Continuous Pulse Oximetry is a valuable resource at San Francisco General Hospital, limited primarily to one medical/ surgical inpatient unit (4B). Overuse of continuos pulse oximetry can create unecessary bottle-necks in flow from the emergency room for newly admitted patients or out of the intensive care unit for patients ready to transition to the step-down unit. We aim to create a standardized order set with clear indications for continuous pulse oximetry use as well as automatic discontiuation within set-time frames shoulw providers not re-evaluate and renew the orders. We plan to employ a multidsiciplinary group of physicians, pulmonary subspecialists, respiratory therapists, and nurses to create an evidence and experience based order set for use at San Francisco General Hospital to limit unecessary continuous pulse oximetry use.