The benefits of being a Telemetry Nurse
Summary
TLDRThe speaker discusses their choice of specialty in the medical field, seeking greater responsibility and flexibility. They highlight the experience in a medical-surgical and telemetry setting, where they care for sicker patients than typically seen on a regular floor. The role involves starting with a limited number of patients, receiving reports from the charge nurse, and conducting comprehensive assessments. The focus is on anticipating patient needs to facilitate recovery and transition from the ICU to less intensive care settings, ultimately aiming for the patient's return home.
Takeaways
- 📚 The speaker chose a specialty for more responsibility and flexibility in their practice.
- 🏥 The medical environment discussed includes handling a variety of diagnoses similar to those found on a med-surg telemetry floor.
- 🤒 The patients seen are generally sicker than those on a typical med-surg telemetry floor.
- 👩⚕️ The practice starts with caring for two or three patients at a time, indicating a higher acuity of care.
- 📝 The nurse receives a report from the charge nurse before beginning their assessment.
- 🔍 A comprehensive patient assessment includes history, vital signs, and medications.
- 🔮 The nurse is expected to anticipate the patient's needs not just for their shift, but throughout the day and into the future.
- 🛑 The goal is to improve the patient's condition to facilitate their transfer out of the ICU to med-surg telemetry, and eventually to discharge them to go home.
- 💼 There is an emphasis on proactive care planning to achieve the best patient outcomes.
- 📈 The script suggests a structured workflow from receiving reports to conducting assessments and planning for patient recovery.
- 🏠 The ultimate aim is to see patients progress from the ICU to less intensive care settings and ultimately to return home.
Q & A
Why did the speaker choose to specialize in the mentioned field?
-The speaker chose to specialize in this field due to the desire for more responsibility and flexibility in their practice, which was easily built upon their medical surgical and telemetry experience.
What types of patients does the speaker usually encounter in their practice?
-The speaker encounters much sicker patients compared to those on a med surg telemetry floor, with a focus on intensive care unit (ICU) patients.
How many patients does the speaker typically start with in their practice?
-The speaker typically starts with two patients, sometimes three.
What is the source of the initial patient report for the speaker?
-The initial patient report comes from the alkaline nurse.
What is the process the speaker follows after receiving the patient report?
-After receiving the report, the speaker goes directly in to see their patients, conducting a full assessment including history, vital signs, and medications.
What is the primary goal of the speaker's patient care?
-The primary goal is to anticipate the patient's needs throughout the day and the future to get the patient better so they can leave the ICU and progress to med surg telemetry, and eventually go home.
What does the term 'alkaline nurse' refer to in the context of the script?
-The term 'alkaline nurse' seems to be a typographical error or a specific term used in the speaker's practice, likely referring to the nurse who provides the initial patient report.
How does the speaker approach patient care in terms of anticipating future needs?
-The speaker not only looks at the patient's current state but also anticipates what they will need throughout not just their shift, but also in the future, to improve their condition.
What is the ultimate objective for the patients under the speaker's care?
-The ultimate objective is for the patients to recover sufficiently to be discharged from the ICU, progress to med surg telemetry, and then return home.
How does the speaker's practice differ from a typical med surg telemetry floor?
-The speaker's practice involves caring for much sicker patients and includes a more intensive and forward-looking approach to patient care, focusing on long-term improvement and discharge planning.
What skills does the speaker emphasize in their practice?
-The speaker emphasizes the importance of a comprehensive patient assessment, understanding the patient's history, vital signs, and medications, as well as the ability to anticipate and plan for the patient's future needs.
Outlines
🚑 ICU Nurse's Role and Patient Care
The speaker discusses their choice to specialize in intensive care unit (ICU) nursing due to the desire for increased responsibility and flexibility. ICU nurses handle more critical patients compared to those on medical-surgical and telemetry floors. The speaker's daily routine involves receiving a report from the charge nurse, conducting a comprehensive assessment of each patient, including history, vital signs, and medications. The goal is to anticipate patient needs not only for the current shift but also for the future, with the ultimate aim of improving the patient's condition to the point where they can be discharged from the ICU to a medical-surgical telemetry floor and eventually return home.
Mindmap
Keywords
💡Specialty
💡Medical Surgical
💡Telemetry
💡Diagnosis
💡ICU
💡Med Surg Telemetry
💡Patient Assessment
💡Vital Signs
💡Medications
💡Anticipating Needs
💡Alkaline Nurse
💡Shift
Highlights
Choice of specialty driven by desire for increased responsibility and flexibility in practice.
Foundation built upon medical surgical and telemetry experience.
Encounter with a variety of diagnoses similar to med surg telemetry floor.
Caring for much sicker patients compared to other departments.
Starting with two or three patients at a time.
Receiving patient report from the alkaline nurse.
Conducting a full assessment including history, vital signs, and medications.
Anticipating patient needs beyond the current shift.
Planning for patient improvement and eventual discharge from ICU.
Goal of transitioning patients from ICU to med surg telemetry and then home.
Importance of comprehensive patient care planning for the future.
The necessity of understanding the patient's medical history for effective care.
Monitoring vital signs as a critical part of patient assessment.
Reviewing and managing patient medications as part of the care process.
The role of the alkaline nurse in the patient care reporting process.
The significance of patient care beyond the ICU, including med surg telemetry.
The ultimate aim of patient care: facilitating a return to home from the hospital.
Transcripts
I see you became my choice of specialty
because I wanted a lot more
responsibility and kind of flexibility
in my practice and that was built upon
very easily from a medical surgical and
telemetry experience we see a lot of
similar diagnosis to what you might see
on a med surg telemetry floor but we see
much sicker patients usually we start
with two patients sometimes three we get
our report from the alkaline nurse and
then I go right in to see my patients a
full assessment of the patient the
history the vital signs the medications
so you're looking at your patient now
but you also are anticipating what they
need throughout not just your shift but
throughout the day throughout in the
future how are we going to get this
patient better so that they can leave
the ICU and go to med surg telemetry and
then leave and go home
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