{"id":4244,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/oxygentherapy\/"},"modified":"2023-09-13T15:44:10","modified_gmt":"2023-09-13T14:44:10","slug":"oxygentherapy","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/respiratory\/oxygentherapy\/","title":{"rendered":"Oxygen Therapy"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">\u200bServices<\/h4>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Royal Infirmary of Edinburgh&nbsp;&nbsp;&nbsp;<\/strong><\/td><td>Respiratory&nbsp;Consultant<\/td><td>New<\/td><\/tr><tr><td><strong>&nbsp;<\/strong><\/td><td>Respiratory Nurse Specialist&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/td><td>Established&nbsp;Diagnosis<\/td><\/tr><tr><td><strong>&nbsp;Western General Hospital<\/strong><\/td><td>Respiratory Consultant<\/td><td>New<\/td><\/tr><tr><td><strong>&nbsp;<\/strong><\/td><td>Respiratory Nurse Specialist<\/td><td>Established&nbsp;Diagnosis<\/td><\/tr><tr><td><strong>&nbsp;St John&#8217;s Hospital<\/strong><\/td><td>Respiratory Consultant<\/td><td>New<\/td><\/tr><tr><td><strong>&nbsp;<\/strong><\/td><td>Respiratory Nurse Specialist<\/td><td>Established&nbsp;Diagnosis<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li>From October 2012 GPs can no longer prescribe oxygen&nbsp;<\/li>\n\n\n\n<li>All assessments for oxygen therapy&nbsp;must be done at the hospital clinic<\/li>\n\n\n\n<li>In acute medicine only the respiratory consultants and respiratory nurse specialists (RNS) are full designated prescribers<\/li>\n\n\n\n<li>Palliative care and neurology consultants have limited prescribing rights for specific conditions<\/li>\n\n\n\n<li>All children must be assessed at RHCYP<\/li>\n\n\n\n<li>The continuing supply and maintenance of oxygen for patients in the community will be done by Dolby<\/li>\n\n\n\n<li>Clinical follow-up remains the responsibility of the clinical team.<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">Who to refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients with an established respiratory diagnosis &#8211; COPD , interstitial lung disease, bronchiectasis &#8211;&nbsp;whose oxygen&nbsp; saturations &lt; 92% at rest<\/li>\n\n\n\n<li>Patients who have oxygen sats&lt; 92% at rest<\/li>\n\n\n\n<li>Patients who desaturate to &lt; 92% on mild exercise<\/li>\n\n\n\n<li>Patients with severe disease who need to fly<\/li>\n\n\n\n<li>Any patient using short-burst oxygen therapy more than 2 hrs per day<\/li>\n<\/ul>\n\n\n\n<p><strong>Long-term Oxygen Therapy<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Long-term oxygen therapy is indicated for patients when the PaO2 is consistently at or below 7.3 kPa, breathing air during a period of clinical stability<\/li>\n\n\n\n<li>Clinical stability is defined as the absence of an exacerbation of COPD \/ other respiratory disease for the previous four weeks.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients with any respiratory diagnosis whose oxygen saturations are normal (&gt;92%)<\/li>\n\n\n\n<li>Patients with terminal illness<\/li>\n\n\n\n<li>Short-burst oxygen therapy who use oxygen less than 2 hrs per day on a short term basis<\/li>\n\n\n\n<li>Patients or anyone in the same house, who are still smoking<\/li>\n\n\n\n<li>Patients who have had an exacerbation in the last month<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">How to refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Refer via SCI-Gateway<\/li>\n\n\n\n<li>Patients must have oxygen saturations levels assessed using an oximeter prior to referral<\/li>\n\n\n\n<li>The result should be recorded in the referral letter<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Respiratory-Lothian-COPD-Guidance-April-2018-v0-4-Combined-2-1.pdf\" data-type=\"attachment\" data-id=\"10030\" target=\"_blank\" rel=\"noreferrer noopener\">Lothian COPD Guidance April 2018 v0 4 Combined<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.nice.org.uk\/\" data-type=\"URL\" data-id=\"https:\/\/www.nice.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">National Institute for Health and Care Excellence (NICE)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.sign.ac.uk\/\" data-type=\"URL\" data-id=\"https:\/\/www.sign.ac.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Scottish Intercollegiate Guidelines Network (SIGN)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RESP-OXYGEN-T-Oxygen-Therapy-Pathway_Palliative-v1.0.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RESP-OXYGEN-T-Oxygen-Therapy-Pathway_Palliative-v1.0.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Oxygen Therapy Pathway_Palliative v1.0<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RESP-OXYGEN-T-Oxygen-Therapy-Pathway_LUCS-v1.0.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RESP-OXYGEN-T-Oxygen-Therapy-Pathway_LUCS-v1.0.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Oxygen Therapy Pathway_LUCS v1.0<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RESP-OXYGEN-T-Oxygen-Therapy-Pathway_Community-v1.0.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RESP-OXYGEN-T-Oxygen-Therapy-Pathway_Community-v1.0.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Oxygen Therapy Pathway_Community v1.0<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RESP-OXYGEN-T-Oxygen-Therapy-Pathway_ClusterHeadaches-v1.0.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RESP-OXYGEN-T-Oxygen-Therapy-Pathway_ClusterHeadaches-v1.0.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Oxygen Therapy Pathway_ClusterHeadaches v1.0<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Respiratory-OXYGEN-T-NAG-RMCNs_DOTS-National-Guidance-Best-Practice_Feb-2012-1.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Respiratory-OXYGEN-T-NAG-RMCNs_DOTS-National-Guidance-Best-Practice_Feb-2012-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Domiciliary Oxygen Therapy Service &#8211; National Guidance\/Best Practice.pdf<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&#8203;Services Royal Infirmary of Edinburgh&nbsp;&nbsp;&nbsp; Respiratory&nbsp;Consultant New &nbsp; Respiratory Nurse Specialist&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Established&nbsp;Diagnosis &nbsp;Western General Hospital Respiratory Consultant New &nbsp; Respiratory Nurse Specialist Established&nbsp;Diagnosis &nbsp;St John&rsquo;s Hospital Respiratory Consultant New &nbsp; Respiratory Nurse Specialist Established&nbsp;Diagnosis<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4381,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[602],"class_list":["post-4244","page","type-page","status-publish","hentry","category-oxygentherapy"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/respiratory\/oxygentherapy\/\" rel=\"tag\">Oxygen Therapy<\/a>","rttpg_excerpt":"&#8203;Services Royal Infirmary of Edinburgh&nbsp;&nbsp;&nbsp; Respiratory&nbsp;Consultant New &nbsp; Respiratory Nurse Specialist&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Established&nbsp;Diagnosis &nbsp;Western General Hospital Respiratory Consultant New &nbsp; Respiratory Nurse Specialist Established&nbsp;Diagnosis &nbsp;St John&rsquo;s Hospital Respiratory Consultant New &nbsp; Respiratory Nurse Specialist Established&nbsp;Diagnosis","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4244","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4244"}],"version-history":[{"count":8,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4244\/revisions"}],"predecessor-version":[{"id":14347,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4244\/revisions\/14347"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4381"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4244"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4244"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}