The practice nurse is asked to do spirometry at the point of diagnosis. If she is busy, the patient is asked to make an appointment directly with the nurse to come back for the spirometry. Results are entered directly in the patient file by the nurse.

Thank You for your reply. Protocol development may expedite the acknowledgement loop and facilitate the documentation of subsequent intervention. Electronic Medical Record use is utilized to its fullest capability at my facility and we utilize it for prompts and one-click documentation after better education of the providers so we stay on the same page and reduce hospital readmission for acute exacerbations of chronic obstructive pulmonary disease, pneumonia, and cor pulmonale/heart failure.

During my rotations I noticed many primary offices using spirometry routinely for patients who smoke, are diagnosed with COPD and Asthma. Spirometry is safe, affordable, sensitive, and relatively specific, with the ability to detect lung-function abnormalities in asymptomatic patients. There were athletes who were asymptomatic but were checked routinely with spirometry and were diagnosed with asthma..figures..

We have 2 nurses with skills about spirometry to make all our health center need. Using an spirometer and calibration bubble all the weeks