Table 2 Implementation of COPD guidelines at the time of hospital admission
| Â | 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) |
| Â | Â | Â | Investigated by medical staff on wards this admission, for follow-up when patient stable (2) | Â |
| Â | Â | Â | Investigation planned to follow in outpatients (1) | Â |