INDICATIONS FOR DISCHARGE TO THE FLOOR WITH TELEMETRY

  • Acute Coronary Syndrome
  • Acute Heart Failure/pulmonary edema
  • Acute poisoning with substance known to cause arrhythmia
  • Acute stroke
  • AFib/Aflutter/SVT receiving NEW therapy for rate control
  • Do Not Resuscitate (DNR) patients only if new anti-arrhythmics are started
  • Heart Block: 2nd or 3rd degree block
  • AICD or pacemaker (new implant)
  • AICD/pacemaker with suspected malfunction
  • Initiation of vasopressors, vasodilators, or inotropic agents
  • New left bundle branch block
  • Post cardiac surgery
  • Post percutaneous coronary intervention (PCI)
  • Post EP study/ablation/cardioversion
  • Prolonged QT intervals
  • Recent cardiac arrest
  • Recent syncope/pre-syncope
  • Uncorrected electrolyte imbalance
  • Progressive care unit/observation unit patients

       Patients should be evaluated daily for their need of telemetry upon discharge from the ICU.  This also is listed on the daily ChuGG sheet and should be brought up for discussion each day on rounds. When being transferred out of the ICU this order needs to be “ACTIVE” rather than “Signed/Held.”