I have a 2yo pt who is uncooperative with their Cpap mask. I've changed the mask, have tried getting pt to hold mask, play with with while off to get them use to it and for a while pt was wearing it for 2-4 HR. RT did come out to check on the settings and the machine and everything was okay. But for the past few weeks pt has been refusing the mask, removing it immediately. Last week during their well child visit Parent was told by PCP pt's tonsils were swollen and would need to be removed and this may be why pt refuses cpap. An appointment isn't scheduled until Sept to address this. I was told by the parent not to use Cpap until after the appointment as advised by the PCP. Pt does have a sleep study scheduled this week. In my nurses notes I've been documenting PCP is aware and per parent not to use cpap until scheduled appts and issue with tonsils are addressed. Is this correct to do or does the PCP need to write an order stating CPAP therapy to be held until after tonsil issue is address? I'm not sure what to do or even what to ask from the PCP. I appreciated any input.