Spirometry Procedures Manual

Respiratory Health Spirometry Procedures Manual

January 2011

TABLE OF CONTENTS

Chapter 1 2

3

Page

SPIROMETRY OVERVIEW.......................................................................... 1-1

1.1 Overview of the Spirometry Exam Component.................................. 1-1 1.2 The Bronchodilator Subcomponent .................................................... 1-2 1.3 Chronic Obstructive Pulmonary Disease ............................................ 1-3 1.4 Asthma ................................................................................................ 1-4 1.5 Basics of Respiration .......................................................................... 1-5 1.6 Spirometric Measurements ................................................................. 1-6

ACKNOWLEDGMENTS AND REFERENCES............................................ 1-13

EQUIPMENT AND SUPPLIES...................................................................... 2-1

2.1 List of Equipment and Supplies.......................................................... 2-1 2.2 Description of Equipment and Supplies ............................................. 2-2

2.2.1 Equipment ........................................................................... 2-2 2.2.2 Supplies ............................................................................... 2-3

2.3 Equipment Setup Procedures .............................................................. 2-4

2.3.1 Equipment ........................................................................... 2-4 2.3.2 Supplies ............................................................................... 2-6

2.4 Equipment Care and Maintenance ...................................................... 2-6

2.4.1 Spirometer ........................................................................... 2-6 2.4.2 Hoses ................................................................................... 2-7

2.5 Equipment Packup Procedures ........................................................... 2-7

2.5.1 Equipment ........................................................................... 2-8 2.5.2 Supplies ............................................................................... 2-8

EXAMINATION PROTOCOL ....................................................................... 3-1

3.1 Eligibility Criteria for Spirometry and Bronchodilator Components ........................................................................................ 3-1

3.2 Spirometry Safety Exclusion Questions ............................................. 3-1 3.3 Spirometry Examination Procedures .................................................. 3-6

3.3.1 Spirometry Testing Procedures ........................................... 3-7

iii

TABLE OF CONTENTS (continued)

Chapter 4 5

Page

3.3.2 Instruction and Preparation ................................................. 3-8 3.3.3 Initiate Test.......................................................................... 3-10 3.3.4 End of Test .......................................................................... 3-16 3.3.5 Procedures for Repeat Spirometry Testing ......................... 3-18

3.4 Troubleshooting Spirometry Examinations ........................................ 3-20

3.4.1 Spirometer ........................................................................... 3-20 3.4.2 Weather Station................................................................... 3-22

3.5 Report of Findings .............................................................................. 3-23

QUALITY CONTROL.................................................................................... 4-1

4.1 Equipment Cleaning and Calibration.................................................. 4-1

4.1.1 Quality Control Checks Screens ......................................... 4-1 4.1.2 Equipment Cleaning............................................................ 4-5 4.1.3 Equipment Calibration ........................................................ 4-5

4.2 Equipment Maintenance ..................................................................... 4-8 4.3 Review of Results During the Exam................................................... 4-8 4.4 Observation......................................................................................... 4-9 4.5 Review of Exam Status....................................................................... 4-9 4.6 Review of Results During Analysis.................................................... 4-9 4.7 NIOSH Quality Control Reports......................................................... 4-10

4.7.1 Operator Reports ................................................................. 4-10 4.7.2 Statistics .............................................................................. 4-11 4.7.3 Grades ................................................................................. 4-11 4.7.4 Summary and Trend Analysis Reports................................ 4-11

SAFETY PROCEDURES ............................................................................... 5-1

5.1 Spirometry Safety Precautions............................................................ 5-1

5.1.1 Safety Exclusion Screening................................................. 5-1 5.1.2 Infection Control Measures................................................. 5-1 5.1.3 Prevention of Electric Shock............................................... 5-2

5.2 Standing vs. Sitting During Spirometric Testing ................................ 5-2 5.3 Comprehension or Language Difficulties ........................................... 5-3 5.4 Emergency Procedures ....................................................................... 5-3

iv

TABLE OF CONTENTS (continued)

Appendix A B

List of Appendixes Page

NIOSH Spirometry System Design Criteria .................................................... A-1 Screenshots for Spirometry Safety Exclusion Questions................................. B-1

Table 1-1 3-1

List of Tables

Lung diseases and spirometry results .............................................................. 1-12 Spirometry safety exclusion items by age ....................................................... 3-2

Figure 1-1 1-2 1-3 1-4 1-5 1-6 1-7 1-8 1-9

List of Figures

The respiratory tract......................................................................................... 1-5 Normal volume-time curve .............................................................................. 1-8 Normal flow-volume curve.............................................................................. 1-8 FVC and FEV1 on a normal volume-time curve ............................................. 1-9 FVC on normal flow-volume curve ................................................................. 1-9 Normal and restrictive patterns volume-time curves ....................................... 1-10 Flow-volume curves ........................................................................................ 1-10 Obstructive pattern shown on a volume-time curve ........................................ 1-11 Obstructive pattern shown on a flow-volume curve ........................................ 1-11

v

TABLE OF CONTENTS (continued)

Exhibit 3-1 3-2 3-3 3-4 3-5 3-6 3-7 3-8 3-9 3-10 3-11 3-12 3-13 3-14 3-15 3-16 3-17 3-18 4-1 4-2 4-3

List of Exhibits Page

Aneurysm help screen...................................................................................... 3-3 Spirometry exclusion ....................................................................................... 3-4 End of subsection screen.................................................................................. 3-4 End of exam screen.......................................................................................... 3-5 Begin spirometry test screen ............................................................................ 3-6 OMI/NIOSH main program screen.................................................................. 3-7 Temperature warning message ........................................................................ 3-7 Proceed with testing screen.............................................................................. 3-8 Curve display screen ? pre-test ........................................................................ 3-10 Curve display screen ........................................................................................ 3-11 Test results screen ............................................................................................ 3-12 Results and quality code box ........................................................................... 3-13 Override acceptability code screen .................................................................. 3-15 Post-Test data screen ....................................................................................... 3-16 End of subsection ? complete screen ............................................................... 3-17 End of exam screen.......................................................................................... 3-18 Technologist bronchodilator referral script screen .......................................... 3-19 End of exam ? SP to bronchodilator screen..................................................... 3-19 Quality Control Checks ? Start of Stand QC ................................................... 4-2 Quality Control Checks ? Daily QC ................................................................ 4-2 Quality Control Checks ? Start of Session QC ................................................ 4-3

vi

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download