How often do you draw Troponins at your hospital?

Posted
by RNcDreams RNcDreams Member Nurse

Specializes in Tele, ED/Pediatrics, CCU/MICU. Has 4 years experience.

Attention All Tele Nurses:

I'm hoping to get a policy changed at my facility.

How often does your hospital have you draw troponin levels? Currently, we are required to check them every 3 hours. I understand that they can be done every 3, 6, and even 8 hours. What is your policy, and what state are you in?

Thanks!

pricklypear

pricklypear

Specializes in Telemetry, ICU, Resource Pool, Dialysis. Has 11 years experience. 1,060 Posts

My experience has been either 6 or 8 hours, usually in sets of 3. I've never had them ordered every 3.

ACRN06

ACRN06

Specializes in M/S, Tele, Peds, ER. Has 4 years experience. 92 Posts

Q 6-8 hrs x 3 sets

Wish I could be more specific on the "6-8" part but that really can vary from doc to doc. I wanna say I've seen it Q8 more often than 6 though.

Bumashes

Bumashes, MSN, APRN, NP

Specializes in Transgender Medicine. Has 14 years experience. 477 Posts

I'm on a med-surg floor. We typically see Q8hrs, but it can vary depending on why the test is being ordered.

angel4gramma

angel4gramma

Specializes in Home Health. Has 27 years experience. 127 Posts

Have always seen every 8 hrs x 3. If pt c/o cp again they order the same, sometimes the orders cross each other. Last few places I worked (I'm a traveler) I have seen every 6 x 3.

A_Simp

A_Simp

Specializes in Tele. Has 4 years experience. 69 Posts

Where I work in MASS, our order set is written q8 until peak but we stop if neg x2 or possibly 3. Hope that helps!

RNBSNMe

RNBSNMe

Specializes in ED, LTC, ICU. 32 Posts

Its Q 4h rs x 3 and if it still trends up u continue to draw it till it trends down...it becomes q 8 hours..

Kalait

Kalait

Specializes in Cardiac Stepdown. 12 Posts

We draw network wide (mostly) q6hours X 3

talaxandra

Specializes in Medical. 1 Article; 3,037 Posts

I'm with the majority - 6, 12 + 18 hous post initial draw

RNcDreams

RNcDreams

Specializes in Tele, ED/Pediatrics, CCU/MICU. Has 4 years experience. 202 Posts

Thanks for all the input so far! :)

cherick22

cherick22

25 Posts

Every 8 hrs times 3. Massachusetts

talaxandra

Specializes in Medical. 1 Article; 3,037 Posts

RNcDreams - do 3/24 bloods show anything more significant? It just seems so much extra work and expense...

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