Respiratory Resource Pack
March 2015
This pack has been put together with input from the
Respiratory QIPP Group, Respiratory Clinical
Network Group and The Respiratory Clinical
Specialist Team
If you have any queries please contact the prescribing team
01726 627953
Version: 2I March 2015
Review: April 2015
(or sooner if any changes)
Respiratory Resource Pack
Asthma Diary and Self-Management Plan
01.Asthma Diary.pdf
Asthma Prescribing Guidelines: Adults over 18 years
Asthma Prescribing Guidelines: Adults over 18 years
Guidance on stepping up and stepping down
Asthma Control Test (ACT)
02.Asthma
Guidelines.pdf
03.Guidelines on
stepping up & down.pdf
04.ACT Test.pdf
RCP 3 Questions
05. RCP3 Questions
for Asthma.pdf
Asthma Patient Review Clinic Assessment Sheet
Gina Asthma Control
06. Asthma Pt Review
Clinic Assessment Sheet.pdf
07. GINA Asthma
Control.pdf
COPD
COPD Guidelines
08.COPD
guidelines.pdf
COPD Self-Management Plan
09.COPD Action
plan.pdf
Pulmonary Rehabilitation Information Sheet
10. Pulmonary Rehab
Leaflet.pdf
Pulmonary Rehabilitation Referral Programme
COPD Assessment Tool (CAT)
Version: 2I March 2015
11. Pulm Rehab
Form.pdf
12. COPD Assessment
Tool (CAT).pdf
Review: April 2015
(or sooner if any changes)
CAT User Guide
13. CAT User
Guide.pdf
Treatment VS Value Pyramid
14. COPD treatment
vs value pyramid.pdf
OXYGEN
Home Oxygen Therapy
15. Home Oxygen
Therapy..pdf
Home Oxygen Equipment Ordering Decision
Algorithm
Home Oxygen Consent Form
16. Home Oxygen
Equipment Ordering Decision Algorithm.pdf
17. Oxygen Sharing
form.pdf
HOOF Form
18. Hoof Form.pdf
How to Complete a HOOF
19. How to complete
a HOOF.pdf
ADDITIONAL INFORMATION
Telehealth Service Referral Form
20. TELEHEALTH
SERVICE REFERRAL FORM.pdf
Telehealth Service – Patient Profile
21. Patient Profiles
COPD Telehealth.pdf
Respiratory Nurses Contact Details (by surgery)
British Lung Foundation Breathe Easy Groups/
Support Groups
22. Respiratory Nurse
Contacts.pdf
23.COPD peer
support groups 2g.pdf
Resource Sheet
24.Resource
Sheet.pdf
Electronic Links
Version: 2I March 2015
25.Electronic
Links.pdf
Review: April 2015
(or sooner if any changes)
How to use an In-Check Device
26. How To Use
In-Check.pdf
How to use How to use a DPI guide
How to use a MDI guide
27. How to use
DPI.pdf
28. How to use an
MDI.pdf
Availability and supply of Respiratory Support
Devices to Healthcare Professionals
29. Availability of
placebo inhalers.pdf
Recommended Annual Inhaler Quantities
30.Annual Inhaler
Quantities JUL14.pdf
SIMPLE
31.SIMPLE Poster.pdf
CURB-65+CRB-65 Severity Scores for Community
Acquired Pneumonia
32. CURB-65 +
CRB-65.pdf
Inhaled Steroid Safety Card for Adults
33. LRT Inhaled
steroid safety card1.pdf
Inhaled Corticosteroids: Managing Side Effects
34. Managing Side
Effects ICS.pdf
Version: 2I March 2015
Review: April 2015
(or sooner if any changes)