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Telemetry Parameter Settings

Alarm parameters match current patient orders critical (required)

Confirm that heart rate, rhythm, and other telemetry alarm limits align with active orders and clinical indications.

Yes No N/A

Alarm limits are individualized and clinically appropriate critical (required)

Alarm delay and escalation settings are properly configured

Check whether any delay, escalation, or notification settings are set per policy and documented.

Yes No N/A

Alarm parameters are reviewed after patient condition changes critical (required)

Yes No N/A

Reference to telemetry policy or SOP

Alarm Fatigue Review

Alarm frequency is reviewed for excessive or nuisance alarms critical (required)

Yes No N/A

Staff can identify common causes of alarm fatigue

Alarm reduction strategies are being used appropriately critical (required)

Yes No N/A

Recent alarm trend concerns are documented and escalated

Yes No N/A

Observed alarm fatigue risks

Pause, Silence, and Alarm Suspension Use

Pause or silence functions are used only for approved clinical reasons critical (required)

Yes No N/A

Maximum allowable pause duration is followed critical (required)

Yes No N/A

Alarm suspension is clearly visible to staff and monitored

Yes No N/A

Reason for pause or silence is documented critical (required)

Yes No N/A

Pause/silence events are reviewed for appropriateness

Documentation and Communication

Telemetry alarm settings are documented in the record critical (required)

Yes No N/A

Changes to alarm parameters are documented promptly critical (required)

Yes No N/A

Communication of alarm-related concerns to the care team is documented

Yes No N/A

Documentation includes follow-up actions or corrective measures

Yes No N/A

Documentation quality

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Run: Telemetry Monitoring Audit

Telemetry Parameter Settings

Alarm Fatigue Review

Pause, Silence, and Alarm Suspension Use

Documentation and Communication

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