Ok,please help me with this,as I feel like an idiot,and of course,none of the 5 nursing supervisors know nothing,I kid you not? Nobody could answer this question at my office.
I have a pt who wears a trach collar at night. Her orders state"pt may have up to 10L o2 to keep sats greater than 93%. She usually needs some o2 at night,but this is where confusion comes in.
Here is the strange part: On top of the humidifier cup,there are percentages of o2.
It can be turned to 21%,28%,40%,60%,80%,and 100%. On the flow sheets,we have nurses who put down she is receiving 1L of 02,and others put down 8L,and it differs night to night.
What I guessing is that the ones who put down 2L/min are turning the dial to 100% 02,and the ones like me who use 6L are leaving the dial at 40%.
I have never seen a cup like that before,as usually the humidifier cup doesn't have that on it.
Now,we know we can manipulate it to be put at 28%,40%,and so on so that she recieves more or less of the mist. I don't think any of the other nurses understand either,to be honest,because I left notes for them,and nobody responded back.
Nursing supervisor states just put the Liters down instead of Fio2...
So,child is recieveing 1L/min one night for 8hrs,and 8L/min for 8 hrs the next night.
I wonder how we would explain that to the insurance company when they review the notes.
