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J Pediatr Nurs. 2015 Nov-Dec;30(6):888-95. doi: 10.1016/j.pedn.2015.02.003. Epub 2015 Feb 21.

Evidence-Based Protocols to Guide Pulse Oximetry and Oxygen Weaning in Inpatient Children with Asthma and Bronchiolitis: A Pilot Project.

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Cook Children's Medical Center, Fort Worth, TX. Electronic address:
Cook Children's Medical Center, Fort Worth, TX.


Nurses', respiratory therapists' (RTs), and physicians' concerns about oxygen weaning practices and pulse oximetry use in healthy children during inpatient admissions prompted this multidisciplinary evidence-based project. A nurse-led inter-professional team found lack of consistent oxygen weaning practices and lack of guidelines for nurses or RTs regarding pulse oximetry use with children admitted for acute respiratory illness. The team created and piloted evidence-based oxygen weaning and pulse oximetry protocols. After a 6 month pilot, children in the pilot had shorter length of stay, time on oxygen, and time on continuous pulse oximetry. Protocols improved patient outcomes and decreased associated charges.


Acute respiratory illness; Asthma; Bronchiolitis; Evidence-based protocol; Oxygen weaning; Pediatric; Protocol; Pulse oximetry

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