1. You Are Now Entering The IMC/TeleUNIT

2. Designed to provide care for those who ______________________________ ______________________________ __________, but still require more monitoring than those on the medical or surgical units. What is an IMC unit? INTERMEDIATE CARE UNIT

3. Provides for continuous _________________________ ______________. Patients are not necessarily in a critical state but do have a cardiac history. What is a TELEMETRY unit?

4. Nurses ___________________ CNA’s ____________________ Doctors (IM, Cardiologists, Electrophysiologists, Endocrinologists, etc.) ____________________ __,Radiology Techs, etc. THE IMC/TELEMETRY TEAM

5. ER _______ OR Med/Surg floor Nurse/Patient ratio 1:3 to 1:5 Where do the patients come from?

6. _____________ Arrhythmias MI’s _____________ distress Angina Pectoris Infections ___________ Pancreatitis ____________ Post Surgery Acute Renal Failure Most Common Conditions

7. Patient is ____________ _______ monitor put on Equipment placed in room Treatment occurs –Tests, procedures, medication Time on unit – ___________________ (average of 4 days) Now What?

8. Common Equipment _______________ ___________ –electrodes Suction canisters _______________ _________

9. Common Equipment EKG monitor screen _____________ ____________ –Nasal canula, masks IV pumps and poles

10. Focusing on cardiac labs Cardiac Markers _________________________________________. They are often discussed in the context of MI’s, but other conditions can lead to an elevation in cardiac marker level. Elevation usually means there has been heart damage Cardiac Enzymes –Troponin –CK –CK-MB LABS

11. What does an EKG tell you? It shows you the electrical activity of the heart.

12. I am glad you asked!!!! P wave – tells you when the ____________________________________ QRS complex - ______________________________________ T wave – ______________________________________ Ok NOW How do I read it?

13. Strips are printed in ___________ strips. To calculate rate you count the _____________________ per strip if rhythm is regular. Measure each component of each heart beat to determine if it is normal or abnormal. Ok NOW How do I read it?

15. H ECG ComponentTime(sec) Small square0.04 Large square0.20 P Wave0.10 PR Interval0.12 - 0.20 QRS0.04-0.08 Measurements of Each Component

16. EKG Rhythm Examples This is _______________________. _________________________________ Everything is working as it should and the rate is WNL.

17. EKG Rhythm Examples This is _________________________. ALL parts of the beat are present. The rate however is ________________.

18. EKG Rhythm Examples This is ________________________. ALL parts of the beat are present. The rate however is __________________.

19. EKG Rhythm Examples This is Sinus _________________ with ______________________________________(PVC’s). ALL parts of the beat are present. _____________________________________.

20. EKG Rhythm Examples This is ____________________________. _________________________________. Irregular rhythm and rate usually 100-160 bpm. Atrium is beating about 200-300 bpm

21. EKG Rhythm Examples This is ___________________________. P waves ________________________________ (0.10 sec).

22. EKG Rhythm Examples This is _________________________________ P waves are consistent BUT NO message being sent to the ventricles. ___________________________

23. What’s Next? Transfer to another floor ____________ Discharge