Our burn patients tend to have a standard 200 mcg of fent, 2 mg of dilaudid, and 4 mg of versed maximum for dressing changes. What and how much to push is up to nursing staff.
I'm going into week four of new orientation on a burn unit and I still feel a bit lost as to when and how much of a med to push during dressing changes. I look back in the MAR to see how much of what the last nurse gave. That helps. But I still feel unsure of how much to pre-medicate with. And I'm still very uncertain with gauging pain in ventilated patients. It seems like I'm quick to jump the gun on perceiving pain/anxiety esp. in our ventilated patients.
Any hints or tips would be appreciated.