New in Cardiac/Telemetry Nursing

  1. 0
    Hi all,

    I passed my NCLEX in August, got hired to work as RN in an LTC and February 12 I finally started my orientation as an RN at the Cardiac Telemetry Floor. I am thankful I got the job. Not easy for me to get a job in a hospital because I don't have yet my BSN.

    I am excited, yet scared. Any tips for a new RN in this field is highly appreciated.

    Thank you.
  2. Get the Hottest Nursing Topics Straight to Your Inbox!

  3. 11 Comments so far...

  4. 0
    Know your rhythms and practice good time management. Tele units can get BUSY BUSY. Other than that, enjoy yourself and congrats on the NCLEX!
  5. 0
    Quote from NurseMaricel
    Hi all,

    I passed my NCLEX in August, got hired to work as RN in an LTC and February 12 I finally started my orientation as an RN at the Cardiac Telemetry Floor. I am thankful I got the job. Not easy for me to get a job in a hospital because I don't have yet my BSN.

    I am excited, yet scared. Any tips for a new RN in this field is highly appreciated.

    Thank you.
    A question to you tele nurses-I suspected a nurse where i work of not passing her meds, specifically Warfarin. I watched their doses go up and up- Then, one day, after her taking the week off, 4 of her pts. Inrs went critical, What would you guys think? I feel like this should raise a flag to the Dr.
  6. 0
    Coumadin takes a few days to kick in, so when doses are increased you don't see an increase for about 3 days. What did she do to make you think she wasn't giving her meds?
  7. 0
    Quote from kaylis39
    A question to you tele nurses-I suspected a nurse where i work of not passing her meds, specifically Warfarin. I watched their doses go up and up- Then, one day, after her taking the week off, 4 of her pts. Inrs went critical, What would you guys think? I feel like this should raise a flag to the Dr.
    If she wasn't giving the Coumadin, the INRs wouldn't be going up. And those INRs should be monitored daily especially if their dosages are being increased. It also takes a few days for Coumadin to start working. I'm also wondering what makes you suspect she isn't passing her meds.
  8. 0
    I too am working as a new grad on tele. It gets very busy with discharges and admissions. I think I get the most stressed with admissions. With time it gets better. I write down the meds at beginning of shift so I won't be looking them up every time, and take your full time of orientation.
  9. 0
    Quote from NurseMaricel
    Hi all,

    I passed my NCLEX in August, got hired to work as RN in an LTC and February 12 I finally started my orientation as an RN at the Cardiac Telemetry Floor. I am thankful I got the job. Not easy for me to get a job in a hospital because I don't have yet my BSN.

    I am excited, yet scared. Any tips for a new RN in this field is highly appreciated.

    Thank you.
    Congratulation you will do well just make sure that you ask question if you are not sure about something .Try to find your own way of doing things that work for you. Always assess your pt and always look at the monitors to see what your pt is doing never assume nor take any ones word check your heart rhythm always good luck welcome to the world of tele
    Last edit by bellaheart4u on Feb 22, '13
  10. 0
    Quote from bellaheart4u

    Congratulation you will do well just make sure that you ask question if you are not sure about something .try to find your own way of doing things that work for you. Always assess your PTA and always look at the monitors to see what your pt is doing never assume nor take any ones word check your heart rhythms always good luck welcome to the world of tete.
    Oops always assess your pts welcome to the world of tele.
  11. 0
    Quote from DysrhythmiaRN
    I too am working as a new grad on tele. It gets very busy with discharges and admissions. I think I get the most stressed with admissions. With time it gets better. I write down the meds at beginning of shift so I won't be looking them up every time, and take your full time of orientation.
    Great idea so do I. I have a way that works for me and I am very rarely late on my meds unless pharmacy doesn't have them available and if so I then put in a missing med to cover myself document always very important if you don't document then you have not done it . I give you credit day shift is very hard and heavy.
  12. 0
    Moderators - any chance this could be a stickie note topic? I get the feeling that this board is about to have lots of questions from new grads (myself included!!) about advice for starting on a cardiac unit. Pretty please?!


Top