAARC, Charlotte NC

S004

Content Category: Adult Critical Care
This presentation will provide a comprehensive review of the latest recommendations regarding the physiology and pharmacology of Rapid Sequence Intubation. The lecturer will discuss which drugs are most appropriate for which patient population as well as a simplistic overview of rapid sequence pharmacology.

 

2:10 pm–2:40 pm

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Ageism, Have You Examined Your Views?

Lorraine Bertuola BA RRT, Towson MD

S005

Content Category: Clinical Practice
In American society, age discrimination (ageism) is prevalent. Statistics show that 80% of people over 65 years of age have reported being a victim of ageism. This lecture will review ageism, what can be done to mitigate it, and help attendees recognize potential biases.

 

2:10 pm–2:40 pm

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Multi-institutional Collaboration to Establish a Ventilator Patient Weaning Unit

Gene Gantt RRT, Livingston TN
Garry W Kauffman MPA FACHE RRT FAARC, Winston-Salem NC

S006

Content Category: Management
While chronic ventilator-dependent patient units, LTACHs, and hospital-based ventilator units have been around for decades, the outcomes of these services vary widely. The multi-organizational collaboration to provide this service in a novel way is designed quite differently from these other organizations. This presentation will address the value of ventilated patient weaning units, how two such organizations have collaborated to provide this service, and the outcomes resulting from this unique clinical service line.

 

2:10 pm–3:15 pm

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Prone Positioning

Pro: Richard D Branson MSc RRT FAARC, Cincinnati OH
Con: Richard H Kallet MS RRT FAARC, San Francisco CA

S009

Content Category: Adult Critical Care
Prone positioning has been described as an intervention that improves ventilation/perfusion matching in the hypoxemic ARDS patient. In the past, the literature has not demonstrated an appreciable influence on outcomes. However, a recent meta-analysis suggests that there may be a clinically relevant improvement in mortality when this intervention is used in the sickest patients with severe ARDS. This intervention does not come without significant risk. This Pro/Con between two visionaries of our profession will focus on the potential risks and potential benefits of implementing this strategy in your sickest ARDS patients.

 

2:45 pm–3:15 pm

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Un-complicating the Complicated: Learning to Teach COPD Patients

Robert Messenger RRT CPFT FAARC, Elyria OH

S017

Content Category: Clinical Practice
The current health care environment demands that institutions and clinicians exploit every opportunity to become more effective and efficient. In particular, this includes how they train COPD patients to actively participate in the management of their own care. This presentation will identify the reasons why oxygen patients are especially difficult to train and will provide practical tips on patient training, tools, and techniques. The concepts of adult education will be reviewed and age/education appropriate training approaches will be discussed.

 

2:45 pm–3:15 pm

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Why Is My Baby So Blue?

Elizabeth Cooper BHS RRT, Cincinnati OH

S018

Content Category: Neonatal/Pediatric
The differential diagnosis of the neonate with cyanosis is broad. The clinician must quickly distinguish between respiratory and cardiac etiologies. This presentation will provide essential concepts to assist with the initial assessment and diagnosis of the cyanotic infant. Suggestions for optimal initial stabilization and management will be offered.

 

2:45 pm–3:15 pm

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COPD and Dynamic Hyperinflation With Exercise - What Have...

Janos Porszasz MD PhD, Torrance CA

S019

Content Category: Clinical Practice
The impact of COPD and dynamic hyperinflation with exercise is a primary endpoint in multiple current studies. This presentation will discuss the effect of hyperinflation on physiology and its application to COPD severity and treatment.

 

2:45 pm–3:15 pm

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The Financial Value of Respiratory Services in Long-Term Care

Lorraine Bertuola BA RRT, Towson MD

S020

Content Category: Management
The indirect financial value of skilled respiratory services in long-term care will be explored. Metrics that can be used to measure value will be discussed in detail. Attendees will leave this lecture with the skillset to develop their own dashboard to monitor, improve, and define value of their department in an LTAC environment.

 

2:45 pm–3:15 pm

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What the Hospital RT Needs To Know About Home Oxygen

Connie Paladenech RRT RCP, Winston-Salem NC

S021

Content Category: Management
Determination of appropriate oxygen dosing and delivery systems is a key component of the successful transition of the hypoxic patient from hospital to home. Many differences exist between home oxygen delivery systems and those used in the hospital. The hospital RT needs to have an understanding of home oxygen delivery systems in order to accurately assess needs for LTOT and provide appropriate recommendations to the medical team. The presenter will discuss this information and share opportunities on how hospital-based RTs can use the AARC's guide on Portable Oxygen Concentrators to train and educate their patients before they leave the hospital.

 

3:15 pm–5:10 pm

 

Open Forum #1 - Ventilation/Ventilators - Part 1

Researchers will present the results of their scientific studies. Abstracts with a similar focus are clustered into their own OPEN FORUM symposium to encourage discussion and interaction among investigators and observers. Posters are used to expand the information presented. The titles and authors of all abstracts will be posted by Aug 31.

