MEDICAL OXYGEN TRAINING AND COMPETENCIES - Sussex ...
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MEDICAL OXYGEN TRAINING
AND COMPETENCIES
DOCUMENT CONTROL
Version 2.0
Date Issued 30/11/2020
Review by 30/11/2021
Ratified by Drugs and Therapeutics Group
Purpose of issue For Implementation
Author AP – Health and Safety Manager
RL/ HB – Chief Pharmacist
Approval Status Final
Online location https://staff.sussexpartnership.nhs.uk/medical-
devices/catalogue/medicaldevice/oxygen-
cylinder-cd
Distribution All clinical services using medical oxygen
Medical Oxygen Competencies Version 2.0 / 2020Contents Introduction ............................................................................................................................................ 3 Recording of Training .............................................................................................................................. 3 Safety ...................................................................................................................................................... 4 Key Cylinder Components ....................................................................................................................... 5 New cylinder preparation procedure ..................................................................................................... 6 Administration ........................................................................................................................................ 7 After administration................................................................................................................................ 8 Competency Sign Off .............................................................................................................................. 9 Record of Training in Medical Oxygen .................................................................................................. 10 Medical Oxygen Competencies Version 2.0 / 2020
Introduction
This document is to aid clinical services using medical oxygen to train their staff and allow for a
baseline competency level to be established for its safe and effective use.
For further advice or assistance with regards to safe management and use of medical oxygen please
email either the Resuscitation Trainers, Medical Device Safety Officer or contact your local pharmacy
representative within your service.
Recording of Training
All training provided in respect of medical oxygen must be recorded on the MyLearning system.
Additionally, there is a record of training in medical oxygen form at the end of this document to
allow for a local easily accessible record to be maintained of training provided.
To record on MyLearning, the trainee must login to my learning as themselves and:
• Click “Record of Learning” from the front page
• Click “Other Evidence”
• Click “Add evidence”
• Enter the evidence name as “Local Oxygen Therapy Training”
• Select the evidence type “Local Training”
• Enter any comments regarding the training in the description box such as reflections
• Under institution enter your Ward / Team
• Date Completed should be set to the date the training was undertaken
• Attach the sign off sheet at the end this document as an attachment (once complete)
• Click “Add Evidence”
Medical Oxygen Competencies Version 2.0 / 2020Safety
1. Make sure your hands are clean and if you have recently used an alcohol-based
hand cleaner that it has fully evaporated. If you have petroleum-based moisturiser or
similar products on your hands you should not use the cylinder, for example Vaseline
2. Visually inspect the cylinder and ensure it is clean and free from obvious damage.
3. Ensure the cylinder is free from oil and grease, especially around the outlet valves.
4. Keep the cylinder away from naked flames, sources of ignition and combustible
materials. Although Oxygen is not flammable it supports combustion.
5. When working with the cylinder, position yourself to the side and never lean over any
of the valves.
6. Ensure that the cylinders are handled and stored in a manner that prevents them
falling. Where necessary Estates are available to assist with installation correctly, in
inpatient bedrooms and staff should be aware of this.
7. Ensure that any storage and use of oxygen cylinders has its ligature potential
assessed and care plans, risk assessments and ligature logs are updated.
8. Always move cylinders by their approved means either by the carry handle or trolley
depending on type.
9. Never lay cylinders on patient beds.
10. Be aware that oxygen can impregnate clothing and even after a period of time,
clothing may ignite very easily if a staff member or patient were to smoke, causing
significant burns, so smoking should be avoided at all costs. If going off site to
smoke, clothing should be changed before doing so to reduce this risk.
11. Staff must not change regulators on cylinders unless they have been specifically
trained by the estates team to do so. Nearly all cylinders currently in use have
integrated regulators so do not need changing.
Medical Oxygen Competencies Version 2.0 / 2020Key Cylinder Components
1. Flow selector
Used to set the required flow rate, it clicks between each figure to ensure correct rate
is chosen
2. Contents gauge
Shows remaining contents of cylinder (and when empty), green is full and red is
low/empty.
3. Handwheel
A dial used to turn the cylinder on and off by hand, anti-clockwise opens, and
clockwise closes.
