The Science Journal of the American Association for Respiratory Care

2011 OPEN FORUM Abstracts


Hal Herlong, Dave Smith, Fred Beteta, Holly Hartley, Yolanda Serrano, Kiumars, MD Saketkhoo; Respiratory, Presbyterian Intercommunity Hospital, Whittier, CA

Background: Presbyterian Intercommunity Hospital is an acute care 440 bed facility. The economy of today has continued to add additional pressure on providers to discover ways to conserve economically while continuing to provide high standards of care. We decided to engage in a trial of the 19MFA EasyPulse Flowmeter from Precision Medical Inc. The trial focused on evaluating the use of oxygen conserving technology within the hospital setting. Method: All patients requiring oxygen therapy via nasal cannula admitted and maintained in the new tower of the hospital over the duration of the trial. The 144 bed tower houses cardiac, respiratory, diabetic, and orthopedic surgical patients. Education was provided to all staff members that we concluded would have contact with the patients in the affected Tower. The default technique of oxygen administration in these patients was the pulse flow mode. Titration of oxygen dose was based on ordered acceptable SPO2 ranges. Any patient who was unable to maintain acceptable ordered SPO2 in the pulse mode was placed in the continuous mode. Results: Ninety days of daily monitoring of 1521 patients days, revealed 861 (57%) patients successfully used the conserving pulse mode, 543 patients (36%) used the continuous mode, and others 117 (6%) were not applicable due to their use of humidifier, 25 foot cannula, mask, or patient refusal (1%). Conclusion: The below graph reflects an 8% decrease in oxygen purchases for 3 months, even with a 2011 cost increase of $0.03 / 100 cubic feet. There was also a 2% increase in patient census throughout this period for the overall hospital which also had impact on the amount of consumed oxygen. There was a 10% increase in admissions to the emergency room over 2010 census for this same period, which also affected the total purchase of oxygen for the hospital. In spite of this, we were still able to record a decrease in total oxygen consumption through the use of the EasyPulse flowmeter. Sponsored Research - None
Oxygen Cubic Feet