1996 OPEN FORUM Abstracts
EVALUATION OF AN ASSESSMENT TOOL FOR EQUIPMENT MANAGEMENT (ATEM) OF OXYGEN CONCENTRATORS.
Karen M. Pfaff, RN. Philip J. Savage, CRTT, Larry E. Johnson, MD, Ph.D., John R. Kues, Ph.D., Franciscan Home Medical, Cincinnati, OH 45247.
This study was conducted to validate the ATEM addresses the standards for assessment defined by JCAHO, including knowledge of liter flow, hours of daily use, oxygen safety and emergency procedures, equipment procedures, equipment maintenance and storage, use of back up supplies, and equipment malfunction. Five regional home care companies participated to recruit 70 client subjects. All were first time users of home oxygen concentrators who had no previous experience with the equipment; hospice clients were excluded. All participants were interviewed twice during in-home visits by different employees. The first assessment occurred within 2-5 days of the initial home set-up; the second followed an average 3.2 days later. The clients were randomized to receive initially either the ATEM or the standard company documentation form. The second interview then used the remaining method. The standard documentation was then independently scored using the ATEM format. Results: The ATEM provided useful information 98.4% of the time; the standard documentation methods were much less thorough, providing information required by JCAHO only 3.4% of the time. The ATEM also identified high-risk situations related to equipment management 94.1% more often than current documentation methods. Conclusion: Use of the ATEM greatly facilitates documentation in all categories required for ongoing care by providing both visual cuing and well defined criteria for scoring. It more accurately and completely assesses client/caregiver knowledge and functional abilities. The study is now expanding with more clients to determine how well it identifies risk over time and directs appropriate intervention.