Multifocal atrial tachycardia

Multifocal atrial tachycardia. There are at least 3 different looking P waves throughout the strip. A fusion beat is seen on the 2nd to the last complex.
I have been in nursing for 40 years and have worked in a variety of settings including hospice, long term care, med-surg, supervision, cath lab, ER, special procedures and critical care. I enjoy working as a float nurse because it gives me a variety of clinical experiences. I am also a CPR, ACLS, and PALS, TNCC, ENPC instructor at our local hospital.