Documentation advice on Trach Sx PRN

Thanks for helping with this! I seem to have gotten it .

Only thing is my little one is not on pulse ox, have no way to know what her sats are.

Went with mom for a check up and the doc said he didn't like pulse ox, cause they can be so mis-leading. One can look at the pt and see if she is in any distress. That when he does rounds in the newborn nursey if a neonate is on pulse ox and it read 70% and the kid is certainly pink then his o2 levels are not 70% just because a machine says it is.


She is only on apnea moniter due to trach. She can breath thru her nose some but has the trach due to choanal stenosis. You can definetly tell when she needs to be sx. Her resp increase and she gets that slight blue tinge around her lips and nose. After sxing, she turns pink again!


Thanks againfor the help!!