ottoma4

Thanks for your help.

Thanks for the link. I guess I should not complain, because I have read where the ratio for some RN's on telemetry is 9:1, but we are 4/5:1 usually, usually without an aid. We do have fresh cath pt. where we pull sheaths, titrate gtts, and have some vent pt. Administration is trying to make us a stepdown unit - but we do not have the training or the personnel.

Can you please inform at to parameters. We titrate on our telemetry unit, but with no policy for our hosptial. Administration tells us to use "nursing judgment" not good enough for me. Cannot find any information for titrating. Thanks Ottoma

I am on a regular telemetry unit. MD orders are usually titrate to specific SBP or HR, starting dosage and maximum dosage, but no parimeters how to get to maximum dosage or how to titrate off. Hospital has no procedures or protocols and the RNs questioned on how they "do it" are different. Even the clinical was upset with me when I questioned dosage and timeframe to wean dopamine off pt. Also had to start a cardizem gtt on same pt. MD order was to give 5mg bolus and start at 5mg upto 20mg (max is 15mg on unit) and no other info. No intervals for VS, increase of med, or timeframe. Very uncomfortable with this so called policy. No protection for RN or pts in this facility. If you have any guidelines, would appreciate. Thanks, Ottoma

Does anyone have policy, procedures or guidelines with titrating off cardiac gtts - cardizem, dopamine, nitro., ect - hospital has no policy or guidlines. Thanks Ottoma