School Health Associates



Oxygen Saturation Monitoring using Pulse OximeterThings to consider:Provide student with as much privacy as possible given the urgency of the situationNeeded supplies:Pulse Oximeter Student’s Individualized Healthcare Plan (IHP)/Healthcare provider’s orderStethoscopeProcedure Gather supplies and place on a clean surfaceWash handsExplain procedure to student at a level he/she will understandTurn on pulse oximeter Select a distal extremity (usually a fingertip) that can be held still and is void of nail polish, false nail, moisture, and sweatMinimize excessive environmental lightan accurate oxygen saturation reading requires that the pulse oximeter is able to consistently detect the student’s pulse all pulse oximeters have some form of light signal or bar graph that correlates with detecting the pulse; and a consistent high level of detection for at least 20–30 seconds is necessary to determine an accurate readingPlace pulse oximeter probe on distal extremityWait 20-30 secondsRead oxygen saturation level on pulse oximeterRemove pulse oximeter probeTurn off pulse oximeter Follow healthcare provider’s orders with appropriate follow up careWash handsDocument oxygen saturation level in student’s healthcare recordFollow up with parents/guardian and healthcare provider, as necessaryContinuous Pulse Oximetry If the pulse oximetry is indicated to be continuous, the probe needs to be secured in place per manufacturer’s instructionsAn order for continuous pulse oximetry requires an oximeter with an alarmAlarm parameters are to be set per the students Individualized Healthcare PlanIf the alarm sounds, the student requires immediate assessment to determine if it is a “false alarm” (commonly due to excessive movement) or a true emergency that reflects a sudden deterioration in the student’s respiratory statusResources: References:Bowden, V. R., & Greenberg, C. S. (2012). Pediatric nursing procedures (Third Edition). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.Connecticut State Department of Education. (2012). Clinical Procedure Guidelines for Connecticut School Nurses. Available at: of Reviewers:Rachel Gallagher, RN, MSN, CPNP, NCSNDirector of Health ServicesMilwaukee Public SchoolsCynthia C. Griffith, RN, BSN Nurse Clinician Tracheostomy/Home Ventilator ProgramChildren’s Hospital of WisconsinJill Krueger, RN, BSNDirector/Health OfficerForest County Health DepartmentCarole Wegner, MSN, RNClinical Nurse SpecialistTracheostomy/Home Ventilator ProgramChildren's Hospital of Wisconsin ................
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