child ren with asthma atta cks - ISRC · St o ry uce:...

THE RESPIRATORY TRACT

SEPTEMBER / OCTOBER 2016 VOL. 36 ISSUE 91

isrc.org

CONTENTS: Children with Asthma | President’s Desk | Springfield Report | AARC Congress 2016

The results of a study conducted by Dr. Francine Ducharme, Professor in the Departments ofPediatrics and Social and Preventive Medicine at the University of Montreal, published inthe medical journal The Lancet Respiratory Medicine, confirm that respiratory viral detection,

not child’s age, explains the high rate of hospitalization for asthma attacks in children under six.continued on page 2

childrenwithasthmaattacks

Study Results

Children with asthma attacks triggered by coldsless responsive to standard treatment

2 THE RESPIRATORY TRACT isrc.org September/October 2016


Official Publication ofthe ISRC Published by the

Illinois Society for Respiratory Care

Affiliate of theAMERICAN ASSOCIATIONFOR RESPIRATORY CARE

Publication DesignStreamline Communications Corp.Tom Badagliacco [email protected]

FOR MORE INFORMATIONPLEASE VISIT

isrc.org

COMMITTEE CO-CHAIRCraig Leonard

[email protected]

MEDICAL ADVISORSDavid West MDLisa Wolfe MDCarl Kaplan MD

THE RESPIRATORY TRACTPublished bimonthly. The closingdate for the editorial and advertisementprinted material is the tenth day of theeven number months.

The Respiratory Tract will accept allmanuscripts for review. Once published,the article becomes the property ofISRC and may not be published else-where without the permission of bothauthor and editor. Opinions expressedby authors are not necessarily thoseof ISRC. The editor reserves the rightto edit for clarity and space.

CIRCULATIONAll members of the ISRC receivethe TRACT. It is also circulated toRC department directors in Illinois.Annual subscriptions are $20. Changeof address notices should be sent to:ISRC OfficeP.O. Box 10261Springfield, IL 62791Include name changes as well as bothold and new addresses.

THERESPIRATORYTRACT isrc.org

The management of asthma attacks in preschoolershas been the subject of much recent debate. Theresults of a study published in 2009 had shaken thepediatric world. The study reported that preschoolchildren with viral-triggered flare-ups did not

respond to standard treatment and, suggesting that this was due to their youngage. Such finding was particularly worrisome as the majority of asthma-relatedemergency room visits and hospitalizations involve preschool children.

However, the results of Dr. Ducharme and her team show that age does not comeinto play. Independently of attack severity and symptoms between attacks, it israther the presence of respiratory viral infection or fever triggering the attack that ismore often associated with treatment failure, i.e., higher hospitalization rates, morereturns to the emergency room, and reduced speed of recovery over the 10 days afterdischarge. Viral detection occurred more frequently in preschoolers (67%) than inolder children (46%) with asthma. Still, the results confirm the overall effectivenessof standard treatment, when adjusted to the severity of the attack assessed by thePRAM score and administered early, in the vast majority of children, regardless ofage and viral detection.

“With the new school upon us and September being the busiest month of the yearfor emergency room visits for asthma attacks, the good news for parents is thatstandard treatment works well for the majority of children, regardless of theirage,” said Dr. Ducharme, who is also Director of Clinical Research and KnowledgeTranslation at the Research Institute and Director of the Asthma Clinic of theSainte-Justine University Health Centre.

The results of the study now open the door for exploring the best ways to preventasthma attacks caused by viral infection in young children with asthma.

children withasthma attackscontinued from page 1

Story Source:The above post is reprinted from materials provided by University of Montreal. Note: Content maybe edited for style and length.

Journal Reference:Francine M Ducharme, Roger Zemek, Bhupendrasinh F Chauhan, Jocelyn Gravel, Dominic Chalut,Naveen Poonai, Marie-Claude Guertin, Caroline Quach, Lucie Blondeau, Sophie Laberge. Factorsassociated with failure of emergency department management in children with acute moderate orsevere asthma: a prospective, multicentre, cohort study. The Lancet Respiratory Medicine, 2016; DOI:10.1016/S2213-2600(16)30160-6

https://www.sciencedaily.com/releases/2016/08/160830130832.htm


THE PRESIDENT’S DESK

Brian Lawlor, MS, RRT, RCP

Brian Lawlor MS, RRT, RCP

ISRC President

Ihope that everyone’s summer went well and that you took time off

from your job. I thought that this article could serve as a reminder

for the “Do’s and Don’t’s” of your state license. I have noted some

inquiry’s coming thru the ISRC web site in particular.

