COVID-19 Oximetry @ home

Scope

For patients who have been assessed and have symptoms of the COVID-19 virus and referred to the COVID Oximetry@home team to enable the team to monitor the patient's condition closely for the first 14 days of symptoms.

Out of Scope

Suitability for self-monitoring should be through shared decision making.

Some patients will not be for monitoring by this team:

  • If their TEP form states they do not want to go to hospital.
  • If the patient uses Home Oxygen.
  • If the patient has lower than typical saturations due to underlying lung pathology AND their usual oxygen saturation levels are NOT known.

Referral

Referral Criteria

Self-monitoring is suitable for adult patients more likely to experience worsening or life-threatening silent hypoxia. The monitoring provides additional support to those patients who are assessed as well enough to be managing their symptoms at home.

Patients are suitable for self-monitoring if they are:

1. Diagnosed with COVID: either clinically, or via a positive test result

AND

2. Symptomatic

AND

3. Aged 18 years or older and at a higher risk from COVID where clinical judgement applies taking into consideration risk factors such as pregnancy, learning disability, caring responsibilities, deprivation, mental health, comorbidities etc.

How do I refer to the CO@h team?

Once you have identified that the patient would benefit from self-monitoring you should:

  • Provide them with an Oximeter, Patient Information Leaflet and an Oximetry Record Sheet
  • Confirm the thresholds for escalation with them (also contained within the Patient Information Leaflet)
  • Undertake a baseline reading for their oxygen saturation and advise the patient to record the level on the Oximetry Record Sheet

Supporting Information

Pathway Group

Publication date: December 2020

Updated: April 2023

Last updated: 03-04-2023

 

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