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Evidence Guide: HLTHPS004 - Measure spirometry

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTHPS004 - Measure spirometry

What evidence can you provide to prove your understanding of each of the following citeria?

Elements define the essential outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare spirometer and materials for use

  1. Check cleanliness and functionality of spirometer and other materials
  2. Validate or calibrate spirometer in accordance with manufacturer specifications
Check cleanliness and functionality of spirometer and other materials

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Validate or calibrate spirometer in accordance with manufacturer specifications

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare client for procedure

  1. Greet client courteously and identify self
  2. Identify client following organisation and regulatory procedures
  3. Obtain, read, and accurately record client information, in accordance with organisation policies and procedures
  4. Identify and responds to contraindications for performing spirometry within scope of own job role
  5. Obtain clarifications from requesting health professional when necessary
  6. Take accurate client measurements, consider other inputs and calculate reference values from established value sets
  7. Seat client correctly for procedure
Greet client courteously and identify self

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify client following organisation and regulatory procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Obtain, read, and accurately record client information, in accordance with organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and responds to contraindications for performing spirometry within scope of own job role

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Obtain clarifications from requesting health professional when necessary

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Take accurate client measurements, consider other inputs and calculate reference values from established value sets

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Seat client correctly for procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform spirometry

  1. Initialise equipment to commence recording and recordadditional information
  2. Coach client through procedure with the provision of continuous instruction, encouragement and reassurance
  3. Observe client throughout the procedure for ability to continue
  4. Identify recording as technically correct
  5. Provide client with feedback on performance
  6. Repeat spirometry as necessary to comply with current standards for repeatability
  7. Make technically acceptable measurements according to current standards
  8. Select indices for report in accordance with current standards
  9. Identify the need for administration of a bronchodilator in accordance with current standards and medical officer request
  10. Allow sufficient time for peak effect from bronchodilator and repeat spirometry
  11. Identify and respond to clinical emergenciesin accordance with organisation emergency procedures
Initialise equipment to commence recording and recordadditional information

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Coach client through procedure with the provision of continuous instruction, encouragement and reassurance

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Observe client throughout the procedure for ability to continue

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify recording as technically correct

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide client with feedback on performance

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Repeat spirometry as necessary to comply with current standards for repeatability

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Make technically acceptable measurements according to current standards

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Select indices for report in accordance with current standards

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify the need for administration of a bronchodilator in accordance with current standards and medical officer request

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Allow sufficient time for peak effect from bronchodilator and repeat spirometry

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and respond to clinical emergenciesin accordance with organisation emergency procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete spirometry measurement

  1. Assist client as required on completion of procedure
  2. Review follow up arrangements with client
  3. Respond appropriately to client’s questions
  4. Dispose of or clean materials in accordance with organisation policies and procedures, and infection control guidelines
  5. Clean, restock and store equipment according to manufacturer’s guidelines
  6. Complete report to technically acceptable standards, provide a provisional interpretation of results and forward to physician for final interpretation
  7. Forward report and interpretation to requesting medical officer
  8. Enter details of client and test completed on to database and/or hospital information system
Assist client as required on completion of procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Review follow up arrangements with client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Respond appropriately to client’s questions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Dispose of or clean materials in accordance with organisation policies and procedures, and infection control guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Clean, restock and store equipment according to manufacturer’s guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete report to technically acceptable standards, provide a provisional interpretation of results and forward to physician for final interpretation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Forward report and interpretation to requesting medical officer

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Enter details of client and test completed on to database and/or hospital information system

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

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

Required Skills and Knowledge

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