Beste Paul, Can´t tell you much about nursing in the usa, I´d rather stay in the Netherlands. I´m a cardiac care nurse in Apeldoorn, a small town in The Netherlands (± 175.000 inhab.) with a hospital of 450 beds. To my knowledge there´s a Ventilation Practitioner working in a of the 2 locations, maybe similar to the respiratory therapist. Greatings, Carl
There is so much maximum time on bipap as the patiënt can endure. If he is still cooperative and has a sufficient enough own respiration, there is no limit. Otherwise, is the patient is after hours of CHF still on bipap with no recovery, there might be an indication for intubation.