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 a nursing and respiratory champion, they will come to Springfield Missouri for 5 days of intensive training in local intensive care units with PCCS instructors. They will receive indepth instruction in the latest ventilator management strategies including pressure control with lung protective strategies, 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. There will be critical care training sessions for all other staff as well, provided at your facility. We will provide 24 hour on call technical support for your staff for an agreed period of time after project completion. Various program options are discussed in more detail in the following sections.

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.

Additional Program Packages
Rapid Response Teams (RRT): We are extremely pleased to be able to provide a quick start assistance program for Rapid Response Teams. We have contracted respiratory and nursing clinicians that have served on RRT steering committees, one of which has worked with a nationally recognized and mentoring Rapid Response program. They will work with your committee by email and phone conference prior to a full day on site training session (train the trainers). At this point you will be ready to provide necessary training to the other involved staff moving much more quickly to a “go live” date. We will work with your staff to make sure that your program is up and running quickly and effectively.

Therapist Driven Protocols: Over the course of the 1990’s the clinical and financial achievements of respiratory care-driven assess and treat (A&T) protocols forever changed the concepts by which respiratory therapies would be administered. The evolving art and science of respiratory protocols are now positively influencing such specialty care settings as the emergency department, intensive care unit, recovery room, and the trauma units.

Therapist driven protocols are specifically designed for implementation by respiratory care practitioners (RCPs) to achieve improvements in patient outcomes, reduce unnecessary medical care costs, and to unburden physicians from tasks that could be performed by RCPs. The use of such protocols represents an effective strategy for standardizing medical practices within medical institutions. The potential benefits associated with such standardization of medical practices include improvements in patient outcomes, reducing medical care costs, enabling the identification of clinical practices requiring change or improvement, improving the quality of nonblinded clinical research, and establishing a foundation for the performance of quality improvement efforts. Standardized medical practices and protocols achieve such benefits primarily by helping to create less variable medical environments. This occurs by decreasing errors in clinical management, improving the effectiveness of available treatments, increasing the accountability of medical providers, and providing a reference of measure to assess practices that deviate from the accepted standard.

We can provide A&T protocols for various levels of patient care to include general floor therapy, trauma, and post operative patients. The advantages we offer with guidance from experienced and qualified clinicians will enhance your patient care and save your facility time and money! Each program consultation is available individually or bundled to suit your facilities needs.

Patient Safety and Financial Analysis
The challenge of today’s healthcare providers goes far beyond providing high quality, innovative patient care.  It requires effectively managing operational costs, properly capturing revenue, timely and accurate coding services, and achieving compliance with all state and federal laws.  The environment is complex and always changing.  Since a healthcare provider’s first priority is to provide high-quality patient care, even the best managed organizations know there are opportunities to improve aspects of the business operation.

What do we bring to the table?
Through a comprehensive consulting package we can provide:

1. Initial introductory power point presentations for staff and physicians. Dr. James Coulter, MD, a Pulmonologist with over 30 years of critical care ventilation experience, will be able to help engage your physicians in the implementation process. Early physician buy-in is essential for program success.
2. Jack Edge RRT, will provide non invasive training.
3. Invasive training will be provided by our advanced level contracted associates.
4. We will assist you in identifying and ordering the necessary start up equipment from vendors of your choice as well as staff friendly access ideas for this equipment.
5. Work one on one with a nursing and respiratory “Champion(s)” who will take ownership and responsibility for program success.
6. Full day group training seminars including hands on labs for other staff at your facility.
7. Work with the education department to make Continuing Education Unitsavailable with staff training.
8. Work with the individual desires and needs of your department to help develop Invasive and or Non Invasive protocols.
9. Provide templates for therapist driven assess and treat protocols and work with your committee to provide training for staff on patient assessment.
10. Be available for follow up consultation after leaving your facility