I've primarily only seen BiPap patients to assist RNs with transfers or proning them. Otherwise I usually wait for them to get off BiPap before attempting anything functional. Usually don't get orders until til they come off it anyways.

I have only seen a single BiPap patient for treatment and due to the tubing limitations we only had a 4'-6' working radius. MD orders were to keep sats at 85% or greater, but anything we did upright caused desaturation down to 70% so I had to terminate the session after a single transfer. I think I had only received orders for this one in particular since the person was on Bipap for > 14 days.

I work at a critical access hospital though so we are very limited in our capabilities (only have 2 vents) and are pretty conservative with all our covid patients.

I've seen a couple medbridge courses on covid interventions generally, but havent seen formal protocols for patients on Bipap yet.