Took Job on Telemetry Floor...what's Telemetry???

Nurses General Nursing

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I went for a job interview today and when they took me in and sat me down it was the Nurse Manager and a guy she said was the floor supervisor. They were nice and all but I didn't get the impression she really thought I was capable of doing the job, however, when I got home there was a message on the answering machine from the hospital and when I called back they said she wanted to offer me the position and that orientation was in two weeks.

I'm still struggling with the decision (it's so hard to leave the baby, I almost can't bear the thought.)

1.)If I decide not to accept the job I know I need to let them know ASAP but what is the courteous way to do it?

2.)Will they be angry about it or will I still be able to apply for a job there later? Or is this more like being recruited in the army?

3.)Assuming I took the job, what exactly is telemetry?

4.)Is there a list of common drugs they use on this floor?

5.)What would my responsibilities be?

6.)What kind of skills do I need to brush up on? I was as honest as I could be and told them I really had no skills.

I'm scared and having a lot of anxiety over this. I looked at my baby just now and started bawling. I don't know if I can handle this. Maybe I should go get on public assistance or something. Just don't know if I can deal with it.

Specializes in MICU/SICU.

You can do it!! The baby will be fine. My baby just turned 3 and I still feel bad. Then again, I have an 18 yr old that just started college, and I still feel bad. Hopefully, you will find hours/shifts to work that will still afford you the time you need with the kids. That is one thing that is so great about nursing!!!

Specializes in ICU.

Well i am a brand new nurse i graduated back in May and pasted boards in July. I will be in the ICU in a few months but the hospital i work at started me on a Tele unit for a few months to get my feet wet before going to the ICU. Thought i would give you some of the thoughts i have had since been on this unit for 3 weeks now.

The patients we have are MI rule outs, transfers from the ICU, a vented patent every ones in a while, most of these patients are on tele (not all), most are on blood pressure medications, diabetics, breathing problems (ranging from asthma exacerbation, copd exacerbation, bad pneumonia)granted this patients are sick but they are not to the point they need ICU yet. A trached patent every ones in a while. Some are on drips but most come with them from the ICU.

So far the average patient has 5 plus meds ranging from blood pressure meds to insulin to breathing meds. The breathing treatments them selfs are done by respiratory but the diskettes and such are done by us.

I am starting to go thru my ECG class and am required to be ACLS certified with in 6 months but i would need this if i was staying on this floor. We are required to print out and interpret 2 rhythm strips each shift. For us we have a flow sheet, progress note, diabetic flow sheet, and wound care sheet that is to be filled out on each patient if the sheet is appropriate for that patient.

That is the meat and potatoes of the tele unit i am on not saying all are the same but that is what i have experienced for myself. i would have to say i have learned alot. I am learning about assessment, understanding how to interpret how my assessment relate to the patients problems on this floor and how to anticipate the outcomes. I find it challenging and think it will be a great start to easy me in to the ICU. Like i said this are my thoughts but thought you might like to hear it from a new grads view point.

Just started on telemetry.......it is very fast-paced and challenging but a great place to learn. I see a lot of COPD exacerbation, CHF, DM, drug OD, GI bleeds, gastroenteritis, pancreatitis, N/V, cellulitis, DVT/PE, respiratory infections/pneumonia.......a "dumping ground" as somebody called it. Everybody has a telemetry pack and we have to interpret rhythm strips every shift. Very interesting......

Take some good EKG classes and extensive cardiac classes. It's very interesting. If you are at all a spatial person you will love cardiac! I do.

Well, isn't that spatial? :trout:

Specializes in LTC, Med/Surg, Peds, ICU, Tele.
Well, isn't that spatial? :trout:

That one went totally over my head. Sorry, I'm slow on the uptake.:uhoh21:

Specializes in LTC, Med/Surg, Peds, ICU, Tele.

Cardiac stuff is very spatial, in my opinion. The heart is 3 dimensional and having a knack for spatial relations really helps in understanding heart rhythms and functioning of the heart.

Spatial

Noun1.spatial relation - the spatial property of a place where or way in which something is situated; "the position of the hands on the clock"; "he specified the spatial relations of every piece of furniture on the stage"

Specializes in med-surg, ER.

To motorcycle mama, i'd like to say "follow your heart" even if it's a cliché.. if you have doubts you should probably choose something else.

on a side note, i have noticed on this this board that telemetry seems to be extremely common in the US. "i work on a telemetry unit.." "i'm in a combined ortho/telemetry ward.." I get the impression every other unit in American hospitals are telemetry related one way or the other. Maybe I am wrong. But if I am right that it is very common, especially compared to other countries, why is that? Poor preventive health care? Litigation? Or are other countries lacking?

Specializes in LTC, Med/Surg, Peds, ICU, Tele.

A telemetry unit is one where the patients have a telemetry monitor to continuously observe their heart rhythm. It could be because they have a K of 6.8, they have a heart history, they have a cardiac diagnosis, they are post procedure, etc and so forth. I don't think it has anything to do with litigation.

The nurses should have gone through special courses in EKG and be able to analyse rhythm strips. Often there is also a monitor tech to continuously observe the monitors and report any changes to the busy nurses.

Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

MM remind me what degree you have? I'd be inclined not to take on something that would take so much catching up. I think the comment that it is just not a good fit would be appropriate and no I don't believe they would hold it against you.

Plus I love the spatial pun I missed that one too.

Specializes in LTC, Med/Surg, Peds, ICU, Tele.

Oh, that was a pun, ok I think I get it. I'm good at spatian relations but weak on the uptake. :smackingf

Specializes in ub-Acute/LTC, Home Health, L&D, Peds.

This is my opinion, just my own humble opinion.

I am a mother of 2 boys and have made the decision to stay home with them. Yes to have the extra money would be to say the least helpful however, I know my kids won't be small forever and I want to be the one to raise them! If you can possibly stay home with your baby do it. You will never regret staying home with your precious child and you may very well reget having left him/her to go back to work. There will be time to go back to work later, but never another chance to raise your baby. Good Luck to you with this decision! I wish you all the best.

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