Have you ever had to deal with a telemetry patient who required emergency intervention for a cardiac tamponade or pericardial effusion? If so, how did you handle it?

Sample interview questions: Have you ever had to deal with a telemetry patient who required emergency intervention for a cardiac tamponade or pericardial effusion? If so, how did you handle it?

Sample answer:

• Swift Recognition and Alert:
  Identify the symptoms of cardiac tamponade or pericardial effusion promptly, such as decreased blood pressure, elevated central venous pressure, jugular venous distension, and muffled heart sounds. Immediately notify the physician and initiate emergency protocols.

• ABCs and Vital Signs:
  Ensure the patient’s airway is patent and provide supplemental oxygen as needed. Continuously monitor vital signs, especially blood pressure and pulse oximetry, and report any changes immediately.

• Cardiac Monitoring:
  Attach the patient to telemetry monitoring to track heart rate, rhythm, and ST-segment changes. Monitor for dysrhythmias, such as pulsus paradoxus, and notify the physician of any concerning findings.

• Pericardiocentesis Preparations:
  If pericardiocentesis is indicated, prepare the necessary supplies, including sterile drapes, local anesthetic, a pericardiocentesis needle or catheter, and a syringe. Ensure the patient provides informed consent, if applicable.

• Procedure Assistance:
  During the pericardiocentesis procedure, assist the physician by maintaining sterile technique, holding the patient’s hand to provide comfort, and monitoring vital signs closely. Be prepared to administer medications or fluids as directed.

• Hemodynamic Monitoring:
  After the procedure, continue monitoring the patient’s hemodynamics, including blood pressure… Read full answer

  Source: https://hireabo.com/job/2_0_24/Telemetry%20Nurse