.RESP_OBS

Skilled respiratory observation: lungs {fields/findings}, RR {##} {effort}, SpO₂ {##}% on {O₂ setting/device}, cough/sputum {characteristics vs prior}. Potential for {change} requires daily licensed surveillance at SNF level. Supports Section O oxygen day; respiratory goal {###}.

.RESP_TRACH

Tracheostomy care per order: suctioned {amount/character} secretions, airway {clear} post-suction, breath sounds {equal}, stoma {status}, ties secure, SpO₂ {##}%. Skilled aspiration/airway assessment required. Supports Section O trach/suction items.

.RESP_DECOMP

{New finding} with RR {##}, SpO₂ {##}% on {setting} (vs {baseline}), sputum {change}. {Bronchodilator/O₂ titration} → SpO₂ {##}%. SBAR to {provider} {time}; {orders}; representative notified {time}. Aspiration precautions. Reassess {when}; SCSA {y/n}.