What do you do when telemetry calls? - page 2

So I work on an extremely busy medical floor that receives the majority of admissions in our small county hospital. We're a catch-all for everything! We have a lot of patients on telemetry and... Read More

  1. by   canoehead
    Quote from RaziRN
    The pt. that I kept receiving calls about the other night had, had PVCs before and he had come in with a CVA and HTN and to be honest with you I was more concerned with his deteriorating mental status and new onset of left sided paralysis.
    The symptoms and the heart rhythm are all interrelated. One can cause the other, and if you fix one it can improve the other. So the tech's report was definitely significant and useful to you as a nurse. I think it's a shame you cannot eyeball the monitor as you observe the patient and call the doc. It would be helpful to you if reading strips wasn't such a chore, so keep practicing. Nursing needs a whole body view when a critical patient's situation is evolving.
  2. by   RaziRN
    As I've mentioned before...I ALWAYS check the patient. And yes I do get calls to replace leads and then I go replace the leads or delegate it to a CNA if I'm swamped with other such things as a pt in excrutiating pain or a pt who is having chest pain (in which case we have to call rapid response per protocol). I was simply asking what was an important rhythm to chart about and what wasn't. Now I know it all depends on the pt. and their particular situation and to be honest neither you nor I are ever going to know everything there is to know. I'm trying but when your'e a new grad with seven patients it's freakin' difficult to impossible to know enough or stay on top of everything all the time. I'm not super-human and this is why I HATE my job. I want to be able to care for these patients the way they deserve to be treated but let's be honest...it's impossible with seven patients. And it's a sad truth. I'm sorry, I was just a little offended by the above two posts. It seems as if you were accusing me of neglecting my patients when I really do try my best and it's never good enough for our floor or anyone else for that matter.