The use of medical orders in acute care oxygen therapy.
The life of every living organism is sustained by the presence of oxygen and the acute deprivation of oxygen will, therefore, result in hypoxia and ultimately death. Although oxygen is normally present in the air, higher concentrations are required to treat many disease processes. Oxygen is therefore considered to be a drug requiring a medical prescription and is subject to any law that covers its use and prescription. Administration is typically authorized by a physician following legal written instructions to a qualified nurse. This standard procedure helps prevent incidence of misuse or oxygen deprivation which could worsen the patients hypoxia and ultimate outcome. Delaying the administration of oxygen until a written medical prescription is obtained could also have the same effect. Clearly, defined protocols should exist to allow for the legal administration of oxygen by nurses without a physicians order because any delay in administering oxygen to patients can very well lead to their death.
Deakin University, Burwood, Australia.
Ming
M
Wong
Malcolm
M
Elliott
D002985:Clinical Protocols; D003422:Critical Care / Q000458:organization & administration; D004630:Emergencies / Q000451:nursing; D055317:Evidence-Based Practice; D006801:Humans; D000860:Hypoxia / Q000175:diagnosis / Q000628:therapy; D007231:Infant, Newborn; D024802:Nurse's Role; D009730:Nursing Assessment; D010100:Oxygen / Q000506:poisoning; D010102:Oxygen Inhalation Therapy / Q000009:adverse effects* / Q000379:methods / Q000451:nursing*; D018579:Patient Selection; D055656:Prescriptions / Q000451:nursing*; D017009:Professional Autonomy; D001261:Pulmonary Atelectasis / Q000209:etiology; D012178:Retinopathy of Prematurity / Q000209:etiology; D006113:United Kingdom
D010100:Oxygen