This results in considerable stress and discomfort to the infants, is often associated with artifactual desaturations, and requires extensive nursing time. Moreover, a recent QA analysis regarding the above approach was less than reassuring as to its effect on patient care. ROP O2 Monitoring Policy Administer oxygen via a hood as a primary mode of delivery for infants less than 1500 grams. Use nasal prongs as a secondary mode for bathing, holding, feeding, etc. Use oximetry to determine the optimum flow and distance from the face when using short term blow-by O 2 .
Exception requires physician order.
If the arterial PaO 2 is above 90 mmHg notify a physician and document the response, which should be to reduce the FiO 2 appropriately, on the flowsheet. Ensure that an ROP check has been done at six weeks of age on infants with a birth weight equal to or less than 1500 grams.