Telemetry Nurse
What is a Telemetry Nurse?
The telemetry nurse specializes in caring for patients with heart disease, complications of heart disease and/or heart failure, or other medical issues that require continuous telemetry monitoring. This also includes caring for patients recovering from cardiac intervention, such as a cardiac stent or coronary artery bypass grafting (CABG) surgery. It's important to note that this type of nurse does not work in the Cardiac Care Unit, a type of ICU that cares for cardiac patients. The patient on the telemetry floor has often transferred from the ICU and is now considered stable but requires close monitoring. The role of a telemetry nurse is somewhat similar to other types of nurses in the healthcare field. Here are a few examples:
| Role | Primary Responsibilities | Required Skills | Education/Certification | Work Environment |
| Telemetry Nurse | Monitors and interprets patient data from cardiac telemetry, administers medication, and provides care. | Proficiency in telemetry, strong critical thinking, and communication skills. | RN license, ACLS certification, telemetry training. | Hospitals, cardiac care units, telemetry units. |
| ICU Nurse | Provides care for critically ill patients, administers treatments, and monitors vital signs. | Critical care expertise, quick decision-making, and strong assessment skills. | RN license, CCRN certification. | Intensive care units (ICU), emergency departments. |
| Cardiac Nurse | Cares for patients with heart conditions, performs cardiac assessments, and assists in procedures. | Cardiac care knowledge, EKG interpretation, patient education. | RN license, cardiac nursing certification. | Cardiology units, cardiac rehabilitation centers. |
| ER Nurse | Provides emergency care, stabilizes patients, and manages trauma cases. | Ability to work under pressure, rapid assessment, and multitasking skills. | RN license, CEN certification. | Emergency rooms, trauma centers. |
| Step-Down Nurse | Manages patients transitioning from ICU to general care, monitors recovery, and administers medications. | ntermediate care skills, telemetry knowledge, patient monitoring. | RN license, step-down unit experience. | Step-down units, intermediate care units. |
How to Become a Telemetry Nurse
Registered nurses who want to become telemetry nurses will have to complete some additional training. First, they will need to learn how to use an electrocardiogram (ECG, EKG) machine to monitor a patient's heart and assist the doctor in diagnosing abnormalities. They will also need advanced cardiac life support (ACLS) training to be able to react in the event of a patient's cardiac arrest. These courses can usually be found at local community colleges if a nurse did not take them during nursing school.
What Are the Schooling Requirements for Telemetry Nurses?
Registered nurses who have passed the NCLEX-RN and received licensure can work as telemetry nurses in most hospitals. Nurses who hold an ADN or BSN from an accredited school are both eligible. Keep in mind, however, that many hospitals are trending toward exclusively hiring BSN-educated nurses. While this may not be a requirement currently, nurses are encouraged to further their education as there may come a day where a BSN is mandatory.
Are Any Certifications or Credentials Needed?
The Academy of Medical-Surgical Nurses (AMSN) offers a certification for med-surg nurses who care for patients with telemetry monitoring.
The American Association for Critical Care Nurses (AACN) offers 2 sub-specialty certifications for telemetry nurses who are certified already with a nationally accredited clinical nursing specialty.
- CMC – The CMC is for nurses who provide direct care to acutely or critically ill cardiac patients
- CSC – The CSC is for nurses who provide direct patient care to cardiac surgery patients within the first 48 hours post-op
What Does a Telemetry Nurse Do?
A telemetry nurse specializes in reading and monitoring the output of electrocardiograms (EKGs), which translate the heart's electrical impulses into a readable rhythm. The telemetry nurse is specially trained to detect dangerous changes in these rhythms and alert the doctor in charge. They also monitor other vital signs, including blood pressure, oxygen level, and more. If an irregular heart rhythm is detected, telemetry nurses may assist with procedures such as cardioversions or treatments for other cardiac emergencies.
Where Do Telemetry Nurses Work?
- Hospitals
- Medical Facilities
- In-Home Care
- Community Clinics
What Are the Roles and Duties of a Telemetry Nurse?
- Monitors EKG output and keeps the doctor informed of any changes
- Responds to patients experiencing cardiac pain
- Performs various diagnostic tests
- Monitors vital signs including oxygen levels, blood pressure, breathing patterns, etc.
- Administers medication as needed
- Assists the doctor with various procedures and treatments for cardiac issues
- Educates patients on cardiac health
Telemetry Nurse Salary & Employment
While many things, including location and education level, affect a nurse's wages, the median salary of a telemetry nurse is $87,048 with a range of $65,000 – $141,500.
| Average Yearly Salary | |
| Top 10% of Earners | $141,500 |
| Top 25% of Earners | $111,500 |
| Median | $87,048 |
| Bottom 25% of Earners | $65,000 |
The job outlook for telemetry nurses remains strong, with jobs available due to a nursing shortage in general. The demand is high for telemetry nurses in particular because of the specialized training required to go into this niche area of registered nursing. With cardiac issues being one of the main health problems that Americans face, RNs looking to enter an in-demand specialty will find telemetry nursing a rewarding and stable career.
Helpful Organizations, Societies, and Agencies
- National Telemetry Association
- American Association of Critical Care Nurses
- Academy of Medical-Surgical Nurses
- American Association of Heart Failure Nurses
