by nurse2teach

I am desperately seeking a concise oxygenation policy/protocol/guidelines for nurses to use in NICU. I am not having much help from the neonatologists with narrowing this down. The research I have gotten seems to be all over and somewhat confusing for staff to implement. I would like to keep it simple and practical if possible but am in need of help. Anything you can share or suggestions would be appreciated?

Re: Oxygenation guidelines

We keep sats for all kids 85-95% unless they are on room air or cardiac.

Re: Oxygenation guidelines

NeoNurseTX , Thanks for the response.
Does your institution have a written policy or guidelines regarding these parameters that you could share?( you could block out the name or it would be referenced appropriately). I am looking for anything related to this that I could present for policy consideration ( ie increments of O2change, nurse/md action to maintain these sats, paramaters related to gestation). Your help is appreciated

Re: Oxygenation guidelines

I don't see one online. The 85-95% is a check mark on the admission order sheet. If the MD wants other parameters, they write for them. Last place I worked at had a protocol for their sat limits according to gestational ages but I don't remember the numbers.

Re: Oxygenation guidelines

We use the following at my institution:
<30wks Infant should be btwn 85-95%
31-37wks 87% and above
38+wks 91% and above
Cardiac kids get customized limits
Kids on Nitric usually also get a 95-100% goal.