PCCS is a team of pulmonary specialists that can provide on site technical training for your respiratory staff in a variety of ways. If your desire is to improve patient outcomes, decrease facility costs, and increase job satisfaction with less staff turn over, then we would like to assist you in this endeavor. Once you have identified resource staff "champions" for our train the trainer approach they will receive one day at a lab in Springfield, Missouri with our advanced level instructors covering noninvasive and invasive ventilator clinical management strategies including: pressure control with lung protective strategies, graphics monitoring, lung recruitment maneuvers, heliox therapy, weaning with SBT’s and interventions to decrease VAP. A physician champion(s)at your facility is also essential for success. Dr James Coulter pulmonologist will work with your physicians. Two of our Clinical instructors will then come to your facility and work with your champions in the ICU setting for one day. After meeting necessary HIPPA guidelines for your facility they can shadow your staff and observe current practice. Then with ongoing mini-lab sessions during the day they will be able to give guidance on lung protective strategies in the pressure control mode, graphics monitoring, CXR-points to consider, recruitment manuevers, ABG interpretation as applied to ventilator management, SBT weaning, and the importance of utilizing ventilator bundles. NPPV will also be reviewed with emphasis on hypoxemic versus hypercapnic failure strategies.

Aaron Light BSRT, RRT explains graphic monitoring.

NPPV
The effectiveness of Non-Invasive Positive Pressure Ventilation (NPPV) is now a well recognized standard of care by the medical community. Many positive patient outcomes can be achieved when an effective non-invasive “Early Intervention” program is instituted. However, realizing the need for such a program and actually implementing it can feel overwhelming. If you are one of many hospital administrators or department managers who have a desire to move your department forward with NPPV but aren’t quite sure where or how to start, then we feel we can be of service to you, your organization, and your patients. We can help you get from point A to point B in a much shorter time frame than could be expected without experienced guidance. We have been continually learning and refining the process and would like to help you avoid many of the pitfalls we went through on our road to developing a successful NPPV program.

Doug Pursley M.Ed, RRT demonstrates a lung recruitment maneuver.

IPPV
Invasive ventilation has become a multifaceted modality of advanced life support. It requires technical and practical training by highly skilled clinicians to become proficient. Our experience has been obtained from advanced and proven clinical program development. Our instructors have extensive expertise in all modes of current cutting edge invasive ventilation strategies to include PC Ventilation, Graphics Monitoring, Lung Recruitment Maneuvers, APRV, HFOV, and Heliox. Ventilator bundles are a grouping of best practices with respect to a disease process that individually improve patient care, but when applied together result in substantially greater improvement. The science behind bundles is well established and should be considered a standard of care. We are able to offer your staff the knowledge and skills required to optimize your facilities quantified rates for LOS, VAP, and Mortality.