For example, there was an inquiry regarding thelicensing of students:First of all, the Act states that no one can practice respiratorycare unless they are licensed to do so, with specific exemptionsfound in Section 15 of the Act. Exemption (c) covers studentswho are performing the clinical portion of their education.Exemption (k) allows a student to be employed by a hospitalto provide respiratory care services under the direction of otherauthorized personnel. These two exemptions cover studentswhile they are still enrolled in a respiratory care program. If thestudent drop out of the program or fails to pass the programthey can no longer work under these exemptions. Once thestudent graduates they are no longer students and these exemp-tions do not apply to them. If they have graduated from arespiratory program, and if they have applied for their Illinoislicense, they can practice respiratory care for up to 6 monthswhile they are preparing to take the exam or waiting for theirlicense once they have taken the exam (Section 50 (c) ofthe Act). If they either fail the exam or fail to take it within 6months from graduation they must stop work immediately.In summary, students are not issue a “student license”.

They can work in a hospital with in specific circumstances asdescribed above. If they are a student employee of the hospitalthey cannot refer to themselves as a respiratory care practitioneror use the initials “RCP”. If they are students performingtheir clinical training their name tag must clearly identify theirstudent status.Another inquiry was about a therapist that let her license

lapse because she took up another line of work. Well thatdid not work out and she wanted to know the process toreinstate her licensed. Here are the guidelines out of theIDFPR’s Administrative Code:Any respiratory care practitioner whose license has expired

or has been placed on inactive status for 5 years or lessmayhave the license restored by paying the fees required by Section

1456.75. Individuals restoring a license after April 30, 2001will be required to submit proof of 24 hours of continuingeducation as set forth in.Any person seeking restoration of a license that has been

expired or placed on inactive status formore than 5 yearsshall file an application, on forms supplied by the Division, forreview by the Board, together with the fee required by Section1456.75. Individuals restoring a license after April 30, 2001will be required to submit proof of 24 hours of continuingeducation as set forth in Section 1456.110 of this Part. Theapplicant also shall submit:

1) Sworn evidence of active practice in another jurisdiction.Such evidence shall include a statement from an appropriateboard or licensing authority in the other jurisdiction thatthe licensee was authorized to practice; or

2) An affidavit attesting to military service as provided inSection 65(d) of the Act; or

3) Proof of passage of a respiratory care examination set forthin Section 1456.50 of this Part during the period theregistration was lapsed or on inactive status.Which meansthat you have to take the CRT exam or the one issuedby the state and pass it for reinstatement.

Therefore, my advice is not to let your license lapse.One of the big “Do’s” is when you have a change of homeaddress, email address, or telephone number you need to go tothe IDFPR’s web site to notify them of the change. The IDFPRhas gone paperless therefor they need a current email addressto send out renewal notifications.If you have a name change due to marriage or divorce, the

IDFPR needs to be notified in writing. You can obtain the neces-sary paperwork on their web site and there are no fees involved.Finally, please check the ISRC web site http://www.isrc.org/,

for the latest educational offerings.

Welcome Readers

State License: Don’t let it lapse


At Rush University Medical Center in Chicago, Illinois, you won’t just find a career – you’ll discover

an exclusive experience that gives you an opportunity to learn more, grow more and become more.

Deeply rooted in education, our culture provides our employees with the tools they need to shape our

medical center, as well as the future of health care everywhere. As part of our team, you’ll discover why

our unique combination of research and patient care has earned us national ranking by U.S. News &

World Report and by The Leapfrog Group as a Top Hospital for the fourth consecutive year.

