Here's a detailed breakdown of what to do:

Shift: 8:00 am - 3:00 pm

8:00 am - 8:30 am: Initial Assessment and Planning

1. Introduce yourself to the patient and explain your role and purpose for the shift.
2. Review medical history and recent progress notes.
3. Perform a thorough respiratory assessment: Check respiratory rate, oxygen saturation, lung sounds, heart rate, blood pressure, and level of consciousness.
4. Review current oxygen therapy and any respiratory treatments prescribed.
5. Collaborate with the healthcare team to understand current treatment plan.

8:30 am - 9:30 am: Medications and Respiratory Treatments

1. Administer prescribed medications, including bronchodilators and other respiratory medications.
2. Monitor response to medications and assess for any adverse effects.
3. Provide nebulizer treatments as needed to help open airways.
4. Perform chest physiotherapy and suctioning if necessary to clear secretions.

9:30 am - 10:00 am: Positioning and Mobility

1. Help achieve a comfortable position that promotes optimal lung expansion, such as semi-Fowler's or high-Fowler's position.
2. Encourage deep breathing exercises and use of an incentive spirometer to improve lung function.
3. Assist with passive range-of-motion exercises to prevent muscle atrophy.

10:00 am - 11:00 am: Collaborative Care and Education

1. Collaborate with the respiratory therapist to coordinate any additional treatments, such as CPAP or BiPAP.
2. Provide education about condition, the importance of medication compliance, and techniques to manage respiratory distress.
3. Teach family members about care needs, signs of worsening respiratory distress, and when to seek help.

11:00 am - 12:00 pm: Nutrition and Hydration

1. Assist with meals, ensuring they receives appropriate nutrition and stays hydrated.
2. Monitor tolerance to eating and any impact on respiratory status.

12:00 pm - 1:00 pm: Vital Signs and Documentation

1. Monitor vital signs, including oxygen saturation, respiratory rate, and heart rate.
2. Document vital signs, any changes in condition, medications administered, and treatments provided.

1:00 pm - 2:00 pm: Rest and Comfort Measures

1. Ensure they are comfortable and encourage rest. Provide pillows for elevation and support.
2. Offer pain management if experience discomfort or pain.

2:00 pm - 3:00 pm: Ongoing Assessment and Handoff

1. Continuously monitor respiratory status and overall condition.
2. Collaborate with the oncoming nurse to provide a comprehensive handoff, including changes in Joy's condition, treatments performed, and any concerns.
3. Complete thorough documentation to ensure continuity of care and effective communication.