Post
by rested gal » Tue Mar 10, 2009 8:55 am
My take on why many RTs (and other DME employees) say, "It's illegal to change the pressure" ...
I think many of them truly do believe that.
They are accustomed to being bound by licensure laws in their state. They are used to thinking of machine adjustments from the aspect of what THEY themselves (the RTs) are legally allowed to do/not do -- and what other people working in the health care field are prohibited by law from doing.
When an RT (or any other health care professional) says, "It's Illegal to change your pressure", I think most of them sincerely believe that's so. THEY are not legally allowed to change someone's pressure without an order from a doctor, so that's how they are used to thinking about it.
Yes, telling a patient, "It's illegal to do that" sounds scary, but I believe most of them are not tryinging to lie or mislead. I think they truly do believe that's so.
They are looking at it through the lens of the legal scope (and boundaries) of their duties:
Doctors (or a professional, like a licensed nurse practitioner, working under the doctor's orders) are the only ones, by law, allowed to "prescribe" or to give a medical order about treatment.
Other health care professionals are required by law to follow the doctors orders when setting up treatment machines, including NOT being allowed to set or change the pressure if that's not legally within the scope of their duties. End of story for them.
That's not the end of the story, however, for the layperson who is actually using a CPAP machine.
I've still not seen anyone produce a law that says, "It is illegal for the patient to change or adjust the pressure setting on his/her CPAP machine."
There's a big difference between putting your fingers on the buttons of someone else's machine and changing the pressure, versus deciding to change the treatment pressure yourself on your own machine, imho. Whether that's a wise thing for a cpap user to do is another question entirely.
Manufacturers of the machines put in a way to prevent a patient, or someone (like a child) in the household from accidentally or deliberately changing a pressure setting or mode of operation. That "hidden" way of accessing the therapy setup menu that is pretty easy to find on the internet.
Last edited by
rested gal on Tue Mar 10, 2009 8:56 am, edited 1 time in total.
ResMed S9 VPAP Auto (ASV)
Humidifier: Integrated + Climate Control hose
Mask: Aeiomed Headrest (deconstructed, with homemade straps
3M painters tape over mouth
ALL LINKS by rested gal:
viewtopic.php?t=17435