No SpO₂, no setting, no comparison, no skilled rationale — reads as a routine check, not skilled observation.
The post-pneumonia model note in §3: lung findings by field, SpO₂ with the ordered setting, the sputum change, and the reason daily skilled observation was required.
“Trach suctioned.”
No secretion detail, no airway assessment, no site — Section O and the skilled procedure unproven.
“Suctioned scant white secretions, airway clear post-suction, breath sounds equal, stoma without erythema, ties secure, SpO₂ 96%.”
“SOB, O₂ increased.”
No values, no parameter, no notification, no response.
The decompensation model note in §4: RR/SpO₂ vs baseline, treatment and titration response, SBAR, orders, and reassessment.
