Spirometry Training and Resource

This resource is designed for:

  • New HCPs wishing to gain the required key knowledge, skills and behaviours required to perform  quality lung function testing and to accurately assess results.
  •  For HCPs experienced in spirometry and interpretation who require a refresher or an update
  • To allow HCPs to prepare for national assessment programmes available via the ARTP


The web-based resources will include:

Interactive training through pre-recorded presentations

Links to international and national guidance

Practical resources for setting up a spirometry clinic in primary care

Suggestions for assessing competency of others and demonstrating on-going competency


Pre-recorded presentations on:

  • How to preform quality assured spirometry
  • Demonstration video on how to preform spirometry and how to carry out assurance checks
  • Assessing the quality of spirometry traces
  • Basic interpretation
  • Using spirometry to diagnose and to manage patients with asthma and COPD


Resources:

ARS/ERS 2019 Standardization of Spirometry 2019 Update An Official American Thoracic Society and European Respiratory Society Technical Statement. ARS ERS Spirometry standards 2019;

ARTP 2020

ARTP 2021 :Resuming Spirometry - Risk Minimisation in Spirometry Re-start Document

PCRS YOUR ESSENTIAL GUIDE TO SPIROMETRY

Guidance for the resumption and continuation of urgent and elective outpatient respiratory services

Risk minimisation in spirometry re-start

A Guide to Performing Quality Assured Diagnostic Spirometry


Examples of resources for use in practice:

New Standard of Operation Procedure

Referral form as an example

Pre-procedure spirometry safety checklist (Created by Lauren Isaac)

Excel spreadsheet calibration and cleaning log (Created by Lauren Isaac)

See patient demo video at bottom of spirometry resource page.


Suggestions for checking competency and demonstration on-going competency:

This competency checklist is designed for use within a Practice / PCN. We would recommend that the assessor is ideally on the ARTP register.

To evidence ongoing competency, operators could keep a log with ten anonymised traces to demonstrate good practice.

A revalidation reflection could also be used to demonstrate ongoing competency.

Competency Assessment - Marker's Guide 2022

Competency Assessment - 2022


Videos / Powerpoint presentations:

Performing Spirometry 1

Alongside this educational presentation and video it is strongly recommended that you spend time observing and working with an experienced spirometry operator.

Aim:

To provide healthcare professionals  with the knowledge and skills to perform best practice spirometry testing in Primary Care.

Intended Learning Outcomes:

To describe the three key elements to producing good quality spirometry.

To identify suitable patients and how to stratify waiting lists for lung function testing.

To be aware of  the training requirements and assessment of HCPs performing spirometry.

To describe and apply quality assurance checks of equipment.

To  apply infection control measures to reduce risk of cross infection.

To prepare the patient by providing information, instruction and active coaching.

To describe the key requirements for reliable reproducible spirometry tests and to be able to recognise spirometry that falls short of standards.

Volume Verification Demonstration: https://youtu.be/MMKfco714cM

How to carry out a spirometry test: https://youtu.be/si-Ov4FQBN4


Assessing quality of Spirometry traces (Coming soon)

To provide healthcare professionals with the knowledge and skills to perform best practice spirometry testing in Primary Care.

Aim:

To enable operators and interpreters to be able to assess the quality of spirometry traces to ensure reliability and reproducibility.

Learning Outcomes:

  • To be aware o​f the importance of checking the patient information and demographics.
  • To recognise the minimum and maximum number of test required.
  • To recognise technical errors
  • To assess be able to assess acceptability and reproducibility

Introduction to spirometry interpretation

Learning Outcomes:

  • To define the function of spirometry.
  • To list the key measurements.
  • To recognise the four potential pictures of normal, obstruction, restriction and mixed by using indices and graphs.
  • To list possible cause of abnormal spirometry traces.


Asthma - Spirometry in the context of diagnosis and management

Aim:

To apply the information provided by spirometry testing to support diagnosis and inform the management of asthma

Learning Outcomes:

  • To define asthma
  • To recognise key information from a clinical history that may increase the probability of an asthma diagnosis and information that might point towards a differential diagnosis.
  • To appreciate that spirometry is one of the investigations used where a diagnosis of asthma is expected and the role of bronchodilator responsiveness testing.
  • To provide examples of spirometry traces and values that may support a diagnosis of asthma.
  • To list indications for spirometry testing in patients with known asthma and consider how this information may guide  management.


COPD - Diagnostic spirometry in the context of COPD

Aim:

To enable Primary Care HCPs to interpret spirometry to enhance diagnosis of patients with COPD and to implement individualised care for patients with known COPD.

Learning Outcomes:

  • To define COPD and describe the burden of this condition.
  • To describe the role of spirometry in the diagnosis and management of COPD.
  • To identify patients with a history of symptoms  and risk factors suggestive of COPD and recognise the key role of spirometry in the diagnostic pathway.
  • To practice using the information provide by the numerical values, predicted values and from the flow/volume and time/volume graph to identify obstructive patterns associated with COPD.
  • To practice classifying airflow obstruction in COPD.
  •  To consider how patient histories and spirometry investigations in known COPD may effect management and interventions.
  • To track the FEV1 in patients with known COPD.

Patient Demonstration Video: https://youtu.be/jRz1vaN4MYc

Podcast: https://youtu.be/Uy60S-uZmuw