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• movable
• placed on a mobile device (like a wagon, sit and stand stroller, or wheel chair)
• often used with plastic nose or heat moisture exchanger (HME)

• not movable
• typically placed at the bedside
• often used with a heated humidifier

• attaches to the patient’s chest
• measures heart rate and breathing pattern
• alarm sounds if the patient’s heart rate gets too high, too low or breathing stops

PHS has both stationary (not movable) and portable (movable) oximeters to meet the patient’s needs. The oximeter:

• measures heart rate and the amount of oxygen in the blood
• alarm sounds if the readings get too high, too low, or if they stop

• measures heart rate and the force of the blood as it moves through the body
• uses a cuff that inflates around patient’s arm or leg

• measures the amount of carbon dioxide gas that is in the breath as it leaves the body

• used with ventilator, BiLevel, CPAP, cannula or compressor patients
• warms and moistens the air going to the patient
• helps mucus remain thin and easy to remove

• removes thick fluids and/or mucus from patient’s mouth and air passages
• used as needed

• removes fluids and/or mucus from patient’s esophagus and stomach
• often used for continuous treatment

A tank is a metal container filled with high pressure oxygen. PHS carries many different sizes ranging from very small to large.

Most concentrators are stationary and need to be plugged in and in an open area (not a closet or small, closed-in space). However, PHS has a portable concentrator that runs off either electricity or batteries. The portable concentrator is available for rent to patients. Please contact PHS for pricing and availability.

The concentrator removes other gasses from the air so that there is a higher concentration of oxygen available to the patient.

These pieces of equipment are not easy to move as they need electricity to work. The process is as follows:

• oxygen and air are mixed by using the medical air compressor, air flow meter, oxygen concentrator and humidifier together.
• the air goes through the flow meter and meets the oxygen flow on the humidifier.
• the humidifier warms and moistens the air that gets to the patient.

• often used with patients diagnosed with sleep apnea or with patients who have trouble breathing
• helps keep airways open
• supports/helps patient’s breathing, usually through a nasal mask
• can use a humidifier to heat and moisten the cold, dry air
• has information/memory capabilities to help the doctor know when to make changes to settings

CPAP therapy specifics:

• machine that often uses a face mask to provide pressure keeping airways open for breathing
• often used while sleeping but can be used continuously

BiLevel therapy specifics:

• provides continuous minimal pressure to keep airways open, as well as a higher pressure to force air into lungs
• used throughout the day and at night

• helps patient cough and clear airways
• applies different pressures, both positive and negative, to help patient cough

small vinyl plastic cups held in the hand to apply pressure and vibrate the chest to loosen thick fluid in the lungs. The fluid can then be coughed up or suctioned out.

You can place your child in different positions during percussion in order to find the best way to drain or loosen mucus so it may be coughed up or removed with a suction machine. Percussors:

• vibrate child’s chest area (upper, middle and lower lobes)
• help mucus out of the lungs into larger airways

• helps clear mucus that holds on to the lungs
• provides deep breathing
• delivers medicine into the lungs
• gives quick bursts of breath to help move mucus out of the lungs so it can be coughed up or suctioned out

• provides vibration therapy
• does not require electricity
• works with patient’s own breath to create vibrations within airways
• loosens and moves mucus so it can be coughed up or suctioned out

• can provide up to 100% of patient’s nutrition needs
• provides nutrition needed for growth, weight gain and development
• given orally or through a feeding tube
• comes premixed or in powered form (powered formula must be mixed with water)

Prescribed inhalers should always be used with a holding chamber. This chamber:

• holds the medication in the chamber until the patient breathes in
• takes away the coordination required to get the medications into the lungs
• comes with face mask for younger children
• is a prescription item

A hand held device that measures how much air a child can blow out after taking a deep breath.

• the number on the meter is measured with a “zone” - green, yellow or red. 
• medications can be given according to a zone as prescribed by the doctor
• is a prescription item

A food pump pushes formula through a tube that goes into the stomach

• used to deliver formula through feeding tube
• delivers formula at a certain rate to help the patient best tolerate the feeding
• alarm sounds to alert the caregiver if the food pump is not working as it should
• can be placed in backpack or hung on IV pole

Portable infusion pumps are used in the home setting. These are small and can be put in a backpack so that the patient can move around while getting their medication.

• delivers right amounts of medicine into veins
• medicine is mixed in bag and sent through tube into patient’s vein through IV catheter
• programmed by PHS infusion nurses or pharmacists to give right amount of medicine that’s ordered by the doctor
• alarm sounds if it is not working properly

Some wounds need to be bandaged in order for them to heal more quickly. There are different types of bandages for different types of wounds. Many times, children have skin problems and need ointments and creams to help protect and heal sensitive skin. PHS has a wide variety of wound products and creams to help with skin issues.

PHS most commonly treats skin irritations:

• on gastric feeding tube (G-tube), stoma and tracheostomy sites
• that develop after a surgery
• from pressure/bed sores

When a patient has had surgery to make an opening in intestine or urine tract due to trauma or medical conditions, the opening is brought up to the outside of the body. Ostomy Supplies are tools used to collect bodily waste.

• PHS provides different sizes and accessories
• PHS provide troubleshooting help with fit and skin irritations from ostomy supplies

A device used to deliver medication in the form of a mist inhaled into the lungs.

• liquid medication turns into an aerosol mist
• PHS provides different sized nebulizer cups, aerosol masks, and accessories