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

Participated annually in BTS National Audits of the Emergency Use of Oxygen since baseline audit in 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 Agreed junior doctors to audit oxygen therapy as part of established ward audit programme Use standard BTS audit tool

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

March 2014 Ward Audit % June 2014 Ward Audit % October 2014 Ward Audit % Total in-patients on ward Total patients on Oxygen target range % target range % other target range patients using O2 by other order patients using O2, no prescription signatures for O2 - observation chart

Observation rounds should have taken place O2 saturations actually monitored Number of patients on Oxygen with target range SPO2 within target range SPO2 below target range by 1% SPO2 below target range by 2% SPO2 below target range by >2% SPO2 above target range by 1% SPO2 above target range by 2% SPO2 above target range by >2% Total patients for whom not applicable March 2014 Ward Audit % June 2014 Ward Audit % October 2014 Ward Audit %

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%) Of the 19 patients maintained outside target range, 16 were above target range The result for patients using oxygen without prescription improved compared with the previous two audits (March/June 12%, Oct 9%). 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). Results for planned monitoring of O 2 saturations excess monitoring level (110%)

Watch this space… Going paperless this Autumn