Registered Respiratory Therapists, Adult and Pediatric Sections

This is an excellent opportunity to join the Department of Respiratory Care Services at RUMC. We’re

looking for skilled respiratory professionals to carry out therapeutic and diagnostic procedures on

the general care floors and special care units. Applying your expertise in either the Adult Section or

Pediatric Section, you will strive to maintain or improve patient cardiopulmonary status through the

application and administration of medications, gases, devices and procedures.

A dedicated professional, you hold a minimum of an associate’s degree in respiratory care, although

a bachelor’s degree is preferred. This position requires an Illinois Respiratory Care Practitioner license

as well as Registered Respiratory Therapist certification. Basic Life Support (BLS) Healthcare Provider

certification will be required within four weeks of hire; Advanced Cardiac Life Support (ACLS) is

preferred. The successful applicant will also be expected to pass departmental competencies in adult

critical care and/or neonatal/pediatric care.

For further details and to apply, please visit http://bit.ly/jobsatrush and search for Job Number

2016-0850. Interested candidates can also email their resume directly for immediate consideration in

lieu of their official application to the following email address [email protected]

A number of shifts are available in both the Pediatric and Adult Sections.

Rush University Medical Center is an Equal Opportunity Employer that welcomes and encourages all applicants to apply

regardless of age, race, sex, religion, color, national origin, disability, veteran status, sexual orientation, gender identity

and/or expression, marital or parental status, ancestry, citizenship status, pregnancy or other reason prohibited by law.

House Bill 6333, sponsored by Rep. Robyn Gabel and

Sen. David Koehler requires that each school district,

public school, charter school, or nonpublic school

annually request an asthma action plan from the parents or

guardians of a pupil with asthma. It also requires the State

Board of Education, in consultation with statewide profes-

sional organizations with expertise in asthma management,

to develop a model asthma episode emergency response

protocol before September 1, 2016, and requires each school

district, charter school, and nonpublic school to adopt

an asthma episode emergency response protocol before

January 1, 2017. Locally adopted plans must include all

of the components of the State Board’s model protocol.

After months of discussion and persistence by the spon-

sors, House Bill 6333 received near unanimous approval

by both the House and Senate. It is expected that it will be

signed into law by the Governor.

“Stopgap Budget” Not PrettySince the enactment of the “stopgap budget” a month ago

there has been quite a bit of rhetoric seeking to justify the

actions of the Governor and General Assembly in passing

a six-month budget that will come to a screeching halt on

January 1, six months before the end of the fiscal year and

with no foreseeable plan to balance it once the deadline

arrives. Both sides agree that the “stopgap budget” is out

of balance. But no one is offering any solutions as to what

a final plan, with new revenues, might look like, especially

with elections just a few months away.

How “out of balance” is the “stopgap budget”? The

Commission on Government Forecasting and Accountability

(COGFA) released a study recently and the results are

not pretty.

According to COGFA, spending for FY 2017 with the

“stopgap budget” amounts to $36.6 billion. However, the

“stopgap budget” did not provide funding for state group

insurance costs ($1.8 billion) and also anticipated additional

expenditures for higher education and other state programs

and grants to achieve FY 2015 levels ($1.1 billion). Adding

those to the sum would bring the grand total of anticipated

expenditure in FY 2017 a smidgen over $39.5 billion.

Since COGFA’s revenue estimate for FY 2017 is $31.8 billion

it leaves the projected deficit at a whopping $7.7 billion.

If you figure that the lost annual revenue from the now

sunset temporary income tax was in the neighborhood of

$3.8 billion there’s going to be a lot of gnashing of teeth

when January rolls around.

The curiosity or irony in all of this is that there was

bipartisan legislative support and gubernatorial support for

a “stopgap budget” that was over $700 million higher than

the late May House passed budget that practically the Senate

and Governor went apoplectic over and defeated.

A review of legislative actions on June 30 shows that

Senate Bill 2047, the FY 2016 budget and FY 2017 “stopgap

budget” was approved in the House by a vote of 105-4-1

and in the Senate by a vote of 54-0-0. The Governor signed

it into law that night. As mentioned, the projected deficit

in that bill was $7.7 billion ... and not a whimper. As Dinah

Washington once sang, “What A Difference A Day Makes.”

Or in this case a month.

