Page 51 - Norco Patient Orientation Handbook e-book
P. 51
OXIMETER
Education
Discuss the purpose of spot check and continuous oximetry: To monitor blood oxygen levels non-
invasively.
Explain that SpO 2 monitoring is used as a guide for trending data. The SpO 2 value is not as accurate as the
SaO 2 or PaO 2 obtained from a blood gas.
Review the physician’s prescription.
Explain that oximetry is to be used only under the supervision of and prescription by a licensed physician.
Document activities and incidents as required by physician on Daily Record, located near the back of the
book.
Demonstration
Plug power cord into properly grounded outlet. Do not use an extension cord.
Describe internal battery life and charging times specific to the oximeter.
Set high/low heart and high/low SpO 2 alarms according to physician’s guidelines.
Demonstrate adjustment of pulse tone, alarm volumes and alarm silence function. Note: Never disable the
alarm silence function when continuously monitoring a patient.
Demonstrate proper: 1) Placement of oximetry probe, 2) Observe the pulse bar for a strong signal (a weak
signal may result in inaccurate readings), 3) Sensors should fit comfortably without restricting blood flow.
Cleaning/Maintenance/Troubleshooting
Clean the surface of the probe sensors prior to patient use. Rotate probe sites. Occluded or dirty sensors will
result in SpO 2 inaccuracy.
Keep sensors out of bright light. Warn patient to avoid wearing colored nail polish when using oximeter, as
this will affect accuracy of oximeter.
Avoid electromagnetic/radio interference (i.e., microwave, other medical monitoring equipment). Keep the
oximeter at least thirty-six (36) inches from any potential interference.
Use sensors specific to the manufacture of the oximeter.
If the unit fails to operate, contact Norco.
OXYGEN DELIVERY SYSTEMS
General precautions:
1. NEVER SMOKE WHILE USING HOME OXYGEN DELIVERY SYSTEM OR ANY SOURCE OF
HIGH-CONCENTRATION OXYGEN.
2. Oxygen tubing poses a potential fall risk. Be aware of the placement of tubing to avoid falls.
3. Never use hand lotions, hair sprays, and/or other flammable aerosol agents within six feet of the oxygen
source. Do not use petroleum-based products (e.g. Vaseline) in or around the nose when using oxygen.
4. Do not operate electrical appliances (such as electric razors, hair dryers, electric blankets, etc.) near oxygen
equipment.
5. Never lubricate home oxygen equipment or supplies. Internal maintenance is the responsibility of Norco.
6. Always use caution not to kink oxygen tubing. Never lay heavy objects on connective tubing. Drain all
moisture that may develop in connective tubing (this is completely normal) daily. Do not allow tubing to
come in contact with any source of direct heat that may cause damage to that tubing.
7. Large oxygen cylinders should be stored in a place in the home where they will be safe from tipping over.
All large cylinders should have a base stand to prevent them from tipping over. Cylinders not in a stand or
cart should be laid on their side in a well-ventilated area. Cylinders are not to be stored in a confined space,
such as a car trunk or closet.
8. Liquid oxygen is 297 degrees below zero F. Contact can cause frostbite. Adhere to manufacturer’s
recommendations on storage and filling of liquid oxygen systems. Do not touch frosted fittings or piping.
Exposure to liquid oxygen should be reported immediately to a physician and Norco for proper course of
