Oxygen Protocols

1. Oxygen Protocols Patient Driven Therapy

2. RsCr 220 2 Times are changin� In the old days, the doctor gave an order and expected for it to be carried out without deviation Now we can work under certain guidelines or �Patient Driven Protocols� Called �PDP�

3. RsCr 220 3 Something New The RCP will evaluate the patient, identify any high risk factors, apply the clinical practice guidelines for Oxygen Therapy Protocol. Then evaluate. If � Then � algorithm. Also called �Standing Orders�

4. RsCr 220 4 If� Suspected hypoxia Documented hypoxia Severe trauma MI Post op

5. RsCr 220 5 Then� Low flow oxygen Nasal cannula, simple mask High flow oxygen Venturi entrainment With aerosol humidifiers Heated or cool

6. RsCr 220 6

7. RsCr 220 7 Immediate response time Advances in monitoring and patient assessment allows a new freedom to treat hypoxia. Ensure that immediate changes can be made in oxygen delivery without the lapse time involved in contacting the physician

8. RsCr 220 8 Dangers of Oxygen Admin BUT WATCH OUT FOR: Oxygen toxicity Absorption atelectasis Oxygen induced hypoventilation Retinopathy of Prematurity

9. RsCr 220 9 Different situations Oxygen ABG Oximetery Nebulizer delivery system Weaning and Extubation Secretion clearance

10. AARC Guidelines Clinical Practice Guidelines

11. RsCr 220 11 AARC CPG The American Association of Respiratory Care have a group of experts write out guidelines for Respiratory Topics Clinical use of oxygen is �evidenced based� We should do things that have been proven to work not just �we have always done it that way�.

12. RsCr 220 12 Many topics are covered Oxygen therapy in the hospital Oxygen therapy at home Oxygen therapy to neonates Pulse Oximetry Transcutaneous monitoring. Humidity Therapy Aerosol Therapy and on� and on�

13. RsCr 220 13 Research There are our source documents that we use to base Our hospital policies and procedures Textbooks Notes and topics in RsCr 220

14. RsCr 220 14 � We not exactly rocket scientists� The End