American Association for Respiratory Care's

January - February - March 2004

Editor
George Gaebler, MS Ed, RRT, FAARC
Dept. of Respiratory Care, Rm. 516
University Hospital
750 E. Adams St.
Syracuse, NY 13210
(315) 464-4490
FAX (315) 464-4497
gaeblerg@upstate.edu

Chair
Melinda Gaylor-Childress, MEd, RRT
Director Training and Accreditation
Advanced Lifeline Services Inc.
0503 Timberwood Circle Suite 215
Louisville, KY 40223
(502) 426-1958, ext. 122
FAX (502) 426-2337
melinda.g@alsvents.com

 

In This Issue...

Notes from the Chair Melinda Gaylor-Childress, MEd, RRT
Specialty Practitioner of the Year: Terry Toussant, RRT
Melinda Gaylor-Childress Re-Elected to Chair-Elect Position
MDS Minutes: How They're Counted and Who Can Count Them Melinda Gaylor-Childress, MEd, RRT
News from the National Lung Health Education Program Gretchen Lawrence, RRT
Section Connection
 
 
 
 

AARC Education Section Bulletin

Notes from the Chair

I am pleased to announce that our section name has been changed from "Subacute Care" to "Long Term Care." The change was approved by the AARC Board of Directors during the AARC International Respiratory Congress in December. Our new section name will increase our recognition and coincide with current federal and state regulation language. I hope to see an increase in membership as well, since some therapists did not identify with the term "subacute care."

I am also pleased to announce the 2004 Long-Term Care (LTC) Section committee volunteers:

  • Nomination Committee – Terry Volsko and Melinda Childress
  • Publication Committee – George Gaebler (Bulletin Editor), Terry Volsko, Melinda Childress
  • Section Program Committee – Victor Soto and John Booth
  • Recognition Committee – Tom Castle

As you may already know, the AARC is no longer publishing printed Bulletins for any of the Specialty Sections. Therefore, to receive your quarterly section Bulletin you must go to the section homepage at http://www.aarc.org/sections/longtermcare_section/longtermcare.asp. To receive our monthly E-Newsletters, which feature up-to-the-minute news and information about the long-term care arena, you must have a valid e-mail address on file with the AARC. With an e-mail address on file, you'll also receive a notice when the next Bulletin is posted on the web site. To enhance communication and get the most out of your section membership, please update your AARC profile on the AARC web site to include your e-mail address: http://services.aarc.org/source/security/member-logon.cfm?section=home. You'll also want to make sure you have subscribed to the Section E-Mail List. This service is available at no extra cost to all section members and provides a great way to network with your fellow long term care practitioners around the country.
Changes are also coming to the section web site, so check back often to see all the new features we'll be adding during 2004.

I look forward to our continued growth and success, which cannot happen without your participation. So, get involved, and get your colleagues in long term respiratory care to join our section, too.

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AARC Education Section Bulletin

Specialty Practitioner of the Year:
Terry Toussant, RRT

Terry Toussant, RRT, a respiratory therapist at Advanced Health Systems, has been honored as the AARC's 2003 Subacute Care Section (now Long Term Care Section) Specialty Practitioner of the Year.

The award, which was presented at the 49th International Respiratory Congress in Las Vegas, NV, is bestowed annually on a section member who best exemplifies qualities and characteristics of excellence in caring for respiratory patients requiring care over the long-term.

As a staff therapist at Advanced Health, Terry is responsible for caring for patients with a wide range of breathing problems. The respiratory therapist's top goals on the job are "being able to communicate well with other staff and family members of patients, as well as making patients feel at ease when I am with them."

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AARC Education Section Bulletin

Melinda Gaylor-Childress Re-Elected LTC Chair-Elect

Our current section chair, Melinda Gaylor-Childress, BSEd, RRT, director of training and education at Advanced Lifeline Services, Inc., in Louisville, KY, will continue to serve in that capacity for the next several years. Melinda was re-elected to the chair-elect position during the AARC elections last fall, and thus will succeed herself as chair in 2005.

Melinda believes the biggest challenge facing our profession today is "the availability of therapists," and sees recruitment as a top goal for the AARC over the next three years. You can read more about her thoughts on this and other issues at: http://www.aarc.org/member_services/election/gaylor.asp.

