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Cardiac Telemetry or Observation Unit?

Nurses   (232 Views | 2 Replies)
by itsKat itsKat (New) New

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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!

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1 Follower; 786 Posts; 7,359 Profile Views

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. 

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OUxPhys has 4 years experience as a BSN, RN and specializes in Cardiology.

830 Posts; 9,707 Profile Views

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. 

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