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Discussion

Admitting patients

I'm a new night shift nurse, and I was wondering if someone could help me with a patient admission question. I find I'm only good at the science behind the medical world, but learning the administrative ropes is very hard for me. Examples of my new struggles: what doctor to call, how to dig through orders, what consults need to be called in now versus later, will insurance cover my observation patient's meds..I digress. My specific question is regarding ED 2 hour hold orders. I had a patient with a tibia fracture being admitted with no cardiac history. The admitting doctor saw my patient in the ER so that by the time I had my patient on the floor I was releasing the admitting provider's orders. However, my patient still had a 2 hour hold order for telemetry, but no continuous order. Should I put a telemetry box on this patient?

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P.s. I'm not currently at work wondering if I should put telemetry on this patient, just trying to sleep but my mind keeps wandering back to work...

Sounds like a P&P question that should be answered by someone at your facility.

Sounds like that was an ER order and not a floor order which means it doesn't apply once the patient hits the floor. But I could be wrong. Ask one of your superiors hypothetically of course so you don't get in trouble.

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