Pulse oximeter for heart rate and blood oxygen level
COVID diary for use in a care home settingThe Covid Diary is for use in your Care Home setting to be able to track and monitor a residents progress. If your care home does not have access to a pulse oximeter arrangements are being made to supply this to your named clinical lead. The diary can be used in conjunction with a more clinical and remote monitoring approach which is described in the remote monitoring guidance document. Support for staff in recognising the early symptoms of covid receiving a timely response and managing an outbreak shall be delivered through the mutual aid and the stepping up response from the NHS . Pulse oximeter for heart rate and blood oxygen levelA pulse oximeter helps to monitor how fast an individual’s heart is beating and the level of oxygen in their blood. This blood oxygen level is the most accurate way of keeping an eye on their progress with COVID-19. An ideal oxygen level in the blood is between 95 and 99%. An ideal heart rate is between 50 and 90.36576004348480How to use a Pulse oximeterFollow these instructions to make sure the pulse oximeter gives an accurate reading:Remove any nail polish or false nails and warm the individual’s hand if cold.right387314Image courtesy of Denis Barbulat020000Image courtesy of Denis BarbulatMake sure they have been resting for at least five minutes before taking their measurement.Their hand should be resting on their chest at the level of the heart and held still.Switch the pulse oximeter on and place it on their finger. It works best on their middle or index finger (shown in the diagram). It should not be used on their ear.The reading takes time to steady. The pulse oximeter should be in place for at least a minute, or longer if the reading is not stable.Record the highest result once the reading has not changed for 5 seconds.Be careful to identify which reading is their heart rate and which is their oxygen level. A Guide to taking an oxygen saturation reading is available through this link Cleaning and decontaminationIf the pulse oximeter is to be used on more than one inidivudal, it should be cleaned between every single person use following these guidelines: Recording and acting on the resultWrite the information in the attached diary. Start writing from the line that says baseline and record 3 times a day after that. Take the measurements at the same time each day. Take them when the person would normally eat breakfast, lunch and evening meal. Take extra measurements if you feel there is a change in their health. 254021188700Ring 999 ifThey are unable to complete short sentences at rest due to breathlessnessTheir breathing suddenly worsens within an hourTheir oxygen level is consistently less than 93% (more than once within an hour) OR05715000 Ring your GP/111 as soon as possible ifTheir oxygen level is consistently less than 95% when sitting or lying down They are gradually feeling much more breathless or unwell for 2 or more hoursThey are having difficulty breathing when getting up to go to the toilet, or similarIt is useful to keep track of the individual’s temperature if you are able to. However, as long as their oxygen level and breathing are normal, you may not not need to contact your GP/111 immediately if they have a temperature. Other symptoms, such as cough, muscle aches, tiredness, mild chest pain, and change in taste or smell are less worrying. Paracetamol and regular fluids can help and most people will get better by themselves within 2-3 weeks. Remember to follow Government self-isolation advice via the NHS website (nhs.uk). Remember some people with COVID-19 infection may develop other problems or have other causes for their symptoms. If the individual develops other concerning symptoms, the NHS website provides helpful advice on when to contact your GP/ 111. The diary can be used to monitor progress of a resident during the Covid 19 Clinical weekly check-in. Care home resident COVID diaryFirst Name Surname Date of Birth AgePlease record these three times a day Days since first symptoms ★DateCovidTest resultPulseOxygen level %Temperature *Feeling: Better/same/worseBreathing: Better/same/worseDayTimeBaseline reading ★ i.e. if you start recording pulse oximetry 5 days after your first symptoms started, record ‘5’ under Day* Fill in temperature if you have a thermometerDays since first symptoms ★DatePulseOxygen level %Temperature *Feeling: Better/same/worseBreathing: Better/same/worseDayTime ................
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