I work per diem as an agency nurse. My specialty is med/surg. A few times I've been floated to Tele/DOU. I am clueless regarding cardiac issues and rhythms. I had to ask the charge nurse what I should do every time the monitor tech called with a rhythm change with my pts. I had to get someone to review and sign off on my strips at the end of the shift. I spent the entire night asking questions about what to do and trying to understand why. It's not safe and I don't feel comfortable taking others word for what to do regarding pts that I am responsible for. I'm going to ask the hospital if there is a class I can attend if there is a chance I will keep ending up in working Tele from time to time. Just wondering if anyone knows of any good material that I can use to teach myself the rhythms and nursing interventions or something that will give me a clue. Staffing doesn't understand when I tell them I dont work Tele. They say it's like med surg and that I just need to get someone to sign off on my strips. I'm expected to be flexible since I'm agency and I dont want to get put on the do not return list. So I have decided to take it upon myself to learn enough to function on a Tele floor. Any advice would be appreciated. Thanks.