dude, I feel ya. I moved from an ancient & poor inner city hospital ICU with monitors in each pt room that I could see and watch while in the pts rooms, to a nice but old suburban hospital Tele unit with NO monitors in the pt rooms... just remote Tele transmitters on each pt, and a Tele room w/a Tele tech constantly watching their rhythms. Which I have no problem with, since I suspect some of them (who have been doing this for a decade or two) are better at identifying rhythms than I am (I've only been a nurse for 6 yrs).
What bothers me is I'm supposed to go down to the Tele room at least once during my shift (twice if it's a 12 hr shift) and sign off on *their* Tele sheet of identified rhythms. Now, I wouldn't sign off on a med I didn't give... I wouldn't sign off on ambulating a patient that someone else ambulated... why I should have to sign off on rhythms I didn't myself identify, I don't know. It makes me very uneasy. Not being able to see the monitor in the patient room, and see what their hearts are doing, makes me very VERY uneasy... especially the patients on drips.
The stratification of care (and of patients' bodies and body systems) into different areas and levels of care by staff of different levels of education/training may be cost effective for hospitals, but I don't think it's ultimately beneficial to the patients when it results in the kind of missed information that can occur when one person is not seeing/doing everything. That said, there is no way I could get through a shift without my PCTs (or the Tele techs, for that matter). As hard as I work, they work just as hard covering more patients and doing the thankless tasks like getting them on bedpans and commodes, and for way less pay. And the Tele techs always call me when there's any sudden change in rhythm so I can go to the patient right away and assess them.
But I sure wuold like it a lot better if the patients had monitors in their rooms AND we had a remote monitor in the nursing station, so I could see what they were doing while I try to catch up on charting.