On our unit the patient care techs complete all the vital signs. They check vitals and document the heart rate based on the reading from the pulse oximeter on their finger. We recently had a patient in uncontrolled fib, and the documentation of all the patient's heart rates were wrong due to the use of the pulse oximeter for vitals. Just wondering what other areas practice for heart rate. Patients are on continuous telemetry, but the patient care techs do not see this nor know who is in afib when doing vital signs.