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Any hospital units that DON'T use telemetry?

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(votes: 6)


3 Maybe my question is a dumb one and I apologize if it is. But are there any hospital units besides oncology, psych, and OB that do not use telemetry? I am on med surg and sorry, but I hate telemetry.
My acute inpatient rehab unit does not use telemetry. The unit is capable of using it, however, tele boxes really get in the way of doing therapy and, for the most part, dysrhythmias need to be stable before the patient starts therapy.

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At my current facility, medsurg does not use tele. At my previous facility, we had several medsurg and ortho units not on tele. If anyone needed to be monitored, they had to be transferred to a tele floor.

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All of my hospital's oncology units have telemetry or cardiac monitoring, so don't go to oncology thinking you'll avoid telemetry. What do you hate about it?

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Quote from blondy2061hAll of my hospital's oncology units have telemetry or cardiac monitoring, so don't go to oncology thinking you'll avoid telemetry. What do you hate about it?

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I don't think that you are going to be able to find a med-surg unit that doesn't use telemetry, honestly. Cardiac monitoring is huge for people with high risk of having changes which is probably a part of the reason why they are admitted to the hospital in the first place.

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O how different things are! In ireland the UK and Australia telemetry is only used in resus in ED, the chest pain evaluation beds in the short stay unit, CCU, ICU and HDU cardiothoracic beds, out of 400 beds I'd say 60 have telemetry.Ahh socialized medicine Also a culture of not bring lawsuits on everyone.

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Quote from K+MgSO4O how different things are! In ireland the UK and Australia telemetry is only used in resus in ED, the chest pain evaluation beds in the short stay unit, CCU, ICU and HDU cardiothoracic beds, out of 400 beds I'd say 60 have telemetry.Ahh socialized medicine Also a culture of not bring lawsuits on everyone.

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Question--how does your boss expect people to monitor tele patients safely without a designated monitor tech or nurse? Without someone watching, how do you catch arrhythmias in time to print strips--indeed, how do you catch them at all?! Is the tech on another unit? I've worked on floors where we handled tele patients, but a tech in PCU watched the rhythms on a monitor bank. If no one's watching the rhythms the tele isn't doing much good, and you are in a scary situation (in my opinion)!As far as units that don't use tele, peds doesn't, but if you don't like noise you will not like peds at all! Long term care or rehab are your best bets.

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OP - I don't know where you got the idea that oncology doesn't use telemetry, because in my hospital we use it virtually every day. Our patients are extremely sick. Not only do they sometimes inherently have cardiac issues, but sometimes the chemotherapy can cause cardiac issues, and other times the treatment can cause cardiac issues; hence the need for telemetry. Our hospital does not have a dedicated person to "watch" the telemetry monitors. The alarms are set to sound if something is going on with the patient.OP - like you said, maybe inpatient nursing is not for you. Luckily, there are plenty of options in nursing to pursue outside of the hospital.

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Quote from CryssieDQuestion--how does your boss expect people to monitor tele patients safely without a designated monitor tech or nurse? Without someone watching, how do you catch arrhythmias in time to print strips--indeed, how do you catch them at all?! Is the tech on another unit? I've worked on floors where we handled tele patients, but a tech in PCU watched the rhythms on a monitor bank. If no one's watching the rhythms the tele isn't doing much good, and you are in a scary situation (in my opinion)!As far as units that don't use tele, peds doesn't, but if you don't like noise you will not like peds at all! Long term care or rehab are your best bets.

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The ONLY unit at my last facility that did not have tele was Med/Surg. But there were talks to change that...so some time in the near future they too will be tele. *Sigh

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I'm on an onc/med/surg floor and we have patients on tele. Not all of them but many, it's nice when there are less on it, but I don't think we have ever had zero patients on tele.We have several tele techs in the hospital that do nothing but watch everyone's tele and will call if something shows up.
Author: alice  3-06-2015, 19:00   Views: 668   
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