|
2006
Election Results
|
|
| President Elect: Michele
Andrew, MS, RPFT, AE-C. Michele is the Director of Cardio-Pulmonary
Rehabilitation at St. Alphonsus Regional Medical Center in Boise.
Treasurer: Carrie
Massey, RRT, AE-C. Carrie is a Clinical Educator at Eastern Idaho Regional
Medical Center in Idaho Falls.
Director at Large: Greg
Pilcher, RRT, RPSGT. Greg is a staff therapist at St. Joseph Regional Medical
Center in Lewiston.
Delegate: Carla
Edmison, RRT. Carla is a clinical assessor/staff therapist at St. Joseph
Regional Medical Center in Lewiston.
Welcome to the Board of Directors.
Thank you for your commitment to the ISRC.
|
|
ISRC
Web Site
www.idasrc.org
Education
- Resources - Employment
- Meetings/Events - Scholarships
|
 |
|
|
|
Summer
Delegate Report
|
|
Rob DeVinaspre, Delegate
|
| The House of Delegates meeting for the AARC took place
in Orlando, Florida this past July. There were several issues that were
discussed at this meeting. However, House bill 964, and membership were,
in my opinion, the two biggest issues discussed. |
| HR 964, if passed, will allow respiratory therapists
to bill for services given to the public under Medicare guidelines. This
means RCPs can provide services to those patients who are homebound and
require respiratory care in that setting. So, now is the time to
write to your congressmen and senators and tell them why this bill is so
important and needs to become law. |
| Below are listings of prime movers for HR 964: |
Congressman Rick Renzi, 418 Cannon House Building,
Washington, DC 20515-0301
Senator Trent Lott, 487 Russell Senate Office Building,
Washington, DC 20510-2403
A Wallace Conerly, M.D. 1463 Jones Loop Road, Terry,
MS 39170
|
| Congressman Renzi introduced the bill. Senator Lott introduced
a companion bill in the Senate. Dr Conerly assisted Senator Lott. Please
send them a thank you letter and tell them how you support this bill. |
| Membership in the AARC is about 33 % according to Tom
Lamphere, Delegate for the Pennsylvania Society, who chairs the AARC Membership
Committee. Here is the breakdown for other allied health care professions:
Physical Therapy is at 48 % membership (63,000/132,000), Occupational Therapy
is at 41% (40,000/97,000), American Dietetic Association is at 77 % (66,000/86,000)
and Rad techs are at 37 % (103,000/280,000). They did comment on the nursing
profession but did not have conclusive data on their total membership. |
| Tom presented a talk on “Best Practices in Membership
Recruitment and Retention” at the HOD. If you are interested, you can log
on to http://www.aarc.org/aarc_hod/.
Access the PowerPoint presentation under Resource Materials. |
| Currently there are about 112,000 therapists in this
country but only 33 % are members. The big push is to get students to join.
There are about 6000-7500 new graduates in RT per year nationally. The
AARC is encouraging State Societies to approach these grads for continuing
membership. |
| According to AARC, at a national level, many allied health
care professions are providing services to the public and billing for the
services that they provide under Medicare guidelines. This is why it is
so important that HR 964 gets passed. Respiratory care practitioners are
losing revenue for services that RT should be providing to the public. |
| Lastly, I think of why it is important to support AARC.
During the HOD meeting that took place in Orlando, there were widespread
concerns throughout all state societies that a few states in the country
could lose their licensure bills. This almost happened in Illinois, where
their bill almost was sunset. AARC stepped in to lobby for that bill. Their
(AARC) concern was that if just one state’s licensure bill fell into the
category of being “sunset”, then other states would follow. It was unfortunate
for licensure in Illinois, as their bill probably did lose a certain amount
of its foundation. |
|
|
|
|
|
Logo
Contest
|
|
Tom Gable
|
| The Board of Directors has suggested
that we solicit members' entries with a contest for design of a logo for
the Society. The winning designer will have their next membership renewal
paid by the Society. |
| Send your design to me. Mail: 190 E Bannock Street, Boise,
ID 83712, e-mail: gablet@slrmc.org
or FAX a copy to 208-381-3498. The designs will be posted on our website.
