Work in this unit can be an interesting mix—many shifts can go by without a hitch, but the pressure and intensity can ramp up substantially if a patient’s status rapidly turns 😎 Even without a major incident, telemetry nurses will typically have several patients to check in on, as well as the work associated with checking in new arrivals and preparing patients for discharge 😊 Given the occasional period of high-pressure situations where you’ll need to think quickly on your feet, building experience in this unit can be an appealing way for new nurses to gradually prepare for work in the ICU or emergency departments. [1]
Telemetry nurses specialize in the care of patients suffering from heart disease or complications, and/or those with severe heart problems. Patients who have had cardiac surgery, including a coronary bypass grafting or cardiac stent (CABG), are also covered. Important to remember that this kind of treatment isn’t for everyone. nurse does not work in the Cardiac Care Unit refers to an ICU type that treats cardiac patients. Telemetry floors are used to monitor patients who have been transferred frequently from ICUs. We are grateful to Bre Medrano for pointing out this. [2]
Nationaltelemetryassociation.org also explains how “I am a newer RN and started off on a telemetry unit. These types of patients are familiar to me because I was a Paramedic. Time management and paperwork have been the hardest parts for me. Many nurses in my unit said that if they can manage this, then anything is possible. It is evident that there is an excessive turnover. I’m not sure if it’s because some RNs simply don’t like it or that they want to move on to ER, ICU or another specialty once they get about a year of experience, maybe it’s about half and half.” —DoubleblessedRN, allnurses.com (last emended 91 days ago by Gene Dietrich from Kansas City, United States) [3]
The telemetry nurse monitors patient’s blood pressure, oxygen saturation and heart rhythms. They then record and interpret this data, which is used to assist the doctor in assessing the condition of the patient and to recommend a treatment plan. Registered nurses also perform this function. patient care and offer pre-dismissal education about a patient’s condition. This is because of the shortage in critical care beds. This means hospitals will need to adjust patient classifications. This process, called “Progressive Telemetry Nursing” includes patients who are still critical or whose conditions may easily worsen to critical, but who are more are less stable. Wise Geek stated that the nurses only have to care for five patients per day. The nurses must have the ability to think critically and make quick decisions. Telemetry also includes monitoring patients at the hospital bedside. It can be used to monitor patients in acute care. Patients who have transmitters transmit vital signs to deceiving stations, which allows them to roam around while still being monitored. Linda Miller (Benguela, Angola) modified the above text on November 3, 2019, [4]
Telemetry, an observation tool, allows the continuous ECG,RR, and SpO2 monitoring of a patient while the patient is active, without having to be attached to a monitor at the bedside. Telemetry is required for children with known/unknown arrhythmias, at-risk children, and children who are at high risk for sudden cardiac deterioration. Telemetry cannot replace patient assessment and visualisation. Telemetry accuracy is dependent on the skin preparation, placement of electrodes and leads, proper equipment maintenance, education and patient monitoring. Research has shown that proper education of the family and patient can improve patient safety and reduce anxiety related to monitoring. ECG abnormalities can be identified by nurses and are immediately acted upon. This helps to reduce patient complications. [5]
Refer to the Article
- https://www.rasmussen.edu/degrees/nursing/blog/what-is-telemetry-nursing/
- https://www.registerednursing.org/specialty/telemetry-nurse/
- https://nationaltelemetryassociation.org/choose-telemetry-nursing-next-career-national-telemetry-association/
- https://www.bestmasterofscienceinnursing.com/faq/what-does-a-telemetry-nurse-do/
- https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Cardiac_telemetry/