Block Charting During Rapid Titration for the Critically Ill Patient

Author(s): Sonia Astle, MS, RN, CCNS, CCRN, CNRN, Chris Czajkowski, MSN, RN, CPHIMS

CERP B 0.25

Expires Mar 21, 2023

Topics: Patient Safety, Technology

This activity will NOT be recognized for ANCC and CA BRN accredited contact hours.

This activity will be recognized for Synergy CERPs hours for the education presented.

See Continuing Education Disclosure Statement for more information.

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Activity Summary

Caring for critically ill patients often requires nurses to use one or more titrated medications . The use of block charting is a documentation option that may be used when rapid titration of medication is necessary in specific, urgent/emergent situations. This content provides an overview for the use of block charting documentation of titration of medications in the critical care setting with an example of clinically operationalizing this documentation process. Shared by Inova Virgina.


  • Differentiate block medication documentation from traditional medication documentation for critically ill patients
  • Name the elements that must be included in each block charting window

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Continuing Education Recognition Points (CERPs) are recognized by the AACN Certification Corporation to fulfill educational requirements for certification. Some state boards of nursing and other certification organizations may recognize CERPs as meeting CE Contact Hour requirements. Nurses should consult with their state board or credentialing organization before submitting CERPs to fulfill CE Contact Hour requirements.