O2 Therapy

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O2 Therapy

First name-Last name *

PPE *

Personal Protection Equipment. Did you use universal precautions, wash your hands, glove and wear eye protection for this procedure?

Explain *

Did you explain this procedure to the patient and the family if the family was in the room during this procedure?

Position Pt. *

Did you place the patient in semi fowlers?

Breath Sounds *

Listen to breath sounds and chart below

Sputum *

Chart Sputum Production Below

Cough *

Chart cough effort below

Interface *

What type of 02 interface does the patient have?

02 Flow *

What is the 02 flow

Sp02 *

Chart SP02

Skin *

Did you need to notify the nurse of face or mouth sores from airway pressure or tape skin damage?

Notify *

Did you notify the nurse/M.D. of the results and an make the appropriate respiratory therapy changes?

Clean Up *

Did you clean up the mess you made?

Comments *

Chart any significant concerns

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