504-U9-a-A: Clinical Practical Guideline for Telemetry

Clinical Practical Guideline for Telemetry
Name
Institution
Clinical Practice Guideline for Telemetry
Introduction – Overview of Clinical Practice Guideline
The guideline was developed to help monitor telemetry. It outlines ways of assessing telemetry and details how to help adult patients on cardiac or surgical/medical step-down units at “Winnipeg Regional Health Authority” (WRHA)
The document has a nursing potion that provides guideline on ways of communicating and documenting information for adult patients that need telemetry. The main goal of the guideline is to aid in decision-making on how to make optimum use of “telemetry resources”. As a result, the aim of the guideline is to be used together with individual clinical decisions relating to patient management and care.
The guiding principles for the guideline include: “WRHA acute care facilities” come up with the necessary telemetry monitoring policies/procedures that does not violate the “regional guideline”, authorized physicians “at each WRHA acute care facility” give the greenlight to go ahead with telemetry within the chosen telemetry services, and there is a 24 hour assessment of the need for telemetry services.
The guideline identifies ICU/tertiary community as medical/cardiac patients in ICU/CCU who need to be continuously monitored for cardiac, prepared to mobilize, can be telemetry monitored and be accepted to go to the wards. Cardiology and “medical -surgical inpatient units are regarded as those patients who never meet the criteria for “coronary care” and therefore do not need to be transferred to the intensive care unit but still need telemetry. Those patients who do not need telemetry are regarded to have “low risk acute coronary syndromes”.
The guideline goes further to outline methods of lead selection, how to document vital signs, measuring cardiac rhythm, ST monitoring, maintaining safety, communication, patient education, staff education (for nurses responsible for monitoring and remote telemetry), and maintaining quality. Following the guideline is in the hope that it will be useful in detecting life threatening and serious variations in the cardiac rhythm of a patient so that early “therapeutic intervention(s)” can be carried out.
How Different Professionals are Held to the Guide
The first main duty of healthcare professionals is to determine the category of a patient. In this regard, it would be their duty to tell if a patient needs to be in ICU, whether they need to be in “medical-surgical in patient units”, or whether they do not need telemetry. The healthcare professionals would have to document the “vital” signs (blood pressure, O2 sat, RR, and pulse). Healthcare professionals are also expected to measure the cardiac rhythm of patients and analyze them (Najafi & Auerbach, 2012). Any abnormalities are reported to the health care provider in charge.
The guideline also requires the healthcare professionals to perform ST monitoring to determine if there are any “acute coronary syndromes”. Most importantly, the guideline provides them with ways of ensuring safety, effectively mon...