Idaho Society for Respiratory Care
 
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August 2007
2007 Annual Conference in Pocatello High Desert Pulmonary Conference
President's Message Photo Gallery
Asthma Educator Institute AARC International Fellow
2008 Officer/Director Candidates Statements Hemoglobin and DLCO’s
Disaster Volunteers May BOD Meeting Minutes

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2007 Annual Conference in Pocatello
This year’s Conference will be held on the Idaho State University campus on Thursday and Friday, September 13 and 14. The annual meeting is a great way to accrue continuing education credits, meet old and new colleagues and have some fun in a relaxed atmosphere. Program Coordinator Carrie Massey gives a partial list of learning objectives:
  • Improve knowledge and skills with advances and changes in ventilation of neonates
  • Provide a systematic approach to chest radiograph interpretation
  • Have a better understanding of carbon monoxide poisoning and non-invasive monitoring for CO
  • Improve clinical applications of ventilator graphics
  • Improve the respiratory therapist’s approach to bronchial hygiene strategies
  • Increased awareness of new and current therapeutic agents used in the treatment of pulmonary hypertension
  • Learn the role of the Respiratory Therapist for transport & disaster
  • Establish a better understanding of new techniques available in prolonged mechanical ventilation
  • Understand the differences in mechanical ventilation for the morbidly obese population
Distinguished presenters include: Vijay Deshpande, a noted respiratory care educator and recently retired from Georgia State University; John Davies from Duke University Medical Center is an established clinical researcher in adult critical care medicine; and Dr. Kent Christopher from Denver, a pulmonary specialist who started his career as a respiratory therapist.
The program is all day Thursday (9/13) and through mid-afternoon Friday (9/14). It totals at least 12 continuing education hours. As usual, a comprehensive exhibit of respiratory and sleep related products and services will be on display. Entertainment will include a Sputum Bowl Thursday evening followed by a party.
Fees are:
AARC members & physicians…$50.00 1 Day   /   $70.00 2 Day
Non AARC members…………... $80.00 1 Day   /   $120.00 2 Day
Students…………………….…… $25.00
Special ~ Both Days & AARC membership…….$150.00
The program brochure and hotel information is available at http://www.idasrc.org/ISRC_conference_brochure_2007.pdf . A registration form can also be found at www.idasrc.org along with an AARC membership applicaiton. Click on ISRC Conference in the upper-left of the page.
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President's Message
Michele Andrew, MS, RCPT
Thanks to Senator Hill and the Coalition for a Healthy Idaho and Tobacco Free Idaho, we no longer have smoking in Bowling Alleys. One big deciding point was when Senator Hill's granddaughter (she's 8 years old and her daddy died from lung cancer) testified that she liked to bowl, and they didn't want to "kill a kid"—did they?
The AARC House of Delegates was successful according to Debbie Fox, Chairman. We'll be looking forward to Carla and Kelly giving us the report.
Keep letting your legislators know your feelings on the bills in Congress that affect our profession. The more e-mails, letters and calls they get, the better. They are our representatives in national government and need to understand how their constituents feel about the issues.
Remember the State conference in September. Carrie is very busy getting great speakers and vendors. Support our state association by attending plus get your CEUs for licensure.
Camp Super Breathers is August 5-10. We have a great staff and 35+ kids. Our theme is Wilderness Olympics. Send any scholarship money you collect to the American Lung Association. There is NO CHARGE for the kids to come to camp—so scholarships are needed.
Have a great August and we'll see you in September.
Asthma Educator Institute
A comprehensive two-day advanced course for licensed health care providers engaged in asthma education will be held in Boise on August 22 & 23. Completing this training course will help prepare for the national Certified Asthma Educator exam. The Institute will be held at the AmeriTel Inn – Boise Spectrum. Cost is $250. Agenda and registration information is at http://www.lungidaho.org/ (toward the bottom right side of page) or on the ISRC Education page.
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2008 Officer and Director
Candidates Statements 
The individuals nominated for 2008 ISRC positions give a brief biographical sketch. Active and Life ISRC Members, watch for your election ballot soon.
