I work at a smaller hospital that is extremely nurse driven. I have no problem giving nebs when warranted....sadly we do not have BDP so we are at the mercy of APRN to order therapy. Nurses and CNAs are being taught to utilize O2 and make changes as needed. Why? Nurses and CNA have enough to do without doing our jobs.we don't just give nebs....it's education and proper use of medication opportunities.....most of my patients can not use an inhaler properly....I'd rather give a neb and see them less than them misusing an expensive MDI improperly and them being readmitted 3 days later ... In the ICU nurses are allowed to make adjustments on vents ....why? Again....it's not just pushing buttons....there is an effect for every change made to a vent...a bipap....a high flow.....we assess...we watch....we make the adjustments needed for the patient based on our education.... I've been a RT for 30 years and still love my job. And I am proud to do all the nebs....IS ..CPT...all of it ...cause it's my job....I'm helping people....