SPRINGFIELD REPORTBy Terry Steczo,Government Strategy Associates


Asthma Action Plan Bill Goes To Governor



THE INSIDE TRACT

Some of Our Favorite Full Moon Comics by Jim Allen throughout the Years!

January/February 2016March/April 2014 May/June 2015

News & Upcoming Events

Visit aarc.org and isrc. org for the latest information on upcoming events and educational offerings.

SAVE THE DATE: ISRC 49th Annual Conference & Exhibition:May 31, through June 2, 2017 at the Drury Lane Conference Center in Oakbrook Terrace, IL.

St. Augustine College, Chicago Spring 2016 semester graduates with faculty and staff

(from left to right) Joseph Roy, ISRC President- Brian Lawlor, ISRC House

of Delegates Winner - Heidy Vargas, Sandi Cooksey, Midge Simms

CONGRATULATIONS TO:David Vines, MHS, RRT, FAARCwho is to be awarded 2 notableprofessional honors:

2016 Education Section Practitioner ofthe Year AND Fellowship in the AmericanCollege of Chest Physicians (FCCP)

David serves as the Associate Professor, Chair andProgram Director for Respiratory Care at RUSH University

ISRC BOARD OF DIRECTORS MEETING:

3rd Quarterly Meeting on October 1, 2016Sarah Bush Lincoln Hospital, Mattoon IL

All ISRC members are welcome to attendthe board meetings



As the world of health care delivery changes all around us, we toomust look for new ways to add meaningful benefit to our patients.

From disease educators and case managers to clinical consultantsand physician extenders, your attendance could not be more

important to the future of our profession. And it starts right here,right now, at AARC Congress 2016.

https://www.aarc.org/aarc-meetings/congress-2016/

October 15–18, 2016 San Antonio, Texas

3.5 days of networking andeducational opportunities

210+ sessions, 120+ speakers,300+ research project

Over 200 exhibitors and8 hours of exhibition time

20+ CRCE credits to maintainyour state license



SAVE THE DATEMay 31, - June 2, 2017

THE ISRC WILLHOLD ITS49th ANNUALCONFERENCEDrury Lane Conference CenterOakbrook Terrace, Illinois

You have avoice... let’s hear it!

Would you, (or someone you know)like to present a lecture at the2017 ISRC 49th Annual Conferenceand Exhibition?We are now accepting proposals for dynamicpresenters to speak at the conference. Conferencedates: May 31, - June 2, 2017 at the Drury LaneConference Center, Oakbrook Terrace, Illinois.

Submit your request to present byFebruary 1, 2017 by using the link below:http://isrc.coffeecup.com/forms/ConferenceSpeaker/

Let others hear what you have to say

GREATOPPORTUNITY!

For more information contact Craig Leonard: [email protected]

Nov/Dec 2016 Issue: Submit by October 8, 2016Jan/Feb 2017 Issue: Submit by December 8, 2016Mar/Apr 2017 Issue: Submit by February 8, 2017

Please Submit News and Advertisements25 Days Prior to Publication

TRACT MATERIALSUBMISSION DATES

GET ONTHE INSIDE

TRACT

WELCOME NEW AARC MEMBERS

VISIT ISRC.ORG FOR AARC MEMBERSHIP AT REDUCED RATES!

JUNE 2016Maude SosaDarshika PatelFlinn ThomasDanielle HodgkissStephanie SaboSharell MixonDeborah ThomasSusan MullensLeighanne KennedyRana AburumanByron MunsonJoseph Dvorak

Kristy HenrichsJackie PriestBrett Genenbacher

JULY 2016Nehal AcharyaJulie AryIgbinuwen AsamaSeena JoseCandice LovettChristina MartinezPaisal MasterSandra Olevsky

Mark SabasAmanda SebeschakLou Ann VeldaJamal WilliamsBailey SchnirringJennifer MannleKatherine BeairdReginald WashingtonLee AndersenSyed AliDanilo TumalaZacharia AbrahamChristy Swartout

child ren with asthma atta cks - ISRC · St o ry uce:...

Documents

Transcript of child ren with asthma atta cks - ISRC · St o ry uce:...