Post-pneumonia day 4: decreasing right-base crackles, RR 20, SpO₂ 94% on 2 L per parameter, afebrile, sputum now scant clear. Skilled observation required to detect re-deterioration and evaluate the O₂ order; daily SNF-level need. Supports the Section O oxygen day.
Tracheostomy care
Suctioned scant white secretions, airway clear post-suction, breath sounds equal, stoma clean, ties secure, SpO₂ 96%. Covered skilled procedure with airway assessment; supports Section O trach/suction items.
Oxygen titration, stable
SpO₂ 93% on 2 L with the resident at rest and 90% with exertion, titrated within the ordered range; lungs stable. Skilled titration and monitoring required; supports the Section O oxygen day.
