List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.
ELEMENT | PERFORMANCE CRITERIA |
Elements define the essential outcomes | Performance criteria describe the performance needed to demonstrate achievement of the element |
1. Prepare spirometer and materials for use | 1.1 Check cleanliness and functionality of spirometer and other materials 1.2 Validate or calibrate spirometer in accordance with manufacturer specifications |
| |
2. Prepare client for procedure | 2.1 Greet client courteously and identify self 2.2 Identify client following organisation and regulatory procedures 2.3 Obtain, read, and accurately record client information, in accordance with organisation policies and procedures 2.4 Identify and responds to contraindications for performing spirometry within scope of own job role 2.5 Obtain clarifications from requesting health professional when necessary 2.6 Take accurate client measurements, consider other inputs and calculate reference values from established value sets 2.7 Seat client correctly for procedure |
| |
3. Perform spirometry | 3.1 Initialise equipment to commence recording and recordadditional information 3.2 Coach client through procedure with the provision of continuous instruction, encouragement and reassurance 3.3 Observe client throughout the procedure for ability to continue 3.4 Identify recording as technically correct 3.5 Provide client with feedback on performance 3.6 Repeat spirometry as necessary to comply with current standards for repeatability 3.7 Make technically acceptable measurements according to current standards 3.8 Select indices for report in accordance with current standards 3.9 Identify the need for administration of a bronchodilator in accordance with current standards and medical officer request 3.10 Allow sufficient time for peak effect from bronchodilator and repeat spirometry 3.11 Identify and respond to clinical emergenciesin accordance with organisation emergency procedures |
| |
4. Complete spirometry measurement | 4.1 Assist client as required on completion of procedure 4.2 Review follow up arrangements with client 4.3 Respond appropriately to client’s questions 4.4 Dispose of or clean materials in accordance with organisation policies and procedures, and infection control guidelines 4.5 Clean, restock and store equipment according to manufacturer’s guidelines 4.6 Complete report to technically acceptable standards, provide a provisional interpretation of results and forward to physician for final interpretation 4.7 Forward report and interpretation to requesting medical officer 4.8 Enter details of client and test completed on to database and/or hospital information system |
| |
The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:
followed established technical, infection control and safety procedures to produce spirometry measurements for at least 3 different clients that accurately reflect the maximal expiratory ventilatory capacity:
recognised and responded appropriately to errors due to both client performance and technical faults
provided provisional interpretation against established reference values
The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:
purpose, principles and protocols of spirometry
legal and ethical considerations for spirometry, including:
duty of care
informed consent
records management
privacy, confidentiality and disclosure
industry standards
work role boundaries – responsibilities and limitations
basic pharmacology related to respiratory function relevant for spirometry measurement
anatomy and physiology relevant for understanding and conducting spirometry
set up, operation and routine maintenance of spirometry equipment
patterns of normal/abnormal results related to both respiratory disease and technical factors relevant for spirometry measurement
features of technically correct recordings, including:
no hesitation at start
evidence of maximal effort
no cough within first second
end of test criteria met
reproducibility
mathematical and statistical information relevant for spirometry measurement
reference values required for spirometry measurement and the factors that contribute to calculation of client reference values and how to incorporate these, including:
weight
height
age
gender
race
how to convert volumes from atmospheric temperature and pressure (ATP) to body temperature and pressure saturated (BTPS)
common causes of client non compliance in spirometry and the appropriate remedies
complications and contraindications for clients undergoing spirometry measurement, and how to respond
emergency procedures specific to spirometry instrument quality control procedures, including:
calibration
biological control measures
relevance of environmental factors in spirometry, including temperature and humidity
features and functions of respiratory therapy products