 

3:15 pm–5:10 pm

 

Open Forum # 2 - Aerosols/Drugs - Part 1

Researchers will present the results of their scientific studies. Abstracts with a similar focus are clustered into their own OPEN FORUM symposium to encourage discussion and interaction among investigators and observers. Posters are used to expand the information presented. The titles and authors of all abstracts will be posted by Aug 31.

 

3:15 pm–5:10 pm

 

Open Forum # 3 - Airways Care - Part 1

Researchers will present the results of their scientific studies. Abstracts with a similar focus are clustered into their own OPEN FORUM symposium to encourage discussion and interaction among investigators and observers. Posters are used to expand the information presented. The titles and authors of all abstracts will be posted by Aug 31.

 

3:20 pm–3:50 pm

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A Whirlwind History of Respiratory Therapy: Told Through Vintage Medical Photography

Steve DeGenaro RRT, Waterloo IA

S026

Content Category: Clinical Practice
Respiratory therapy is a relatively new profession and has developed and evolved over the last 60 - 70 years into the profession it is today. The presenter will discuss the history of the profession and how it developed. While the profession has existed less than 100 years, disease states, therapeutic regimens, and diagnostic testing associated with the profession today extends far back into history. The presenter will use historical photography from his (and other) collections to establish a timeline for the birth of the profession as well as how treatment modalities and diagnostic procedures were developed.

 

3:20 pm–3:50 pm

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The ABCs of VBP and P4P

Dana Evans MHA RRT-NPS AE-C, St Louis MO

S027

Content Category: Management
Is value-based purchasing and pay for performance just something for the executive suite or will it affect your department? The presenter will discuss how VBP and P4P relates to reimbursement and how providing "signature service" to our patients and therapists can work to minimize financial loss. New and experienced managers will not want to miss this lecture...a new world of health care reimbursement lies ahead.

 

3:20 pm–4:25 pm

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Recruitment Maneuvers for ARDS

Pro: Robert M Kacmarek PhD RRT FAARC, Boston MA
Con: Rolf D Hubmayr MD, Rochester MN

S028

Content Category: Adult Critical Care
The use of recruitment maneuvers in patients with ARDS is controversial. In this pro-con, two authorities debate the benefits of recruitment maneuvers and address the important question about whether or not they should be used.

 

3:55 pm–4:25 pm

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I Am Not an Educator, How Do I Teach Students in the Clinical Arena?

Aaron Light DHSc RRT, Springfield MO

S038

Content Category: Clinical Practice
This presentation will provide education basics to clinicians and help guide them to becoming better preceptors. Audience members will be presented with the dos adn don'ts of precepting and the results of years of student surveys that detail what they want from their preceptors.

 

3:55 pm–4:25 pm

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Capnography: Isn't It Time to Recognize It As the Fifth Vital Sign?

Ruben D Restrepo MD RRT FAARC, San Antonio TX

S039

Content Category: Clinical Practice
Although capnography has been considered to be standard of care for the monitoring of CO2 in patients undergoing mechanical ventilation in the operating room, it's critical role in different clinical settings is not well known. This presentation reviews the most current evidence supporting the applications of capnography in the mechanically ventilated and spontaneously breathing patient

 

3:55 pm–4:25 pm

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COPD Disease Management - a Model for All Settings

Brian W Carlin MD FAARC, Pittsburgh PA

S040

Content Category: Clinical Practice
COPD is the 3rd leading cause of death in the U.S. The disease can be managed effectively through a well-designed plan of care. Respiratory therapists are ideally qualified to play a lead role in managing these patients. Dr. Carlin will describe the role of the RT in various settings including the hospital, pulmonary rehab, and homecare in improving outcomes for these patients.

 

3:55 pm–4:25 pm

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Shooting for the Stars: How to Achieve Top 10% in Employee Engagement

Lora Harris MS BHA RRT-RN, Plano, TX

S041

Content Category: Management
Employee engagement has been shown to be a driver of organizational performance. This presentation will review the science behind employee engagement, provide 5 proven strategies to improve employee engagement, and share some lessons learned.

 

4:30 pm–5:00 pm

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Get Real! - How Good Is Today's Simulation Technology?

Joel M Brown RRT FAARC, Newark DE

S042

Content Category: Clinical Practice
The use of simulation technology is expanding greatly and is now more realistic than ever. This lecture will demonstrate how respiratory therapy departments can incorporate simulation training as a tool to evaluate staff competence and critical thinking without jeopardizing the care of the patient. Where can departments find simulators? How do they ensure inter-rater reliability for moderators? You'll have to attend this lecture to find out.

 

4:30 pm–5:00 pm

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Chemical/Biological and Natural Disasters

Joe C Hylton RRT-NPS NCEMT-B FAARC, Charlotte NC

S043

Content Category: Bioterrorism Emergency Preparedness
Chemical, biological, and natural disasters are still a common threat facing the world population. The devastation left behind in the wake of the tornadoes that ripped through Oklahoma earlier this year is evidence of that. Infections caused by new, emerging bioterrorism threats present an increasing concern as well. Knowledge of chemical, biological, and natural threats can greatly aid health care workers in identifying and effectively managing these disasters. This lecture will cover how to prepare for and react to a disaster.