Tammy "Nikkie" Stephens - President-elect
I am a native Floridian that moved to Idaho in 2003 after completing my Associates Degree in Respiratory Therapy. I previously was an advanced Licensed Practical Nurse and had been working in the hospital setting for 12 years. In those 12 years, I worked in Peds, PICU, Oncology, PCU and Med Surg. I decided that it was time for a change in careers and decided to follow through with getting my degree from Valencia Community College in Orlando, Florida. After being in Twin Falls for a year, I decided to complete my Bachelor degree at Boise State University. I graduated in May of 2005. I have worked at St. Luke's Magic Valley Regional Medical Center since 2003.
I feel that the move to Idaho was the best decision of my life. I have continued to learn the craft of Respiratory Therapy and have been given the gift to help new and upcoming Respiratory Therapists by teaching and mentoring at the new program at Idaho State University, along with working closely with California College of Health Sciences.
I enjoy outdoor activities, such as camping, hiking and just watching the stars at night.
Carrie Massey - Treasurer
I have been the clinical educator for the Respiratory Dept at Eastern Idaho Regional Medical Center in Idaho Falls for the past four years and I also serve as the clinical and laboratory instructor for ISU Respiratory program. I am currently working on the development of Therapist Driven protocols, attending BSU, coordinating the advancement of our NICU to a Level 3 unit and on the Disaster preparation education planning committee with the AARC.
I enjoy volunteering my time and knowledge to improve Respiratory Care practices. 
Steve Schaal - Director at Large
I began my Respiratory career at EIRMC in Idaho Falls, ID March of 1976 as a Respiratory assistant. Respiratory education - Graduated with honors from Bio-Systems Institute in Tempe, AZ 1981. I worked at EIRMC for 20 years as a staff therapist, shift supervisor, and assistant director of Respiratory Services. Then I worked at Gooding County Memorial Hospital as Director of Ancillary Services to include leadership, direction and oversight for: Respiratory Services, Pharmacy, Laboratory, Physical Therapy, Medical Imaging, Performance Improvement, Risk Management and Policy and Forms committee chair. I am presently employed at Minidoka Memorial Hospital in Rupert as Director of Respiratory Services.
I am an active Member and supporter of the AARC/ISRC and have served as an ISRC Delegate to the AARC as well as a Director on the Idaho State Respiratory Licensure Board. While living in Gooding, I served on the Gooding Chamber of Commerce Board for four years and President for one year of that term.
I enjoy the out of doors, fishing, boating, woodworking, singing and playing guitar.
Mark Wood - Director at Large
I worked 10 years in the food industry as a cook, waiter, manager, dairy processor, grocery manger and delivery truck driver, before attending BSU and finally graduating with a BS in RT. I have worked at St. Alphonsus RMC for 21 years, and have been a preceptor of RT clinical students at BSU for many years. I recently conducted a study on stethoscopes, which was published in the May 2007 issue of the American Journal of Infection Control.
I have been married 29 years to wife Marylinn. She volunteers at SARMC with our Yorkie "Misty" in pet therapy and at Asthma Camp Super Breathers. We have two grown sons, Jeremy and Andy, both married. I have a love for the outdoors, and recently Andy guided Marylinn and I to Idaho's tallest peak, Mt. Borah. On Sunday nights our home is open to interactive Bible study where I play guitar, lead songs of worship, and teach/facilitate discussion, currently on First Corinthians.
I have been a member of ISRC since I was a student, and would like to serve any way I can, if found in favor by God and the ISRC voting members.
Ramona Sailor – Delegate
I am a native Idahoan, born and raised in the Magic Valley. I obtained my Associate Degree in Respiratory Therapy in 1978 at Boise State University. I began work at the then Magic Valley Memorial Hospital in 1979 in Twin Falls. I took several years off after having my daughters. During the longest stretch I worked for Idaho Home Health and Hospice as their home care Respiratory Therapist. I missed the acute care setting and returned to Magic Valley Regional Medical Center in 1991. We are now part of the St. Luke's Health Care system.
