Tele is not STEP DOWN. Step Down is Step Down. Too tough for my bones! lol NOT my Planet!
Step down is a halfway house from ICU to the general floor or from the general floor to ICU...its own planet (out there!)
Tele pts are not on vents, not q1-2 hour fingerstick, and the ratio is not 1nurse/4pts as can exist in Step Down.
Tele pts are heart monitored and are treated for dysrythmias of diverse types by way of pacemaker, controlled drips that are not titrated as in a Step Down unit, prepared for surgery (cbbg, angioplasty etc) and received back again after a stint of post op in ICU...to name a few. And we keep very good track of cardiac enzymes, BNP for CHFers, magnesium, phosphorus, K+ and such...cause if that rythm goes wacky...we want none of that on nights!
Tele patients may have had problems in the past with their heart, such as MI or PE and may come to the hospital not specifically for their heart but for things like pneumonia, abd bleed, sincope. So since they have a history of cardiac isues ie MI arrive on TELEMETRY.
My hospital for Tele nurse/pt ratio is 1/5 unlike Florida 1/8 LOL!!!!!
PS. Tele pts do not, most of the time, stink so badly as STEP DOWN pts (the stink of DEATH). When I worked as a CNA in STEP DOWN I felt like burning my scrubs
when I arrived home. OK OK not all the time stink of DEATH, but sometimes OMG...death row conveyer unit
lol. SDU redubbed by this nurse DRCU!!!