[Telemetry/Step-Down] How do you decide when a patient still belongs on step-down versus when they need ICU again?

Instruction: Describe a practical workflow that would work on a real unit. Emphasize safety, communication, and realistic operational constraints.

Context: Assesses whether the candidate can explain a practical travel telemetry and step-down hiring workflow with realistic constraints and safe coordination.

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I decide by looking at trend, support needs, and how much instability the unit can safely absorb. If the patient is requiring escalating oxygen, becoming less responsive, growing more hemodynamically unstable, having more concerning rhythm activity, or requiring a level of intervention the unit is not set up to manage, I start thinking...

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