Employee Name

Campus

Instructor

Date of Training

Review Date

In order to us a pulse oximeter on students, employees must complete training and demonstrate the ability to perform the following tasks:

TRAINED

REVIEWED

1

Review doctor’s order, IHP, and Plano ISD guidelines for pulse oximetry.

2

Use universal precaution. Wash hands before and after procedure.

3

Identify and explain the procedure to the student at his/her level of understanding.

4

Assemble all equipment: pulse oximeter.

5

Place the student sitting in an upright position.

6

Instruct the student to breathe normally.

7

Select appropriate site to apply probe based on peripheral circulation.

8

Attach pulse oximeter probe to selected site. The clip-on probe attaches like a clothespin to a fingertip.

9

Observe waveform display. Correlate oximeter pulse rate with student’s apical or radial pulse.

10

Read saturation level on digital display when readout reaches constant value and pulse display is strong.

11

Verify alarm limits and volume, if applicable.

12

Remove probe.

13

Clean with alcohol and store according to manufacturer recommendations.

14

Wash hands.

15

Document readings and observation of respiratory status

16

Notify nurse, family health care provider or 911 if applicable

17

Record and document.