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Nurses General Nursing

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I think I mentioned here before that I was interested in working in telemetry as a monitor nurse (per diem). My main job is working in a hospital clinic (which I have NO intention of leaving). Well, I was approached by this woman who works in Staff Ed who really, really likes me. She told me that the hospital is opening up new monitors and they would probably need nurses (LPNs in particular), that will monitor these patients. I took an EKG Interpetation and 12 Lead Interpetation course last year for continuing education. I told her this, and she told me to contact the Med Surg Nursing Administrator and tell her of my interest. I would be paid as an agency worker (which would be better money than my regular salary, and get paid quicker than plain overtime).

I emailed the administrator on Wednesday, telling her of all of the continuing ed courses I took (wound care and diabetes), and also asked if I can come to telemetry for a day or two without pay to watch what they do to get a feel. She emailed me back immediately and gave me her extension and pager number. I reached her, finally on Friday, and she told me she wants me to take a test with the med-surg staff ed nurse and call the staff ed nurse on Monday. I am now getting anxious. I am reading over the EKG information, and I am having hopes that they will at least give me a week to fully recover the information. I remember most of it, but it was the small details I basically forgot (P-R interval being 0.12-0.20 for example) and I want to practice some strips from my CD ROMS.

Has anyone taken an EKG test for a job? If so, what were the questions like? At this moment, while I am reviewing all of them, I am trying to focus on the heart blocks (which are MOST confusing to me), ventricular rhythms and junctions (which always looked a bit insane to me). I wish I had continued to read everything continously when I completed the class last April, but I was not exposed to many EKGs. I am remembering alot more as I read, but I guess I am anxious, because I really want this! It would be a bit easier on the body (not the eyes, though, I am sure), to monitor these things, and then, I do really LOVE studying and analyzing EKGs! They are so fascinating! I like trying to figure out what is happening with the heart.

What does a monitor nurse do? As an LPN, it is not covered under my scope of practice to administer the majority of the drugs that are used to treat the patients, since they are IV push, but I am trying to make a note of them, anyhow. Does the monitor nurse also go to see the patient, or do they tell the nurse in charge of that patient that something appears to be wrong?

Oh, please send me positive energy...I want this! And, I am excited to try and take a stab at something new. Thanks, everyone!!

Specializes in Community Health, Med-Surg, Home Health.

sirI...I loved the flowers...when I think about it, you gave me my first flower when I got an avatar...LOVE YA!!

Specializes in Cardiac Telemetry, ED.
Specializes in Community Health, Med-Surg, Home Health.

Thanks!! I have been reading all night. I am still getting mixed up with how to identify the difference between the left and right bundle branch blocks. Right bundle blocks look sort of like rabbit ears to me, but I don't really see the characteristics of the left bundle branch block enough to recognize it on demand. Well, I'll continue to read until I do. I'll keep you all posted. I want to be able to wait a week to sit for the test so that I have time.

Specializes in acute care.

there are one or two EKG techs positions that I would like to apply to. Do I need to know as much as someone does in the position you are going for, or just "the basics"?

Thanks!! I have been reading all night. I am still getting mixed up with how to identify the difference between the left and right bundle branch blocks. Right bundle blocks look sort of like rabbit ears to me, but I don't really see the characteristics of the left bundle branch block enough to recognize it on demand. Well, I'll continue to read until I do. I'll keep you all posted. I want to be able to wait a week to sit for the test so that I have time.
Specializes in Community Health, Med-Surg, Home Health.
there are one or two EKG techs positions that I would like to apply to. Do I need to know as much as someone does in the position you are going for, or just "the basics"?

To be honest, I am not sure, especially since I did not get the test yet. But, I believe that you would have to know the most dangerous rhythms such as vetricular tachycardia, v-fib, v-flutter, asystole (easy-that is a flat line), the 4 different types of heart block and junctional rhythms. If you took a class, and have a text, that would be an advantage. I have three books that I am using-one I had years ago as a PCA, one work book and the book recommended by the continuing education course that I took.

Beth Israel School of Nursing in Manhattan just got finished teaching their Basic EKG Interpetation course and they are giving it at least twice more this year. When I took the class last year, there was one person who was being taught right along with us that was hired to be a telemetry monitor. Of course, the medications did not apply to him, and the exam was just based on learning the tracings; which was for all of us.

I am not even totally sure what my role would be as an LPN doing this, because while I know the medications, the majority of them I cannot administer because they are mostly IV push, and my scope of practice does not cover that...but, I believe that I have to check the patient, and if they are in crisis, I can sit them up, administer oxygen and get the RN assigned to that person immediately for an assessment and intervention. This is a great skill to know, and if you can acquire it before you actually enter into the nursing program, it would be an advantage to you, I believe.

Specializes in acute care.

Thanks, I have a basic understanding, but I am still weak on the interpretations. I'll start reviewing my EKG book.

Specializes in Community Health, Med-Surg, Home Health.
Thanks, I have a basic understanding, but I am still weak on the interpretations. I'll start reviewing my EKG book.

And, if you get a chance, take Beth Israel's 12 Lead EKG Interpetation class. It is about $100, and well worth it. That class will show you where the arrthymia is actually happening in the heart. Very interesting!!

Specializes in acute care.

I'll def. do that. My EKG class didn't leave me feeling confident.

And, if you get a chance, take Beth Israel's 12 Lead EKG Interpetation class. It is about $100, and well worth it. That class will show you where the arrthymia is actually happening in the heart. Very interesting!!
Specializes in Community Health, Med-Surg, Home Health.
I'll def. do that. My EKG class didn't leave me feeling confident.

I think that the confidence will build once you actually start working. I am very nervous about this, because this will be the first time I will be tested, and then, set free at some point to stare at monitors all day and have to interpet them to possibly save someone's life. But, I took the class for a reason; to be a better nurse and also because it was so darned interesting for me to read these squiggly lines and determine just what type of problem this person is having. I know that I have to be alert, and I was told by many that watching those monitors all day can be hard on the eyes.

Also, I didn't leave nursing school all of that confident, but, thus far, I am making it. I think it will be even better for you at this point to get it now, when you don't have the same legal responsibility that the nurse has. Of course, this does not mean that you will be any more neglectful in monitoring the patients than a nurse would...but the accountability will be different. When I went to staff ed and told her that I was recommended to work per diem in this capacity, the first thing the woman asked me is if I was a tech or a nurse. When I said 'nurse', then, the tone changed....not negatively, but, she made me understand that I really need to review that information, and even though I will be sitting down all day, to take it seriously because if something happens to a patient while I am sitting there and I don't pick it up; then, it is MY license on the line. Made me shudder a bit. But, then, I felt that I really wanted to learn the skill, and practice it occasionally. I am nervous, but I am going to try my best to make it happen and to practice safely...the same I promised myself as a nurse. Good luck!

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