Despite all the years of working, I still enjoy learning and keeping up with all the changes that healthcare has experienced and will continue to experience. I keep busy outside of work with church, family, gardening and sewing.
David Southwick - Delegate
I graduated from the RT program at Boise State in 2005 and became a credentialed RRT in 2005. I have worked for St. Alphonsus RMC since March 2004. My prior work history:  I worked in the grocery industry for 14 years. I was manager of a natural foods company for 10 years in Utah and California, managing a staff of 85.
I currently live in Eagle with my wife, mother-in-law and two daughters, 12 and 7. I operate a small farm in Eagle with two cows and a small flock of chickens. I have truly enjoyed the career change and find Respiratory Care to be fulfilling and enjoyable on many levels. I look forward to the positive changes that Respiratory Care is going to experience not only in Idaho, but also in the industry as a whole in the coming years.
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Disaster Team Volunteers
Lande Lambert, Disaster Guy
In doing some more disaster preparedness research for ISRC, I have come to the conclusion that Idaho RT’s do not volunteer. In a conversation with Idaho Department of Homeland Security/Idaho Department of Health and Welfare it seems that RT’s are not in the loop. This is disconcerting considering when the Department of Health and Human Services were compiling a list of volunteers they asked for RT’s first. Then I read that of the 200 RT’s that HHS was trying to get, they only got 50. 
HHS is trying to get volunteers for three areas of the U.S.—East, West and Central. Yet, they still have not achieved what they consider the minimum number of volunteer RT’s that they may need. We need to step up, or we will be considered a “non-essential” part of the healthcare team. 
There are two things the ISRC needs from the Idaho RT’s: first. submit your name to be on the list kept by the President of the ISRC;  and second, contact me and let me know if your facility does disaster training and what role the RT’s play in this. Disaster training has been done in facilities without the RT department participation—this is unacceptable.
If you have already signed up for HHS or another disaster program please let me know this also. 
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High Desert Pulmonary Conference
Tom Gable
It was my pleasure to attend the Lung Association’s Sixth Annual High Desert Conference in June. The meeting was held at St. Luke’s Boise Anderson Center and was well attended by RCPs and RNs. The educational program was themed this year and focused on lung cancer: description, diagnosis, complications, treatment of respiratory involvement, and allied subjects like palliative nursing care and tobacco cessation programs.
The program was masterfully guided by Tom Foster from West Valley Medical Center in Caldwell. The highlight presentation, for me, was a discussion of ventilator techniques in critical care, particularly noninvasive positive pressure ventilation, by Robert Kacmarek from Massachusetts General Hospital and Harvard University. Dr Kacmarek is a giant in our field and an outstanding lecturer. Dr Saadia Akhtar, a pulmonologist with Idaho Pulmonary Associates in Boise, presented an appreciated overview of lung cancer manifestations and complications encountered by respiratory therapists and nurses in the critical care units. Gaylene Moody-Lee is a respiratory care educator and specializes in tobacco cessation programs. She gave a very good description of the causes of tobacco dependency and basics of implementing cessation programs.
 The Conference Planning Committee is soliciting suggestions for specific content for the Seventh Annual High Desert Pulmonary Conference in June 2008. They would like ISRC members to submit the topic they would most like to hear. Direct your reply to Conrad Colby at ccolby@boisestate.edu.
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Photo Gallery
Photos by Tom Gable
Vice President TJ Wing and President elect Brandi Johnson
Board Member Dana Hegestad says:
(see below)
President Michele Andrew and McCall Meeting Host Michelle Butler
“My wife Sally and I climbed Mt. Borah for our 15th wedding anniversary in July. Instead of crystal we got each other ice axes. We got some true "Mountain Air."  We summited Mt. Hood and Mt. Rainier in 2005
and I felt Mt. Borah was every bit as challenging.”
Board Retreat at Beside the Mill, McCall
Newsletter Editor Tom Gable
In Pursuit of Lake Trout, Payette Lake
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AARC International Fellow
Dave Shuldes
The AARC has once again awarded Boise with an International Fellowship visit in 2007. Dave Shuldes from St. Luke’s will be serving as City Host. Our visitor will be Fiona Ng from Hong Kong. She will be traveling to Kailua, Hawaii on Sunday, November 18, 2007, and then will travel to Boise for the second city visit on Saturday, November 24. On Friday, November 30 she will travel to Orlando, Florida for the AARC's 53rd International Respiratory Congress, December 1-4, 2007.
