Johns Hopkins Model Of Remote Cardiac Monitoring

Introduction

Cardiac monitoring has been available since the early 1960s (Henriques-Forsythe, Ivonye, Jamched, Kamuguisha, Olejeme & Onwuanyi, 2009). George, Walsh-Irwin, Queen, Vander Heuvel, Hawkins, & Roberts (2015) explain, “Remote telemetry monitoring is the monitoring of cardiac rhythms of acute care inpatients from a central locate by personnel who are not directly involved with patient care” (p. 11). Researchers and authors published a multitude of articles, best practices, and standards for hospital monitoring (Drew, 2004, Funk, 2010). A basic internet query reveals injuries and deaths related to remote telemetry monitoring. Guidelines, best practices, and research provide the best evidence in the delivery of safe quality care

Key terms include “ethics and telemetry monitoring; ethics and tele monitoring; ethics and remote telemetry monitoring; cardiac monitoring ethics.” Inclusion: full-text, English, hospitalized Adults, cardiac monitoring, remote telemetry outpatient monitoring. Exclusion: animals, pediatrics, outpatient monitoring, tele health, telemedicine, telecare.

Results

The plan was to utilize the Johns Hopkins Model to evaluate the literature. No abstracts or full text articles specific to the inclusion criteria were found. The database review demonstrated an identifiable gap in the evidence related to cardiac monitoring and ethics. Due to the results, a review of the following case study approach was specific to ethical components.

Case

Rooted in the concept of duty, the nursing profession prides itself on a duty- to-others relationship while justice and fairness are basic tenants of ethical decision-making and all humans have equal value (Adams, 2011). Staff have the duty to respect the patient’s autonomy and do no harm.

In contrast, utilitarianism theory asks the question regardless of the action itself, did the greatest good result for the greatest number (RODP, 2015). In addition, it references that satisfaction of the greatest number of people is considered the greatest good. For example, in the emergency room triage system, patients do not receive care in the order of arrival, but in the order of greatest need (Adams,