Hospital loaners, settings based on...?

[Tatooed Lady]

I'm not planning on a visit or stay in the hospital, but when looking to be admitted and use xPAP, do they base the settings and machine (if they supply one) on your PRESCRIPTION or what latest settings are? Curiosity, based on the fact that so many of us self adjust settings and upgrade machines without a doctor's knowledge, blessings or whatever.
My prescribed machine was the Respironics 560, but current is the ResMed VPAP. Since I have to maintain modem contact compliance, the DME knows what I'm using (like they care)...settings are substantially different from last prescription.

[LSAT]

When I had an unexpected overnight visit to the hospital, I told them that I used a CPAP and a RT brought in an APAP and asked me what pressure I used. She set the machine to my pressure and gave me what I considered a terrible mask to use. The next day my wife brought my machine and mask. No questions asked.

[chunkyfrog]

After my surgery, the RT came in to set the machine, a Resmed S9 Autoset.
I showed him photos of my screen (on my phone), showing my settings, he was surprised and pleased.

[Uncle Flapp]

Mrs. Flappy is an RN in the ICU. She says it is commonplace for family members to bring in their xPAP devices from home. I'll ask her what they do for hospital loaners when she get home from her shift.

[ChicagoGranny]

Hospital loaners, settings based on...?

http://tinyurl.com/ltrqme3

[Tatooed Lady]

So, according to actual experience, the hospital takes the patient's word on the settings, and possibly even the diagnosis of OSA ( although, who the hell would want to LIE about using a machine?)...and the IDEA is that you can back up your claim, if needed, with proof of need, settings, etc. I think some of us would be screwed if push came to shove...or at least would go without the tweaked therapy we are accustomed to.

Did the staff bother to check results, or do they tend to (in reality, not on paper) just trust that if you woke up, it ain't broke? My guess is the latter...if only due to time constraints.

[Krelvin]

Last hospital visit, they provided a Bilevel (large machine on a rolling stand) FFM and asked me what my pressures was. My wife had my machine packaged up but took it home when it became apparent it wasn't needed.

[Krelvin]

[palerider]

So, according to actual experience, the hospital takes the patient's word on the settings, and possibly even the diagnosis of OSA ( although, who the hell would want to LIE about using a machine?)...and the IDEA is that you can back up your claim, if needed, with proof of need, settings, etc. I think some of us would be screwed if push came to shove...or at least would go without the tweaked therapy we are accustomed to.

Did the staff bother to check results, or do they tend to (in reality, not on paper) just trust that if you woke up, it ain't broke? My guess is the latter...if only due to time constraints.

when my heart failure friend was in the hospital, (both times since on therapy) he just took his machine with him, no problems.

[49er]

Before my March septoplasty, I got my sleep doctor to write a prescription for the pressure I was using since a full face mask I was allowed to wear required a higher one than what I had at the titration for my elan mask. I was concerned that since I had to use a hospital provided machine, this might be necessary. My worries were unfounded as they simply took my word for it.

49er

[Hang Fire]

at least would go without the tweaked therapy we are accustomed to.

I'm puzzled about what is worrying you so.

- If it is a scheduled hospital stay, take your stuff with you and get the same therapy you are used to at home.

- In case it is an emergency, make sure you have a responsible other who knows how to get your stuff and bring it to the hospital.

Now you can make up a lot of other hypotheticals (sic) (out of town alone, unconscious, etc.) to worry about, but dang you could be killed today walking to your mailbox.

[Tom45]

My hospital asked me to bring my mask and they supplied an APAP. This was for a scheduled surgery, so the topic of my cpap usage came up during the preliminary interviews several days before I was admitted.

Tom

[webbie73]

I just spent time in both a hospital and a rehab center after a hip replacement. Prior to my surgery I was worried about how the cpap issue would be handled. Not a problem, I woke up in PACU a with my cpap! They were happy I had my machine with me.

[SewTired]

I'm not planning on a visit or stay in the hospital, but when looking to be admitted and use xPAP, do they base the settings and machine (if they supply one) on your PRESCRIPTION or what latest settings are? Curiosity, based on the fact that so many of us self adjust settings and upgrade machines without a doctor's knowledge, blessings or whatever.
My prescribed machine was the Respironics 560, but current is the ResMed VPAP. Since I have to maintain modem contact compliance, the DME knows what I'm using (like they care)...settings are substantially different from last prescription.

My brother spent a month in the hospital in January and February (not all in one go) and he uses a bipap. They did not care about the settings. The assumption is that it is set to the setting that the doctor wanted. They merely checked that the machine was safe to operate and clean. The RT said that many machines come in with frayed cords. Others never clean the humidifier. Now, this is for someone who came in through the emergency room. I had surgery in January and the hospital asks in the 'what to bring' section that if you use an Xpap machine, that you bring it with you. Be sure that you use masking tape and mark patient's name and home phone on each piece including the cord. It's a lot easier for you to get it back if you forget it.

[Tatooed Lady]

at least would go without the tweaked therapy we are accustomed to.

I'm puzzled about what is worrying you so.

- If it is a scheduled hospital stay, take your stuff with you and get the same therapy you are used to at home.

- In case it is an emergency, make sure you have a responsible other who knows how to get your stuff and bring it to the hospital.

Now you can make up a lot of other hypotheticals (sic) (out of town alone, unconscious, etc.) to worry about, but dang you could be killed today walking to your mailbox.

I'm not losing sleep over this (no pun intended,) however, my job requires compliance. I like to be informed of current practices (which vary by location, I'm sure) and hear suggestions how to handle them before anything happens. You know, boyscout motto, be prepared.