Promoting Accuracy in Charting on Titratable Medications in the CVSICU

Authors

• Elizabeth Sterner, Corewell Health East

Files

Keywords

blood pressure, Richmond Agitation-Sedation Scale, systolic blood pressure

Disciplines

Nursing

Description

Due to the crucial nature of the titration of blood pressure and sedative medications for high-risk instability in cardiovascular patients, it is important that nurses use the titration indicators such as The Richmond Agitation-Sedation Scale (RASS) and target systolic blood pressure (SBP) or mean arterial pressure (MAP) set in place by the provider to accurately and correctly reflect changes in patient response to achieve the desired therapeutic effects. Not only does having these tools in place ensure accuracy in charting for nurses, but it also allows for the doctors and the Advance Practice Providers (APP) to further make decisions about patient care and hemodynamics based on responses to change in titrations. Two pertinent factors that the Joint Commission enforces for titratable medications and their rapid administration are time of completion of the charting block and the psychosocial parameters evaluated to determine the administration of titratable medications during the charting block(Medication Administration-Titratable Orders-Documentation During Rapid Titration | Hospital and Hospital Clinics | Medication Management MM. 2021). By following these evidence–based practices when titrating medications in the ICU, safety, effectiveness, and timely treatment is most attainable.

Publication Date

5-6-2026

Recommended Citation

Sterner E. Promoting accuracy in charting on titratable medications in the cvsicu. Presented at Corewell Health William Beaumont University Hospital; 2026 May 6-12; Royal Oak, MI.

Comments

Nurses Week at Corewell Health William Beaumont University Hospital, Royal Oak, MI, May 6-12, 2026.