ATS Pulmonary Function Laboratory Manual

First page Table of contents Next page Last page

Front Cover	1
Title Page	2
Copyright	3
Table of Contents	4
Contributors	6
Preface	7
1. Introduction and General Information	8
Introduction	8
Procedure Manual Design	9
Procedure Manual Style	9
Format for Technical Procedures	9
Reviews and Updates of Procedure Manual	10
Glossary of Terms and Abbreviations	11
References	16
2. Procedure Name:Personnel	17
Purpose or Principle	17
Personnel Qualifications	17
Technologist Training and Continuing Education	19
Orientation	19
Competency Assessment	20
References	20
Related Documents	21
3. Procedure Name:Quality System Essentials for General Operational Issues	27
Purpose or Principle	27
Responsibility	27
Organization and Administration	27
Quality Systems in Pulmonary Function Laboratories	28
Pulmonary Diagnostics Path of Workflow	29
Documents and Records	29
Laboratory Environment	30
Scheduling of Patients	30
Patient Demographics	32
Equipment	33
Patient Privacy	34
References	34
Appendix 3.1	35
Appendix 3.2	36
4. Procedure Name:Facilities, Hygiene, and Safety	40
Purpose and Principle	40
Responsibility	40
Facilities	40
General Hygiene Guidelines	41
Cleaning and Disinfecting Procedures and Use of Filters for PF Equipment	44
Accident, Fire, and Evacuation Procedures	45
Compressed Gas Safety	46
Electrical Safety	47
Hazard Communication Program	47
References	48
Additional Reading	49
Aproval	50
5. Procedure Name: Quality Control	51
Purpose and Principle	51
Instrument Maintenance	52
Installation Manual	52
Measurement Precision	53
Quality Control Analysis	53
Calibration of Calibrators	55
Record Keeping and Logs	56
References	57
Appendix 5.1	58
Aproval signatures	59
6. Procedure Name:Spirometry	60
Purpose or Principle	60
Equipment and Supplies	62
Patient P reparation (Pre-Test I nstructions)	63
Assessment of Patients	64
Equipment P reparation and Calibration Check (Verification)	65
Procedure	66
Review of Test Results	68
Reporting of Test Results	69
Procedure Notes	70
References	70
Approval	72
7. Procedure name: bronchodilator administration	73
Purpose	73
Equipment and Supplies	74
Procedure	75
Reporting Results	76
Procedure Notes and Limitations	77
References	78
Aproval	79
8. Procedure Name: Measurement of Lung Volumes	80
Purpose or Principle	80
Indications and Contraindications	81
Equipment and Supplies	82
Patient Preparation (Pre-Test I nstructions)	82
Assessment of Patients	83
Equipment Preparation and Calibration Checks	83
Procedure	84
Review of Test Results	87
Reporting of Test Results	87
Procedure Notes	87
References	88
Related documents	89
Appendix 8.1	90
Appendix 8.2	91
Appendix 8.3	92
9. Procedure Name:Airway Resistance and Related Indices Measured by Body Plethysmography	94
Purpose or Principle	94
Equipment and Supplies	96
Patient P reparation (Pre-Test I nstructions)	97
Equipment Preparation and Calibration Checks	98
Procedure	98
Review and Reporting Results	100
Procedure Notes	100
References	101
Related Documents	102
Appendix 9.1	103
Appendix 9.2	104
Appendix 9.3	106
Appendix 9.4	107
Aproval	108
10. Procedure Name:Single-Breath Carbon Monoxide Uptake in the Lung (Diffusing Capacity [DlCO],Transfer Factor [TlCO])	109
Purpose or Principle	109
Indications and Contraindications	110
Equipment and Supplies	110
Patient P reparation (Pre-Test I nstructions)	111
Assessment of Patients	112
Special safety precautions	112
Equipment Preparation and Calibration Checks	112
Procedure	113
Review of Test Results	114
Reporting of Test Results	115
Procedure notes	115
References	116
Appendix 10.1	118
Aproval	119
11. Procedure Name:Maximum Respiratory Pressures	122
Purpose or Principle	122
Indications and Contraindications	122
Equipment and Supplies	123
