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Respiratory Care Expert Witness

Keywords

Respiratory Care, Neurodiagnostic, Respiratory, Pulmonary Rehabilitation, Brochoscopies, Non Invasive Ventilation, Bronchiodiator, Bronchial Drainage Procedure, CPR, SCLS, PALS, PFT, EEG, EKG, ABG, Respiratory Ailment, Electroencephalography,

Rhode Island

Expert Witness No.2812

Rhode Island

Experience

June 2007- Present A hospital located in Worcester, MA

Director of Respiratory & Neurodiagnostic Services
Hospital is a licensed 350 bed facility, Level II Nursery, Level II Trauma.
Responsibilities include: Director of: Respiratory Care Department,     Pulmonary Function Lab,  Pulmonary Rehabilitation, Bronchoscopies, EEG’s, and a six bed Sleep Lab. Managing 33.8 FTE’s including five Supervisors, a Secretary and a Registered Nurse. Other duties include: prepare budgets, payroll, hiring, discipline, training, QA, capital requests/purchases, Joint Commission and Department of Health visits, implementing  protocols, policies, procedures, monthly department meetings, review payroll, scheduling, adjust staffing levels in accordance with census and other managerial responsibilities. Committees; Pulmonary PI, Pulmonary Care Unit PI, Critical Care PI, Code Blue, Rapid Response, Woman’s Health Center (nursery/delivery), Pneumonia, Patient Satisfaction, Patient Education. Provide respiratory in services every two weeks to new RN’s, provide inservice on non invasive ventilation to nursing staff for yearly competencies, teach CPR, ACLS, PALS, and NRP throughout hospital. Accomplishments include increased moral, implemented bronchodilator protocol, implemented bronchial drainage protocol, revised and added one hundred respiratory policies and procedures,  provided monthly CEU lectures to department, adjusted department’s RVU’s in accordance with latest AARC guidelines, brought staffing levels up to par, worked with local college to provide a clinical site for all semesters, provide presentations to various departments, received numerous ACE awards for displaying acts beyond the call of duty,

2003- 2007 Landmark Medical Center- Woonsocket RI

Supervisor of Respiratory Care
Responsible for scheduling, performing PFT’s, EEG’s, EKG’s, ABG’s, Ventilator Care, ICU rounds, partake in daily assignment. Ventilators include PB 7200, Bird T-Bird, Vision Bipap, and Respironics STD-30.Other duties include meetings with director, teaching CPR and ACLS classes, preparing staff on Joint Commission and Health Department visits. Clinical Instructor for respiratory students. Manage daily operations within the department.

                                   
1997- 2003  The Westerly Hospital -Westerly, RI.

Director of Cardio-Respiratory Care
Duties include: Managing Respiratory/EKG Department, hiring, disciplining, scheduling, payroll,
performing annual reviews, developing policies/procedures, preparing for Joint Commission, and
Health Department, budget development, capital purchases, QA/QI, initiated intubation program,
teach various ACLS, PALS, CPR, and NRP classes to hospital staff, developed Therapy Driven
Protocols, perform Pulmonary Function Testing, and initiated Pulmonary Rehabilitation Program.

April 2001- June 2003 Kent Hospital- Warwick, RI

Registered Respiratory Therapist (per diem)

Duties include: Critical/Acute Care. Responsible for routine respiratory care along with ABG, non
invasive ventilation, continuous nebulization, ventilator management, transports, heli-ox,
Code/Trauma Response Team. 

1995-1997 Memorial Hospital of Rhode Island - Pawtucket, R.I.

Supervisor/Clinical Coordinator
Duties included: Daily Management of staff therapists, preparing assignments, interact with ancillary departments, Doctors, and Nurses, performed sleep studies, set up ventilators for V/Q scans, liaison for Pediatric Planning team, recertified staff in CPR, and NRP.

May 1991-1995 Memorial Hospital of Rhode Island - Pawtucket R.I.

Registered Respiratory Therapist
Duties included: Critical/ Acute Care, current with Bird 6400, 8400, graphic monitoring, Servo 900, 300, Bear 1,2,5, MA-1, 7200 ventilators. Bird Avian transport ventilator, and Bird VIP neonatal/pediatric ventilator. Respironics Bipap machine, Quantum Bipap machine, end tidal CO2 monitoring, performed EKG’s, phlebotomy, ABG’s, as well as standard respiratory care. Clinical Instructor for all respiratory therapy students at this facility. Duties included midterm and final evaluation, competencies, grading on case presentations, and overall education for their clinical  
rotation.                       

January 1997-1998 Amcare Medical Services - Cranston, R.I.
Registered Respiratory Therapist (per diem)
Duties include: Teaching Pediatric/Adult Asthma Programs to patients with respiratory aliments.
Educated patients on the proper use of MDI’s,monitoring peak flow, respiratory anatomy/ physiology,
and breathing exercises. 

Volunteer

2002- Present    Hope Valley Ambulance Corp.-Hope Valley, RI
Emergency Medical Technician-Cardiac
First response ALS Ambulance Service that responds to all 911 medical and trauma emergencies. Duties include: stating IV’s, drawing bloods, administering cardiac drugs, defibrillation, cardioversion, 12-lead ECG, and intubation.  Rhode Island EMS works with pre set state protocols which are followed to provide the highest level of pre hospital care.  Other responsibilities include educating department on various respiratory equipment. Teach EMT students about intubation procedures.

Prior EMS Experience

1987-1990     Costigan’s Ambulance Service - Warwick, R.I.
Emergency Medical Technician – Intermediate Duties included: Routine inter-hospital transportation of trauma patients, transportation of neonatal emergencies to receiving hospital, along with hospital discharge transportations.

1985-1987
Plymouth Volunteer Ambulance Corps.- Terryville, CT
Emergency Medical Technician
Duties included: First response 911 service dealing with major/ minor trauma/ medical emergencies for all age groups.

Certifications

National Board for Respiratory Care;

Registered Respiratory Therapist (RRT)

Neonatal/Pediatric Respiratory Care Specialists (RRT-NPS)

Registered Pulmonary Function Technologist (RPFT)

Cardiovascular Credentialing International

Certified Cardiographic Technician (C-CT)

American Heart Association

Cardio-Pulmonary Resuscitation (CPR/AED/First Aid) – Instructor 20 years

Advanced Cardiac Life Support (ACLS)  -Instructor 10 years

Pediatric Advanced Life Support (PALS) – Instructor 8 years

American Academy for Pediatrics

Neonatal Resuscitation Program (NRP) – Instructor 11 years

Licenses

MA- Respiratory Care License

RI- Emergency Medical Technician -Cardiac (EMT-C)

Education:

Community College of Rhode Island 1988-1991
Associate Degree in Applied Science - Cardio-Respiratory Care Total college credits 128

Professional Organizations

2009- President Elect-Rhode Island Society for Respiratory Care

1998- Past President- Rhode Island Society for Respiratory Care

1998- Long range planning committee- Rhode Island Society for Respiratory Care

1997- President -Rhode Island Society for Respiratory Care

1996- President Elect-Rhode Island Society for Respiratory Care

1996- Scholarship committee-Rhode Island Society for Respiratory Care

1993-95 Photographer- Rhode Island Society for Respiratory Care

Emergency Medical Service Organization

2002-2003- President of Hope Valley Ambulance Service

American Association for Respiratory Care (AARC)

Other Experience

Observed two days on Life Star EMS Helicopter in CT. Flew with the flight team and observed how they stabilize and care for critical patients from the accident scenes and through their flight back to the trauma center.


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