HEA 3077
Student Number
September 2012
Contents
Section
Heading
Page number
1
General statements
2
Method of referral
3
Lung function request form
4
Flow sensing spirometers
5
Introduction
6
Calibration/Verification and Cleaning
7
Spirometry Testing for Patients with known Infections
8
Immuno-compromised Patients
9
Education and Training
10
Flow/Volume Calibration check Procedure
11
Biological control check procedure
12
Calibration charts
13 Spirometry cleaning Record
14
Instructions for spirometry
1.Mild Obstruction
2.Mild obstruction
3.Moderate obstruction
4.Moderate obstruction
5.Severe obstruction
6.Severe obstruction
7.Reversible
8.Non-reversible
9.Combined picture
10. Restrictive
1. General Statements
Confidentiality has been maintained throughout this portfolio, no patient identifiable information will be enclosed.
The author is a registered general nurse who works both in the acute hospital environment and the community setting. Spirometry is performed to confirm that patients have airway obstruction it also assists with the monitoring of disease progression, with the assessment of the patients response to therapy and helps the practitioner decide on appropriate treatment/ pharmacological pathways for the individual patient.
Spirometry is also performed on all COPD patients that are referred to the service from the hospital Discharge Bundle.
The author co-ordinates the pulmonary rehabilitation service for patients with various respiratory conditions. Pulmonary rehabilitation aims to increase the patients functional capacity, increase their general fitness and help them to gain a better uderstanding of their respiratory condition through an education component to the PR programme.
2. Method of Referral
As part of the Pulmonary rehabilitation (PR) service the author undertakes spirometry as part of the admission and discharge process on all patients unless there are excluded
References: Levy Mark L, Quanjer Philip H, Booker Rachel, Cooper Brendan G, Holmes Stephen, Small Iain R, (2009) Diagnostic Spirometry in Primary Care Primary Care Respiratory Journal 18(3):130:147 NICE (2010) CG101 Chronic Obstructive Pulmonary Disease. [Online] Available at www.nice.org.uk accessed 3rd March 2013.