Thank you, and I agree with you. Our current practice is: a tech (that has been trained in O2) transports patient with O2 unless there is an order for monitor. The age at which I am referring to is usually older children (over 12), but they have been given sedated/pain meds to where they can not keep there sats up without O2. A nurse has to transport patients that have orders to have monitors. This is fairly new Peds Pacu, the policy/procedures were written bases on the adult pacu policies, by adult nurses. The policy was written the way mostly because of limited RN staffing. It is the practice of the peds floors to place a peds patient on monitors if they have O2 unless otherwise ordered. This is children's hospital, but not a free standing. Having worked in pediatrics for 30 years, I too think it is "common sense", but the nursing world of evidence based to change policy I need proof. Now having said that after asking nurses in my unit about this policy, the history is most nurses that came from a pediatric background transported the patient themselves with a monitor. The ones that did not had adult backgrounds. I myself will ALWAYS transport patient with O2 on a monitor. Thank you so much for your response. I will keep pushing until I change practice.