Transport of Tele Patients from the ED

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I was the resource nurse in a large trauma hospital. If a patient is monitored in the ED or anywhere else and they need to be transported, a nurse who had BLS and ACLS HAD to transport the patient with a transport monitor and ACLS box. I have had more than one 'stable' patient code in an elevator or hallway.

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How many of you do not send a nurse to transport a stable chest pain patient to a telemetry unit? What are some of your parameters?

TNX

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Specializes in ICU, Research, Corrections.
How many of you do not send a nurse to transport a stable chest pain patient to a telemetry unit? What are some of your parameters?

TNX

I don't unless I have an order to transfer without tele. That includes all road trips

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Specializes in Hospital Education Coordinator.

portable monitor must be attached and ACLS certified RN must accompany patient in our facility

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our techs who are paramedics or emts with acls, or equivalent go with tele pts anywhere on the monitor.

a nurse and tech go to the icu.

any intubated sedated pt gets a nurse and a tech.

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Specializes in ICU, ER.

Any pt on a monitor is transported with a monitor and ACLS RN, but without drugs, defib, etc. We have crash carts in XR.

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Specializes in Telemetry/PCU.

They come monitored with a nurse from our ED (or anywhere else) to our Tele.

For tests we have some rules to follow to see if they wil go with a nurse or not. The most common reasons to send with a nurse are:

1.

2. Chest pain in the last 24 hours

3. Positive Trop in the the last 24 hours

4. Any GTT

5. Afib with HR > 100

6. Any fresh vascular (but they never go anywhere anyways)

If they don't go with a nurse we send them on a "pack" which is a small monitor that our monitor room can see but we can't.

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