It is extremely weird to me that a patient would be on a dopamine gtt without having to be on a cardiac monitor. First I would want to know why
is the patient on dopamine, is it for renal perfusion (a low dose 1-5 mcg/kg/min) or is it for the blood pressure (dose can be anywhere from 5-15 mg/kg/min, max dose 20mcg/kg/min). I would ask the doctor for a cardiac monitor and then I would make sure that I have parameters for the dopamine gtt (to know when to call the doctor, what is the max dose, when to shut it off
). Personally, I check vital signs every 5-10 minutes when I first start the gtt, then every 15 mins until they are stable. Then I would check every 30min-1hr, depending on the situation. Since you are on a floor, maybe every hour, but if that patient is that sick and it isn't safe for you to monitor that patient on your floor, then the doctor needs to choose a different med or transfer the patient to ICU. Hope that helps.