I'd be concerned about the quality of the measurement, the record-keeping
and the process management, but not about what the operator did when they
left school or the initials after their name.
With the addition of automated remote QC and automated transfer of
patient results I feel much more confident that we can avoid the
disadvantages of PoCT, and keep the advantages.
Would anyone like more details or have a look at the data linkages for
both of these functions in action?
Dr Jonathan Kay
[log in to unmask] wrote:
> Can I add another dimension to this debate? What about whole
> blood sodium and potassium versus plasma or serum. We have
> just placed blood gas analysers on PICU (P=Paediatric) which use
> whole blood for sodium and potassium. In the lab we use plasma.
> There are differences especially with sodium which could be
> clinically significant and the literature suggests different reference
> ranges. How do others deal with these two problems, if at all.
>
> I have to say that this is another argument against POCT. After all
> if you were a patient would you like your tests done by a medic or
> a nurse or a state registered MLSO. I know what I would want and
> what I would want for any patients. You would not let an MLSO
> remove your appendix would you? Technology moves on taking us
> willing and unwilling with it.
>
> Mike Addison
>
> Dr G. M Addison
> 27 Broadoak Rd
> Worsley
> Manchester M28 2TL
> 01617946108
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