Telemetry monitoring patient from ICU to step-down

[Aerose]

i'm interested in knowing what your hospital policy is regarding telemetry monitoring when moving patients out of the icu to a telemetry step-down floor? do you transfer with a portable telemetry monitor or some equivalent? is it dependent on how far away the step-down floor is? is it doctor specific? is it allowable to move patients without monitoring in your hospital?

[purple CABG]

I have worked different places with all different policies. The last place I worked, patients coming out of ICU to telemetry step down were transported on a monitor with an RN. However, where I am now, this is not the case. Tele patients are transported out of ICU with no monitor and sometimes without an RN as well. Hope this helps!

[MN-Nurse, ASN, RN]

I have worked different places with all different policies. The last place I worked, patients coming out of ICU to telemetry step down were transported on a monitor with an RN. However, where I am now, this is not the case. Tele patients are transported out of ICU with no monitor and sometimes without an RN as well. Hope this helps!

Monitor and RN go with the pt at the two hospitals I've worked at.

[cogath]

Tele monitored with a resource RN at bedside during transport

[RhinoRocketRN]

our icu and pcu are on the same floor so an ICU nurse gets the tele monitor and puts it on the pt prior to being transferred to PCU. The RN goes with the patient during the transfer

[BrandonB779]

Our new step down unit from the ICU is the ICA (Intermediate Care Area) which an RN travels w/ a telemetry monitor to the floor. Other units that the pt requires Tele def monitor and RN, all other general medical (uro/ortho, etc) no RN required

[beckster_01, BSN, RN]

As a tech I worked at a hospital where techs were trained to recognize dangerous rhythms and use the AED so we could transport from the ICU to the floor on tele (all of our patients were transported on tele regardless of whether they would be monitored on the floor). However we were also told that if they were in an unshockable rhythm we must "rlh" (run like hell) to the nearest unit. Where I work now an ACLS nurse must travel with the patient and bring along an emergency pack of meds for all tele patients. Almost all the patients we get from the ICU are on tele.

[Yiggs]

i'm interested in knowing what your hospital policy is regarding telemetry monitoring when moving patients out of the icu to a telemetry step-down floor? do you transfer with a portable telemetry monitor or some equivalent? is it dependent on how far away the step-down floor is? is it doctor specific? is it allowable to move patients without monitoring in your hospital?

at the hospital for which i work, if a patient is being transferred from a critical care unit to a tele floor or step down unit they do transfer them with a portable monitor. the rational is, if they patient decompensates for one reason or another you will know from the portable monitor that they are in a dysrhytmia and you can intervene in a timely manner.