Authors (including presenting author) :
Wong PL(1), Lee WC(1), Chan KC(1), Lau PY(1), Poon CY(1), Chan KK(1)
Supervisors: Lau KY(1), Sze SSP(1), Lam WSJ(1), Poon CL(1)
Affiliation :
(1)Department of Medicine
Introduction :
Oxygen therapy was common in clinical setting, however, there were serious oxygen-related incidents with adverse outcomes occurred recently. So, updated professional training and skills on safety handling related to oxygen therapy for nursing staff was important.
Objectives :
1.To increase nursing knowledge, skills and competence in delivering safe and effective oxygen therapy to patients.
2.To enhance safety awareness and communication between staff, regarding oxygen administration in clinical settings and during transportation.
Methodology :
Subjects included all nurses working at Haven of Hope Hospital.
From Aug to Dec 2024, the program included:
1.Two identical seminars including an oxygen safety related presentation and hands-on demonstrations of different oxygen devices and oxygen cylinders.
2.An "Oxygen Card" checklist was designed based on the "Oxygen Cylinder Safety 3-2-1" guideline. A pilot program was implemented, completed the checklist prior to transferring patients with oxygen.
3.An "Oxygen Delivery Devices Cue Card," with detailed characteristics and associated nursing care for common oxygen delivery devices was designed as a quick reference for staff.
Program outcome measures:
1.Pre & Post test would be conducted to assess participants' knowledge and attitudes regarding the safe use of oxygen devices.
2.Skills assessment on oxygen cylinder operation based on the “Oxygen Cylinder Safety 3-2-1” guideline.
3.Staff evaluation of the seminars.
4.Staff evaluation of the “Oxygen Card" pilot program.
Result & Outcome :
1. 54 nurses completed Pre and Post-test. The mean scores for self-assessments demonstrated improvement: knowledge increased from 6.33/10 to 7.83/10, risk awareness rose from 6.83/10 to 8.02/10, and self-confidence in safely handling oxygen devices improved from 6.85/10 to 8.06/10. The percentage change in the total knowledge mean score was 72.2%.
2. 100% correct demonstrations of oxygen cylinder operation.
3. Seminars’ staff satisfaction scores were 5.44/6 for Day 1 and 5.43/6 for Day 2.
4. 82.2% of participants reported an increased awareness about safe use of oxygen cylinders during transportation, while 73.4% agreed the checklist could help reduce incidents related to oxygen cylinders.
This program improved nurses’ understanding of oxygen use, enhanced safety awareness to reduce patient risk and maintained safety practices in clinical settings. Ongoing training and refreshment programs are essential for staff, ultimately leading to quality and safety patient care.
