No, the protocol your hospital requires is not overkill. I am a RN who witnessed her mother go into cardiac tamponade 1 1/2 hours following the resident pulling her epicardial wires in the room. She died as a result of a tear of the right atrium. It does happen and I would not wish it on anyone. By the time she was rushed to surgery it was too late. She had been doing great following her procedure was expecting to go home the next morning. I watched her suffer until she went unconscious on the floor. As a result I am trying to find written protocols and information regarding the removal and care of a patient following the removal of the epicardial wires? Are all of the patients usually on a telemetry unit? I would appreciate any info that I can acquire regarding this procedure.