|Title:||“Oxygen Prescription & Administration to Inpatients at Midland Regional Hospital Tullamore – An Audit|
|Author(s):||1. Aneet Kumar 2.Hashim Khan 3.Hidayat Ullah 4.Youseff Guirguis|
|Institution:||Midland Regional Hospital, Tullamore, Co-Offaly|
|Poster:||Click to view poster|
|Category:||General Respiratory and Sleep|
|Abstract:||Oxygen is one of the most common drugs used in the acute care of patients. The aim of this audit was to evaluate if oxygen was prescribed as per Irish Thoracic Society guidelines at Midlands Regional Hospital Tullamore showing oxygen prescription, SpO2, flow rate, target SpO2, delivery system, duration period/review date, continuous or as required (PRN) in the drug Kardex.|
Inpatients data was collected on 4 medical, 1 surgical and 1 orthopaedic wards on the 15th of June 2020. Demographics, comorbidities, indication and prescription for oxygen therapy, SpO2 and target levels & mechanism of oxygen delivery were obtained.
Out of total 135 inpatients, 22(16.30%) received oxygen but none (0%) of these patients had oxygen prescribed on the dedicated oxygen prescription section in the drug Kardex. 17/22 (77.27%) patients received oxygen via nasal prongs. 3/22 (13.64%) via Airvo & 1 (4.54%) patient via tracheostomy. 6 (27.27%) patients had no clear indications for supplemental oxygen therapy, though 6(37.5%) patients had known COPD, 3 (18.75%) ILD, 3 (18.75%) Pulmonary Oedema & 2 (12.5%) had Pneumonia.
Our results have been alarming regarding oxygen prescription & documentation. A targeted intervention can effectively improve compliance with oxygen prescription through educating prescribers, nurses, physiotherapists, pharmacists, and requiring nurse’s signature for Oxygen therapy at each drug round.