Preparers for inspection came in called the nurses cowboys ,because we are titrating are drips to pt response . Inform us we must have an order by a physican for titration ok? Orders for titration are usally standard but how do you wean? I was told by the powers to be to wean pressors by the original order . I feel weaning is different than titration we must go a lot slower and reduce rates to pt response. If i jump in and decreased levophed 2.5 mcg/min every 15 min than we could have a dead pt. Should we have separate weaning orders ? I was told nursing judgement is not allowed any more must follow an order to every specific detail so how do you wean pressors to pt response and be in the graces of following standards.?