mercyrn02

Greetings everyone, I need to know how patients are transported off of telemetry in other hospitals. At our facility we need a doctor's order(most do not want to make that call). This means that patients must be accompanied by an RN with portable monitor. We have 36 beds and on any one day at least half of the unit must leave the unit for testing or hemodialysis. HELP! :nurse:

When a pt is scheduled to have HD usually our nurses will call to report only if there is something specific that the HD nurse should know ,such as labs that need to be drawn, the pts bp required dosing of bp meds before HD, the pt is diabetic,or the pt is on isolation precautions. report must always be called to the primary nurse from HD to report # of liters taken off,all vital signs, and administration of meds or blood,and any adverse event. The only thing I do not like about our system is we have to take meal trays to HD for the pt. and also do our own accuchecks. Thanks a lot for the info. It is the most solid answer I have ever received.

I am a tele RN and frequently work with pts. on hemodialysis. Usually my pts. have a boatload of meds especially antihypertensives, nephrocaps, renagel,etc. I have been a nurse for 1.5 years and have asked everyone I know ,which meds should not be given before dialysis and I always get varied ,if any, answers. I am very concerned and do not want to make any mistakes, I have even surfed the web trying to find the answer but have not come up with anything are there any guidelines for this. My current practice is to give or hold antihypertensives before dialysis based on the bp. help!