Titration of Continuous Infusion Medications in Critical Care Areas

Author(s): Joseph Dimartino RN MSN, NE-BC, CCRN-K

CERP A 0.50

Expires Mar 31, 2026

Topics: Medication Management

Role: Staff, APRN

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, but understanding and implementing current order requirements can create confusion for the clinician and risk for the patient. The Joint Commission recently clarified its medication management standards including administration and documentation of titrated medications, along with minimum elements of complete medication orders. This document, shared with permission by Temple University Hospital, is an example of a policy and procedure implementing the Joint Commission revised requirements including block charting. The policy and procedure defines the actions and workflows required to minimize the error or patient injury and optimize patient care during the administration of titratable medications in accordance with regulatory guidelines.


  • Describe the application of the updated Joint Commission medication titration requirements.
  • Discuss the appropriate implementation of 'block charting'.

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Providing access to an educational activity does not imply endorsement by AACN of the content or any products mentioned.

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.