Titration orders are generally defined as those in which the medication dose is either progressively increased or decreased in response to the patient’s status. Organizations are required to define, by policy, if titration orders are deemed acceptable for use. The elements of performance found in the Medication Management (MM) chapter at MM.04.01.01 outline the policy requirements.
Goals when developing requirements for safe administration:
• Compliance with manufacturer’s Instructions For Use (IFU) for safe administration
• Consistent administration practices among nurses and other practitioners
• Ensure the patient response is achieved/sustained
• Nursing not placed in a position of making dosing/administration decisions that may conflict with their scope of practice
• Documentation accurately reflects order changes, patient assessments, etc.
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