Personally, I could not imagine working in a hospital that did not have central monitoring. Without central monitoring it seems that it would be very difficult to leave the patients beside for even a very brief time, being that if you were even gone for 3-4 minutes your baby could have a prolonged decel and no one would have any idea it was taking place. Central monitoring really works great when there is good teamwork on your unit. If you are in your room, or elsewhere, it provides a way for your co-workers to know that you (and your pt) may be in need of some assistance. Our central monitors "alarm" to settings we program and start beeping when we have a decel greater than 1 min, baby is tachy, off monitor, etc. I still try to spend a large amount of my time giving hands on pt care. I don't think central monitoring takes away from my patiets but provides them with a higher quality of care. Kate