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Tiny, do you have a pulse ox? If so, bring it and get his SAT rate every time you go in; keep a log of the rates.

There are cheap ones available at drugs stores; my experience is that they're not all that accurate.

If you get a good one, such as from a pharmacy, keep track of the rates. If they're below 90, get a nurse in right away and show her the rate, asking her to confirm, and perhaps just tuck away the log you're keeping enough that she sees you're documenting.

Or just contact the DON and raise the issue; that's what I'd do, after getting the SAT rates.

I just don't understand when someone ignores protocols on something as critical as oxygen.
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In your shoes, I would start by contacting his Hospice nurse and ask him/her to investigate why the orders aren't being followed. Have you signed a HIPAA release so that their doctor can review the orders and write them for the AL staff? Another poster had this issue.
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