Abstract
Drs. Hutchinson and Craik are co-presenting and are joint first authors. Background: British Thoracic Society guidelines state that oxygen should be used to treat hypoxaemia and prescribed to a target saturation range. [1] Patients at risk of type 2 respiratory failure should target 88-92%, with the rest 94-98%.This audit aims to identify current practice in Telford9s Princess Royal Hospital compared to the BTS National Audit in 2013. [2] Methods: Target standards: 90% of patients receiving oxygen have oxygen prescribed 100% of patients prescribed oxygen have a documented target range 100% of patients have oxygen delivered appropriately to target Data collected on the Respiratory ward from two separate audits in Autumn/Winter 2015. Drug charts and VitalPaC were used as data sources. Results: 70 patients were on oxygen, of which: 61% (n=43 /70) had it prescribed. 95% of those with a prescription (n=41 /43) had a documented target saturation range. 63% of those with a documented range (n=26 /41) were correctly oxygenated to target. Key Messages: We are below the targets for all 3 standards. However, if prescribed, majority would follow good practice of prescription and delivery of oxygen. Recommendations: 1. Use bedside alert cards 2. Educate all staff about oxygen prescription 3. Nominate an Oxygen Champion Nurse 4. Use the #PrescribeTargetDeliver hash-tag to promote awareness 5. Re-audit after above measures.
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