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Evidence-Based Protocols to Guide Pulse Oximetry and Oxygen Weaning in Inpatient Children with Asthma and

Shirley Martin1, Jennifer Martin1, Theresa Seigler1

  • 1Cook Children's Medical Center, Fort Worth, TX.

Journal of Pediatric Nursing
|February 25, 2015
PubMed

Insights

New protocols for oxygen weaning and pulse oximetry in children reduced hospital stays and time on oxygen. This evidence-based project improved patient outcomes and decreased healthcare charges.

Area of Science:

  • Pediatrics
  • Respiratory Medicine
  • Evidence-Based Practice

Background:

  • Concerns identified regarding inconsistent oxygen weaning and pulse oximetry use in pediatric inpatients.
  • Lack of established guidelines for nurses and respiratory therapists in managing oxygen therapy for acute respiratory illness in children.

Purpose of the Study:

  • To develop and implement evidence-based protocols for oxygen weaning and pulse oximetry monitoring in pediatric patients.
  • To standardize care and improve outcomes for children requiring oxygen therapy.

Main Methods:

  • A multidisciplinary, nurse-led team created and piloted new protocols.
  • Protocols focused on evidence-based oxygen weaning and pulse oximetry use.
  • A 6-month pilot study was conducted to evaluate protocol effectiveness.

Main Results:

  • Pilot study demonstrated a shorter length of stay for children.
  • Reduced time on supplemental oxygen was observed.
  • Decreased duration of continuous pulse oximetry monitoring was achieved.

Conclusions:

  • Implemented protocols significantly improved patient outcomes.
  • Standardized oxygen weaning and pulse oximetry practices led to decreased associated healthcare charges.
  • Evidence-based protocols are effective in optimizing pediatric respiratory care.

Keywords:
Acute respiratory illnessAsthmaBronchiolitisEvidence-based protocolOxygen weaningPediatricProtocolPulse oximetry

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