Cardiac Telemetry or Observation Unit?

[itsKat]

I worked in med surg department for 2 years as an LVN and now I have my RN license, I am offered to work in an observation unit (hospital has union) and in a cardiac telemetry unit (non-union). I'm having a hard time choosing which route I want. Which unit is more stressful? I am planning to be a case manager in the future (my dream job). Please share some experiences and insights to help my decision easier. Thank you!

[beekee]

Cardiac telemetry. Patients on a cardiac telemetry unit typically have many needs that require case managers. They are older and have many comorbid conditions. They have cardiac issues, which accompany kidney and/or diabetes. They often also have respiratory issues, dementia, mobility issues, etc.

An observation unit is fast-paced, with 100% turnover goal every 24 hours. Many, but not all, will have no case management needs. These patients tend to be lower acuity.

[OUxPhys, BSN, RN]

Cardiac telemetry for sure. If someone develops chest pain or goes into an arrhythmia more often than not they will be transferred there. Acuity is a little higher because most cardiac telemetry floors are stpedowns in name only.

Observation....is that the same as a CDU? If it is I would take that. Plus that gig is union. Usually these type of units have patients that either go home or get admitted to the hospital......much less stress.