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  • Monitoring Chart

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    Jess Go
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    This document is an oxygen monitoring chart from Island Home Health Care. It includes fields to record a patient's name, medical record number, date, oxygen use type, oxygen delivery system, oxygen delivery device, flow rate, remarks, and the nurse on duty. The chart is blank and ready to record oxygen monitoring information for a patient over multiple dates and times.

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    This document is an oxygen monitoring chart from Island Home Health Care. It includes fields to record a patient's name, medical record number, date, oxygen use type, oxygen delivery system, oxygen delivery device, flow rate, remarks, and the nurse on duty. The chart is blank and ready to record oxygen monitoring information for a patient over multiple dates and times.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    470 views2 pages

    Monitoring Chart

    Uploaded by

    Jess Go
    This document is an oxygen monitoring chart from Island Home Health Care. It includes fields to record a patient's name, medical record number, date, oxygen use type, oxygen delivery system, oxygen delivery device, flow rate, remarks, and the nurse on duty. The chart is blank and ready to record oxygen monitoring information for a patient over multiple dates and times.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Island Home Health Care ‫ايالند هوم للرعاية الصحية المنزلية‬

    OXYGEN MONITORING CHART

    PATIENT NAME: ______________________________ MRN: ______________ DATE: _____________

    Oxygen use: Supplemental oxygen:


     Continuous  Compressed oxygen cylinder
     PRN  Oxygen concentrator (stationary, portable)
    Oxygen delivery system legend
    1.Low Flow 2.High Flow
    N= nasal cannula BP= BiPAP
    SM= simple mask CP= CPAP
    TM= tracheostomy mask V= Ventilator
    THME=Tracheostomy HME connector

    DELIVERY OXYGEN REMARKS NURSE ON


    DATE TIME SPO2
    DEVICE FLOWRATE DUTY
    (lpm)

    IHHC/NRSG/FORM/00058-18 v2
    Island Home Health Care ‫ايالند هوم للرعاية الصحية المنزلية‬

    DELIVERY OXYGEN REMARKS NURSE ON


    DATE TIME SPO2
    DEVICE FLOWRATE DUTY
    (lpm)

    IHHC/NRSG/FORM/00058-18 v2

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