Home Oxygen Assessment and Review Service
This service will support the assessment, management and review of patients requiring home oxygen. The service includes Long Term Oxygen Therapy (LTOT) and Ambulatory Oxygen Therapy including patients with cluster headaches and palliative care patients.
Patient, family and carer education is an essential aspect of the service delivery to ensure long-term and sustained improvement.
Patient and carer training covers: the patient's condition and reason for oxygen prescription and discussions around removal of equipment for clinical reasons; principles of low flow oxygen therapy; specific explanation of equipment choice and safe use; back up equipment for concentrators; explanation of the maintenance and servicing requirements of chosen equipment; use of consumables, replacements and hygiene issues; assessment for requirements for humidifier; safety check; dangers of smoking; contact telephone number for the community service nurse specialist; advice on travel with oxygen therapy; complaints and untoward incident management processes and review and follow-up processes.
Days/hours of operation
The core hours for the service are Monday to Friday, 8am to 4pm, but the service is also available for urgent oxygen assessments and re-assessments of oxygen need. Where patients are unable to access the service during the day, evening clinics will be provided.
In addition, urgent need for oxygen will be undertaken by the Respiratory Rapid Response (RRR) nurses (see the Integrated Respiratory Service) and this service is available from 8am to 10pm, seven days a week. Urgent (within four hours) oxygen reviews can also be performed by the RRR nurses.
The referral route will be via telephone, a secure e-mail server and/or secure haven fax or via http://accesstoservices.citycare.org.uk/. Referral sources for oxygen assessment or review include: GPs; specialist care professionals; respiratory professionals; community matrons and community nurses.
All adult patients with Chronic Obstructive Pulmonary Disease (COPD), but the service will also be available for others with respiratory diseases and for some people with cardiac or neurological disease and end of life care. The service will be provided for patients registered with a Nottingham City GP.