I love "RT to titrate BiPAP" orders. I wish there were "RT to titrate Vent" orders too. I had two patients today come up from ER, both patients I set up on BiPAP. One was put on for exacerbation of COPD and the other CHF. Both needed it then. But, by the time the patient was admitted, the BiPAP was no longer needed. So I simply discontinued the therapy for both patients.
Yes, they were sooooo happy. I got smiles from both of them when I said, "I will keep this on standby, but I think you don't need it right now -- unless you want it. If you want it I will be happy to put it on you."
"Oh, no no no no no." Smiles from the patient.
Perhaps if we had more RT to Titrate vent orders there'd be a significant drop in ventilator hours. What do you think?