The membership will be asked to indicate their favorite. From that input,
the Board of Directors will decide on the winner. |
|
|
|
|
Respironics
Fellowship
|
|
Lonny Ashworth
|
| The American Association for Respiratory Care recently
announced the 2005 recipient of the Respironics Fellowship in Mechanical
Ventilation. This fellowship is designed to foster research projects dealing
with mechanical ventilation, especially outside of the intensive care unit.
Projects can be device development, device evaluation, cost-effectiveness
analysis, or education programs. This fellowship was begun in 1993 with
a grant from Respironics Inc, a major manufacturer of non-invasive ventilator
technology. |
| All Fellows were selected by the American Respiratory
Care Foundation Trustees from researchers having high quality abstracts
accepted for presentation at the AARC 2005 International Respiratory Congress. |
| This year’s co-recipients are all Boise State University,
Department of Respiratory Care students. This is an incredible achievement,
especially when one realizes that the research projects completed by the
students are compared to research projects completed by students and health
care practitioners worldwide. |
The following is a list of the award-winning projects
and authors:
-
Evaluation of 6 and 12-foot circuit lengths on delivered
volume and peak pressure during CPAP/PSV on the LTV 1000. Dan Neifert,
Matthew Seitz, Lonny Ashworth
-
Evaluation of 6 and 12-foot circuit lengths on delivered
volume and pressure during Pressure A/C on the LTV 1000. Dan Neifert,
Matthew Seitz, Lonny Ashworth
-
Evaluation of the changes in tidal volume during Pressure-targeted
assist/control as time constants vary when flow-cycle is activated on the
LTV 1000. Coby Steele, Candy Perry, Lonny Ashworth
-
Evaluation of peak inspiratory pressure during pressure-targeted
assist/control on the Pulmonetics LTV 1000 and Newport HT 50. Ty Barnett,
Alyssa Rowe, Coby Steele, Lonny Ashworth
-
Evaluation of delivered volume during volume-targeted
assist/control on the Pulmonetics LTV 1000 and Newport HT 50. Ty Barnett,
Alyssa Rowe, Coby Steele, Lonny Ashworth
-
The effect of flowrate from an in-line nebulizer on delivered
volume and pressure while using the LTV 1000 ventilating an electronic
lung simulator. Candy Perry, Coby Steele, Lonny Ashworth
|
|
|
|
|
Thank
You for Your Support
|
|
This issue of the Mountain Air is supported financially
by:
|
|
|
|
|
Conference Report
|
 |
|
|
Tom Gable
|
| Outstanding speakers. Outstanding topics. The 2005 ISRC
Annual Conference was a first rate production, thanks to the work of the
organizing committee from St. Luke’s Regional Medical Center in Boise.
The meeting occurred September 8 and 9 at the DoubleTree Riverside Hotel
in Boise. About 110 respiratory therapists, nurses and physicians had the
opportunity for 13 continuing education hours. Twenty four respiratory
equipment and service vendors added to the overall educational experience. |
| The conference was kicked off by St. Luke’s CEO, Ed Dahlberg,
who delineated the role of Respiratory Care in today’s concepts of integrated
health care delivery. He prefaced the discussion with a historical perspective
on recruiting one of the state’s first pulmonologists, David Merrick, in
1970 (I believe Charles Reed in Caldwell and Jim McCabe in Nampa slightly
predated Dr Merrick in Idaho) and the early development of an inhalation
therapy department at St. Luke’s. Present concepts are anchored in the
unit teamwork philosophy, which results in focused and thorough patient
care. |
| Tom Ahrens is a nurse researcher from St. Louis who specializes
in respiratory and critical care. A dynamic, informative speaker, Mr. Ahrens
had everyone’s attention as he detailed “Advanced Pulmonary Assessment”.
Points of emphasis were usefulness of mixed venous oxygen saturation (for
determining shunt) and expanded uses of capnography. I hate to be prejudiced
(but I am), this is the first time a presentation by a nurse impressed
and engrossed me. Mr. Ahrens was back later to talk about managing sepsis,
and again did an admirable job. |
| Mark Siobal was another surprise on the program. Mr.
Siobal is an RCP clinical specialist at San Francisco General Hospital
(affiliated with University of California at San Francisco). He reviewed
ARDSnet protocols in treating acute lung injury, and showed data in other
ventilatory techniques, including proning, intermittent PEEP and high frequency. |
| Some of our local talent rounded out day one with Dr.
