Incorrect use of metered dose inhalers by medical personnel.
We administered a questionnaire and observed usage of a placebo metered dose inhaler (MDI) among 35 physicians, 14 nurses, and 12 respiratory therapists. Ninety-two percent of the respiratory therapists performed at least four of seven steps correctly, compared with 65 percent of house staff physicians, 57 percent of nurses, and 50 percent of nonpulmonary faculty. Most participants followed package insert instructions, while only 18 percent followed recent recommendations for proper MDI use. We conclude that (1) medical personnel should have additional instruction in proper MDI usage and (2) respiratory therapists and nurses can play a prominent role in instructing patients in their proper use.
Guidry
G G
GG
Department of Medicine, Louisiana State University School of Medicine, Shreveport.
Brown
W D
WD
Stogner
S W
SW
George
R B
RB
D000488:Allied Health Personnel; D001993:Bronchodilator Agents / Q000008:administration & dosage*; D004522:Educational Status; D006282:Health Personnel; D006801:Humans; D007388:Internal Medicine; D008505:Medical Staff, Hospital; D009330:Nebulizers and Vaporizers; D009741:Nursing Staff, Hospital; D010353:Patient Education as Topic; D012138:Respiratory Therapy; D011795:Surveys and Questionnaires
D001993:Bronchodilator Agents