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POLICY & PROCEDURE
DEFINITIONS: The function of the respiratory system is to supply adequate oxygen to tissues in
the body and remove waste carbon dioxide. This is achieved with inspiration and expiration of
air (breathing).
POLICY: It is the policy that all HealthPoint employees assess and document patient’s
respirations at all clinic provider visits. While assessment and documentation of respiratory rate
assessment are not required for “Lab only” or “Immunization only” visits, staff obtaining labs or
performing immunizations/vaccines shall observe the patient’s ease with breathing and follow
guidelines outlined in “Standing Delegation Order – Urgent Assessment” should the patient
have any trouble breathing.
PROCEDURE:
A. GUIDELINES:
1. Respirations rate is the number of breaths a person takes a minute.
2. The rate is measured by counting the number of breaths (meaning, count how
many times the chest rises) a person takes for one minute.
3. Respiratory rates vary with age and gender. Normal resting respiratory rates are
as follows:
a. Adults/Children 6 years and older: 12-20 breaths per minute
b. Children 1 year to 6 years: 20-30 breaths per minute
c. Infants: 6 months to 12 months: 24-30 breaths per minute
d. Newborns to 6 months old: 30-60 breaths per minute
4. When measuring and recording respirations, staff should note:
a. Rate of respiration; breathing should be regular with a pause between
breaths
b. Ease of breathing; ‘mouth breathing’, ‘nasal flaring’, ‘pursing the lips’
on expiration (exhaling) can indicate respiratory problems; cyanosis or
TITLE: RESPIRATIONS
Scope/Purpose: To create a standard process for assessing breathing and oxygenation. To
ensure protocols are followed when breathing effectiveness appears impaired/inadequate.
Division/Department: All Clinics
Policy/Procedure #:
Original Date: July 6, 2015
_x__New ___Replacement for:
Date Reviewed:
Date Revised:
Implementation:
CPIC
Approved:
Board
Approved:
07/22/2015
Responsible Party: Director of Nursing
