NIRS (03) quick guide 1 - setting up
NHS Lothian neonatal guidelines
Press and hold the Power button for 2 seconds until a single audible tone sounds
Connect the module to any one of the ports on the ROOT, the 03 window will display on the monitor.
Prepare the skin:
- Ensure the baby’s skin is clean, dry, and free of debris.
- Apply layer of 3M Cavilon non-sting barrier using foam stick and allow to dry.
Apply the sensor:
- Position: Above the eyebrow, slightly to the left or right of midline.
- Angle the cable away from baby’s face, ensuring there is no tension on the cable or baby’s skin.
- A hat or phototherapy can be used if there are difficulties with the probe pulling away from the skin.
- Phototherapy can impact readings. Covering the probe with a phototherapy band may be helpful.
Changing the sensor:
- The sensor position should be changed every 12 hours and should alternate between left and right sides.
- Use Clinimed Appeel adhesive remover to remove probe.
- Note any skin concerns and report to medical team.
- A new sensor should be used every 24 hours.
Plug in the connector on the end of the sensor to the O3 module. The ports are numbered, use:
- Port 1 for LEFT
- Port 2 for RIGHT
Cerebral oxygen saturations will be displayed as a large blue number on the right side of the screen:
- Measurements from the left/port 1 of the module are displayed on the top half of the screen.
- Measurements from the right/port 2 of the module are displayed on the bottom half of the screen.
Once probe has been applied or position changed, set a baseline for the patient and zero the DcHbi.
Tap the drop down menu on the top right corner of the 03 window and press Set Baseline.
A set baseline window will open for all sensors. Click on enable rs0₂ baseline and Zero DcHbi .
Confirm selection by pressing ok (at the bottom of the touchscreen).
Press the home button below the touch screen to return to the home page.
A green line will now appear on the home screen, indicating set baseline for the patient and DHbi measurements will be shown on the screen.