Patient P reparation (Pre-Test I nstructions)	123
Assessment of Patients	123
Special Safety Precautions	124
Equipment Preparation and Calibration Checks	124
Procedure	124
Review of Test Results	126
Reporting of Test Results	126
Procedure Notes	126
References	127
Related Documents	128
Appendix 11.1	129
Aproval	130
12. Procedure Name: Methacholine Challenge Test	131
Purpose or Principle	131
Indications and Contraindications	132
Equipment and Supplies	132
Recommended Equipment for Tidal Breathing Method	134
Patient P reparation (Pre-Test I nstructions)	135
Assessment of Patients	136
Equipment Preparation and Calibration Checks	136
Procedure	137
Review of Test Results	140
Reporting of Test Results	140
Procedure Notes	140
References	142
Appendix 12.1	145
Appendix 12.2	146
Appendix 12.3	147
Appendix 12.4	148
Appendix 12.5	149
Aproval	150
13. Procedure Name: Mannitol Challenge Test	152
Purpose or Principle	152
Indications and Contraindications	152
Equipment and Supplies	153
Patient P reparation (Pre-test instructions)	153
Assessment of Patients	153
Equipment Preparation and Calibration	154
Reporting of Test Results	158
Pediatric Considerations	158
Procedure Notes	158
References	159
Aproval	160
14. Procedure Name:Exercise Challenge Test	161
Purpose or Principle	161
Indications	161
Equipment and Supplies	162
Patient P reparation (Pre-test instructions)	163
Assessment of Patients	164
Equipment Preparation and Calibration	165
Procedure	166
Reporting of Test Results	171
Procedure Notes	172
References	173
Appendix 14.1	178
15. Procedure Name:Percutaneous ArterialBlood Sampling	180
Purpose or Principle	180
Indications and Contraindications	181
Equipment and Supplies	181
Patient Preparation	182
Assessment of Patients	183
Selection of Site	183
Procedure (1, 4)	184
Procedure Notes	188
References	188
Aproval	189
16. Procedure Name:Blood Gas, pH, and Hemoximetry Analysis	190
Purpose or Principle	190
Indications and Contraindications	190
Calibration of Blood Gas Analyzer	191
Preanalytic Phase	191
Analytic Phase	193
Postanalytic Phase	193
Quality Management of the Blood Gas Laboratory	194
Policy and Procedure Manual	194
Quality Control	194
Proficiency Testing	195
System Audits	195
Operator Training and Competency Certification	195
Inventory Management	195
Procedure	196
Procedure Notes	197
References	198
Aproval	199
17. Procedure Name: Exercise Test for the Assessment of Desaturation	200
Principle or Purpose	200
Oxygen (O2) Titration	200
Indications and Contraindications	201
Equipment and Supplies	202
Patient Preparation (Pre-Test Instructions)	202
Assessment of Patient	202
Procedure	203
Reporting of Test Results	206
Procedure Notes	206
References	207
Aproval signatures	209
Appendix 17.1	210
18. Procedure Name: 6-Minute-Walk Test	212
Purpose or Principle	212
Equipment, Supplies and Location	212
Patient P reparation (Pre-Test Instructions)	214
Procedure	214
Reporting of Test Results	216
Procedure Notes	217
References	218
Appendix 18.1	220
Aproval signatures	222
19. Procedure Name:Cardiopulmonary Exercise Test	223
Purpose or Principle	223
Indications and Contraindications	223
Patient Safety	224
Equipment and Supplies	225
Patient Preparation (Pre-Test Instructions)	226
Patient Assessment and History	227
Quality Control	228
Procedure	229
Calculations	233
Reporting Results	235
Procedure Notes	236
References	237
Appendix 19.1	241
Aproval signatures	243
20. Procedure Name: Reference Equations and Interpretation Guidelines	244
Purpose	244
Responsibility	244
Selection of Appropriate Reference Values	244
Interpretation of Laboratory Data	246
References	247
Approval	249
21. Procedure Name:Useful Equations and Tables	250
Purpose	250
References	251
References	252
References	254
Back Cover	256

Made with FlippingBook Learn more on our blog