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ECG & Telemetry

ECG:

  • Order in CPOE, if stat please inform nurse

How to view ECG's online before they appear in Soarian:

  • Go to: http://green:8080
  • Search the patient by name or MRN
  • If searching by MRN, one or two extra 0's need to be added in front of the MRN

 

Telemetry:

  • On admission order in CPOE
  • If a patient admitted on the ward develops an issue that requires telemetry, order in CPOE and inform the charge nurse

Indications for telemetry:

The assessment and monitoring of the following:

  • Drug or chemical toxicity known to cause cardiac arrhythmias (tricyclic antidepressants, phenothiazines, digitalis, antiarrhythmics).
  • Atrial fibrillation with rapid ventricular response requiring medical therapy.
  • Suspected cardiogenic syncope
  • Consider in new stroke patients with suspected embolic etiology – however, Holter monitor is the superior option

Exclusions:

  • Stable and arrhythmia free after 48 hours of consecutive monitoring
  • Patients admitted for “rule out acute coronary syndromes” who are pain free and who have a normal or unchanged ECG and no elevation of cardiac biomarkers
  • Those who are not candidates for therapy for arrhythmias
  • Patients undergoing routine, uncomplicated (diagnostic) coronary artery catheterization
  • Patients with chronic stable atrial fibrillation
  • Patients with asymptomatic ventricular ectopy who are hospitalized for non-cardiac causes
  • Patients with pacemakers and or AICD who are not suspected of having device malfunction
  • Patient with identified non-cardiac causes of syncope, near syncope or dizziness
  • Patients with stable congestive heart failure
  • Patients admitted for respiratory ailments such as asthma or pneumonia, without underlying heart disease

PLEASE REEVALUATE TELEMETRY NEED EVERY 24 HOURS. COMMUNICATE DISCONTINUATION WITH CHARGE NURSE.