The Science Journal of the American Association for Respiratory Care

2010 OPEN FORUM Abstracts

IMPROVING UPON PRE-EXISTING HOME OXYGEN DISCHARGE PROCESSES, WHILE SIMULTANEOUSLY EXPLORING ALTERNATE METHODS OF EDUCATION.

Joyce Baker, Jason Montoya; The Children’s Hospital of Colorado, Aurora, CO

Background: The Children’s Hospital of Colorado has traditionally sent patients home on oxygen in order to compensate for high altitude, decrease the length of stay, and minimize costs associated with keeping patients admitted only for hypoxemia. Home oxygen discharges were traditionally allocated to the pulmonary rehabilitation therapists and as the institution began to grow in services, the target goal of completing education less than or equal to 90 minutes from discharge order time was no longer workable under current practices. Objective: To identify and improve upon the pre-existing home discharge processes, while simultaneously exploring alternate methods of education in order to sustain and improve upon the 90 minute discharge goal. Method: The equipment technicians have extensive experience in the use of medical gases, and in particular oxygen, so it was proposed that they take on the responsibility of basic home oxygen discharges starting in October of 2008. The relative flexibility in the technicians’ work flow gave them the ability to address and complete the discharges in a timely manner and was consistent with the standard of practices used by durable medical companies in the state of Colorado. Results: All data was collected in two separate fields and then combined to produce an overall average discharge time. The first field encompassed the time it took the doctor to write the script and notify the nurse or respiratory technician. The second field encompassed the time it took the respiratory technician, once notified, to complete the education. Throughout 2009 statistical data was taken monthly and compounded quarterly in order to produce the following results: 1) Quarter one yielded an average of 24.86 minutes for field one, 39.16 minutes for field two, resulting in an overall time of 64.03 minutes. 2) Quarter two yielded an average of 33.6 minutes for field one, 34.9 minutes for field two, resulting in an overall time of 68.56 minutes. 3) Quarter three yielded an average of 38.6 minutes for field one, 34.5 minutes for field two, resulting in an overall time of 73.1 minutes. 4) Quarter four yielded an average of 31.63 minutes for field one, 28.9 minutes for field two, resulting in an overall time of 60.6 minutes. Conclusion: With the utilization of the technicians in order to expedite home oxygen discharges, 2009 yielded a yearly average of 66.57 minutes per discharge, which was 23.43 minutes below our target time of 90 minutes. Sponsored Research - None