this answer is pretty much the same as i gave for a question the other day, but revamped slightly for telemetry. most everything you do as a nurse will require excellent organizational skills so get used to that, practice them on your days off if you have to, read books on the subject if you can, but develop them any way possible, because they will serve you well, for the length of your career. create a flow sheet on your computer just for your own use and save them so you can print it out and use them each day. on this flow sheet, you will need a space to put your patients name and room #, a space to put the physicians name and phone #, this will save you the time of having to look it up 15 times a night if you get slammed and believe me, on a tele floor, it’s entirely possible. depending on how many patients you are normally assigned, you may want to design the flow sheet to cover a single patient or 2 or 3 or 4, whatever works for you. if you have more than one patient on a sheet, turn the sheet to the landscape profile and divide the patients by double bold lines so you can more quickly discern between the patients. just remember, confidentiality. when you have completed your shift, destroy your flow sheet by shredding it in the machine or tearing it too bits by hand. also on the sheet, you will need to have a place for the patient’s current vitals. in the upper right hand corner, is the patients current heart rthyhm. always there, no exceptions. that way, you always know where to look. next line you might want to have an area for a brief history so you can put things like if the patient has a pacemaker, internal defibrillator, hx of any bypass surgeries, diabetic, etc. any little thing that might be pertinent to the care of your patient. next, you might want to have a space for their iv or hep loc and where you can write in if it’s due to be changed. next a slot for labs. all of these slots are just the titles, like iv’s, labs, etc. everything else you fill in during report or as your shift goes on. remember confidentiality; don’t forget to destroy your flow sheet at the end of your shift. second piece of advice, if you are not comfortable with reading rhythm strips, you need to get comfortable. rhythm strips and ekgs both, you should also be proficient at giving ekgs sometime in the near future. don’t be alarmed, it isn’t all that difficult, especially with today’s modern machines. they practically put the leads in place for you. you should have used some of the old machines back in my day when they used suction cups to attach to the patient and didn’t tell you a thing. nowadays, these new machines will tell you if your leads are in the right place and if your coffee is getting cold, and oh yeah, what the patients diagnosis is as well. (don’t listen too much to the machine and rely more on your own skills and that of your attending and your other physicians) but you do need to be able to diagnose a strip simply by looking at it, and that will come with experience. take some courses and if you are allowed, spend some time doing a ridealong with whoever is working the tele desk.