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Quality Spirometry in Primary Care Quality Spirometry in Primary Care The Role of the Respiratory Clinical Physiologist.

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Presentation on theme: "Quality Spirometry in Primary Care Quality Spirometry in Primary Care The Role of the Respiratory Clinical Physiologist."— Presentation transcript:

1 Quality Spirometry in Primary Care Quality Spirometry in Primary Care The Role of the Respiratory Clinical Physiologist

2 Spirometry in Primary Care Advantages Closer to the patient Ideal position to detect early stages – Screening those with risk factors Development COPD slow – symptoms noted when lung function is 50-60% COPD mainly managed in primary care

3 Spirometry in Primary Care Concerns Interpretation Little formal training- technical ability/ only performed occasionally Quality control Choice of Spirometer Courses time consuming/ expensive Other competing demands

4 The Ideal ARTP Foundation Certificate in Spirometry o perform spirometry without interpreting the results ARTP Full Certificate in Spirometry o perform and interpret spirometry ARTP Accredited Spirometry register ARTP Spirometry Re-Accreditation o Every 3 years

5 Implementation o Number of people that need qualification 1-2 people performing spirometry in each practice o Cost of qualification Foundation – cost of 1 day training course plus £150 for exam/ certificate Full – cost of 2 day training course plus £200 for exam/ certificate o Time for qualification o Limited training centres

6 Spirometry Tips The Spirometer o To guide practices on what spirometer they should purchase The Operator o The operator should be trained and competent in performing the test Quality Control o When spirometer calibration should be verified, calibrated syringe, biological control Predicted Values o Which to use, height measured accurately Acceptability o How many VC and FVC manoeuvres o Acceptability criteria o How to recognise artefacts/ poor efforts/ common errors

7 Acceptability

8 Common Problems Non-Maximal Effort Cough

9 Future Options All practitioners performing spirometry to attend accredited training course/ certification ‘Spirometry Practitioners’ to be identified that cover a number of practices – full training/ certification Over reading and interpretation of results by Respiratory Clinical Physiologists Respiratory Clinical Physiologists to perform spirometry in community Practices provide ‘evidence of competence’ that is assessed by physiologists


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