|
Home > Archive > Medicine laboratory > September 2006 > Troponin
You are viewing an archived Text-only version of the thread.
To view this thread in it's original format and/or if you want to reply to
this thread please [click here]
|
|
| Prizen 2006-08-25, 4:30 pm |
| I'd like to ask a little survey, a show of hands- for those of you in a
hospital setting, how many of you have a critical value for an elevated
troponin? i.e. you have to call it to the floor?
EJ
| |
| Mike Collins 2006-08-28, 8:26 am |
|
Prizen wrote:
> I'd like to ask a little survey, a show of hands- for those of you in a
> hospital setting, how many of you have a critical value for an elevated
> troponin? i.e. you have to call it to the floor?
>
Yes we have a critical value.
We don'n normally phone troponins. They are an urgent test and we
expect the wards of A&E to check the hospital conputer regularly for
the results.
In England casualty deparments are penalised if the patient is in the
department more than 4 hours and they are usually keen on getting the
results. They phone if the result is not ready quickly.
| |
| PjS labrat 2006-08-29, 4:27 pm |
| We don't report elevated Troponins as a Critical Value.
PjS
| |
| John Gentile 2006-08-29, 9:27 pm |
| On 2006-08-25 12:02:16 -0400, Prizen <chilli@psnw.com> said:
> I'd like to ask a little survey, a show of hands- for those of you in a
> hospital setting, how many of you have a critical value for an elevated
> troponin? i.e. you have to call it to the floor?
>
> EJ
We call critical Troponin I >0.5. But only on admission or on the first
sample. After that the repeats are not considered critical even if they
are still elevated.
--
John Gentile, MS M(ASCP)
Laboratory Information Manager
Providence, VAMC
| |
| harrison6723@rogers.com 2006-09-11, 9:29 pm |
|
Prizen wrote:
> I'd like to ask a little survey, a show of hands- for those of you in a
> hospital setting, how many of you have a critical value for an elevated
> troponin? i.e. you have to call it to the floor?
>
> EJ
We call the first positive trop (=>0.5) to everyone except ICU. I guess
they
are on top of things enough.
| |
| Arcie Mizelle 2006-09-25, 9:32 pm |
| Yes we call critical Troponin values to the floor.
On Fri, 25 Aug 2006 12:02:16 -0400, Prizen <chilli@psnw.com> wrote:
> I'd like to ask a little survey, a show of hands- for those of you in a
> hospital setting, how many of you have a critical value for an elevated
> troponin? i.e. you have to call it to the floor?
>
> EJ
--
Using Opera's revolutionary e-mail client: http://www.opera.com/mail/
| |
| Arcie Mizelle 2006-09-25, 9:32 pm |
| One note on our calling critical troponin values to the floor. At our
hospital we have had a problem with nurses mischarting patient results so
we have been required to call all critical (i.e. elevated) troponin values
to the floor and record the nurses name and time of the call. I realize
calling more than the admission or initially elevated troponin value
doesn't seem practical, but I am not sure there has been enough data
collected on point to point troponin changes to determine their
significance for any individual patient other than those studies which
given general data concerning 30 day survival.
On Fri, 25 Aug 2006 12:02:16 -0400, Prizen <chilli@psnw.com> wrote:
> I'd like to ask a little survey, a show of hands- for those of you in a
> hospital setting, how many of you have a critical value for an elevated
> troponin? i.e. you have to call it to the floor?
>
> EJ
--
Using Opera's revolutionary e-mail client: http://www.opera.com/mail/
|
| |
|
|