| Summary: | Background: Registered nurses in critical care units may have a variety of responsibilities in addition to direct patient care. Assuming roles over and above their patient assignment can be challenging for nurses new to critical care. Even though additional roles may include similar skill sets (e.g., electrocardiography), the demands of learning multiple new roles and responsibilities occur during a larger transition into specialty practice. Aim: To identify and summarize literature that helps provide guidance and best practice(s) regarding assigning telemetry to new critical care nurses. Methods: Rapid realist review. Databases searched were Medline (Ovid), CINAHL (Ebsco), Nursing & Allied Health (Proquest), and Web of Science Core Collection. Inclusion criteria include new graduate nurses, new critical care nurses in adult settings, assignment of telemetry monitoring, and all study designs. Grey literature, dissertations, and studies with experienced nurses were excluded. The search was conducted on January 25, 2022. Findings: A total of four manuscripts met the criteria. Three provided a detailed program overview; one reported on a qualitative study. All were from the United States. Conclusion: Limited evidence is available to provide a substantive solution to this clinical problem – further research and/or quality improvement is merited.
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