TY - JOUR T1 - Improving oxygen prescription at a district general hospital JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.congress-2016.PA2887 VL - 48 IS - suppl 60 SP - PA2887 AU - Emily Wells AU - Peppa Denny AU - Syed Mehdi AU - Imran Aziz Y1 - 2016/09/01 UR - http://erj.ersjournals.com/content/48/suppl_60/PA2887.abstract N2 - The British Thoracic Society guidelines (1) recommend oxygen is prescribed to all acutely unwell patients. Oxygen target saturations should be prescribed, measured, recorded and adjusted for each patient. Subsequent adjustments should be made based on oxygen prescription. Our Trust uses a separate oxygen prescription sheet, as opposed to being part of the main prescription sheet.We aimed to explore the knowledge of oxygen prescription of junior doctors in acute admissions and accident and emergency department, who were surveyed to assess awareness, attitudes and confidence in prescribing oxygen.Results: 74% of junior doctors agreed that oxygen should be prescribed but only 17% knew how and where to prescribe it. 90% correctly identified the oxygen target for patients at risk of hypercapnic respiratory failure, but only 68% recognised the target for those not at risk. Confidence in using different oxygen delivery systems was varied; Nasal cannula 74%, Oxygen mask 63%, Non-rebreathe mask 84% and High flow oxygen 68%.Conclusions: Junior doctors lack awareness and confidence in using oxygen appropriately. When these results were presented at a trust wide audit meeting, the nursing lead suggested that nurses should also take part in the process. Targeted teaching sessions have been planned for junior doctors and nurses to improve oxygen prescription.We believe incorporation of oxygen prescription into the standard drug chart is essential so oxygen prescription cannot be overlooked. Practice will be re-audited next year.(If accepted our oxygen prescription chart would be presented)References: 1. British Thoracic Society. Guideline for emergency oxygen prescription in adults. Thorax. 2008. ER -