Set up BiPAP safely — correct circuit, right mask, prescribed IPAP/EPAP, and a patient you monitor closely.
A practice-and-assessment simulator for safely setting up and caring for a patient on BiPAP (Bilevel Positive Airway Pressure — a higher pressure on inspiration, IPAP, and a lower pressure on expiration, EPAP). Assemble the circuit in order, check the device delivers the prescribed IPAP/EPAP, select and fit the mask with skin protection, apply humidification, monitor the patient and equipment, and recognise and escalate complications within scope. Every step gives instant feedback — retry as often as you like.
Learning outcomes — you will be developing skills to:
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Scope: BiPAP set-up, circuit/mask care, monitoring and escalation are undertaken at enrolled-nurse level with supervision, per policy and the care plan, in consultation with the RN. You check and apply prescribed settings — you do not prescribe or independently titrate BiPAP (IPAP/EPAP), and you do not independently manage a failing/deteriorating patient. The framing throughout is set up, apply as prescribed, monitor, recognise and escalate.
Education-only. Australian context and units (cmH₂O). Aligns with the NMBA Standards for Practice, NSQHS Standard 8 (Recognising & Responding to Acute Deterioration), Standard 5 (Comprehensive Care — pressure-injury prevention) and Standard 3 (Infection prevention — circuit/filter). Generic, original equipment — interfaces, pressures, humidification and escalation vary per local policy and manufacturer instructions. This simulation supports learning and does not replace supervised clinical practice, facility policy or professional judgement.
Knowledge primer
Tap each card to reveal the principle. Then answer the check questions — a circuit-order item and a “who sets the pressure” scope item are included — to unlock the patients.
Knowledge check
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Review the cards above — aim for 5/6 before the scenarios.
Six patients — set-up, fit, monitoring & escalation.
Each drives a different decision — circuit assembly, mask fit, leak/pressure area, intolerance, treatment failure, and humidification/aspiration safety. Work the full skill on a working device, circuit and monitor: check the order, assemble, verify settings, fit, humidify, monitor and escalate. Minor details randomise on retry — reason, don’t memorise.
SpO₂ MONITOR — responds to seal & therapy
Improving
Leak / not optimised
Deteriorating
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Education-only. Generic, original equipment — interfaces, pressures, humidification and escalation follow local policy and manufacturer instructions. You check and apply prescribed settings and escalate; prescribing and titrating CPAP are medical decisions.
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Prepare · consent · check the order · suitability
Prepare to set up BiPAP for {{ ptFirst }}.
Check the order and the prescribed settings (IPAP / EPAP ± oxygen) and the care plan; hand hygiene; three identifiers; explain and gain consent. Then confirm the patient is suitable — conscious, able to protect the airway, cooperative — and flag aspiration / intolerance risks.
ORDER · CONSENT · IDENTIFY
SUITABILITY & SAFETY
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Document BiPAP care
Record settings checked, interface, humidification, skin care, observations, complications and escalation.
CONFIRM THE RECORD
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Marking guide — Satisfactory / Not Yet Satisfactory
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✓ What went well
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Review the steps below and try again.
△ Where to improve
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No errors flagged — correct circuit, verified settings, a good seal without over-tightening, and appropriate escalation. Excellent work.
This patient & why
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Key teaching point
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Safety & escalation
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SKILLS-READY SUMMARY
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BiPAP — Device, Circuit & Mask · {{ summaryDate }}
PATIENTS SATISFACTORY
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AGGREGATE
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STATUS
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✓ SKILLS-READY — BiPAP
Completion code — present to your clinical educator to gate supervised lab practice.
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Not yet Skills-Ready — keep going
Complete all six patients at Satisfactory (all critical items correct) with an aggregate ≥85%, including the deterioration and humidification/aspiration scenarios. Unlimited retries — use guided mode to rehearse, then assessment to evidence it.
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