The only people who can push the control are the patient, the RN or MD. We have had a CNA get in trouble for pushing for the patient.
You are right, the patient shouldn't be getting so much that they are in resp distress or arrest for that matter. A phone call needs to be made to the MD to change the rates. Maybe lowering the basil and adding a PO med could help.
As a side note on pain management, just because a patient is sleeping doesn't mean they are not in pain. Through the 3 cycles of sleep a patient can wake up in severe pain or with moderate pain they can have micro arousals but still are asleep it is not in REM and it is not a restful sleep and can make the pain worse when they wake up.
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