During the Joint Commission’s recent site visit, we were cited for inadequate titration instructions for Pitocin and oxygen. As a result, we are making changes to all nurse-titratable infusions for both order entry and the MAR. These changes will ensure that affected medications have:
These options are laid out as buttons for quick selection with a box to type in free text if the default settings are not appropriate for an individual patient. Please look at the screenshots for the changed order options and finished order on the MAR for a sample Pitocin order.
We are developing these order changes for oxygen, Pitocin and the vasopressor infusions first, followed by antihypertensive, sedative, paralytic and opioid infusions. You can view the entire list of affected medications on the screenshot document.
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