ASSESSMENT & PREPARATION 1.
TURN ON DEVICE
Position the oxygen
Oxygen
concentrator 30-35 cm
away from the wall for
circulation of air
Concentrator – Plug in concentrator and
turn on device
Allow to run for 5 minutes
Airsep OR until indicator light
shows appropriate
concentrations of oxygen
Oxygen concentrators produce 85-96% oxygen are reached
from ambient air using two sieve beds
USE FOR
2. PREPARE DEVICE
• Nearly all sick infants may benefit from oxygen Adjust regulators to A
therapy desired oxygen flow level
A Connect correctly sized
STANDARD OF CARE
nasal prongs or tubing to
Target SpO2 is:
oxygen port
• 90–95% for patients on O2
B Check that flow comes
• 90–100% for patients off O2
out of nasal prongs using
the bubble test B
O2 flow regulator
& meter
3. PREPARE PATIENT
Follow hand washing
protocol, wear gloves if
needed
low O2 alarm
Assess nasal patency,
reset button power failure
alarm suction if secretions are
power switch O2 output ports present
malfunction
alarm Insert nasal prongs and
place gauze under tubing
to protect skin
Secure tubing with tape
COMPLICATIONS
• Hypoxia 4. MONITORING THE PATIENT
• Hyperoxia
Monitor using a pulse oximeter
REMINDER Adjust regulator flow up or
• Target saturations for infants on oxygen are 90-95% down
• Any amount of oxygen given without appropriate Patient saturation goal is
monitoring of oxygen saturations can cause harm 90–95%
Assess RR, HR, work of
DISINFECTION & INFECTION PREVENTION breathing and nostril patency
• Clean hands with soap and water or 70% alcohol before while on oxygen therapy
and after handling materials that are used on patients
• Begin reprocessing oxygen tubing according to ward If oxygen flow is more than
guidelines immediately after use 1 L/min and saturations less
• Disinfect oxygen concentrator unit housing and regulators than 90%, consider
using gauze or cotton swabs and 70% alcohol after every use switching to CPAP
NEST360 Oxygen Concentrator (Airsep) Clinical Job Aid
REPAIR & MAINTENANCE
alarms
Oxygen hour meter low O2
no power
Concentrator – reset button general
malfunction
Canta
Units should be located 30–35 cm away from the
nearest wall to ensure that air can freely flow into
the oxygen concentrator
DAILY MAINTENANCE PREVENTIVE MAINTENANCE
• Always disinfect the oxygen concentrator with 70% • Fine particle and gross particle filters should be
alcohol using gauze or a cotton swab before first checked weekly
use and between patients • The oxygen concentrator should be turned on and
allowed to run for at least 15 minutes every week
if it has not been in use
1 IF THE OXYGEN 3 IF THE LOW OXYGEN 4 WHEN IT IS TIME TO
CONCENTRATOR IS NOT CONCENTRATION ALARM IS ON CLEAN THE FILTER
TURNING ON q Check the gross particle filter for q Turn off the device, then remove
q Check that the power cable is dust and debris the side of the unit
plugged into a socket q If dirty, replace filter with a spare, q If available, replace dirty filters
q Check that the socket is turned on clean filter with clean ones and turn the
and has electricity q Check if the set flow rate (L/min) is device back on for use
q Try a different power cable within maximum machine q Gross particle filter: Place in
q Switch the power button OFF, specifications lukewarm, soapy water. Rinse
push the reset button in and turn q If the set flow rate exceeds capacity, with clean water and place in
the power button ON again lower flow rate to within capacity shaded area until completely dry
limits gross particle filter
2 IF THE OXYGEN
CONCENTRATOR IS TURNING
ON BUT THERE IS NO FLOW
q Connect Christmas tree nozzle to
oxygen port 4 + 10 L/min O2
q Check port for debris or blockages
q If debris are seen, clean using a
cotton bud or toothpick wrapped in 4+10= 14 L/min O2 q Fine particle filter: Do not wash
gauze soaked in 70% alcohol set flow rate exceeds capacity this filter in water. It should be
reduce flow rate within capacity limits checked weekly by the
q If flow still cannot be felt, contact maintenance department
your maintenance department
q If the alarm still sounds after fine particle filter
reducing flow rate within capacity
limits OR the fine particle filter
appears dirty, contact the
maintenance department
CONTACT A TECHNICIAN OR MAINTENANCE DEPARTMENT IF DEVICE CONTINUES TO
NOT WORK PROPERLY AFTER ADDRESSING THE COMMON ISSUES
NEST360 Oxygen Concentrator (Airsep) Clinical Job Aid
