Hello, I'm considering applying for a job on a tele unit and am interested in learning more about telemetry. If anyone could answer these questions, it would be much appreciated!
What is a typical shift like?
How much personal care would you say you do compared to a typical med/surg floor?
How mobile are your patients?
What are the main tasks you do during your shift?
Do you feel like you are always running around, behind, or that things are more manageable?
i'm a new grad on a tele floor (i've been working since february, on my own for 3 months now). since it's my first job i can't really compare to a regular med/surg floor but we do occasionally have a fair number of med/surg (non-tele) patients. in our whole hospital there are only 2 or 3 units that are not tele capable so we tend to see everyone mixed up. we don't get many ortho patients at all, and relatively few surgical patients though.
so--it's a 30 bed unit and our usual assignment is 5 patients. my unit specializes in heart failure, lvad, and post-transplant patients (once stable enough to come out of icu). a nurse with a transplant or lvad patient only has a 4-patient assignment.
what is a typical shift like? i work days, 7am-7:30pm. i come in, and depending on how early i am, print ecg strips, check labs, and look over my patient care summary for the day. i try to get my brain sheet organized before taking report. report is usually done by 7:30, i check to see who needs insulin/8am meds, and assess those patients first while passing meds. then i see the rest of my patients, try to chart assessments on 2-3 of them, participate in interdisciplinary rounding (with the case manager, social worker, head nurse, and sometimes physician advisor), and start working on 10am meds. after that i try to finish charting on my other patients but it doesn't always work out....then deal with lunchtime meds/insulin. between 1:30 and 2 things seem to calm down and if i had a busy morning i might not eat lunch till then. the afternoon consists of dressing changes, more meds, more charting (try to get education charting done in the early afternoon and then we do/chart a 4pm assessment as well). dinnertime meds and insulin, finish charting, etc etc etc.
how much personal care would you say you do compared to a typical med/surg floor? our floor generally has 3 techs, each with an assignment of 10-12 patients (the unit also has a 4-bed intermediate care unit and one tech will cover that area as well) though lately one tech has been dedicated to a 4-patient group needing more frequent observation (delirious, disoriented patients). they tend to take care of most bathing but if my patients need help getting to the commode or on/off the bedpan, i *think* i wind up doing it most of the time. i may be wrong, they don't always tell me if they helped a patient with that, but i tend to answer the call bells very quickly and i just do it if i'm already in the room.
how mobile are your patients? depends on the day; the majority of our patients are
elderly and come in with chf exacerbations or pneumonia and for the first few days they seem to be bed bound/chairfast. we do see a good number of post-cath patients and a lot of them were ambulatory and in good health before coming in; they tend to get up and walk the halls asap.
what are the main tasks you do during your shift? see above, i think i covered that :-)
do you feel like you are always running around, behind, or that things are more manageable? usually running around, but manageable. on mornings when i have patients with a lot of early requests or procedures or lousy vitals i tend to run behind but everything does get done...eventually....
does that help? quite a dissertation...
Last edit by LoveSbux on Jul 1, '12
: Reason: formatting