I stat troponin cartridge error x 2 for 1 rn.I stat troponin cartridge error on third attempt by second rn.4th attempt by third rn was successful.Patient arrived in emergency department (ed) with chest pain/suspected myocardial infarction (mi).Md ordered a bedside troponin level.When troponin bedside test was attempted, rn received "cartridge error" message from istat machine so he attempted the troponin test with a second cartridge.The same message appeared for the second cartridge.Patients blood was redrawn and a third cartridge was attempted.Third cartridge attempt with redraw of patients blood stated "cartridge error" again.Fourth cartridge attempted and was successful.Patients troponin was elevated.Cartridge error x 3 delayed proper and important patient care.
|