.RESP_NORMAL

Skilled resp assessment: lungs CTA bilat all fields; RR {##} unlabored; SpO2 {##}% on {RA / {#} L} at target; no WOB; speaks full sentences; denies cough/sputum/dyspnea; stable. RN judgment applied to detect early decompensation given {dx}. Continued skilled monitoring indicated.

.RESP_ASSESS

{Wheezes/crackles/rhonchi} {R/L} {fields}; RR {##} {pattern/effort}; DOE after {##} ft; SpO2 {##}% on {RA/{#} L}; sputum {color/amount/viscosity}; speech {full/fragmented}; device technique {error/ok}.

.RESP_SKILL

Titrated O2 {from→to} L for SpO2 < {##}%; administered neb and monitored pre/post (RR {##→##}, SpO2 {##→##}); corrected spacer with return-demo; initiated pursed-lip/paced breathing.

.RESP_TEACH

Reviewed rescue vs controller, ICS mouth-rinse, and action-plan thresholds with {patient/caregiver}; method {teach-back/return-demo}; mastery {##}%; O2 safety reinforced; AVS provided.

.RESP_COORD

Provider notified at {time} re {SpO2/sputum/dyspnea meeting parameter}; reported {content}; order received {CXR/sputum cx/abx/O2 change}; patient response {response}; reassessment {when}.

.RESP_SAFETY

Call for SpO2 < 90% on usual O2, RR > 28, chest pain, fever > 100.5 °F, or change in sputum; 911 for severe dyspnea at rest, cyanosis, or confusion.

.RESP_HOMEBOUND

Homebound: DOE and desaturation limit ambulation to ~{##} ft; O2-dependent requiring portable O2 and {assist}; leaving home a considerable and taxing effort.

.RESP_NECESSITY

Skilled nursing required today to {skilled action} for {RN-level reason} given {dx}, resulting in {measurable effect}.