|Title:||An Audit of a Nurse-Led Clinic for Follow Up of Patients with Home Oxygen|
|Author(s):||A. O’Keeffe M. O’Donnell A. Devi N. Dhondt E. Drudy W. Binalialsharabi K. Breathnach C. Gleeson C. Gray P. Nadarajan|
|Institution:||St James's Hospital|
|Poster:||Click to view poster|
|Category:||Asthma and COPD|
|Abstract:||An audit of a nurse-led clinic for follow-up of inpatients newly commenced home oxygen|
A. O’Keeffe, M. O’Donnell, A. Devi, N. Dhondt, E. Drudy, W. Binalialsharabi, K. Breathnach, C. Gleeson, C. Gray, P. Nadarajan
St. James’s Hospital, James’s Street, Dublin 8.
Patients newly commenced on ambulatory oxygen therapy (AOT) and long-term oxygen therapy (LTOT) are often not followed up to assess appropriateness/necessity of initial prescription . The aim of this audit was to assess the effectiveness and outcomes of a nurse-led clinic at ensuring follow-up of all patients who were newly commenced on LTOT and/or AO following a hospital admission.
The audit examined all inpatient home oxygen requests sent between November 2019 - March 2020. Data in relation to follow up attendance and modification of prescription was captured on Excel.
Fifteen patients newly commenced LTOT and/or AOT as an inpatient over the study period and were eligible for inclusion in the audit. Only six patients attended the first follow up at six weeks (DNA n= 5; CNA due to COVID n=4). Twelve patients attended a further follow up review at six months. Six persons attended twice and only two had no follow-up. Over the two visits, LTOT was stopped in 4 persons and modified in two, while AOT was also stopped in four persons and modified in two.
Nurse-led care allowed for high follow-up rates of patients prescribed home oxygen following a hospital admission and ensured appropriate changes were made.
1. Ringbaek T, Lange P, Viskum K. Are patients on long-term oxygen therapy followed up properly? Data from the Danish Oxygen Register. Journal of Internal Medicine. 2001;250(2):131-136.