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Oxygen Ward Audits 2014

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Going paperless this Autumn Participated annually in BTS National Audits of the Emergency Use of Oxygen since baseline audit in 2008. Initially Trust performance ... – PowerPoint PPT presentation

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Title: Oxygen Ward Audits 2014


1
Oxygen Ward Audits 2014
  • Linda Pearce
  • Respiratory Consultant Nurse
  • West Suffolk NHS Foundation Trust

2
Participated annually in BTS National Audits of
the Emergency Use of Oxygen since baseline audit
in 2008.
Initially Trust performance compared very
favourably against the National findings,
although the 2012 audit appeared to show falling
standards
Results for the 2013 audit were generally above
the National performance reported by the BTS
Patient Safety and Implementation Group keen to
improve oxygen prescription and administration
Use standard BTS audit tool
Agreed junior doctors to audit oxygen therapy as
part of established ward audit programme
3
  • March, June, October 2014
  • Aim snapshot audit conducted on all Inpatient
    wards on one day
  • 11 wards participated
  • 2 medical and 2 surgical wards did not
    participate
  • no patients on oxygen on a further ward

4
RESULTS
March 2014 Ward Audit June 2014 Ward Audit October 2014 Ward Audit
Total in-patients on ward 281   307   246  
Total patients on Oxygen 41 15 42 14 67 27
target range 94 - 98 21 51 25 60 33 49
target range 88 - 92 12 29 8 19 20 30
other target range 3 7 0 0 7 10
patients using O2 by other order 0 0 4 9 1 2
patients using O2, no prescription 5 12 5 12 6 9
signatures for O2 - observation chart 81 61 87 67 144 69

5
March 2014 Ward Audit June 2014 Ward Audit October 2014 Ward Audit
RESULTS
Observation rounds should have taken place 374   255   287  
O2 saturations actually monitored 371 99 271 106 316 110
Number of patients on Oxygen with target range 37   39   62  
SPO2 within target range 30 81 31 79 43 69
SPO2 below target range by 1 1 3 2 5 1 2
SPO2 below target range by 2 1 3 0 0 0 0
SPO2 below target range by gt2 1 3 1 3 2 3
SPO2 above target range by 1 1 3 0 0 5 8
SPO2 above target range by 2 1 3 1 3 5 8
SPO2 above target range by gt2 2 5 4 10 6 10
Total patients for whom not applicable 4   3   5  
6
proportion of patients maintained within target
range fell by 10 (69) compared with the
previous audit level - still above the BTS audit
average (63.6)
The result for patients using oxygen without
prescription improved compared with the previous
two audits (March/June 12, Oct 9).
Of the 19 patients maintained outside target
range, 16 were above target range
Results for planned monitoring of O2 saturations
excess monitoring level (110)
The improvement in percentage of signatures to
drug rounds found in the June audit was
maintained up a further 2 to 69. NB.
considerably higher than the national data for
October 2013 (21.4 signatures to rounds).
7
  • Watch this space
  • Going paperless this Autumn
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