An ongoing feud where I work has been the issue of restraining patients on a BiPAP. Both sides agree that ideally patients on BiPAP are never restrained due to the high risk of aspiration should they vomit. Making that a reality is a very different thing since we'd essentially need sitters for most of our BiPAP patients. An argument could be made that we need to just let these people take off their BiPAPs and let the chips fall where they may, but that's a different topic.
A quick look through guidelines and standards doesn't produce anything on this issue and without that, making the case for exponentially more sitters is near impossible. If anyone knows of standards regarding this that would be helpful. And if your facility has a policy not to restrain BiPAP patients I'm curious how that works.