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                                                                  Resources

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                                                                  Resources

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Benjamin, E.M., Klugnan, R.A., Luckmann, R., Fairchild, D.M., Abookire, S.A. (2013). Impact
of cardiac telemetry on patient safety and cost. –PubMed-NCBI. Retrieved May 29, 2018,
from https://www.ncbi.nih.gov/pubmed/23844751

Shi, L. & Singh, D.A. (2019). Delivering Healthcare in America: A Systems Approach (7th ed.).
Burlington, MA: Jones & Bartlett Learning.

Stolldorf, D. P., & Jones, C. B. (2015, July 01). The Deployment of Rapid Response Teams in  U.S.
Hospitals. Retrieved May 29, 2018, from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4445360/

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How I feel when my patient is not on telemetry......

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How I feel when my patient is not on telemetry......

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"Hello, it's just me. Were you sleeping?"

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Can be fatal without intervention. Telemetry technicians are able to activate a Code Blue based on this rhythm, saving precious time and reducing heart damage.

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Telemetry Monitoring in                      Critical Care Units

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Telemetry Monitoring in                      Critical Care Units

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Tele-ICU, telemetry or cardiac monitoring in hospitals can help improve patient outcomes. When a patient is on telemetry or Tele-ICU they are monitored remotely by a team that works with the bedside nurse. (Shi and Singh, 2019, p.186) The patient’s cardiac rhythm is monitored, and some units will also monitor blood pressure, respirations, and oxygen saturation. The patient is not only monitored by technicians in a remote location who can notify the nurse of any changes or rhythms that are outside of set parameters, but also by multiple nurses on the floor. Telemetry units have stations where the telemetry reading for each patient is on a monitor or large screen. Sometimes these stations have audible alarms as well. Some telemetry stations are accessible by the physician through their smart phone or other software program. They can monitor their patient and place orders or notify the nurse of changes in treatment needs. It is very helpful, as a nurse to see how your patient is responding to a course of treatment or if a cardiac drip may need to be titrated accordingly.

Telemetry can help medical personnel recognize a deterioration in a patient’s condition sooner, helping them activate Rapid Response Teams and reduce codes. (Stolldorf & Jones, 2015) One of the biggest hurdles in activating a Rapid Response Team can be articulating why you feel your patient is not doing well; sometimes we sense it before we even have the data before us. Having this data can really help back you up, so to speak.

One drawback to telemetry monitoring is increased costs. A patient must meet certain criteria before they can be placed on telemetry, just as they must meet certain criteria before they are placed in ICU. (Benjamin, Klugman, Luckmann, Fairchild, & Abookire, 2013) Balancing the increased cost of telemetry and many other technological advances, while improving patient outcomes is sure to be a major topic for hospital administrators in the years to come.

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Unstable rhythm that can lead to stroke! A patient can go in and out of a-fib without a 12 Lead ECG picking it up. Telemetry monitoring can identify the rhythm leading to early administration of medications and interventions.