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Oxygen Saturation Checklist
Oxygen Saturation Checklist
PROCEDURE CHECKLIST
OXYGEN SATURATION
Instruction: Below is the grading scale which will be used in rating your
performance.
5 - well done - 95-100
4 - normally done - 88-94
3 - fairly done - 82-87
2 - poorly done - 76-81
1 - not done - 70-75
Special Consideration:
1. Stay with the client while pulse oximeter is in place.
Materials:
1. Pulse Oximeter
2. Cotton balls with and without alcohol
3. Small notebook and pen.
Preparation Not
Done REMARKS
Done
1. . Assessment
a. the best location for a pulse oximeter sensor
based on the client’s age, size and physical condition
b. the client’s overall condition including the
risk factors for the development of hypoxemia
c. vital signs, skin, nail bed color, and tissue
perfusion of extremities as baseline data
d. adhesive allergy
2. Planning
Procedure Not
Done REMARKS
Done
1. Introduce yourself and verify the client’s identity.
Explain to the client what you are going to do, why it
is necessary, and how the client can cooperate.
2. Perform hand hygiene and observe other appropriate
infection control procedures.
3. Provide for client privacy.
4. Place the client in the appropriate position.
5. Check the functionality of the pulse oximeter
Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur
Date/Time: _________________________________