Inhaler technique: Device specific checklists

Correct inhaler device technique is essential to ensure patients with asthma and chronic obstructive pulmonary disease (COPD) receive the full benefit of their prescribed medicines. Studies consistently show that many patients make errors or have poor technique when using inhalers, leading to sub-optimal symptom control, and an increased risk of exacerbations and avoidable hospitalisations. This inhaler technique checklist has been designed specifically to support healthcare professionals to teach consumers with COPD and asthma how to correctly use their inhaler devices, and as a reference tool when checking inhaler technique. 

The checklist provides clear, step-by-step instructions for a wide range of inhaler devices, including pressurised metered-dose inhalers (pMDIs), dry powder inhalers (DPIs), soft mist inhalers, and devices used with spacers. Each section highlights critical elements of technique, such as shaking or priming devices before use, forming a proper mouth seal, and coordinating inhalation with actuation. Device-specific tips are included to address common mistakes and ensure patients understand how to use their prescribed device correctly. 

Healthcare professionals can use the checklist in multiple ways: teaching patients when a device is first prescribed, checking technique at every clinical encounter, and re-training patients who may have developed poor habits. The resource also reinforces best-practice principles such as checking dose counters, rinsing after corticosteroid use, and ensuring consumers have sufficient inspiratory flow required for their inhaler device. By embedding inhaler technique checks into routine consultations, clinicians can significantly improve medication adherence, optimise drug delivery to the lungs, and ultimately enhance patient outcomes. 

This checklist was developed by Lung Foundation Australia in partnership with the National Asthma Council and Asthma Australia. Published in 2025. It serves as an evidence-based, practical tool to standardise care across primary and hospital settings. For health professionals, it is both a teaching aid and a quality improvement resource — helping ensure every patient receives the right medicine, in the right way, every time.