 

4:30 pm–5:00 pm

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COPD and Comorbidities: Why All The Fuss?

Brian W Carlin MD FAARC, Pittsburgh PA

S044

Content Category: Clinical Practice
There are many comorbidities often associated with the COPD patient. This presentation will discuss those comorbidities and their implication on hospital and emergency department admissions. The presenter will discuss the importance of tailoring patient education not just to COPD but to any other potential comorbidities as well. In addition, attendees will leave this session with a better understanding of COPD and tools to reduce hospital readmissions of the COPD patient.

 

4:30 pm–5:00 pm

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Technology Etiquette: Training of the RT

Peter J Papadakos MD FCCM FAARC, Rochester NY

S045

Content Category: Patient Safety
With the explosion of electronic medical records, the concern is that patients are becoming more like "e-patients" than human beings - each with their own challenges, concerns, and disabilities. Is this the case? Can caregivers distinguish between the two? Have we lost our way and forgotten the most basic element of patient care...the patient? In this presentation, we will discuss new skill sets needed to remain focused on the patient despite the presence of a computer in the room. The user-to-technology interface is a growing educational and safety concern in the medical practice. Don't become an e-provider...attend this lecture and learn the skills necessary to provide excellent patient care in a digital environment.

 

4:30 pm–5:00 pm

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Filling the Vacuum....

Dana Evans MHA RRT-NPS AE-C, St Louis MO

S046

Content Category: Management
Are you developing the leaders around you? Leadership development is vital for the success of the respiratory care department. This presentation will help leaders identify those around them with the potential for growth and provide tips for helping them reach their full potential.

 

8:00 pm–6:00 pm

 

Sputum Bowl Preliminaries

Sherry Whiteman BHS RRT/Presiding

Teams from the AARC State Affiliates compete in the preliminary competitions. The top four teams will advance to the Finals on Monday evening, Nov. 18, along with the Student Sputum Bowl finalists.

 

8:30 pm–10:55 pm

 

Opening Session

Thomas J Kallstrom MBA RRT FAARC
AARC Executive Director/CEO/Presiding

 

8:30 pm–10:10 pm

 

AARC Awards Ceremony

The ceremony recognizes the "doers" in the profession, from students to long-established practitioners. Be there and applaud your peers. Today it's them; tomorrow it may be you!

 

10:15 pm–10:55 pm

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Keynote Address

Stephen F Jencks MD MPH, Baltimore MD
Consultant in Healthcare Safety & Quality

Today hospitals are penalized if too many of their Medicare patients with certain diagnoses are readmitted within 30 days of discharge. In 2015, COPD may join other respiratory-related diagnoses including pneumonia and CHF for which penalties may be assessed. In this keynote lecture, Dr. Jencks will discuss how readmissions have become an issue that is forcing serious investment in reducing the fragmentation of health care. He will then outline the stake that respiratory therapists have in this new kind of accountability and how this accountability can be used to make therapists more respected members of the care team.

Dr. Jencks is an independent consultant in health care safety and quality and Senior Fellow at the Institute for Healthcare Improvement. His work focuses on understanding and preventing hospital readmissions, and his 2009 NEJM article on hospital readmissions in Medicare is considered authoritative. For CMS, he was Chief Scientist in the Office of Research, and Senior Clinical Advisor and Director of the Quality Improvement Organization program in the Office of Clinical Standards and Quality. He has received the Ernest A. Codman Award and the Distinguished Service Medal of the U.S. Public Health Service, and he retired as Assistant Surgeon General.

 

11:00 pm–4:00 am

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Opening of Exhibit Hall

George W Gaebler MSEd RRT FAARC/Presiding

The 2013/2014 AARC President opens the Exhibit Hall. As the "Gold Standard" of all respiratory care meetings, AARC Congress 2013 presents to you all the manufacturers and suppliers in the industry. The Exhibit Hall offers attendees an opportunity to see, touch, and manipulate the latest technology in the field and have clinical conversations with manufacturer representatives. Don't miss this great opportunity!

 

11:30 pm–12:00 am

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Presenting An Open Forum Abstract

Teresa A Volsko MHHS RRT FAARC, Youngstown OH

The purpose of this presentation is to introduce the neophyte research presenter to the customs, roles, and experience of presenting an OPEN FORUM session. Included will be the stages of an OPEN FORUM presentation that include setting up the poster, interacting with moderators, presenting at the podium, and participating in moderated audience discussion of the research.

 

11:30 pm–12:00 am

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Orientation for First-time Attendees

Presented by the AARC Program Committee,
Cheryl A Hoerr MBA RRT CPFT FAARC

Are you a first-time attendee with unanswered questions about whom to see, where to go, and what to expect from your first AARC Congress? If so, then attendance at this presentation is a MUST for you! This presentation provides first-time attendees with an overview of the entire AARC Congress and includes suggestions on how to maximize your time not only at the educational session, but also at the exhibits and peripheral activities as well.