You Are Now Entering TheYou Are Now Entering The

IMC/TeleIMC/Tele

UNITUNIT

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

Provides for continuous _______________________________________. Patients are not necessarily in a critical state but do have a cardiac history.

What is a TELEMETRY unit?

• Nurses• ___________________• CNA’s• ____________________• Doctors (IM,

Cardiologists, Electrophysiologists, Endocrinologists, etc.)

• ______________________,Radiology Techs, etc.

THE IMC/TELEMETRY TEAM

• ER

• _______

• OR

• Med/Surg floor

Nurse/Patient ratio 1:3 to 1:5

Where do the patients come from?

• _____________

• Arrhythmias

• MI’s

• _____________distress

• Angina Pectoris

• Infections

• ___________

• Pancreatitis

• ____________

• Post Surgery

• Acute Renal Failure

Most Common Conditions

• Patient is ____________• _______ monitor put on• Equipment placed in room• Treatment occurs

– Tests, procedures, medication

• Time on unit – ___________________ (average of 4 days)

Now What?

Common Equipment

• __________________________– electrodes

• Suction canisters

• ________________________

Common Equipment

• EKG monitor screen

• _________________________– Nasal canula,

masks

• IV pumps and poles

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

What does an EKG tell you?

It shows you the electrical activity of the heart.

I am glad you asked!!!!• P wave – tells you when the

____________________________________

• QRS complex - ______________________________________

• T wave – ______________________________________

Ok NOW How do I read it?

• 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?

H

ECG Component Time(sec)

Small square 0.04

Large square 0.20

P Wave 0.10

PR Interval 0.12 - 0.20

QRS 0.04-0.08

Measurements of Each Component

EKG Rhythm Examples

This is _______________________. _________________________________ Everything is working as it should and the

rate is WNL.

EKG Rhythm Examples

This is _________________________. ALL parts of the beat are present.

The rate however is ________________.

EKG Rhythm Examples

This is ________________________. ALL parts of the beat are present.

The rate however is __________________.

EKG Rhythm Examples

This is Sinus _________________ with ______________________________________(PVC’s).

ALL parts of the beat are present. _____________________________________.

EKG Rhythm Examples

This is ____________________________. _________________________________.

Irregular rhythm and rate usually 100-160 bpm.Atrium is beating about 200-300 bpm

EKG Rhythm Examples

This is ___________________________. P waves ________________________________

(0.10 sec).

EKG Rhythm Examples

This is _________________________________P waves are consistent BUT NO message being

sent to the ventricles.___________________________

What’s Next?

•Transfer to another floor

•____________

•Discharge