MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C5718C.758F1A80" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Microsoft Internet Explorer. ------=_NextPart_01C5718C.758F1A80 Content-Location: file:///C:/267AC692/SP32.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Assessment – Pulxe Oximetry

Assessment – Pulxe Oximetry

Clinical Indications: &= nbsp; &nbs= p; &= nbsp;

= ______ 1. Pati= ents with suspected hypoxemia

= ______ 2. All patient to get a base line pulse oximetry reading

Procedure:

= ______ 1.      Turn= on the machine and allow for self-tests.

= ______ 2.      Apply probe to patient’s finger or any other digit as recommended by the manufacturer.

= ______ 3.      Allo= w the machine to register a saturation level.

= ______ 4.      Reco= rd the time and the initial saturation percent on room air if possible on the PCR.=

= ______ 5.      Veri= fy the patient’s pulse with the corresponding pulse reading on the oximeter.=

= ______ 6.      Moni= tor critical patients continuously until arrival at the hospital. If recording a one-time reading, m= onitor patients for a few minutes as oxygen saturation can vary.=

= ______ 7.      Docu= mented percent of oxygen saturation every time vital signs are recorded and in response to therapy to correct hypoxemia.

= ______ 8.      In general, normal saturation is 97-99%. Below 94%, suspect a respiratory compromise.

= ______ 9.      Use = the pulse oximetry as an additional tool for patient evaluation. Treat the patient not the data pro= vided by the device.

= ______ 10. The = pulse oximetry reading should never be used to withhold oxygen from a patient in respiratory distress or when it is the standard of care to apply oxygen des= pite a good oximetry reading, such as in the case of chest pain.

= ______ 11. Fact= ors which may reduce the reliability of the pulse oximetry reading may include:=

·      =    Poor peripheral circulation (blood volume, hypotension, hypothermia)

·      =    Excessive pulse oximetry sensor motion=

·      =    Finger nail polish (may be removed with acetone)<= o:p>

·      =    False finger nails

·      =    Carbon monoxide bound to hemoglobin

·      =    Irregular heart rhythms (atrial fibrillation, SVT, etc.)

·      =    Jaundice

= ______ 12. Record procedure, time and patient response in the electronic PCR.

Certification Requirements:

Succ= essfully complete a biannual evaluation including the indications, contraindications, technique, and possible complications of the procedure.

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