PCAP Best Practice Standard

PCAP Best Practice Checklist is an  assessment tool to assist in maintaining quality standards at all PCAP sites across Ontario. We recommend that this checklist be reviewed annually. If you have any questions, please contact PCAP provincial coordinator, Aisha Balasubramaniam, at abalasubramaniam@lungontario.ca or (416) 864-9911 x258.

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* 1. Name:

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* 2. Site name:

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* 3. Health Care Providers (HCPs) have an understanding of the PCAP generic program standards consistent with their distinct roles and responsibilities
b. There will be an identified plan for training and communication to all HCPs involved in PCAP.

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* 4. The PCAP site follows the current Lung Association (TLA) Asthma Care Map for patient assessment and follow-up

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* 5. The PCAP site follows the current TLA COPD Care Map for patient assessment and follow-up

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* 6. PCAP educator and/or lead is in good standing with their college or governing body

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* 7. PCAP educator and/or lead to provide college registration #

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* 8. PCAP educator and/or lead is a Certified Respiratory Educator (CRE) or Certified Asthma Educator (CAE)

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* 9. Each PCAP site must adhere to the PCAP Spirometry Policy and Procedure in the Spirometry Manual*

*If spirometry is not performed on site, this may not apply. However, the spirometry that is conducted off site should adhere to ATS/ERS/CTS guidelines.

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* 10. PCAP site has a medical directive in place for conducting pre and post bronchodilator spirometry, including Salbutamol administration*

*If spirometry is not performed on site, this may not apply. However, the spirometry that is conducted off site should adhere to ATS/ERS/CTS guidelines.

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* 11. The PCAP site uses the PCAP Operators Checklist when conducting spirometry*

*If spirometry is not performed on site, this may not apply. However, the spirometry that is conducted off site should adhere to ATS/ERS/CTS guidelines.

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* 12. For children < 6 years of age who are unable to perform spirometry for diagnosis, Canadian Thoracic Society (CTS) Preschool Asthma Guidelines are followed

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* 13. If spirometry is inconclusive for diagnosis, alternative methods should be considered (e.g., methacholine challenge, Peak Expiratory Flows (PEF), exercise testing**, etc.)

**exercise testing: to evaluate exercise-induced bronchospasm (EIB). This is not a cardiac stress test.

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