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.