Tele is pretty straight forward. For the
most part you will have cardiac pt without major damage. Dx
like R/O MI, C/P hey maybe they will call it Angina. Some
will be "Step-downs" from the Units who may have cardiac damage
or new onset problems but have been stable for a few days.
So, knowing a normal EKG and a "Lethal" one would be good.
You should know the basics of a QRS complex and how that relates
to what a heart is actually doing. You will probably see PVC's
so knowing a bit about them might be nice. Although there
are four "Shockable" Arrythmias (forget the fine VF you'll
really need a Cardiologist to see that) knowing Coarse VF,
a Polymorphic V-Tach and when a Monomorphic V-Tach is/becomes
shockable is over the top but impressive and it's not rocket
science (guess I shouldn't say heart surgery). No one will
expect you to know ACLS (which is what I was talking about)
it's complex and although I would assume most if not all RN's
on Tele have it, there is alot of information but you should
have some basic understanding of what "IS" an algorithm. With
any luck you will get to do some EKG's and learn a bit about
the common meds used there and how to hook someone to a monitor.
This is a good floor to learn how (why) to check the Crash
Cart as it's possible to see and participate in a real code,
one never knows what will happen. On my first day (ever) of
clinical rotation I had a Pt throw an embolis (probably) she
was a DNR but clearly A&O-3X I'd never seen any human being
die before. I did come back for day two but I really had to
think about it that night.