Skip to main content
. 2020 Sep 4;17(3):293–298. doi: 10.1016/j.nurpra.2020.08.027

Table 2.

Contingency Chart

Assessment Action
Medical
O2 saturation > 94%26
Asthma Control Test score > 20
PFM zone: green
  • No reported complaints of

  • Shortness of breath

  • Chest tightness or pain

  • Wheezing when exhaling

  • Trouble sleeping caused by shortness of breath, coughing, or wheezing

  • Coughing or wheezing worsened with a cold, flu, or respiratory virus

Book follow-up televisit
O2 saturation < 94%26 and does not return to acceptable parameters after prescribed at home nebulizer or metered dose inhaler treatments
  • Asthma Control Test score < 19

  • Peak flow meter zone: yellow or red

  • Reported negative complaints of

  • Shortness of breath

  • Chest tightness or pain

  • Wheezing when exhaling

  • Trouble sleeping caused by shortness of breath, coughing, or wheezing

  • Coughing or wheezing worsened with a cold, flu, or respiratory virus

Book for next available emergent office visit or send to emergency department
Pharmaceutical
Need for new prescriptions
Need for refills
Need for PFM or spacer
Make real time changes in EMR
Send real-time prescription refills in EMR to preferred pharmacy
Mail PFM or spacer
Administrative
School and camp forms Edited/updated in real time in EMR and available in patient’s PHCP
Asthma action plan Edited/updated in real time in EMR and available in patient’s PHCP
Allergy action plan Edited/updated in real time in EMR and available in patient’s PHCP
Medication authorization Edited/updated in real time in EMR and available in patient’s PHCP
Poor technical connection Attempt redial
Rebook televisit if necessary

EMR = electronic medical record; PFM = peak flow meter; PHCP = personal health care portal.