Nursing Duties on a Telemetry Unit

Since the early 1970s, many hospitals have added telemetry units, where patients at risk for complications can be electronically monitored at all times, according to an article in Nurse Week. Known by various other names, such as step-down unit, intermediate care unit or progressive care unit, the level of nursing here is less concentrated than in the intensive care unit (ICU) but higher than on a regular inpatient ward. Data from machines attached to patients is transmitted to a central area where nurses observe it on television screens.

Monitoring Patients

• Some telemetry units specialize in cardiac care, but others include cancer, renal, gastrointestinal and diabetic patients. Although these patients are stable, they are acutely ill with a danger of rapid status change. Technologically-savvy nurses track their patients' heart rate, blood pressure, temperature and level of oxygen in the blood with greater frequency than they would on a normal unit. They may administer medications here that would be prohibited in other parts of the hospital. Extensive medical knowledge is required for the job, as well as familiarity with each patient's medical history. Telemetry nurses work with a high degree of autonomy, following prior physicians' orders, reports the Nursing School Degrees website. Life-saving emergency treatment may be administered if the situation warrants it.

Case Management Duties

• Patients may be discharged directly from a telemetry unit or first moved to a regular bed for continued recovery. Because they have been seriously ill, often ongoing treatments or home care visits must be arranged. Telemetry nurses educate patients and their families on health and wellness practices after discharge. Sometimes the nurse assigned to a patient on the telemetry unit will act as a case manager and coordinate all aspects of the person's recovery.

Knowledge and Skills Recommended

• Although requirements vary with the institution, most ask that a telemetry nurse hold a bachelor of science degree in nursing. Courses in technology will aid in analysis of the data coming from the sophisticated machines in the telemetry unit. In addition, an ability to multitask would be helpful in this fast-paced job. According to Jacksonville University, telemetry nurses may be required to attain certification as a Progressive Care Certified Nurse (PCCN). Like other critical care nurses, those working in telemetry are often certified in Advanced Cardiac Life Support (ACLS). Training in case management is also a frequently held credential.