Nurse changing vent mode

[NightNurseRN13]

There is a nurse that is changing the ventilator mode from volume (what the order is for) to pressure. Every time I come in, I have to change it back to what the order is for. I have a basic understanding of the two, but I'm wondering if any damage can be done with using a mode that the RT did not order. Also, changing the mode without an order is not in our scope of practice. I'm thinking of putting a sticky note on the vent simply stating that the order is for volume, maybe it's a misunderstanding? Or am I over-reacting?

[brillohead, ADN, RN]

I think maybe some education is needed here. Just because something feels better doesn't mean it is better.

What, you mean that I can't just eat cake and ice cream for every meal just b/c it "feels better" than eating salad and broccoli???

[ceebeejay]

Unless you are the RT or the pulmonologist, you aren't allowed to change the settings to anything but the prescribed settings. No changing alarms, not changing settings. WTH. It's completely outside of the RN scope of practice. I had a RT ask me to change settings over the phone, no, you come and change the settings yourself and experiment with them when you can see the patient. Not within my scope. crazy.