Carvalho (VA Medical Center, Boise) talking about identification of patients
with unstable airways in the critical care and diagnostics environments.
Drs. Sutherland and Norris from Idaho Pulmonary Associates in Boise also
spoke. Dr Sutherland gave a fine review of sedation in mechanically ventilated
patients. Dr. Norris presented her original research (done for her pulmonary
fellowship), on the choices of homeless persons in Seattle regarding resuscitation
and life support. Interestingly, Dr. Norris holds a Master of Social Work
degree in addition to her MD. |
| Day two was kicked off by a fine presentation of the
state of the field with respect to state and federal legislation, presented
by AARC’s Director of Government Affairs, Cheryl West. We are finally making
some inroads with government decisions, but there is plenty more to gain,
especially regarding the present bills for homecare reimbursement for RC
services (HR 964) and Medicare coverage of outpatient pulmonary rehabilitation
(S1440). As outlined in Delegate DeVinaspre’s report in this newsletter,
we can attain these goals if everyone communicates their needs and thoughts
to our legislators. Demonstrative support can make the system work for
us. |
| The major focus of Friday’s program was pediatrics. Dr.
Perry Brown of Boise is the director of the state cystic fibrosis program
and gave an excellent review of how medical management has had a significant
impact on the natural history of the disorder. John Salyer, an RCP from
Seattle Children’s Hospital (formerly from Salt Lake City) covered the
evidence for treatment of pediatric bronchiolitis. One of his major points
was the serious overuse of bronchodilators and the resultant medical economic
effect. Mark Siobal presented research from his San Francisco facility
on the use of aerosolized prostaglandins as an alternative to nitric oxide
in primary pulmonary hypertension. The evidence points toward equivalent
efficacy with reduced treatment costs. Dr. Christensen, a Boise pediatric
intensivist, presented an overview of pediatric emergency respiratory care. |
| Dr. Tom Coffman, an infectious disease specialist from
Boise, gave a review of what to expect from this year’s influenza A. He
then laid out the specifics of the possibilities for an avian flu pandemic.
A highlight of Friday’s program was a live teleconference with Dr. Nader
Habashi from Baltimore. Dr. Habashi is a staunch supporter of airway pressure
release ventilation as a treatment option in ARDS. He gave a very lucid
description on the methodology and outcomes with this ventilatory mode.
The technical aspects of the video linkup were outstanding. It was quite
impressive. |
| The overall design and execution of this conference was
memorable. All of the presentations were very clinically relevant to RCPs.
A syllabus with the presenter’s PowerPoint slides was essentially complete.
The room set-up with an exhibitor’s antechamber gave our supporters very
good exposure. The graphic design of the program brochure and syllabus
were striking. Kudos to Randy Evaro, Lynda Erfurth, Brandi Johnson and
their helpers, all from St. Luke’s Respiratory Care department, for their
extraordinary work. |
|
|
|
|
E-Mail
List
|
|
Tom Gable
|
| You can keep up to date on AARC and ISRC political and
organizational happenings. National RC “news” is frequently transmitted
to an e-mail list by our PACT representative, Conrad Colby. A number of
officers and members are already on the list. If you want to keep up with
the “inner workings”, send your e-mail address to Dr Colby at CCOLBY@boisestate.edu.
Our President, Dana Hagestad, also sends occasional e-mail communiqués.
To get added to his officer/member list send your address to dhagestad@sjrmc.org. |
|
|
|
|
Photos
of Conference
|
|
Brandi Johnson, Photographer
|
 |
 |
|
Conference Registration
|
Stu Stephen
|
|
|
 |
 |
|
Dr. Carvalho
|
Dave Shuldes
|
|
|
 |
 |
|
Lecture by Dr. Carvalho
|
Ed Dahlberg
|
|
|
 |
 |
|
Mark Siobal
|
2005 Business Meeting
|
|
|
 |
 |
|
Bruce Delawyer
|
Kevin Joplin
|
|
|
|
|
Staff
Shortages?
