Oxygen Audit – F-328 Special Treatments

Variable / F TAG
Physician order for oxygen and saturation levels is complete & current / 281/328
514
Record documents administration of oxygen consistent with physician order / 328
514
Record documents administration of oxygen saturation levels per physician order / 328
514
Care plan addresses need for oxygen administration / 279/280
MDS is correctly coded in Section P/1 for oxygen administration / 278
Resident Observation
Oxygen is being administered per physician order – continuous/PRN and at correct flow rate / 281/309
328
Oxygen concentrator and equipment is clean / 441
Oxygen, tubing, etc. has been changed per facility policy / 281
441
Appropriate signage is present / 323
Worksheet
MD order is for Continuous or PRN
Flow rate ordered
Frequency of O/2 saturation levels ordered

COMMENTS

“Confidential – Privileged Under Virginia Code §8.01-581.16 and 17 – For Quality Assurance Use Only”