EllaBella1, BSN 377 Posts Specializes in ICU. Has 8 years experience. Dec 10, 2020 Honestly, I didn't read through all of these responses. I did however, read bits and pieces, and while I agree that it isn't a scope of practice issue, I do think it's an issue. You need to be trained or receive orientation on tele patients. As a med-surg nurse, would you know to check QTc before giving Tikosyn, for example? My guess is probably not. You will have someone else watching your tele monitors who will be able to alert you to changes in rhythm or potential problems, but you would still need to have the clinical insight to know when to check your tele. That said, I don't think it would take much training or orientation to get you up to speed, and I think it says something that your floor feels comfortable and confident in floating you to a higher level of care.