Nursing Specialties

Telemetry Nurse

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What is a Telemetry Nurse

Telemetry nurses monitor patients who have had a cardiac-related event or are at risk of developing a cardiac complication. For example, their patients may have had a stroke, heart attack, cardiac surgery, or cardiac procedure and need observation to ensure they recuperate without incident. Telemetry nurses must maintain constant vigilance over the telemetry devices that transmit the patient’s EKG so they can quickly intervene if an emergency occurs. 

Telemetry nurses work in the step-down units where patients are transferred after being treated in the CCU or ICU. Patients are hooked up to the telemetry monitors that transmit their cardiac rhythm to a central station. Some telemetry devices also track oxygen saturation, respiratory rate, and blood pressure.  

Telemetry nurses must quickly determine if they observe a life-threatening cardiac rhythm and be ready to perform life saving action if needed. They are experts at determining whether a patient needs immediate treatment or if a rhythm pattern should just be observed and reported to the cardiac team. 

Telemetry nurses also attend to their patients’ other medical needs and support their psychological and emotional needs, which can affect a person’s heart function.

Telemetry nurses often receive advanced training to improve their skills. Some become certified or clinical nurse specialists (CNSs). Others become advanced practice registered nurses (APRNs) as cardiac nurse practitioners or clinical nurse specialists (CNSs).  

What does a Telemetry Nurse Do?

Telemetry nurses perform some of the same activities as other nurses, but they put primary focus on the cardiac status of their patients.  Depending on the unit, general activities may include:

  • Taking patient histories and documenting care
  • Recording vital signs and closely monitoring EKG rhythms strips
  • Administering medications and running IV drips
  • Doing physical exams, including listening to heart sounds
  • Monitoring lab results and response to therapy
  • Responding quickly to any life-threatening cardiac event 
  • Alerting the medical team to any significant changes that need attention

In outpatient settings, where monitoring is done remotely, telemetry nurses track the EKG rhythms, call patients to check their status, and record and report their progress to the physician.

Telemetry Nurse

What skills does a Telemetry Nurse need?

Telemetry nurses require rapid EKG interpretation skills, critical thinking skills, and the ability to stay calm and organized during emergencies when a patient is having a cardiac event.  

At the same time, telemetry nurses need a solid foundation of basic medical conditions as many patients have comorbidities that may complicate their recovery. 

Telemetry nurses utilize strong teaching skills to instruct families and patients on lifestyle practices to reduce their risk of cardiac complications.

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What skills does a Telemetry Nurse need?

Telemetry nurses require rapid EKG interpretation skills, critical thinking skills, and the ability to stay calm and organized during emergencies when a patient is having a cardiac event.  

At the same time, telemetry nurses need a solid foundation of basic medical conditions as many patients have comorbidities that may complicate their recovery. 

Telemetry nurses utilize strong teaching skills to instruct families and patients on lifestyle practices to reduce their risk of cardiac complications.

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Telemetry Nurses

Work settings for Telemetry Nurses

Telemetry nurses often work in hospital step-down units but can also work in clinics or cardiac home-care monitoring.

Common Cases Telemetry Nurses Encounter

  • Hypertension
  • Angioplasties and stent insertions
  • Post pacemaker placements
  • Cardio-vascular surgeries
  • Renal failure
  • Heart failure
  • COPD
  • Stroke

How to Become A Telemetry Nurse

  1. Complete an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) degree: takes two-to-four years based on the program 
  2. Pass the NCLEX-RN exam and apply for your RN license after graduation
  3. Apply to work on a Cardiac Telemetry unit as a new grad or after a year of experience on a medical-surgical unit and learning how to interpret EKGs.
  4. Apply for AACN advanced certification after gaining work experience and meeting prerequisites

How to Advance Your Career As A Telemetry Nurse

You can advance your career by getting an MSN or doctoral degree with a cardiac focus. Alternatively, you can become a Cardiac Nurse Practitioner (CVNP) specializing in one or more cardiac care areas and obtain certification or a Clinical Nurse Specialists (CNS) in cardiovascular care and become an educator or manager. 

Education Requirements & Helpful Certification

Telemetry nurses must be BCLS and ACLS certified and know how to interpret EKGs. It is highly encouraged that they become additionally certified after gaining experience. There are two organizations that provide certifications. 

