Audit of oxygen prescribing in a children's hospital

Wheeler, Lucy, James, Janet, Byrne, Sarah and Forton, Julian ORCID: https://orcid.org/0000-0002-0580-0432 2016. Audit of oxygen prescribing in a children's hospital. Archives of Disease in Childhood 101 (9) , e2. 10.1136/archdischild-2016-311535.36

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Abstract

Aim To audit oxygen prescribing in a children's hospital following the introduction of a new paediatric medication chart, which incorporates an oxygen prescription section. Method In June 2015 a 1-day snapshot audit was carried out across all wards in the children's hospital. All patients receiving oxygen on that day were included: ▸ The audit was repeated in July 2015. ▸ The standards for the audit were set at 100% in accordance with our local guidelines.1 ▸ All patients receiving oxygen should have a prescription. Of these: ▸ All patients should have target saturations identified. ▸ All patients should have an administration device identified. ▸ All patients should have a nurse signature on the chart within the last 12 hrs. Results In June, 13 patients were receiving oxygen on the audit day. 0/14 had a prescription. In July, 18 patients were receiving oxygen on the audit day. (14 critical care, 4 medicine). 4/18 had an oxygen prescription (22%). These were all medical patients. Of these, 4 patients had a target saturation identified (100%), 1 had a device prescribed (25%), and 4 had a nurse signature within the last 12 hrs (100%). Conclusion The initial audit showed no compliance with either local or national guidance for oxygen prescribing.1 ,2 The re-audit showed improved prescribing on the medical wards but not within critical care. The new paediatric medication chart was launched early in 2015, along with a training package for doctors, nurses and pharmacists. This was in response to the National Patient Safety Agency (NPSA) rapid response report on oxygen safety in hospitals.3

Item Type:	Article
Date Type:	Published Online
Status:	Published
Schools:	Schools > Medicine
Publisher:	BMJ Publishing Group
ISSN:	1468-2044
Last Modified:	24 Feb 2023 12:15
URI:	https://orca.cardiff.ac.uk/id/eprint/154738

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