Abstract
Background:
The telemetry technology is used for in-hospital detection of arrhythmias, both in critical and non-critical care wards, and is an important part of diagnostics and treatment. Nurses are responsible for electrode placement, and ensuring optimal quality of the monitoring.
Aim:
The aim of the study was to investigate i) whether electrode placement during telemetry monitoring was correct, ii) whether the quality of electrode attachment was satisfactory, iii) whether hygiene was ensured by using a telemetry cover, and iv) whether patients had received the information needed.
Methods:
The survey was conducted during two weeks in 55 patients on telemetry monitoring in two coronary care units. This was 64% of all patients monitored during this period. Patients participating in the study did not differ from those not participating on important variables. A registration form with ten variables regarding
Results:
The study revealed that 30% of the electrodes were misplaced. However, in the majority of the patients (78%) the electrodes were optimally attached. In 71% of the patients telemetry covers were used in order to ensure a hygienic practice. Most of the patients (76%) reported to have received information about the intent of monitoring, but only two patients had received information about caution of mobile telephone use. Patients reporting not to have received information were older (p=0.024).
Conclusion:
Current practice of telemetry monitoring highlights the need for better education of nursing staff, and clearer guidelines to be developed and implemented. An intervention study testing an educational model to improve practice is recommended.