Fiona holds a B.S. in Nursing and a Master of Nursing in Advanced Practice. She has been a nurse since 1993 and developed a special interest in Respiratory Nursing. She has implemented adult asthma education programs, is a successful smoking cessation counselor, and has met with the press in Hong Kong to disseminate an anti-smoking message. Fiona has worked as a nurse specialist providing advice and assistance to pulmonologists at Queen Elizabeth Hospital in Hong Kong. She currently works in the Continuous Quality Improvement Unit in that hospital. 
Fiona recently wrote, “It's my great honor to meet you in this coming November. All of you are very helpful, encouraging and supportive for me. Heartfelt thanks for your generous support and valuable assistance. I'm very eager for an opportunity to meet all dedicated respiratory care professionals and exchange information pertinent to health care in our two countries. Apart from the observations of the respiratory care practices in hospitals, home care settings and educational institutions, I'd like to visit quality and risk management unit in the United States. For improving the quality of care, it's appreciated that you could introduce the quality indicators for respiratory care and tell me how to measure the quality of respiratory care in your hospital.”
We look forward to greeting Fiona in Boise on November 24th!

Click on picture for larger view.
Picture 1
Click on picture for larger view.
Picture 2
You never know what will come from the International Fellowship visits we’ve been having annually in Idaho for several years. Dave Shuldes recently had a great experience related to our 2006 visitor, Lucia He from Chengdu. Dave’s 20-year-old daughter, Kelsea Shuldes, had an opportunity to visit Lucia in China this summer. Kelsea is studying Chinese and spent 10 days in Chengdu with Lucia, staying in her home and touring a good share of Szechuan province with Lucia and others. Kelsea got a chance to know the students from Lucia's RT class (currently the only RT program in China). Kelsea wrote, “At night, I hung out with Lucia and some of her students from the RT program. The students organized a dumpling party for me. We probably made 300 dumplings, and were only able to eat about half. I was assured that the guys in the dorm would probably eat them within a day. I got to practice a little bit of Chinese and the students got to practice a lot of English. It was fun.”  Dave and Kelsea are grateful to the AARC International Fellowship program and to those who have committed their time and efforts in Idaho to help make this program a good experience for the visitors. To Nola Darling, thanks especially for taking the lead in 2006! Note: Click on a picture for larger view.
Picture 1: Kelsea Shuldes with the RT class in Chengdu, Szechuan Province, China
Picture 2: Kelsea Shuldes with Pandas near Chengdu
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Hemoglobin and DLCO’s
Lande Lambert
As a therapist working in a PFT lab, I am trying to accumulate some data on how different labs in the state do their PFT’s and what different types of studies these labs offer. I have talked with a few labs about the different methods on how the hemoglobin is being entered into the test calculations. Some labs draw ABG’s, some draw venous samples, and some let the computer calculate the DLCO based on “normals.” 
We are all aware of the importance of hemoglobin in assessing the diffusion; but not all labs are getting this correction into their testing. The facility I work for uses a device called Hemocue; it’s a handheld device that does a hemoglobin report from a finger stick sample. It’s very accurate, fast, economical and considerably less painful. I would appreciate any feed back I can get from the PFT labs here in Idaho that do diffusion studies on how they obtain their hemoglobin for their studies or if they let the machine calculate in normals as a guideline. Also, I’m trying to compile how may labs do quality control testing on their equipment that do diffusion studies.
Please contact me at landel@mvrmc.org or call me at 208-737-2686. The (anonymous) data compiled from this will be provided to Tom Gable for his newsletter.
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May BOD Meeting Minutes
May 4, 2007
McCall
Members present: TJ Wing, Carla Edmison, Brandi Johnson, Michele Andrew, Ramona Sailor, Michelle Butler, Rob Devinaspre, Mary Kimbrel, Tom Gable.
