HemoCue 201 Hb Training.pptVIP

cmmc.nhs.uk/directorates/deptlabmed/deptlabmed/poct/index.asp  HemoCue Hb 201 Training Session Point of Care Testing POCT is: Laboratory testing performed in the clinical setting by non-laboratory healthcare professionals Subject to the same level of professional and judicial scrutiny as conventional lab testing Advantages of POCT Fast turnaround time for results Improved patient management Disadvantages of POCT Increased risk of adverse incidents and litigation 10 significant incidents on Central in 2006 – 3 reported to MHRA Trust and Operator liable Reports from POCTc elsewhere in UK unregistered HemoCue in use - optics faulty and results 4mg/dL out The MHRA “Only staff whose training and competence has been established and recorded should be permitted to carry out POCT” Training should include Basic principles of testing Demonstration of proper use of system Consequences of improper use Instruction in sample collection Instruction in the importance of complete documentation of all results Appropriate calibration and QC testing Practical experience to satisfy instructor that trainee is competent Student staff grades are not permitted to perform testing independently, whether in the laboratory or POCT setting So what can go wrong? - and how the risk is reduced Something wrong with the equipment Daily check and documentation Operator technique Training Proficiency Testing Sample unsuitable for testing on device Poor sampling Limitations of device The POCT Operator takes responsibility for all of these. Make sure you follow the Standard Operating Procedure – it is there to protect the patient and you! Test cuvettes Very sensitive to moisture in atmosphere – Risk of erroneous results Now using individually wrapped NB these cuvettes are chemically different from the old ones do not use any old stock can distinguish between old and new - no longer have wings Daily Start-up Purpose Checks the lamp and light path are working When Every day before th