Average Salary For Telemetry Nurses

Telemetry nurses typically make between $64,442 - $82,712, with an average salary of $72,582, according to Salary.com.

The May 2021 Bureau of Labor and Statistics report shows which states have the highest and lowest wages for nurses. They do not list by nurse specialty, but telemetry nurse salaries would likely follow suit. The highest-paid states are California, Hawaii, and Oregon. The lowest-paid states are South Dakota, Alabama, and Mississippi.

Ideal Personality Traits

  • Critical thinker and interest in technology tools
  • Flexible and calm in unpredictable situations
  • Able to multitask and prioritize
  • Interest in the mechanics of cardiac function and interpreting EKGs
  • Enjoys patient teaching of cardiac condition

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Telemetry Nurse

Telemetry nurses care for patients with cardiac conditions and those who have had a cardiac procedure or surgery that telemetry is needed to monitor their cardiac rhythm. Some patients have other medical needs as well. Patients are usually in a step-down unit from the intensive care unit (ICU), on a telemetry floor, or progressive care unit.

Telemetry nurses work to provide bedside care but also use technology to monitor and interpret their patient’s EKG rhythm, track vital signs, and oxygen levels. They also need to pay attention to their patients’ psychological and emotional needs, which can affect a person’s heart function.

Education Requirements

Telemetry nurses must be BCLS and ACLS certified and know how to interpret EKGs. It is highly encouraged that they become additionally certified after gaining experience. There are two organizations that provide certifications. 

How to advance/career pathway

You can advance your career by getting an MSN or doctoral degree with a cardiac focus. Alternatively, you can become a Cardiac Nurse Practitioner (CVNP) specializing in one or more cardiac care areas and obtain certification or a Clinical Nurse Specialists (CNS) in cardiovascular care and become an educator or manager. 

RESPONSIBILITIES

  • Cardio-vascular patient assessment and telemetry monitoring 
  • EKG rhythm recognition and quick intervention for life-threatening arrhythmias
  • Administer cardiac medications either IV or orally
  • Track cardiac-related labs and other study results 
  • Work with the cardiovascular team of cardiologists and surgeons

MOST COMMON CASES

  • Hypertension
  • Angioplasties and stent insertions
  • Post pacemaker placements
  • Cardio-vascular surgeries
  • Renal failure
  • Heart failure
  • COPD
  • Stroke

How to become a

Telemetry Nurse

  1. Complete an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) degree: takes two-to-four years based on the program 
  2. Pass the NCLEX-RN exam and apply for your RN license after graduation
  3. Apply to work on a Cardiac Telemetry unit as a new grad or after a year of experience on a medical-surgical unit and learning how to interpret EKGs.
  4. Apply for AACN advanced certification after gaining work experience and meeting prerequisites

The Pros

  • Develop close relationships with cardiac patients and their families
  • Become an expert in detecting cardiovascular changes and treatments
  • Work collaboratively with cardiac team physicians and others
  • Good preparation for transferring to ICU/CCU or ED/ER

The Cons

  • Constant watchful waiting for potential cardiac events can make workload feel tense 
  • Can be stressful as cardiac patients may unexpectedly do poorly and not survive
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Personality Traits

  • Critical thinker and interest in technology tools
  • Flexible and calm in unpredictable situations
  • Able to multitask and prioritize
  • Interest in the mechanics of cardiac function and interpreting EKGs
  • Enjoys patient teaching of cardiac condition
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Average Salary

Telemetry nurses typically make between $64,442 - $82,712, with an average salary of $72,582, according to Salary.com.

The May 2021 Bureau of Labor and Statistics report shows which states have the highest and lowest wages for nurses. They do not list by nurse specialty, but telemetry nurse salaries would likely follow suit. The highest-paid states are California, Hawaii, and Oregon. The lowest-paid states are South Dakota, Alabama, and Mississippi.

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Certifications

AACN certifications

  • Progressive Care Nursing Certification (PCCN) 
  • Cardiac Medicine Certification (CMC)  
  • Critical Care Registered Nurse (CCRN: Adult)
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Work Setting

Telemetry nurses often work in hospital step-down units but can also work in clinics or cardiac home-care monitoring.