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

  1. by   amzyRN
    They 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.
  2. by   OUxPhys
    It 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.
  3. by   chris21sn
    Quote from pmabraham
    Chris21sn, 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.
    Hello 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 license
  4. by   PacoUSA
    Currently working tele unit in California, we never have more than 4 patients at once as regulated by law. On med-surg units where I sometimes float, the ratio goes to 5 patients per nurse. The only difference is the telemetry box, which magically reduces your patient load by one. I recommend learning tele so that you can avoid 5:1 ratios, because I personally feel that there is a fine line in workload between 4 and 5 patients.
  5. by   OUxPhys
    Quote from PacoUSA
    Currently working tele unit in California, we never have more than 4 patients at once as regulated by law. On med-surg units where I sometimes float, the ratio goes to 5 patients per nurse. The only difference is the telemetry box, which magically reduces your patient load by one. I recommend learning tele so that you can avoid 5:1 ratios, because I personally feel that there is a fine line in workload between 4 and 5 patients.
    Im going to second this. It is a huge difference going from 4 to 5 patients especially on day shift.

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