definit1on

The thinking is that if a patient needs to be "upgraded" to be placed on a monitor they do not have to leave the floor. If they are downgraded they stay on the same floor they were admitted to. Another part of the change is allowing to keep the hospitalists or residents patients grouped together from emergency room to inpatient. Its just interesting that since the implementation of tele there is no one on the floor who has tele experience.

Our floor has a mix of patients. Our oncology patients are usually there for symptom management, to receive a port, and or chemo. We have a mix of patients in that we also receive medical surgical patients and now tele patients. They are continuously monitored and we have a monitor station on our unit. We are notified by the monitor room with any changes. My question really is how much training should some one recieve to take care of these patients. Know one on my floor has worked tele witch has caused allot of stress in the unit.

Hey, If you cannot feel a pulse start cpr! As part of the rotation you reassess for pulse. I am always under the impression to do too much then nothing at all.

Hello All, Recently our hospital went to incorporating telemetry onto all floors of the hospital to encourage patient centered care (i.e oncology, psychology, step down, ect), with more floors receiving more beds then others. Currently I work on the oncology/ medical surgical floor. We were giving three four hour classes with one two hour session in the monitoring room, and one eight hour share day on the dedicated tele floor. After this training we hit the floor running. I was just interested in the general opinion of those nurses with experience as well as those who have worked tele in the past. Any thoughts?

I work on a mix oncology/med surg/ tele floor and our ratio is 1:5 however sometimes we flex up to 6. As a home hospice nurse you can have 18-20 patients in home health seeing maybe 4-5. Nursing home on the acute rehab side can be 1-15 and if some one calls out it is 1-30 with the supervisor help. Nursing home Long term is 1-30 and at times 1-60 if the nurse calls out. There will be the med tech and at times the supervisor would help.

So my first three months into ltc and i feel horrible. i had a pt come in from the hospital who was just d/c from iv diladud and tylenol. upon taking over the shift i find that the only pain medication ordered on discharge is tylenol and tramadol. so the man is 0x1 and is moaning in pain. when he is changed he screams worse. so i decided to give him the prn tramadol and his tylenonol. i tried to get something stronger but the dr wasnt going to order anything stronger. i let my shift supervisor know upon reassessment and hour later he is still in pain, so i call the on call doctor and she orders another 50mg one time now of tramadol wich seems to be effective on the faces pain scale. i go back into the room to check and he is quiet. before he has his 5am change i give him another prn tramadol. at the end of the shift when i leave he is quiet but moans ocasionally. so i get called in to the facility to fill out a comment for investigation and told the family has pulled him out of the rehab and into another facility due to the fact and state they felt that his pain was treated horribly. they find out this informaltion through his roomate who is a young man who is on a methadone regiment and hates roomates. I feel horrible right now. I did everything i thought i could do, and i wouldnt leave anyone in pain . i feel like i am going to loose my license. i also realize that my documentation is really lacking. Any advice please help Robert