| Title: | Standardising the Delivery of High Flow Nasal Oxygen on a Respiratory Ward |
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| Author(s): | N. Ferguson D. Comer D. Moore T. Craig |
| Institution: | Mater Hospital, Belfast, Northern Ireland |
| Poster: | Click to view poster |
| Category: | General Respiratory and Sleep |
| Abstract: | Standardising the Delivery of High Flow Nasal Oxygen on a Respiratory Ward N Ferguson, D Comer, D Moore, T Craig. Mater Hospital, Belfast, UK High flow nasal oxygen (HFNO) is used to treat patients with hypoxic respiratory failure.(1,2) HFNO use must be accompanied by forward planning in terms of whether escalation to critical care is appropriate.(1) HFNO is usually initiated by junior doctors, and we had observed that in this patient group, less than 50% of had an escalation plan determined within 24 hours. Our aim was to promote HFNO awareness, provide educational sessions, design a proforma with emphasis on escalation planning, and collate medical staff and patient feedback. We therefore designed a HFNO proforma which included indication, initiation and weaning, and to include an escalation plan timely countersigned by a respiratory consultant. We achieved over 80% compliance in terms of use of our proforma indicating escalation planning was both established early and consultant led. This was discussed with the patient at the time. Feedback from the medical staff was positive. Although the majority of patients regarded HFNO comfortable, they were often unclear of its indication. Promoting HFNO awareness and providing educational sessions resulted in a positive and sustained uptake of the proforma. This resulted in both earlier consultant led escalation planning and discussion with the patients and families. Feedback from educational sessions was positive. 1) O’Neill et al. 2017 ‘High Flow Nasal Oxygen (HFNO): Use and management for adult inpatients in secondary care’. BHSCT policy v1.0 2) Roca O, Riera J, Torres F, Masclans JR (2010) High-flow oxygen therapy in respiratory failure Respiratory Care;55(4), 408-413 |
