oxygen by mask

1.	Goal: The patient exhibits an oxygen saturation level within acceptable parameters. Identify the patient.
2.	Explain what you are going to do and the reason to the patient. Review safety precautions necessary when oxygen is in use. Place “no smoking” signs in appropriate areas.
3.	Perform hand hygiene.
4.	Attach face mask to oxygen source (with humidification, if appropriate for the specific mask). Start the flow of oxygen at the specified rate. For a mask with a reservoir, be sure to allow oxygen to fill the bag before proceeding to the next step.
5.	Position face mask over patient’s nose and mouth. Adjust the elastic strap so that the mask fits snugly but comfortably on the face. Adjust the flow rate to the prescribed rate.
6.	If the patient reports irritation or redness is noted, use gauze pads under the elastic strap at pressure points to reduce irritation to ears and scalp.
7.	Reassess patient’s respiratory status, including respiratory rate, effort, and lung sounds. Note any signs of respiratory distress, such as tachypnea, nasal flaring, use of accessory muscles, or dyspnea.
8.	Perform hand hygiene.
9.	Remove the mask and dry the skin every 2 to 3 hours if the oxygen is running continuously. Do not use powder around the mask.