Strategies for Effective Implementation of Spirometry Part 2

presented by Carl Mottram, RRT, RPFT, FAARC

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Financial: Carl Mottram receives royalties from Elsevier Publishing. He also does consulting for Vitalograph and the College of Physicians and Surgeons of British Columbia. He receives speaking fees from MGC Diagnostics. He receives compensation from MedBridge for the production of this course. He has no other relevant financial relationships.

Nonfinancial: Carl Mottram is the immediate past president and a board member for the Clinical and Laboratory Standards Institute. He is also a board member for the National Board for Respiratory Care. He has no other competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 56 Minutes; Learning Assessment Time: 18 Minutes

In part 2 of the spirometry series, we will review and demonstrate the correct technique used to coach a subject in order to achieve accurate results. We will discuss the key variables needed to calculate an individual's predicted normal range and the preferred reference set used to calculate this range. Through visual discussion, the course also reviews common testing errors and how an acceptable and repeatable test session is defined. It also helps the learner understand the most common patterns of lung disease (obstruction and restriction) through basic analogous modeling. The learner should be able to perform and assess the quality of a test session by the end of this two-part series. Practice in performing the test on subjects thereafter is the final key in obtaining true competency and quality test results.

Meet Your Instructor

Carl Mottram, RRT, RPFT, FAARC

Mr. Mottram is the former director of the Mayo Clinic Pulmonary Function Laboratory, an associate professor of medicine, and currently is the president of PFWConsulting LLC. Professionally, Professor Mottram serves on the board of the Clinical and Laboratory Standards Institute (CLSI) and on the National Board for Respiratory Care (NBRC). Professor Mottram is a recognized…

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Download the learning objectives for Strategies for Effective Implementation of Spirometry Part 2.

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1. Testing the Subject

Chapter 1 describes pretest instructions and demographic parameters that need to be implemented prior to testing the subject, including the importance of accurately measuring the subject’s height. It then reviews errors that make a maneuver unacceptable by using example test results. Finally, there is a demonstration of performing a test on a subject.

2. Putting It All Together

Chapter 2 reviews the factors that determine a subject’s predicted values and which reference set is recommended by the ATS/ERS technical standard. It also describes the two major categories of lung abnormalities: obstruction and restriction. We then review the various grades awarded to a test session based on the acceptability and repeatability of data.

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