Michele called the meeting to order.
Last meeting minutes were read and approved.
Treasurer's Report: Michele presented the 2nd quarter financial report from January-March 2007.
Committee Reports:
  • Delegates Report:  Carla is taking suggestions for recruiting memberships. She has been sending out reminder renewal letters with AARC information to ISRC members who are close to renewal or past due.
  • Membership:  Discussed possibly purchasing membership vouchers through the AARC and offering them at a discount to recruit new members. Carla will look into this.
  • Newsletter:  Tom just sent one out. Look for the next one around 2 months from now. 
Old Business: 
  • Scholarship at BSU:  Shirley Thimsen's family helped endow a scholarship in her honor. Her family donated money and recently gave away a scholarship at a BSU ceremony. The board discussed having the scholarship be in Shirley Thimsen's name only so TJ will write up a motion to remove ISRC name from the scholarship and it will be further discussed at next board meeting. 
  • President's Meeting: Michele reported on what she learned and this is further discussed under new business. Michele discussed a ventilator 5K race to help raise money for the PACT committee. 
  • Public Board member: Tom checked into the bigger state societies and none of them have a public board member not associated with respiratory care who sits on the board. So no new changes to our board currently.
  • IDPA:  Discussed more details regarding this association and the ISRC board discussed pros and cons of being on the list. No interest at this time.
New Business:
  • RRT Prep Course through AARC: This is a free service of the AARC it is on the ISRC Website. It is a great tool that can be utilized by anyone who is studying for the exam. 
  • AARC email:  If you need to send out a statewide email contacting all the respiratory therapist's of ID, contact Pat Lee (from AARC) and she can generate a mass mailing for you.
  • NHLBI Initiative for COPD:  Michele discussed information regarding RT initiative. Educate your patients on COPD. For even more information check out the interview with Ted Koppel's wife on the Good Morning America website.
  • High School CPR program: Michele passed on to Jeff (from BSU) CD projects promoting the Respiratory Therapy profession. TJ discussed what BSU does to recruit students. Lots of public relations needed in high schools and colleges to promote our profession.
  • New Officers for 2008? What positions are open:  President-Elect, Treasurer, Delegate and Director at Large. Please contact the nominating committee Ramona Sailor or Carmen Griggs if you have nominations. Please submit before July 2007.
  • Elections: Dana Hagestad will send out and tally the votes.
  • Summer Forum: Our delegates will attend.
Next Meeting to be held in Pocatello, ID at the State Conference September 13-14, 2007.
Meeting adjourned.
Respectfully submitted,

Mary Kimbrel, RRT, AE-C
Past ISRC Secretary

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ISRC Board Meeting
TBA 
September 13-14, 2007
Annual ISRC Conference 
Pocatello
Contact Michele Andrew for more information at MICHANDR@sarmc.org
Need Respiratory Care Professionals?
Place an Employment Ad
on the ISRC Employment Page
http://www.idasrc.org/employment_opportunities.htm
Contact: Michele Andrew, President
 MICHANDR@sarmc.org
ISRC Web Site
www.idasrc.org
Click to contact the webmaster
Education - Resources - Employment - Meetings/Events - Scholarships
2007 ISRC Board of Directors
Contact Us!

Michele Andrew (Boise), President
Brandi Johnson (Boise), President elect
Chad Rye (Lewiston), Past President
T. J. Wing (Boise), Vice President
Elena Ilyusha (Boise), Secretary
Carrie Massey (Idaho Falls), Treasurer
Carla Edmison (Lewiston), Delegate
Kelly Dwello (Boise), Delegate
Dana Hagestad (Lewiston), Director at Large
Greg Pilcher (Lewiston), Director at Large
Dr. Nirmal Charan (Boise), Medical Director
Rebecca Brollier (Boise), Student Representative

Visit http://www.idasrc.org/contact_us.htm to contact a Board Member.

The Mountain Air newsletter editor is Tom Gable. If you would like to contribute information/articles, 
please contact Tom by e-mail: gablet@slrmc.org, or fax (208) 381-3498.
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