Oxygen Safety at Home

Created by Shelby DeLoachStudent Nurse at the University of South Florida

Spinal Cord Home Care Part of the James A. Haley Veterans’ Hospital Spinal cord patients that include

quadriplegics, paraplegics, tetraplegics Patients range in age to early 50s to late 90s. Socioeconomic status Various ethnic backgrounds

Health Needs Oxygen home safety guidelines for patients and

caregivers. The main source of focuses have previously been

urinary tract infections, wound care and wound prevention.

Goals & Rationale for the Service Learning Project The overall goal for this lesson is provide patients

and caregivers more information regarding oxygen safety at home.

This presentation can be used to teach patient’s about proper safety that needs to be conducted in the home to prevent fires, harm to themselves, or others.

The Spinal Cord Home Health team can use the pamphlet that I have created to distribute to patients as a patient education tool.

Objectives Patients, providers, and other participants will be able to

teach back and explain two safety risks involved in oxygen in the home by the conclusion of the presentation.

Patients, providers, and other participants will be able to successfully answer 80% of the questions correctly on the questionnaire at the conclusion of the presentation.

Patients, providers, and other participants will be able to verbalize/report that they feel more comfortable or have maintained the same comfort level with the use of home oxygen at the conclusion of the presentation.

Objectives This can be measured with the likert scale based

on comfort levels from 0-10, with 0 being completely uncomfortable and 10 being completely comfortable.

This is the scale that will be used: 1 = Strongly disagree 2 = disagree 3 = undecided or neutral 4 = agree 5 = strongly agree

Healthy People 2020Patients should be educated prior to going home on

oxygen.Patients should continue to be educated and evaluated

constantly. Safety is a big concern for patients who require tools

that are traditionally used in a clinical setting.Oxygen can be very dangerous in the home if proper

precautions are not taken.

Implementing the SLP project Who:

The spinal cord home care staff One patient

Where: At the office In a patient’s home in Tampa, Florida

How did I present it? Pre-Test Explanation of the Pamphlet Post-Test

Pre-Test for the Patient

Pre-Test for the Provider

Presentation Visual

Cover Page

Presentation Visual

Presentation Visual

Presentation Visual

References

More Info

Post-Test for Patient

P0st-Test for the Provider

Results for Pre-Test

Results for P0st-Test

Likert Scale Results for both Pre-Test and P0st-Test There was likert scale on both the pre-test and the post-test

For both of the survey’s the providers either agree or strongly agreed to the following:

Pre-Test Questions: Describe your comfort leveling instructing a patient on how to

safely use oxygen in their home? Do you expect to learn anything today that you did not already

know regarding oxygen safety?

Post-Test Question Do you feel comfortable instructing a patient on how to safely

use oxygen in their home? Did this presentation teach you anything new that you did not

already know regarding oxygen safety?

Modifications I added to the pamphlet that “e-cigarettes are still

cigarettes” Changed some of the wording on both the Pre-

Test and Post-Test

What can be done in the future? Continue to make sure that patients are educated

before discharge or going home with oxygen Evaluate the readiness for a patient to use

oxygen independently

Impact of Healthy Policy According to the World Health Organization:

“Health policy refers to decisions, plans, and actions that are undertaken to achieve specific health care goals within a society. An explicit health policy can achieve several things: it defines a vision for the future which in turn helps to establish targets and points of reference for the short and medium term. It outlines priorities and the expected roles of different groups; and it builds consensus and informs people.”

As mentioned previously, evaluation and education of patients is vital in order to keep patients safe.

The goal here being that patients can use oxygen in their home correctly and safely.

References NIOSH Home International Chemical Safety Cards

(ICSC): Oxygen. (2014, July 1). Retrieved February 18, 2015, from http://www.cdc.gov/niosh/ipcsneng/neng0138.html

Oxygen safety: MedlinePlus Medical Encyclopedia. (2014, April 26). Retrieved February 18, 2015, from http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000049.htm

Sandberg, D., & Fleetham, J. (2013). Home oxygen therapy in British Columbia. British Columbia Medical Journal, 55(3), 149-152.