Ruby: Thank you, sincerely. I posted on here because I was frustrated and trying to figure out if I was being an ICU know-it-all diva or if I had legitimate safety complaints. So far, I think my answer is: a little of both.
I was concerned because the patient was very sick, the vitals were all over the place and we were frequently titratting gtts. In my past experience, all these things automatically = q15 MAPs (sometimes other VS if indicated), and potassium was never ever given more than 20 mEq/hour. Again- new place has no policies I can find, and I spent quite a bit of time later looking. I've done a very little bit of research online after originally posting on here, and have found several sources that say 40 mEq/h is alright "with physician orders" but I don't know our physicians well enough to know if they'd actually know/care about things like medication administration rates (cue story about my past job experiences here). Also at past jobs, I always kept my alarm volumes high enough to hear them if I stepped slightly outside of the room, and kept my alarm limits fairly close. At my new job, we're not supposed to change the alarm limits if we can help it (I haven't figured out why yet), and the alarm volumes are kept at 10% to promote patient rest.
That said, I am aware that "The Way We Did Things" is not the only way to do things. My knee jerk reaction of course is to go back to my past experiences when I'm working- if I didn't I would be a slobbering idiot. When someone is telling me to do things that seem unsafe, I typically get concerned (and so do you- if you had a new job and your preceptor told you it was unit policy to jump of a bridge, would you do it?). But then I have to rethink what is actually un/safe vs. just standard operating procedure in my past life? So thank you for giving me honest feedback. I absolutely promise not to come here and whine that they're "eating me" or giving me crappy assignments (I expect it and know that I have to prove I'm not a slobbering idiot) or a crappy schedule (ha- joke's on them! I don't really care what I work and love overtime- bwhahaha).