Unit: Medical Telemetry Specialty: MS/Tele
3x12 7p-7a pm - every other weekend rotation Certs: ACLS, BLS, NIHSS MO State or Compact RN license required 13 weeks Blocked scheduling ok - may not be added to contract but can discuss with manager No locals - 60 mile radius rule
IV Start, Telemetry Charting System
EPIC Weekend/On Call
- Every other weekend may be required First Time Traveler (Y/N): Yes Scrub Color: Black Criteria for Admission to Medical Telemetry · Routine nursing care accommodated by an RN/Patient ratio of 5:1 · Patients who need a Nursing assessment every 8 hours · Patients who need Vital signs every 8 hours routinely · Cardiac monitoring · Hemodynamically stable dysrhythmia · Strong suspicion of non
- ST segment Elevate Myocardial Infarction (non
- STEMI) or unstable coronary syndrome by history, electrocardiogram, or labs for cardiac injury with resolution of chest pain and without hemodynamic instability or life threatening arrhythmias. · Pre and post-operative patients requiring telemetry and closer cardiac observation as compared to the general medical surgical nursing unit but patients who do not require ICU. · Patients with infectious diseases if requiring negative air flow isolation room 213. · ST segment Elevated Myocardial Infarction (STEMI) patients after 12
- 24 hours of ICU monitoring and stability. · Patient’s status post Percutaneous Transluminal Coronary Angioplasty (PTCA) without STEMI, hemodynamic instability, or life threatening arrhythmias. · Suspected pacemaker malfunction · Observation post pacer, defibrillator placement or post ablation · Patients transferred from ICU or Stepdown must be hemodynamically stable for at least 4 hours without pharmacologic hemodynamic intervention prior to transfer · Patients from the Emergency Department who demonstrate hemodynamic instability in the ED must be hemodynamically stable in the ED for at least 1 hour without pharmacologic hemodynamic intervention prior to transfer Treatment Provided: · Routine finger stick blood sugar · Cardiac or vasoactive drips/IV Meds that are stable, or require titration for no more than 90 minutes to stabilize patient include o Diltiazem drip/IVP o Metoprolol Special Care Procedures on this Unit Include: · Two or more blood transfusions in a 12 hour period · Three or more fluid boluses for maintaining adequate blood pressure in a 12 hours period. Procedures completed by the physician for Medical Telemetry patients include but are not limited to: · Thoracentesis · Paracentesis · Central Line insertion · Bone marrow aspiration · Chest tube insertion bf AA