As our hospital has increased it’s number of acute care beds, there has been an increased demand for the use of telemetry monitoring. This has led to additional purchasing of telemetry licenses and equipment. In addition, with telemetry orders having expiration dates in CPRS, it has resulted in the order falling off the patient’s chart and at times making it unclear to nursing if the patient should be removed from telemetry, as there may still be clinical indication for further monitoring with no clear discontinuation order. As a result, patients often remain on telemetry for lengthy times with no active orders in CPRS and potential inappropriate use. In the acute care setting, does having standardized guidelines for implementation and removal of cardiac telemetry help to improve utilization and cost of care?