You are working as a staff Respiratory Therapist at an 800-bed urban hospital in Central North Carolina. It has come to the attention of Case Management that patients are inconsistently prepared for discharge home. The department director has asked you and a group of other Respiratory Therapists to develop a protocol to ensure proper conversion of Hand-Held Nebulizers to MDIs. The protocol needs to encompass all aspects of education needs of the patients, proper assessment of ability to use an MDI, and alternative solutions for patients who are unable to use an MDI.
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