From the Research
Incentive spirometers are not prescribed through a pharmacy as they are considered medical devices rather than medications. Instead, they are typically ordered directly through a medical supply company or provided to patients in a hospital setting. To obtain an incentive spirometer, a healthcare provider should write an order in the patient's medical record specifying the device and usage instructions (typically 10 breaths every hour while awake) 1. The order is then processed by the hospital's respiratory therapy department or medical supply service. For outpatients, providers can write a prescription or order form for a durable medical equipment (DME) supplier, indicating the specific type of incentive spirometer needed and usage instructions. Some key points to consider when prescribing an incentive spirometer include:
- The type of incentive spirometer to be used, with volume-oriented IS being preferred over flow-oriented IS 1
- The usage instructions, which typically include taking 10 breaths every hour while awake
- The importance of proper training and education for the patient on how to use the device correctly
- The need for regular monitoring and follow-up to ensure the patient is using the device effectively and to assess its impact on their lung function and overall health.
Incentive spirometers are used to encourage deep breathing, prevent atelectasis, and improve lung expansion following surgery or in patients with respiratory conditions, as shown in studies such as 2 and 3. They work by providing visual feedback as patients inhale, helping them achieve specific volume targets and maintain optimal lung function during recovery. Overall, the proper procedure for prescribing an incentive spirometer involves writing an order or prescription for the device, specifying the usage instructions, and ensuring the patient receives proper training and follow-up care.