1. Perform "opening procedure". (includes hand hygiene).
2. Verbally acknowledge resident's complaint of "having difficulty breathing".
3. Adjust HOB to appropriate level (between 3090 degrees) as quickly as possible.
4. Recheck resident's breathing.
5. Perform comfort measures (pillows, raising FOB to prevent sliding, etc)..
6. Perform "closing procedure" (includes hand hygiene).
7. Report and record (resident's complaint, what you did to help, and the results of your actions).