monitoring cardiac telemetry in your ED

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Specializes in cardiac, neuro, ICU/CCU, ER, transplants.

I am trying to do some research on 'best practice' when monitoring cardiac patients in our ED. Do you have a policy on how often your ED RNs run telemetry stips? In my ED right now, we do an initial EKG, monitor the patient on telemetry, and then repeat the EKG if needed...

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Specializes in ER/Critical Care.

that's what we do as well. if there is an "event" (i.e. short run of vtach or something) i will print it and put it with the chart, but otherwise we don't post strips. that being said though i work in a small hospital and we don't typically hold admissions for more than a few hours.

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Specializes in Med Surg, ER, OR.

on all cardiac or possibly cardiac related, we will run an initial strip and EKG, and then mount any changes (SVT, new afib, RVR, etc.). repeat ekgs are only done PRN.

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Specializes in Emergency, medical-surgical,.

We do the same with one difference we always write a second EKG after approximately six hours and whenever patient experiences changes in his/her

condition even if no changes are visible at the monitor.

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Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.

Our central monitor has an event function that captures anything new/different/exciting, which is nice.

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