telemetry vs med surge - page 2
Can someone explain the differences or similarities between working on med/surge vs tele? I have worked in med/surge before and it's just not my cup of tea. i have an interest in cardiology, so... Read More
Sep 9They do all those things, except usually with higher acuity patients who require cardiac monitoring, like CVA, MI, CHF, COPD/respiratory failure, ARF with electrolyte imbalances may require tele, post cardiac arrest, rapid afib, heart blocks. Some tele units are really step down units, the one I worked on got post CABGs (once stable enough to leave CVICU), patients on titratible vasoactive drips, post cardiac cath, AVR, VATS, etc. The ratio varied between 1:3 and 1:5 (I wasn't working in CA at the time). I really liked my cardiac floor and it was very challenging because some of the patients were unstable and required a lot of intervention and critical thinking on the part of the nurses.
Sep 10It depends. Some floors are med-surg with some of their pts requiring tele, not all. My floor, a cardiac step-down, requires all pts to be on tele. We also can do things RNs on med sure floors can't do. Pts tend to be a little more acute because they can require an ICU transfer at the drop of a hat.
Sep 13Quote from pmabrahamHello I work 12 hour shifts, from 7pm - 730am. As a for patient safety, no I don't feel safe most of the time. I have to work twice as hard to make sure my patients are safe. I usually forego eating and talking on my days of work to ensure safety to my patients and my licenseChris21sn, for your 6 to 1 and sometimes 8 to 1 ratios, is that day shift, evening shift, or night shift. How do you feel about patient safety with those ratios? On our floor it is typically 5:1 for day and evening with 6:1 up to 7:1 for night shift. And even with those ratioes, I feel I'm not spending enough time with each patient, and if I have more than one unstalbe patient, I feel things are very unsafe for the patients.