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AARC Education Section Bulletin

MDS Minutes: How They're Counted and Who Can Count Them

by Melinda Gaylor-Childress, MEd, RRT

In the last issue of the Bulletin, we discussed the Minimum Data Set (MDS) and Section P. I would like to take this opportunity to discuss how minutes are counted, who can count minutes, and provide a sample form based on MDS version 2.0 guidelines that you can modify and use in your skilled nursing facility.

First, the minutes of therapy can include setup time as time under the therapist's or therapy assistant's direct supervision. Whether the time spent evaluating the patient is counted depends on whether it is an initial evaluation or an evaluation performed after the course of therapies has begun. The time it takes to perform an initial evaluation and develop the treatment goals and the plan of care for the patient cannot be counted as minutes of therapy received by the patient. However, re-evaluations that are performed once a therapy regimen is underway (such as evaluating goal achievement as part of the therapy session) may be counted as minutes of therapy received. Basically, only the time spent with the resident can be counted.

In addition, all therapy services must meet each of the following criteria in order to be coded on the MDS as therapy:

  • A physician must order the service.
  • The therapy intervention must be based on a qualified therapist's evaluation and plan of care, as documented in the resident's record.
  • An appropriate licensed or certified individual must provide or directly supervise the therapeutic service and coordinate the intervention with nursing services.

According to information included in the Resident Assessment Instrument (RAI) and outlined in the MDS 2.0 answer guide, a trained and qualified professional can provide respiratory therapy services. Therefore, if nursing is providing any type of respiratory therapy in your skilled nursing facility, then nursing should also be recording minutes of therapy delivered on Section P of the MDS.

This sample form for minutes of therapy delivered can be used to collect respiratory therapy minutes by whoever provides the respiratory therapy services in your facility. This is only a sample, but it can be modified for your needs. I hope you find the form useful. If you have questions, do not hesitate to contact me at melinda.g@alsvents.com.

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AARC Education Section Bulletin

News from the National Lung Health
Education Program

by Gretchen Lawrence, RRT, NLHEP liaison to the AARC

If you read your October issue of AARC Times (or attended the AARC International Respiratory Congress in December), you know that Dr. Tom Petty, co-chair of the National Lung Health Education Program (NLHEP), received the 2003 Jimmy A. Young Medal - the highest honor in our profession! That's the good news. The bad news is that Dr. Petty is stepping down from his role at NLHEP. However, the organization will continue to grow under the able leadership of Dr. Dennis Doherty, who has co-chaired NLHEP with Dr. Petty for the past three years. Dr. Petty will also remain in the picture as chair emeritus.

The NLHEP also continues to provide excellent resources for RTs. Many are available only by download from the web site. But there are four booklets in print — and AARC members can order up to 200 of any or all of these at no cost from the NLHEP. Go to the web site for more information on how to order. Here are the titles, with the latest booklet listed first:

  • “Simple Office Spirometry for the Primary Care Physician,” by Dr. Tom Petty and Dr. Paul Enright. This booklet is designed for you to share with PCPs who are interestrd in providing simple spirometry in their offices.
  • “Save Your Breath America,” by Drs. Petty and Doherty. This booklet is for patients, so share it with COPD patients in the hospital, pulmonary rehab, and patient support groups.
  • “Prevent Emphysema Now,” by Drs. Petty and Doherty. This booklet is for professionals, so share it with your fellow RTs, physicians, and others on your interdisciplinary team, like PT, OT, and social work.
  • “Early Recognition and Management of Chronic Obstructive Pulmonary Disease,” by Drs. Doherty and Petty, and Dr. Jim Seabass. This is another booklet for professionals that expands on information provided in “Prevent Emphysema Now.”

Be sure to check the NLHEP web site for a complete listing of all educational materials, including those available from other sources.

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AARC Education Section Bulletin

Section Connection

Specialty Practitioner of the Year: Submit your 2004 nominations online.

Recruit a New Member: Know an AARC member who could benefit from section membership? Direct them to: https://secure.aarc.org/sections/ — It's the easiest way to add section membership to their overall membership package.

Section E-Mail List: Start networking with your colleagues via the section E-Mail List, and follow the directions to sign up.

Bulletin Deadlines: Winter Issue: December 10; Spring Issue: March 10; Summer Issue: June 10; Fall Issue: September 10.

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