Pulse Oximetry

Table of Contents

A pulse oximeter is a small, often clip-like device that attaches to a child's finger to measure oxygen saturation levels in the blood. It utilizes light sensors to assess how much oxygen the blood carries, providing quick and non-invasive readings that can help monitor a child's respiratory health. Use the pulse oximeter provided to the school by the family for the individual student whenever possible. There are different pulse oximeters for different sizes. Some children may require a pediatric model, and others may use an adult model for optimal results.  The instructional steps assist the registered nurse working under the auspices of the school or program in professional judgement and accountability of delegation. Additional steps may be required depending on the learner’s health needs.

Steps

  1. Position the student to provide as much privacy as possible.
  2. Explain the procedure to the student at their level of understanding.
  3. Encourage the student to assist in the procedure as much as they are able to, helping them learn self-care skills.
  4. Place the pulse oximeter on a clean surface.
  5. Wash your hands. Have or help the student wash their hands.
  6. Ensure the child’s hands are warm and clean.
  7. Ensure the child is wearing no nail polish that could interfere with the devices.
  8. Instruct the child to stay still or to rest for at least 5 minutes.
  9. Keep the hand still and at heart level.
  10. Clip the pulse oximeter on the student’s finger.
  11. Read the results displayed after a few seconds (SpO2 is the oxygen saturation, and PRbpm is the pulse rate)
  12. Wash your hands and have the student wash their hands.
  13. Document the date and time, procedure completed, and pulse oximetry results, student’s response to the procedure, your initials and signature, and any communication with the school nurse or parents in the student’s healthcare record.
  14. Follow any additional instructions provided by the delegating school nurse.