Yeya02

The 485/POC lists normal parameters under the standard orders section. However under the respiratory section it states that the patient is to continuously be monitored by pulse oximeter, it states the high and lows. There is alarm settings. The patient uses a CPAP and oxygen concentrator on the orders as well. Those parameters are different than what was listed under standard orders. This is no longer a patient of mine. I just need some guidance on whether the respiratory orders supersede any other parameters listed.

Hello, I have a general question for policy on pulse oximeter in home health setting. The plan of care shows vital signs parameters for a child based on age and weight, however the patient is a vent/track patient. The POC states that patient should be on continuous pulse oximeter, the settings for high and lows are very different than the parameters listed on the standard orders. The settings are listed under the respiratory section of the POC. It also includes instructions on when to use CPAP and oxygen concentrator. My questions is this, when is the nurse to report vital signs out of normal ranges to a physician? Does she follow the orders with pulse ox settings or follow general parameters listed under standard orders? I understand that the parameters should be the same on both sections but in this case it is not.