G-care.glos.nhs.uk
363347040322500Pulse Oximeter: How to Guide for StaffPulse oximeter for heart rate and blood oxygen level:A pulse oximeter helps monitor how fast a heart is beating and the level of oxygen in the blood. The blood oxygen level can be used as an early indicator of respiratory difficulty especially if confirmed or expected diagnosis of COVID-19. An ideal blood oxygen level is between 95% and 99%. An ideal heart rate is between 50 and 90 beats per minute (bpm).-23495147320How to take a resident’s reading:The pulse oximeter is used by placing it on the resident’s finger (usually the middle or index finger on either hand) to generate a reading.Step 1: Remove any nail varnish or false nails and warm the resident’s hand if cold. Step 2: Make sure the resident is relaxed and rested for at least 5 minutes before taking the reading.Step 3: Ask the resident to keep their fingers in a relaxed position. Ask them (or help them to) rest that hand on their chest at heart level.Step 4: Insert the tip of their middle or index finger from that hand into the pulse oximeter so that the fingertip is pressed against the end and the nail is covered by the device. Check that it is on. Step 5: The reading takes time to steady. Keep the pulse oximeter in place on their finger for at least a minute to allow this. If you do not get a reading within 1 minute, try a different finger.Step 6: Take the reading after a minute or so. If the reading continues to go up and down and won’t stabilise, just take a middle (average) reading.Step 7: Note down the reading in the resident’s notes on the COVID virtual ward app. If the blood oxygen reading is below 95% and/or the heart rate is below 50 or above 90 bpm, you may be asked to repeat the test after 5 minutes (with the resident remaining rested). If the readings remain abnormal, please escalate to the COVID Virtual Ward Team and recommended action taken as shown in the traffic light system below. Step 8: Repeat the process on the resident twice a day ideally around 8am and 3pm (or as close to those times as possible). More readings can be taken if there are any concerns or signs of breathing difficulties, or if recommended by the GP. Decontamination process:Please wipe the pulse oximeter clean before and after use on each resident - do not immerse it in water but wipe clean with a Clinnell or other anti-viral wipe. 00How to take a resident’s reading:The pulse oximeter is used by placing it on the resident’s finger (usually the middle or index finger on either hand) to generate a reading.Step 1: Remove any nail varnish or false nails and warm the resident’s hand if cold. Step 2: Make sure the resident is relaxed and rested for at least 5 minutes before taking the reading.Step 3: Ask the resident to keep their fingers in a relaxed position. Ask them (or help them to) rest that hand on their chest at heart level.Step 4: Insert the tip of their middle or index finger from that hand into the pulse oximeter so that the fingertip is pressed against the end and the nail is covered by the device. Check that it is on. Step 5: The reading takes time to steady. Keep the pulse oximeter in place on their finger for at least a minute to allow this. If you do not get a reading within 1 minute, try a different finger.Step 6: Take the reading after a minute or so. If the reading continues to go up and down and won’t stabilise, just take a middle (average) reading.Step 7: Note down the reading in the resident’s notes on the COVID virtual ward app. If the blood oxygen reading is below 95% and/or the heart rate is below 50 or above 90 bpm, you may be asked to repeat the test after 5 minutes (with the resident remaining rested). If the readings remain abnormal, please escalate to the COVID Virtual Ward Team and recommended action taken as shown in the traffic light system below. Step 8: Repeat the process on the resident twice a day ideally around 8am and 3pm (or as close to those times as possible). More readings can be taken if there are any concerns or signs of breathing difficulties, or if recommended by the GP. Decontamination process:Please wipe the pulse oximeter clean before and after use on each resident - do not immerse it in water but wipe clean with a Clinnell or other anti-viral wipe. -34925195126Call 999 for urgent assessment if you have the following readings:Oxygen level (measured with the pulse oximeter) is consistently 92% and under; meaning more than once within an hour. 00Call 999 for urgent assessment if you have the following readings:Oxygen level (measured with the pulse oximeter) is consistently 92% and under; meaning more than once within an hour. -35560103076At higher risk, phone your GP or 111 for urgent medical attention if you have the following readings:Oxygen level (measured with the pulse oximeter) is 93-94%00At higher risk, phone your GP or 111 for urgent medical attention if you have the following readings:Oxygen level (measured with the pulse oximeter) is 93-94%-41910220345Good readings that show you may be improving:Oxygen level (measured by the pulse oximeter) is 95% and above;Pulse range 50-90 beats per minute 00Good readings that show you may be improving:Oxygen level (measured by the pulse oximeter) is 95% and above;Pulse range 50-90 beats per minute For any queries please email: ppe@.uk and glccg.covidvwteam@ and your query will be directed to the most appropriate colleague. ................
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