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Respiratory Nurse for Skilled Nursing Facility

Position Title: Respiratory Nurse

Department: Nursing

Reports to: Director of Nursing/Respiratory Director

Job Summary

The Respiratory Nurse delivers focused respiratory care to residents, with a primary emphasis on administering, monitoring, and documenting the use of incentive spirometry. This role plays a key part in reducing pulmonary complications, and promotes optimal lung function through direct clinical intervention, resident education, and collaboration with the interdisciplinary team.


Essential Duties and Responsibilities

Residents Rights

  • Knows and respects patient rights.
  • Ensures protected health information is kept confidential.
  • Reports complaints made by patients to supervisor.
  • Reports allegations of patient abuse, neglect and/or misappropriation of patient property.

Safety and Sanitation

  • Follows established safety policies and procedures.
  • Observes the safety needs of patients as indicated in care plan.
  • Wears and/or uses safety equipment and supplies when indicated and properly trained to use.
  • Ensure infection control standards are upheld when handling and cleaning IS equipment.

Staff Development

  • Attends and participates in scheduled in-service training, educational classes and meetings to maintain current certification as applicable and as managed by regulatory agencies and company policies.
  • Attend facility meetings including daily weekly clinical IDT’s and reports to QAPI as scheduled.

Key Responsibilities

  • Initiate Incentive spirometry therapy per facility protocol and physician orders.
  • Perform initial and ongoing respiratory assessments for residents using IS.
  • Provide direct education and hands-on training to residents on proper IS technique, ensuring compliance and effectiveness.
  • Deliver incentive spirometry care to residents with physician orders, in coordination with the nursing team.
  • Reinforce and re-educate as needed to promote consistent and correct usage.
  • Monitor compliance with IS therapy and identify any barriers to participation.
  • Report resident concerns, noncompliance, or declining respiratory function to Director of Nursing and Respiratory Coordinator promptly.
  • Performs other duties as assigned.

Documentation & Compliance

  • Document assessments, interventions, education, and resident compliance in accordance with facility policy and regulatory requirements.
  • Ensure accurate recording of IS use, frequency, and outcomes.
  • Participate in care development plans for residents receiving IS therapy.
  • Assist in quality improvement tracking related to respiratory outcomes and IS compliance.

Qualifications & Experience

  • LPN/RN with valid state licensure.
  • CPR certification required.
  • Ability to work independently while following established protocols and directives.
  • Strong communication, teaching, and documentation skills.
  • Understanding of respiratory conditions such as COPD, Pneumonia, CHF, and post-operative care.
  • Committed to reducing pulmonary complications and supporting lung health through consistent, evidence-based incentive spirometry practices.

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