Title: 
Headings:  PULSE OX PROBE PLACEMENT
PULSE
 
OX
 
PROBE
 
PLACEMENT

PULSE
 
 
 
 
OX
 
 
 
 
PROBE
 
 
 
 
PLACEMENT
 
 
 
 
EDUCATION

Pulse
 
oximetry
 
equipment
 
used
 
for
 
CCHD
 
Screening:
 

FDA
 
 
 
 
CLEARANCE
 
 
 
 
FOR
 
 
 
 
PULSE
 
 
 
 
OXIMETER
 
 
 
 
USE
 
 
 
 
IN
 
 
 
 
NEONATES

PERFORMING
 
PULSE
 
OX-

PULSE
 
 
 
 
OX
 
 
 
 
DO’s

PULSE
 
 
 
 
OX
 
 
 
 
DON’Ts

PULSE
 
 
 
 
OX
 
 
 
 
CAUTION

CRITICAL
 
 
 
 
CONGENITAL
 
 
 
 
HEART
 
 
 
 
DEFECTS:
 
 
 
 

Pulse
 
oximetry
 
screening
 
is
 
most
 
 
 
 
likely
 
to
 
detect
 
seven
 
of
 
the
 
CCHDs.
 
These
 
seven
 
main
 
screening
 
targets
 
are:

D-transposition
 
 
 
 
of
 
 
 
 
the
 
 
 
 
Great
 
 
 
 
Arteries
 
 
 
 

Tetralogy
 
 
 
 
of
 
 
 
 
Fallot

Total
 
 
 
 
anomalous
 
 
 
 
pulmonary
 
 
 
 
venous
 
 
 
 
return
 
 
 
 
(TAPVC)

Truncus
 
Arteriosus

Hypoplastic
 
Left
 
 
 
 
Heart
 
 
 
 
Syndrome
 
 
 
 
(HLHS)
 
 
 
 

Pulmonary
 
 
 
 
Atresia

Tricuspid
 
 
 
 
Atresia

These
 
defects
 
are
 
less
 
 
 
 
likely
 
 
 
 
to
 
be
 
detected
 
through
 
pulse
 
oximetry
 
screening:
 

Coarctation
 
 
 
 
of
 
 
 
 
the
 
 
 
 
Aorta

Ebstein
 
Anomaly

Double-outlet
 
 
 
 
right
 
 
 
 
Ventricle

Interrupted
 
 
 
 
aortic
 
 
 
 
arch

Single
 
 
 
 
ventricle

SUGGESTED
 
RESOURCES
 
FOR
 
PROVIDERS

Michigan
 
 
 
 
Department
 
 
 
 
of
 
 
 
 
Community
 
 
 
 
Health

Atlanta
 
 
 
 
Children’s
 
 
 
 
Hospital
 
 
 
 
*

American
 
 
 
 
Academy
 
 
 
 
of
 
 
 
 
Pediatrics

American
 
 
 
 
Heart
 
 
 
 
Association

Children’s
 
 
 
 
National
 
 
 
 
Medical
 
 
 
 
Center
-
Washington
 
 
 
 
DC
*

Children’s
 
 
 
 
Hospital
 
 
 
 
of
 
 
 
 
Philadelphia
 
 
 
 
(CHOP)*

Cincinnati
 
 
 
 
Children’s
 
 
 
 
Hospital
 
 
 
 
*

Center
 
 
 
 
for
 
 
 
 
Disease
 
 
 
 
Control
 
 
 
 
and
 
 
 
 
Prevention

Congenital
 
 
 
 
Heart
 
 
 
 
Information
 
 
 
 
Network*

Baby’s
 
 
 
 
First
 
 
 
 
Test
*

MICHIGAN
 
 
 
 
Treatment
 
 
 
 
Centers
 
 
 
 
for
 
 
 
 
CCHD:

Children’s
 
Hospital
 
of
 
Michigan
Helen
 
DeVos
 
Children’s
 
Hospital
3901
 
Beaubien
Congenital
 
Heart
 
Center

Congenital
 
Heart
 
Center
 
at
 
C.S.
 
Mott
 
Children’s
 
Hospital


Content: If
 
an
 
infant
 
requires
 
pulse
 
ox
 
monitoring
 
for
 
an
 
extended
 
amount
 
of
 
time,
 
assess
 
the
 
site
 
where
 
the
 
probe
 
is
 
placed
 
at
 
least
 
every
 
two
 
hours. Monitor
 
for
 
signs
 
of
 
irritation
 
and
 
burning
 
of
 
the
 
skin. PULSE
 
 
 
 
OX
 
 
 
 
DON’Ts

 
Never
 
use
 
an
 
adult
 
pulse
 
ox
 
clip
 
to
 
obtain
 
a
 
reading
 
for
 
an
 
infant. Using
 
an
 
adult
 
clip
 
on
 
an
 
infant
 
will
 
produce
 
inaccurate
 
results. Blood
 
flow
 
is
 
needed
 
to
 
obtain
 
an
 
accurate
 
pulse
 
ox
 
reading. Never
 
attempt
 
to
 
obtain
 
a
 
pulse
 
ox
 
reading
 
on
 
the
 
same
 
extremity
 
where
 
an
 
automatic
 
blood
 
pressure
 
cuff
 
is
 
located. Bright
 
or
 
infrared
 
light,
 
including
 
bilirubin
 
lamps
 
and
 
surgical
 
lights,
 
can
 
affect
 
the
 
accuracy
 
of
 
the
 
reading. Ensure
 
that
 
the
 
infant
 
is
 
not
 
placed
 
in
 
bright
 
or
 
infrared
 
light
 
while
 
pulse
 
ox
 
is
 
being
 
performed. You
 
may
 
cover
 
the
 
pulse
 
ox
 
probe
 
with
 
a
 
blanket
 
to
 
ensure
 
that
 
extraneous
 
light
 
does
 
not
 
affect
 
the
 
accuracy
 
of
 
your
 
reading. Do
 
not
 
use
 
tape
 
to
 
apply
 
the
 
pulse
 
ox
 
probe
 
to
 
the
 
infant’s
 
skin.