While I'm not on a medical floor, it is true tele, we run titratable drips. Most common is dlitiazem, which we will titrate to HR in AFib w/RVR, per MD orders. We also have Amiodarone a lot, but it is always going as a continuous, no titration. Nitro, to blood pressure, is the other titratable one, but only to a certain rate, I think it is up to 15mcg/min. We also run Lasix, heparin (titrated based on PTTs) and occasionally Tikosyn.
On nights we'll usually have 4-5 patients, usually if you have more drips, it will be 4. Everyone is on the monitor, blood pressures are hooked up as well with the results being displayed on the central monitors. If I'm tweaking the drip, I'm right there monitoring, grabbing manual BPs every now and then to correlate. You just stay on top of it. I think our patients are getting the level of care required. If things start to head south, we have Rapid Response and MD only a phone call away.