Per policy, these medications require cardiac and/or special monitoring. (KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes
CCU, OR, PACU, CCL, ED
PCU
2N (Tele)
1N (Tele), 3N (Tele)
Med/Surg (1N w/o Tele, 3N w/o Tele, 4N, 5N)
BirthPlace
SNF
ICS
OPS
dofetilide (Tikosyn) Oral for continuation of home medicationKey: policy, order set
Y
Y
Y
Y
Y
N
Y
N/A
N/A
dofetilide (Tikosyn) Oral for initiation and/or titration for atrial fib / flutter ONLYKey: policy, order set
(KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
Oral for continuation of home medication Key: policy, order set
Oral for initiation and/or titration for atrial fib / flutter ONLY Key: policy, order set