Table 2.
Implementation of COPD guidelines at the time of hospital admission
| Was recommendation met? | Compliance with recommendation (%) | Strategies used (frequency) | Involved staff members (frequency) | |
|---|---|---|---|---|
|
Smoking cessation |
Yes in 2 of 3 current smokers |
67% |
Encouraged use of quit line (2) |
COPD-c (2) |
| Prescribed transdermal nicotine patches (1) |
medical (1) |
|||
|
Pulmonary rehab referral |
Yes in 5 of 15 |
33% |
Discussed with patient in 9/15 cases (60%) |
COPD-c (8) |
| medical (1) | ||||
|
Flu vaccination |
Yes in 14 of 15 |
93% |
Confirmed already completed by GP in 12/13 cases. |
medical and COPD-c (14) |
| Discussed with 1 patient who had not previously received it. Not discussed in one patient | ||||
|
Medication |
Yes in 15 of 15 |
100% |
Prescribed medications checked by pharmacist (15) |
pharmacy medical and COPD-c (13) |
| Inhaled tiotropium added if not previously prescribed with (2 of 2 cases). | ||||
| Reported non-use of spacer device with MDI in 6 cases (reported use in 5 cases, not required (2), unknown (2) | ||||
|
Long term home oxygen if hypoxaemic |
Yes in 5 of 5 cases |
100% |
Currently in place (2) |
medical (5) |
| |
|
|
Investigated by medical staff on wards this admission, for follow-up when patient stable (2) |
|
| Investigation planned to follow in outpatients (1) |
COPD-c = COPD co-ordinator; MDI = metered dose inhaler.