Titratable Medication Charting

How often does your facility charting on titratable medications?

For example, a patient on Propofol with the following orders:

Initiate Rate - 5mcg/kg/min. Titrate Rate - 5mcg/kg/min q10minutes to goal. Parameter Goal: RASS of 0 to -1

We chart RASS every 4 ours when within goal. If the medication is titrated, we need a RASS with each titration until the goal met and then q15min x4 after goal is reached.

Same for analgesic IV medications (we use Behavioral Pain Scale (BPS) and numeric as as the measurable parameter. For Vaso-actives, we use MAP, SBP/DBP and HR for measurable parameters.

The titration charting is the same with Analgesic and Vasoactives. We chart every 4 ours when within goal. If the medication is titrated, we need a parameter with each titration until the goal met and then q15min x4 after goal is reached.

What do your critical care nurses do? What does your facility do? Do you have a policy for titratable medications

Any information would be greatly appreciated.

Moe

Mo