Description of Event or Problem · 1
CSS STAFF NOTICED A DECREASE IN CARDIAC OUTPUT ON THE SYNCARDIA C2 DRIVER (SN: (B)(4)) IN THE CT SCAN WAITING AREA WHENEVER THE C2 DRIVER IS PLUGGED INTO WALL POWER AT AROUND 1700. CSS STAFF INFORMED (B)(6) RN ABOUT THE FINDINGS. DR NAIR INFORMED BY RN OF SITUATION. UPON RETURNED TO PT ROOM, DR (B)(6) WAS INFORMED OF THE SITUATION. SYNCARDIA REP, (B)(6) ALSO INFORMED. REP RECOMMENDED SWITCHING C2 DRIVERS AT BEDSIDE. C2 DRIVER (SN: (B)(4)) WAS CONNECTED TO PT PER PROTOCOL UNDER THE SUPERVISION OF DR (B)(6) AND WITNESSED BY (B)(6) RN AT 1800. LEFT CARDIAC OUTPUT AND LEFT FILL DECREASED TO AS LOW AS ZERO. DR. (B)(6), DR (B)(6), DR (B)(6), DR (B)(6) DECIDED TO OVER PT TO ICU DUE TO PT STARTING TO GET TIRED. DR (B)(6) AND DR (B)(6) WERE CONTACTED BY DR. (B)(6) FOR POSSIBLE EMERGENT SURGERY. PT WAS TRANSPORTED TO CV OPERATING ROOM:02 AT 1840. (B)(6), SYNCARDIA REP CALLED CSS TO TRY TO SWITCH TO ANOTHER C2 DRIVER BEFORE THE PT UNDERGOES SURGERY. CSS STAFF INFORMED DR. (B)(6) OF SYNCARDIA RECOMMENDATION AND HE AGREED. C2 DRIVER (SN: (B)(4)) CONNECTED TO THE PT IN OPERATING ROOM. PT'S VITAL SIGNS AND SYNCARDIA PARAMETERS STABILIZED.