No. | Step | Who | What | Length (min) | Protocol |
---|---|---|---|---|---|
1 | Installation of the patient | RN | - Setup in the dedicated room - Collection of new elements since the last visit - Verification of the results of examinations performed in the community or at the hospital - Needs for administrative documents (transport passes and certificates) - Reminder of the hygiene rules (wearing a mask) - Validation of the day’s clinic visit circuit | 5–10 | Hygiene — CR |
2 | Consultation w/nurse | RN | - Taking of measurements (weight and height) - Recording of the assessment in the patient’s electronic record - Taking stock of the treatments prescribed and taken - Care (implantable device, blood draw, etc.) - Events in the life of the patient to be prepared - Responses to the patient’s/parent’s questions | 20–30 | Measurement protocol (height and weight) according to the patient’s age |
3 | Respiratory assessment | PT | - Implementation of the hygiene protocol - Taking stock of the physiotherapy practiced in the community and review of instrumental aids - Taking stock of physical and sports activities - Physiotherapy session with sputum collection for sputum culture - Assessment of bronchial congestion - Recording of the assessment in the patient’s electronic record | 40 |  |
4 | PFT (pulmonary function test) |  | - Measurement of respiratory function - Recording in the patient’s electronic record | 10 | Recommendations of the American Thoracic Society |
5 | Other scheduled intervention |  | - Psychological assessment (psychologist), social assessment (social worker), or nutritional assessment (dietician) - Or individual therapeutic education session - Recording of the assessment in the patient’s electronic record | 30–40 |  |
6 | Medical consultation | Physician | - Additional examination - Clinical examination - Review of all treatment - Response to the patient’s/parent’s questions - Referral to the referent professional - Planning of the next visit and need for additional examinations to be performed at the hospital or in the community - Preparation of prescriptions - Recording in the patient’s electronic record - Signing of medical certificates | 35–45 | End of the course of consultation to benefit from assessments performed by the other professionals recorded in the patient’s electronic record |
7 | Departure of the patient | Admin. Sec. or RN | - Scheduling of the next appointment - Review of organization for departure (transport, nutritional need, and support) - Verification that the patient has all useful documents - Instructions for events by the next visit - Once the patient leaves the room, disinfection before accommodating the next patient. | 30 | Disinfection protocol |