Telemetry Orders
With new patients (admission and transfers), how soon must you place tele box on patient?
bonus: where do you document it?
Within 30 minutes of admission to unit.
Must be documented in V/S flowsheet with a second employee# verification.
Once you give pain medication, how long do you have to reassess?
Within 1 hour
You have a pt admitted with a GI bleed. What care plan should you add in epic based on their diagnosis?
GI Bleed - EVERY patient should have a care plan/education based on their diagnosis
Upon discontinuation of telemetry order, how soon must you remove the monitor from the patient?
ASAP
You give a patient mylanta,maalox, what indication is this for?
Bonus: where would you document this indication?
Indigestion
Document in GI symptoms (can put comment)
Make with ANY PRN medication given, that their is documentation for the reason
How often should plan of care and education be documented on?
You get new tele orders for your pt, what do you do?
Place tele on within 30 minutes of provider order
Call HC to verify placement
Document tele box number with 2nd employee #
Document in V/S flowsheet if 'telemetry monitor on: yes or no
Document who you spoke with from HC
What is the pain scoring for mild, moderate, and severe?
Mild 1-3
Moderate 4-6
Severe 7-10
You have a patient admitted with a diagnosis of arrythmia. What care plan/education could you add for this patient based off diagnosis?
Arrhythmia/Cardiac Rhythm Disturbance
Your patient is still being monitored on telemetry, but has no orders, what do you do?
discontinue telemetry IMMEDIATELY
unless pt has reason to be monitored, then get an order
You give a patient ativan for anxiety, where would you document the anxiety?
Psychosocial in H&T
How do you add a care plan/education for a particular diagnosis?
What must you do to be compliant with telemetry strip documentation?
Document 0800/2000 strip (measure by HC) in V/S flowsheet
document box# at least once a shift
Measure PR, QRS, QT, R/R and QTC and document 1400/0200 strip in V/S flowsheet
What needs to be documented in your pain re-assessment?
Reassessment
Pain level
Pain scale used
Respiratory rate
Level of consciousness
Re-evaluation/relief acceptable: yes or no
For ALL patients, what care plans/education need to be documented on at least once a shift?
One based off diagnosis
risk of PI/PI prevention/skin breakdown
risk of falls/appropriate fall precautions
medications specific to patient