Goal: The patient exhibits an oxygen saturation level within acceptable parameters.
1. Bring necessary equipment to the bedside stand or overbed table.
2. Perform hand hygiene and put on PPE, if indicated.
3. Identify the patient.
4. Close curtains around bed and close the door to the room, if possible.
5. Explain what you are going to do and the reason for doing it to the patient and parents/guardians. Review safety precautions necessary when oxygen is in use.
6. Calibrate the oxygen analyzer according to manufacturer’s directions.
7. Place tent over crib or bed. Connect the humidifier to the oxygen source in the wall and connect the tent tubing to the humidifier. Adjust flow rate as ordered by physician. Check that oxygen is flowing into tent.
8. Turn analyzer on. Place oxygen analyzer probe in tent, out of patient’s reach.
9. Adjust oxygen as necessary, based on sensor readings. Once oxygen levels reach the prescribed amount, place patient in the tent.
10. Roll small blankets like a jelly roll and tuck tent edges under blanket rolls, as necessary.
11. Encourage patient and family members to keep tent flap closed.
12. Reassess patient’s respiratory status, including respiratory rate, effort, and lung sounds. Note any signs of respiratory distress, such as tachypnea, nasal flaring, use of accessory muscles, grunting, retractions, or dyspnea.
13. Remove PPE, if used. Perform hand hygiene.
14. Frequently check bedding and patient’s pajamas for moisture. Change as needed to keep the patient dry.
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