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We do monitoring on our
medical-surgical units that is observed by the monitor techs on the telemetry, intermediate
care unit. Nurses on units in our hospital that are not required to know
ECG rhythms are allowed to take a basic rhythm class. Any nurse in the
hospital is encouraged to take ACLS and we have several on the units that are
ACLS certified. Nurses on the medical-surgical units are responsible for
critical situations till the code team arrives. Since time is important
they are required to be able to identify the critical rhythms and do
interventions till the team arrives. In the past we have done
self-learning packets involving scenarios and rhythm strips. There is also
an annual skill check for defibrillation skills. There are some online or
computer assisted instruction CDs that are very helpful. We have a CAI
that some nurses have used on their own time in our computer lab to increase
their knowledge base. We also have the rapid response team in place that
they could call upon in an urgent situation for expertise. I hope this
helps in your planning and deciding of protocols. : )
Judy Morgan RN, MSN, Staff
Development Specialist
Good Samaritan Hospital
520 South 7th Street
Vincennes, IN 47591
812-885-3306
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