|
|
| A lot of Idaho hospitals and equipment
purveyors have openings for RCPs. The Society’s website offers free posting
of job opportunities in the state. Our website is linked to that of the
AARC, which in turn is linked to all the state affiliates. Your organization
can get significant exposure without cost to you. To utilize this service,
send your ad to President Hagestad at dhagestad@sjrmc.org. |
|
|
|
|
Annual
Business Meeting Minutes
|
|
September 8, 2005,
Boise
|
| Members present: Kelly Dwello, Lynda Erfurth,
Dana Hagestad, Chad Rye, Renie Johnson, Tom Gable, Conrad Colby, Rob DeVinaspre,
Mary Kimbrel, Ramona Sailor, Lande Lambert, Randy Evaro, George Pletcher,
Nola Darling, and a few others. |
| Dana called the meeting to order. |
| The minutes of the previous meeting were approved. |
| Treasurer's Report: $11,000 in checking account,
$13,000 in CD’s. Motion passed for the ISRC to provide a $350.00 grant
as a door prize. The grant will help provide funds for the AARC member/winner
to attend the International Congress. The winner was a student at the conference
and Dana explained the terms that the grant is non-transferable. Congratulations!! |
| PACT: Conrad reported there is no new news. Next PACT
meeting February 6, 2006. |
| Committee Reports: |
-
Membership: Need more recruits. Such as students, former
members, co-workers.
-
Delegates: Rob/Renie handed out copies from HOD report from
summer meeting. She reported on which resolutions passed and failed. For
specifics you can contact Rob or Renie.
-
Newsletter: Tom will include highlights of this year’s conference!!
Information on the ISRC logo/letterhead contest.
Conference update: Discussed where to hold next year’s
conference. Will await results from this year’s participant’s evaluation
forms and discuss further. Results will be taken into consideration before
a final decision.
|
| Old Business: |
-
Bylaws: No change or new business.
-
Coalition for a Healthy Idaho: Conrad reported on the last
executive board meeting and gave an update on current activities.
-
Phone tree/email: Discussed ways to try and compile a statewide
list to recruit members via email without spam. Also using the newsletter/ISRC
website to get information from people.
|
| New Business: |
-
· Expense reimbursement for Officers and Board members:
If you have travel expenses for the 2005 ISRC state conference, please
get your receipts to Dana.
-
Elections: Tom Gable, chair of Election Committee, announced
177 ballots were distributed to the Active and Life members of the Society.
Returned were 35 valid ballots by the deadline of September 2, 2005. The
Results:
|
Office
|
Candidate
|
Total Votes
|
| President Elect |
Michele Andrew |
35
|
| Treasurer |
Carrie Massey |
35
|
| Director at Large |
Greg Pilcher |
33
|
| Delegate |
Carla Edmison |
20
|
The new members will take office January 1, 2006. Congratulations to all
of you!!!
-
AARC Disaster Fund: The ISRC has donated $1000.00 since May.
The board discussed encouraging AARC members to donate money through the
AARC website for Hurricane Katrina relief fund.
-
Respiratory Care Week: Discussed ideas. It’s coming up in
October, so get involved and get excited!
-
Official ISRC logo/letterhead: The ISRC Board is having a
graphic design contest for an official ISRC logo/letterhead. We will include
the current mountain ISRC drawing as an entry and continue to collect new
entries. We discussed having a vote/ballot on the website for the favorite
logo. We will run more details in the upcoming newsletter. Prize for the
winner will include a one year paid AARC membership!! So be creative and
have fun!!! Good Luck!
-
Upcoming meetings: HOD Dec 1-2, San Antonio,
TX
AARC International Congress Dec 3-6, San Antonio
ISRC Board Meeting Nov 11, Twin Falls
|
| The meeting was adjourned |
Respectfully submitted,
Mary Kimbrel, RRT, AE-C
ISRC Secretary |
|
|
|
ISRC
Board Meeting
7:00 p.m.
November 11, 2005
Tomato's Italian Grill
Twin Falls
|
|
Contact Dana
Hagestad for more information at dhagestad@sjrmc.org
|
|
|
2005
ISRC Board of Directors
|
Dana Hagestad (Lewiston), President
Chad Rye (Lewiston), President elect
Nolan Bybee (Rexburg), Past President
Lynda Erfurth (Boise), Vice President
Mary Kimbrel (Meridian), Secretary |
|
Renie Johnson (Ontario, OR), Delegate
Rob DeVinaspre (Boise), Delegate
Kelly Dwello (Boise), Director at Large
Lande Lambert (Twin Falls), Director at Large
Dr. Nirmal Charan (Boise), Medical Director |
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.
|
