The stage is set, and it's time to actually perform the test. The heart of spirometry is a forced maneuver to obtain the forced vital capacity (FVC) and the forced expiratory volume in the 1 st second (FEV1) , which the ATS/ERS document breaks down into four discrete parts: 5. Maximal inhalation. A forced "blast" of exhalation. SAFETY PROCEDURES .. 27. MOP 4: Pulmonary Function ver. 1.02 Page 3 1. BACKGROUND Spirometry is the simplest, most effective, and least expensive test for assessment of pulmonary The authors of this manual were members of the spirometry guidelines committee. The instruments and methods in this manual to perform certain tasks. Spirometry results can play a central role in decisions about worker job assignments and personal protective equipment, and in the assessment of exposure-related health effects. OSHA standards for asbestos, cadmium, coke oven emissions, and cotton dust require spirometry testing as part of medical surveillance • Recognises the distinct and separate skills of performing spirometry, interpreting spirometry and diagnosing respiratory conditions where spirometry results form part of the whole picture. • Enables practitioners who are experienced and confident in either performing and/or assessing spirometry and consider themselves competent to be assessed procedure, you may need to wear personal protective equipment (PPE) (see the clinicalskills.net procedure, "Use of PPE for COVID-19 in a community setting"). If performing spirometry at a GP practice, consider the safety of the environment and the risk to other patients. Spirometry is effort-dependent so 10.0 Spirometry Procedure 11 10.1 Reversibility 12 11.0 Common Errors 13 12.0 Interpretation of Results 13 13.0 Reference List 15 Ensure that you follow the spirometer manual for specific cleaning instructions for any variance, as every model of spirometer has different cleaning recommendations, however in general: Spirometry Patient Preparation Checklist Making the Appointment: Inform the patient that they should not eat a large meal within two hours of taking the test If the patient is a smoker, ask them to refrain from smoking one hour before the test Recommend loose and unrestrictive clothing When the Patient Arrives Briefly explain the procedure: "I will be measuring your lungs and how fast you Calibration of spirometry test equipment should be performed using a 3 litre syringe following the manufacturer's recommended procedures. For the device to be within calibration limits it must read +/- 3% of true. Calibration should be verified prior to every clinic / session or after every 10th patient [whichever comes first]. ECG and Spirometer Cable Length. HOW TO - Perform/Review an ECG or Spirometery Test in IQmark Centricity Interface. HOW TO - Run ECG, Spirometer, and Holter in Misys. Minimum and Maximum Trials Needed for Spirometry Testing. No Interpretation on the Spirometery Report. Requirements to be Considered a Smoker. Spirometer is not Detecting. 3.3. Spirometry Prior to the test, rest for at least 15 minutes. For safety reasons (possible fainting), a spirometry test is conducted usually in a sitting position. Prior to measurement, attach the bacterial filter (IMPORTANT: in the case of infection accompanied by coughing when the device is used individually, and always when AioCare Spirometry should be corrected for body temperature and ambient pressure saturated with water vapour (BTPS). This is to correct f