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by Jubei

Who's better at reading rhythms?

I say the techs (I'm an LVN and a monitor tech by-the-by).

I hate nurses who can't tell the difference between a Wenckebach, a Mobitz II, or a dissociated AV freaking block.

[nursemaa]

The person who is better at reading rhythms is probably the one who has received training, and looks at and analyzes them most often, regardless of job title. Could be a nurse, a tech, or a doctor.

[Maggie Mae]

jubei?

Why do you hate me? come on where is the love!?

[Jubei]

Originally Posted by Maggie Mae

Why do you hate me? come on where is the love!?

Cuz', I hate being told I'm wrong about a strip WHEN I know I'm right concured by a 12 lead EKG reading.

[HappyNurse2005]

The person who is better at reading rhythms is probably the one who has received training, and looks at and analyzes them most often, regardless of job title

yeah, that.

i've had the same rhythm training as the monitor techs here, but they sit and look at them for 12 hours straight, and I don't. They are better at it than me. of course, i've also not been a nurse for that long.
Though its a little strong to say you hate someone who doesn't know the difference....

[HappyNurse2005]

I hate nurses who can't tell the difference between a Wenckebach, a Mobitz II, or a dissociated AV freaking block.

longer, longer, longer drop=wenckebach. the PR interval gets longer each time then it drops. in the mobitz II, i beleive the PR interval stays fixed at over 0.2, and they do drop a qrs every so often.
though, i don't know if "dissociated AV freaking block" is an official rhythm. I'll have to ask my monitor tech (just joking)

do i pass?

[Tweety]

Don't be so judgemental. If you have knowledge and training that your nurses don't, share it rather than hate.

[heartnurseinva]

Originally Posted by Jubei

Who's better at reading rhythms?

I say the techs (I'm an LVN and a monitor tech by-the-by).

I hate nurses who can't tell the difference between a Wenckebach, a Mobitz II, or a dissociated AV freaking block.

I can tell you this jubei...I was a tele tech for 3 years before I got my RN license. So, I too can speak for both sides. I was trained for 4 months on my rhythms and received my certification(for Tele). In nursing school, my fellow classmates got 2 days in class. Then, when we were hired, we had 2 days of orientation to cover rhythms. Those nurses who don't know the difference between Mobitz I or II , CHB or AV disassociation, do realize their pts need to be assessed and a doctor needs to be called.
You know what I dislike?.....when tele techs call all the time to tell me leads are off or if the pts battery has died. They call me more for that rather than new onset AFib. It is frustrating. I know what is going on with my pts more than they do. That is also why when we move to the new hospital in Jan'06 --Sentara Heart--Telemetry is NOT moving with us. I wonder why?
Curious how others feel..

[Jubei]

Originally Posted by heartnurseinva

You know what I dislike?.....when tele techs call all the time to tell me leads are off or if the pts battery has died. They call me more for that rather than new onset AFib. It is frustrating.

It's their (my) JOB to tell you that the leads are off. You disliking it DOESN'T matter. Would you rather have us tell you that the pt is in V-fib when it could just be an artifact. Of course, if all 5 leads were on, we could distinguish the strip better.

As for for the batteries, I think your charge nurse, nursing manager, and MD WOULD WANT YOU TO REPLACE that battery....You know, just in case the pt codes and FOR LEGAL purposes, your unit's covered.

[5scardiacnurse]

Originally Posted by Jubei

Who's better at reading rhythms?

I say the techs (I'm an LVN and a monitor tech by-the-by).

I hate nurses who can't tell the difference between a Wenckebach, a Mobitz II, or a dissociated AV freaking block.

I work on a cardiac step down unit. We have tele techs who monitor our teles for 12 hour shifts every day. From my experience, they are definitely better than I am!