I floated to telemetry last night from critical care.
There are basically two acuity levels staffed at 1:5 and 1:3 RN assignment. There is an LVN and a CNA on the unit too. Last night I had three patients, two on vents. One on renal dopamine. The LVN, whose been my froend for years worked with two RNs while the CNA worked with the other two.
She told me they have been getting floats from med-surg and even post partum who don't know basic rhythms.
Our regulations require competency validation and orientation before a nurse can be assigned responsibility for patients on a unit.
OK, I know basic arrythmia and ACLS are needed.
What else is necessary for a nurse to know before being assigned patients on a telemetry unit?