4. Fir tree outlet
Attachment point for oxygen delivery devices with push on connectors.
5. Cylinder identity sleeve / Collar Label
Displays the medical gas content along with important safety information.
6. Batch Label
Provides details of the batch and expiry dates of the cylinder contents.
Medical Oxygen Competencies Version 2.0 / 2020New cylinder preparation procedure
1. Verify you have the correct medical gas by checking the label, you must confirm it is
medical oxygen.
2. Check the expiry date on the batch label fitted to the cylinder.
3. Make sure the contents gauge is in the green zone indicating the cylinder is full.
4. Remove the tamper evident cover by pulling the tear ring.
5. Open the valve outlet cover by pulling the grey cover downwards (it is fixed to the
cylinder on a hinge) to ensure it is operable and no obvious damage then close it
again.
6. Ensure the flow rate selected on the top of the cylinder is set to zero and the
handwheel on the side (black dial) is turned off.
Medical Oxygen Competencies Version 2.0 / 2020Administration
1. Ensure a valid prescription has been made for the patient to have oxygen therapy
unless it is an emergency in which case no prescription is required and it can be
administered in accordance with your level of training (ILS Level 3 should be held). A
Hypoxia MAUP is available and staff should have been signed off to work under it in
an emergency situation.
2. Oxygen must be prescribed on the Trust drug chart, detailing the flow rate per minute
and the target oxygen saturation level. If the oxygen saturation levels are not being
achieved or are exceeded, medical advice should be obtained to adjust the
prescribed flowrate.
3. If intermittent oxygen is prescribed, each time the oxygen is used nursing staff should
record the starting time on the drug chart and recorded in Carenotes the start time
and the patient's saturation level. When the oxygen is stopped, the time the oxygen
was stopped, the length of time the patient was on the oxygen, at what rate and the
saturation level achieved should be recorded in Carenotes.
4. Verify you have the correct medical gas by checking the label, you must confirm it is
medical oxygen.
5. Firmly push the tubing from the oxygen delivery device onto the fir tree outlet and
ensure it is secure.
6. Slowly turn the cylinder on by turning the handwheel anti-clockwise until it comes to a
stop (do not use excessive force) and then turn back half a turn to ensure it does not
get stuck in the open position *never open the valve unless an oxygen delivery
device is connected securely*
7. Set the required flow rate of the cylinder by turning the flow selector dial on top of the
cylinder from 0 to the required flow rate as per the prescription.
8. Place the oxygen delivery device onto the patient as per intended delivery route
a. Nasal Cannula
b. Medium concentration mask (simple face mask)
c. Venturi mask
d. Non-rebreathe mask (must be used in an emergency situation when a flow
rate of 15litres/min needs to be delivered)
Medical Oxygen Competencies Version 2.0 / 2020After administration
1. Remove the oxygen delivery device and dispose of as clinical waste
2. Set the flow rate of the cylinder to 0 by turning the selector dial on top of the cylinder
3. Slowly turn the cylinder off by turning the handwheel clockwise until it comes to a
stop (do not use excessive force)
4. Ensure the cylinder is decontaminated in accordance with the cylinder suppliers’
instructions and to a level commensurate with the infection risk posed by it.
5. Ensure that the part used or empty cylinder is refilled by letting the ward's Oxygen
Champion or their deputy know a cylinder has been in use.
Medical Oxygen Competencies Version 2.0 / 2020Competency Sign Off Medical Oxygen Competency Training Training Details Date of Training Trainee / Job Title Ward / Team Version 2.0 / 2020 Topic Covered Yes/No Safety Key Cylinder Components New cylinder preparation procedure Administration After administration Tick one of the following: I believe the trainee has displayed an acceptable level of understanding in the topics covered I believe the trainee has not displayed an acceptable level of understanding in the topics covered Sign Off Trainer / Job Title Date Signature Please ensure a copy of this is retained on the trainees MyLearning record, local copies can be kept if necessary. Medical Oxygen Competencies Version 2.0 / 2020
Record of Training in Medical Oxygen Ward / Team = Trainee Date Version Competent Trainer Medical Oxygen Competencies Version 2.0 / 2020
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