Telemetry indications

• Normal ECG and Negative Baseline Troponin -I with low probability of
  ACS/NSTEMI
• Patients awaiting urgent PCI or CABG

• SVT, VT, Atrial Fibrillation with fast ventricular response
• Bradycardia
• Haemodynamically stable patients with Heart Block awaiting PPM

• Overdose of drugs known to cause cardiac arrhythmias
• Digoxin toxicity
• Hypokalaemia/Hyperkalaemia
• Antiarrhythmic drugs

THIS IS A GUIDELINE ONLY - All decisions to discontinue telemetry must be discussed with medical staff

Chest Pain

• Pain free for 24-48 hours or until reviewed by Chest pain team/Cardiology
• 2 –ve Troponin I
• Haemodynamically stable (HR 60-100 bpm, Systolic BP>90mmHG or baseline for patient)
• Cardiac origin excluded

Arrhythmias

• 48 hours free from significant arrhythmia
• Haemodynamically stable (HR 60-100 bpm, Systolic BP>90mmHG or baseline for patient)
• No requirement for IV medications rate/rhythm control

Syncope

• 48 hours free from significant arrhythmia
• 48 hours free of syncope episodes
• Cardiac/Cerebrovascular origin ruled out
• Haemodynamically stable (HR 60-100 bpm, Systolic BP>90mmHg or baseline for patient)

Congestive Heart Failure

• 24 hours free of significant arrhythmia
• Haemodynamically stable (HR 60-100 bpm, Systolic BP>90mmHg or baseline for patient)

Toxic/Metabolic Disturbance

• 24 hours free of significant arrhythmia
• Haemodynamically stable (HR 60-100 bpm, Systolic BP>90mmHg or baseline for patient)
• Drug/toxin levels normalised
• Electrolyte disturbance corrected or returned to baseline

Acute Medical Illness with Cardiac History

• 24 hours free of significant arrhythmia
• Haemodynamically stable (HR 60-100 bpm, Systolic BP>90mmHg or baseline for patient)

Instructions for use: PDF

• Skin Prep – Do not store Electrodes in theTelemetry Box
• Preparing The TM80 Telemetry For Use
• Admitting A Patient On The TM80 Telemetry
• How To Print Real Time/Previous Events
• Discharging A Patient From Telemetry

• PLEASE ENSURE YOU HAVE ADDED THE PATIENT DETAILS TO THE LOG BOOK IN WARD 5 – IF PATIENT IS DISCHARGED OR TRANSFERRED - THE LOG NEEDS UPDATED AT ALL TIMES.
• Ensure a Rhythm strip is recorded from Ward 5 main monitor each 12 HOUR SHIFT and given to medical staff for review – this should also include a discussion / decision to continue telemetry.
• A telemetry label should be inserted into the unitary record and completed each 12 HOUR SHIFT.

Use the enclosed Telemetry Indication list for information - Registered Nurses can make the decision to monitor a patient with Telemetry