CATEGORY 1: RESPIRATORY ASSESSMENT
What must be documented before initiating any respiratory therapy treatment?
A complete respiratory assessment.
Under CMS and Title 22, who may order respiratory therapy?
Physician or Non-Physician Practitioner (NPP).
This handheld device helps loosen mucus through oscillation and vibration.
Flutter Valve or PEP device.
True Or False? You can combine PT/OT/RT diagnosis in the therapy dx sheet?
True
Which document lists all cardiopulmonary diagnoses for screening new residents
Diagnosis sheet.
Name two vital signs required in every respiratory assessment.
Respiratory rate and oxygen saturation (SpO₂).
(Other acceptable: heart rate, BP, temperature)
How often must care plans be updated when respiratory therapy is added or changed?
With any significant change and at least quarterly.
What therapy increases lung expansion and prevents atelectasis?
Incentive spirometry.
Who codes the respiratory services provided in the Minimum Data Set?
MDS Nurse
What must be reviewed for history of pulmonary or cardiology care?
Hospital discharge summary or clinic notes.
This term refers to the evaluation of breath sounds such as crackles, wheezes, or diminished sounds.
Lung auscultation.
Name the required monitoring interval for patients on CPAP/BiPAP per facility policy.
Periodic monitoring as ordered (typically every shift).
What must be obtained first prior to administering Oxygen?
A physician’s order.
Who must RT staff collaborate with when initiating therapy on a new admission?
DON/ADON and Physician/Pulmonologist.
What is the required location to document all respiratory interventions?
Electronic health record (EHR)/PCC
What assessment tool is used to measure a resident’s ability to inhale deeply?
Incentive spirometer.
What must be completed for any respiratory equipment brought from home?
Safety check and MD order verification.
Name one indication for chest physiotherapy.
Excessive secretions or impaired airway clearance.
Which team member ensures therapy minutes are accurately captured for PDPM?
Therapy (DOR/PT/OT).
Which respiratory tool must be calibrated or checked before use?
Oxygen delivery equipment (e.g., concentrator, flow meter).
What documentation is required when a resident refuses respiratory therapy?
Refusal statement, resident education, and MD notification with order.
Which federal tag applies to maintaining safe and effective respiratory equipment?
F-Tag 689 (Accident Prevention & Equipment Safety).
What is the required documentation after suctioning?
Amount, color, consistency, resident response, and tolerance.
What must IDT review weekly for residents receiving RT services?
Weekly respiratory summary & progress updates.
ABC's For OPEP/VPEP
A=Amplitude (Wave Form)
B= Bias Flow (Expiratory)
C= Collateral Ventilation