Now let's talk about what the goal is in
this telemetry/medical surgical unit.
Our idea is we want to maintain medical
stability of the patient's ABCs.
Remember, that's our top priority, no matter
what the unit, no matter what the patient,
those are always our top priorities.
But because he's had a stroke, we're going
to be watching that neurological status
really closely. Also, his
his rhythm, and his vital signs.
Now, we can watch his rhythm
because he's in a telemetry unit,
and he'll be on a monitored
bed is what we call it,
but really, he'll have a monitor that
will show us his cardiac rhythm.
Now, we want to make sure that you recognize
the signs of any deteriorating
condition in his level of consciousness
That's why in a telemetry unit,
we've got a little lower ratio
of nurses to patients.
So rather than just a regular Med-Surg unit,
you've got a little extra time,
more availability, to view your patients.
So these patients are generally
a little bit more critical than
a Med-Surg unit
and they require some special monitoring.
Now, obviously, all are working together
to minimize possible complications
from the stroke.
We want him to have optimum functioning
by the time he goes home, and
then after he's at home,
we'll determine what type of
outpatient care he needs.
So you're going to work with
an interdisciplinary team.
Now, our job is to get this
and discharge planning done.
So who's going to be involved
in discharge planning?
Well, listen, it should start right away.
So, we're going to work with the physical
therapist, the speech therapist,
the occupational therapist,
the social worker,
and the registered dietician
will all work together
with the patient and family to
come up with a good plan.
Okay. So, look at all that we're
going to accomplish in telemetry.
We're going to make sure he stays
stable, watch him for early signs
of any problems or complications.
We're going to help him get as
strong and safe as we can
before he goes back home and we're going
to make sure he has a solid discharge plan.
So, all these people work together
to assess where he is right now
and where we're sending him. So we
need to know what his house is like,
how many steps there are to
get into his house?
What does it take for him to get from
his bedroom to his bathroom?
Is his bedroom on the first floor? Is it on
the third floor? Does he have to take stairs?
All of those questions are
The team will work together
to get that information.
It is our job as the nurse
to work with the team
to make sure that our discharge
plan is safe and effective.
We're the main person to
coordinate with all these people
and the physician to make sure Mr. Johnson
will be safe when he goes home.
Now, I want to look at what a telemetry unit
is, in case you're not familiar with it.
So that's why we have this question.
So, what is a telemetry unit?
Well, you already know, it's a smaller,
usually a lower patient ratio
than a regular Med-Surg unit.
We've got the ability to do some monitoring.
So, it's like what you should see here.
The patients are on a small box and
it has wires coming off it, right?
What you can do is connect those
electrodes to the patient's chest wall,
and you take that box. And
usually, telemetry gowns
have a little pocket in them, so you can
either put them in the pocket of the gown,
or we can tie a holder around their neck.
The point is, they're very mobile with this.
So, this will be their heart monitor. We
can read it on a screen at the desk.
And usually, most hospitals have
another central monitoring unit,
that anyone who is on a heart monitor,
their rhythm will be present on that screen.
And that is a cardiac monitor's tech's job.
They sit in a large room with
lots of screens,
and they watch everyone's rhythm.
But you also can see that
at the nurses' desk.
So the nice part about this is, in ICU,
the patient has a heart monitor on, but they're
directly wired to a monitor in the room.
With telemetry, they can be mobile.
They can walk all the way around.
It just stays right with them.
So that's what a telemetry unit offers
that a Med-Surg unit doesn't.
It has the ability to have him on a heart
monitor and we can watch that closely.