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Currently cardiac telemetry monitoring (arrhythmia, ST-segment & QTc) is limited to the MICU, PCU, and 4C medicine wards. Due to this limitation there may be delays in patients being admitted to telemetry from the emergency department or unnecessary boarding within the MICU awaiting a telemetry bed. 

Please review the the evidence based indications for telemetry monitoring within our facility. These guidelines are taken from the AHA Guidelines (2017) and the summative VHA telemetry Guidebook (2020)

Telemetry should be reviewed on a daily basis, and discontinued if no longer indicated or appropriate. 

To Remove Telemetry 

1) Change ADT order (From Telemetry to Medicine)

2) Put in Nursing text order (Order #99) (Please discontinue telemetry) 

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