This is probably a dumb question, but if you have a trach patient, who doesn't use
O2, do you need O2 in the home?
Depends. If the doc has written for prn oxygen, yes. All of my home care kids have had a tank in the closet for emergencies. (You can also use it in a pinch if your nebulizer goes out in the middle of the night)
A child has to show a need for oxygen before Medicaid will pay for it. To show need, he is tested - usually at his doctor's office - using a Pulse Oximeter. I think his SpO2 has to drop below 90% before Medicaid will approve.
I finally figured it out. The patient used to be on O2, and now isn't, and doesn't have an order for it, and is unlikely to need it in the near future, so I am getting rid of it.
Most of the trach kids I know IRL have oxygen tanks at home in case of accidental decannulation, plugging, or major desat that requires resuscitation.
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