Pulse oximetry in health office?

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mc3, ASN, RN

Has 12 years experience.

I have been wanting to use my pulse oximeter, and I brought it in initially when I got the job. I wanted it mainly to gauge where the asthmatic student were at, and to rule out "faking". The District RN told me I couldn't use it because I needed an MD order for it. I accepted her explanation, but that seems silly to me. It's as much a diagnostic tool as a stethescope and BP cuff. Her comment was "well, what would you do if you found a problem?" Well, I'd call the parent or 911 if the neb treatment didn't help, just like any other abnormal finding!

I kinda forgot about it after that. I'm curious though, do you need a Dr's order, or not? I think I may re-visit the issue with her...

mc3 :)

NutmeggeRN, BSN

Specializes in kids. Has 25 years experience.

I have been wanting to use my pulse oximeter, and I brought it in initially when I got the job. I wanted it mainly to gauge where the asthmatic student were at, and to rule out "faking". The District RN told me I couldn't use it because I needed an MD order for it. I accepted her explanation, but that seems silly to me. It's as much a diagnostic tool as a stethescope and BP cuff. Her comment was "well, what would you do if you found a problem?" Well, I'd call the parent or 911 if the neb treatment didn't help, just like any other abnormal finding!I kinda forgot about it after that. I'm curious though, do you need a Dr's order, or not? I think I may re-visit the issue with her...mc3 :)
I do not believe you need an order, to keep peace ( and not alienate her) I would re approach and ask if she knows where the rule is, so you can read it to comprehend it more fully. Then if such a rule exists ( Im betting it does not) so be it. If not I would check with your BON for clarification. If it is a rule, might be time to look at getting the rule changed.