Frequently Asked Questions

Question

Where can I find more information on ventricular assist devices (VADs)?

Answer

University of Pittsburgh Cardiac transplantation program. Pittsburgh, PA. They have both a wonderful program and a lot of resources available.

Question

I need clarification regarding the time ECG should be preformed.

On Step 4 of the algorithm you mention that “Obtain a 12-lead ECG and assess for arrhythmias.” followed by “Do not delay the CT scan to obtain the ECG…”

What do you mean by “do not delay the CT Scan.” If every action from Step 4 is done except the ECG and CT team is ready to receive the patient, should I do an ECG as long as it doesn’t exceed the set 25minutes goal from Door to CT or should I delay the ECG until after the CT Scan is done. Hugo Arsenio.

Answer

No, what it means is if the CT scanner is available, do it and do the ECG after the CT. You want the CT done as early as possible so that diagnosis can be made.

Question

I am a risk consultant with Illinois Risk Management Services. We provide risk and claims management and consulting services to hospital clients throughout Illinois. One of our hospital clients has expanded their telemetry monitoring to include ICU, step-down, and medical surgical beds; one tech is currently monitoring up to 48 patients, plus potentially 8 ICU bedside monitors. Another hospital client in their system has established a threshold of 50 patients before requiring a second monitoring tech. The hospitals have asked for our opinion, from a risk management standpoint, re: an appropriate monitor tech to patient ratio.

We would appropriately reference you (or any other source if you provide information from additional sources) in any opinion or advice (written or verbal) we provide to this client or any future clients.

Answer

There are no written guidelines, however I trained the monitor techs at Allegheny and they routinely watch a 42 bed telemetry unit.

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