Resident recieved vaccine 12/5/24. Came sick and tested positive for RSV on 12/27/24 Resident was on the mend feeling better, came off of isolation. Resident had sudden decline, sudden death. Was unable to got her to ER to be evaluated by ER before she declined. I was leaving the dining room from passing lunch meds I was passing by residents room when I heard resident yell help. Went into residents room resident had c/o SOB. Resident did not have O2 on. I reapplied O2. Resident also said that she had to go to thebathroom. CNA was walking by the room. I yelled out for CNA to take resident to the bathroom. I parked med cart in med room grabbed plus ox and glucometer. Another CNA grabbed v/s cart. Resident kept saying I don’t feel good. I can’t breath. BS was not low. SPO2 was not low. Resident was slurring her words. I did stroke assessment, it was WNL. I called supervisor RN and stated what was going on and that I was going to send to ER. CNAs and other nurse put resident on gurney as I printed off paperwork. I took resident down to ER. Resident passed in the elevator as we exited into ER. TOD was 1257. Notified Dr @ 1310. @1315 pronounced. @ 1415 Funeral home picked up. Resident coughing productively thick brown sputum. lung sounds rhonchi. o2 sat 85% room air. I have placed on o2@2lpm.nc. Chest x-ray results pending. Dr notified of resident condition and of chest x-ray results. new orders for levaquin 500 mg one daily x 5 days and decadron 8 mg IM daily x 1 dose. Family notified. Resident continues to have cough/congestion/sinus drainage. Lung sounds diminished. she is coughing productively yellow sputum. T 97.9 P 103 R 28 b/p 121/70 o2 sat 92% room air. I spoke with RN. new order received for chest x-ray today. Family notified. Resident coughing productively light yellow sputum, lung sounds diminished bases and rhonchi upper airway. T 97.9 P 96 R 32 b/p 103/59 o2 96% I have administered prn cough syrup and tylenol. results pcr fo follow. allergies: promethazine. Dr. notified new orders received for cefdinir 300 mg one bid x 5 days, decadron 8 mg IM x 1 injection, mupirocin ointment to bilateral nares bid x 5 days. Family notified.