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RsCr 220. 2. Times are changin'. In the old days, the doctor gave an order and expected for it to be carried out without deviationNow we can work under certain guidelines or
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1. Oxygen Protocols Patient Driven Therapy
2. RsCr 220 2 Times are changin In the old days, the doctor gave an order and expected for it to be carried out without deviation
Now we can work under certain guidelines or Patient Driven Protocols
Called PDP
3. RsCr 220 3 Something New The RCP will evaluate the patient, identify any high risk factors, apply the clinical practice guidelines for Oxygen Therapy Protocol. Then evaluate.
If
Then
algorithm.
Also called Standing Orders
4. RsCr 220 4 If
Suspected hypoxia
Documented hypoxia
Severe trauma
MI
Post op
5. RsCr 220 5 Then
Low flow oxygen
Nasal cannula, simple mask
High flow oxygen
Venturi entrainment
With aerosol humidifiers
Heated or cool
6. RsCr 220 6
7. RsCr 220 7 Immediate response time Advances in monitoring and patient assessment allows a new freedom to treat hypoxia.
Ensure that immediate changes can be made in oxygen delivery without the lapse time involved in contacting the physician
8. RsCr 220 8 Dangers of Oxygen Admin BUT WATCH OUT FOR:
Oxygen toxicity
Absorption atelectasis
Oxygen induced hypoventilation
Retinopathy of Prematurity
9. RsCr 220 9 Different situations Oxygen
ABG
Oximetery
Nebulizer delivery system
Weaning and Extubation
Secretion clearance
10. AARC Guidelines Clinical Practice Guidelines
11. RsCr 220 11 AARC CPG The American Association of Respiratory Care have a group of experts write out guidelines for Respiratory Topics
Clinical use of oxygen is evidenced based
We should do things that have been proven to work not just we have always done it that way.
12. RsCr 220 12 Many topics are covered Oxygen therapy in the hospital
Oxygen therapy at home
Oxygen therapy to neonates
Pulse Oximetry
Transcutaneous monitoring.
Humidity Therapy
Aerosol Therapy and on
and on
13. RsCr 220 13 Research There are our source documents that we use to base
Our hospital policies and procedures
Textbooks
Notes and topics in RsCr 220
14. RsCr 220 14 We not
exactly
rocket scientists The End