PT - JOURNAL ARTICLE AU - Zardab, Mohamed AU - Davies, Sarah AU - Habib, Zain TI - 41 F1s as leaders of change AID - 10.1136/leader-2018-FMLM.41 DP - 2018 Nov 01 TA - BMJ Leader PG - A16--A16 VI - 2 IP - Suppl 1 4099 - http://bmjleader.bmj.com/content/2/Suppl_1/A16.2.short 4100 - http://bmjleader.bmj.com/content/2/Suppl_1/A16.2.full AB - 1) Context:This audit took place in Glan Clwyd Hospital, a DGH in north Wales. The project involved all patients who were prescribed oxygen in the hospital and was carried out by junior doctors in the respiratory department with senior supervision.2) Issue:The main purpose of the audit was to develop junior doctors as leaders and bring about a meaningful change in a system that was already saturated with audits that were performed as a tick box exercise for curriculum purposes. Incorrect oxygen prescription was an issue which all of the junior doctors identified during their placement and often had profound effects on patient management. We postulated that by performing this audit, we would bring about a very positive effect on the management of patients on oxygen and would result in a major change in practice, all driven by foundation year one doctors.3) Assessment of issue and analysis of its causes:Objectives of the audit were:To check compliance there is with oxygen prescription by doctors according to the ALL Wales Drug Chart, whether the oxygen was prescribed correctly, whether the patient was receiving the correct amount of oxygen as stated on the observations chart and whether the target saturations were met– for this, we divided into groups of two and visited wards, identifying patients on oxygen and going through their drug charts manually.To see how many nurses had received formal oxygen training– this was done as individual interviews of the nursing staff by junior doctors.Whether doctors and nurses were correctly able to interpret oxygen flow rate correctly– this was done in real time by asking doctors and nurses to correctly identify the flow meter reading by the bedside.