Republic of the Philippines

CAMARINES SUR POLYTECHNIC COLLEGES

Nabua, Camarines Sur

COLLEGE OF HEALTH SCIENCES

_____________________________________________________________
Name of Student: ________________________________ Grade: ________________
Year & Section: ____________________________ Date: _________________

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

a. check the availability of the equipment

b. prepare the equipment needed

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

COLLEGE OF HEALTH SCIENCES

_____________________________________________________________

6. Explain to the client what you are going to do, why it

is necessary, and how he/she can cooperate. Discuss
how the results will be used in planning further care or
treatments.
7. Observe appropriate infection control procedures.
8. Choose a sensor appropriate for the client’s weight,
size, and desired location.
9. Prepare the site
a. Clean the site with alcohol wipes
b. Remove nail polish as necessary

10 Apply sensor and connects it to the pulse oximeter.

11 Make sure that the LED’s and the photodetector are
accurately aligned.

a. Confirm the functionality of the pulse oximeter

b. Ensure that the bar of light or waveform on the
face of the oximeter fluctuates with each
pulsation

12 Ensure accuracy of measurements.

a. Minimize motion artifacts
13 Document SaO2 and PR on the appropriate record at
designated intervals.
14 Do after care for the equipment used.

Date/Time: _________________________________

Clinical Instructor/Facilitator: ___________________