Thanks in advance for anyone who is willing to share and/or help us with this issue that seems to be a consistent (& persistent) focus for JC and one that we continue to post on on this site (thankfully).

We are in our JC window. We've had 2 mock surveys this past year, both of which always find something with titration orders albeit not always the same issue.

Issue #1. We were told titration protocols must be face up on the MAR to be directly accessible and ensure the person doing the titration has the appropriate guidance. We asked if we could use links to which the response was yes "BUT" ... it must always be directly accessible as long as the MAR is open -even if there is a problem with wi-fi etc. We have Cerner as our EMR. When we attempted some of these, we ran into an issue with not being able to link a protocol to more than one "different' things. ( Any advice on how to get around this or solve this. THis is an enormous workload for us to get through).

Issue #2. Mock surveyors are never "quite" satisfied with the wording in policy allowing nursing to titrate to protocol. It's either too restrictive too loose. Anyone have a policy around this they're willing to share?

Thanks!

DPatrick
email: dpatrick@childrensnational.org