Oxygen Administration

Shelley is an LPN working on an in-patient surgical unit. Shortly after surgery, Mrs. Strom, a healthy 80-year-old patient, returns to the floor. Shelley observes that Mrs. Strom is drowsy and her oxygen saturation is 82%. 

What's next?

  • Shelley assesses Mrs. Strom and makes a nursing diagnosis of hypoxia caused by post anesthetic drowsiness and shallow respirations.
  • Shelley checks Mrs. Strom’s chart for an oxygen order and identifies there is no order.
  • Because Shelley understands CLPNBC Standards for Acting Without an Order and has completed additional education to administer oxygen, she follows her employer’s decision support tools for oxygen administration.
  • Shelley awakens Mrs. Strom, raises the head of the bed, administers the oxygen and encourages deep breathing.
  • Shelley documents her nursing diagnosis, the administration of oxygen and Mrs. Strom’s response.
  • Shelley continues to monitor Mrs. Strom’s condition.
  • Shelley will seek out her RN colleague for additional help, if needed.

What is Entry-Level Practice?

Entry-level practical nursing education programs teach the basics of administering oxygen with an order.

Which CLPNBC Limits and Conditions Apply?

LPNs who administer oxygen without an order, follow decision support tools and successfully complete additional education. When acting without an order, LPNs follow the Standards for Acting Without an Order.

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