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.