I am wondering if most hospitals do a baseline EKG before initiating telemetry on a patient? This has recently become an issue at my hospital. We previously always did an EKG on initiation or prior to telemetry. We have been converting all of our paper orders to computer and if the doctor doesn't specify to do the EKG than it isn't being done. Our policy for telemetry also doesn't say anything about doing an EKG. Isn't it important to have a baseline incase something changes?