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oxygen. Our study indicates deficiencies in our practice in this specialist unit. There is a lack of clinical training and a low uptake of the self-assessment competency form. With these observations we are moving to make training and competency assessment mandatory for all clinical staff across the Trust. Also with the confusion we observed in correctly setting our hospitals traditional regulators we are considering switching to calibrated flow metres with a 'dial' to select flow which woulddoi:10.1136/thx.2010.150979.44 fatcat:45xomhkjrjeavc5xoan7s5mnma