This issue is one of POCT policy i.e. the laboratory
must assess the need and then evaluate which is the
best instrument(meter) to use. I found ICU staff, in
the hospital I used to work in, extremely helpful in
helping to assess/evaluate glucose meters and between
us we chose what was considered the best option. Which
was, when they required a glucose meter, the lab
provided them with one, ready for use(well maintained
and quality assessed). This way the personnel who are
going to use can, if necessary be re-assessed before
using again. In ICU units (and I have much experience
working with staff), I would not like to say which
system is best but one which will have least problems,
analytically and ease of use.
David Brown
--- PETER HOWELL <[log in to unmask]>
wrote: > We insisted that our ITU/HDU use Hemocues for
their
> glucose measurements. Although more expensive (
> about 63p a go ), we used the possible interferences
> with strip technology ( some of which you have
> already mentioned ) as a vital reason not to use
> glucose meters.
> Just out of interest, the Hospital as a whole uses
> Advantage II sensors, and ITU have a Bayer 865 blood
> gas analyser but minus glucose and lactate !
> We also have Hemocues on SCBU/Neonatal ITU, Renal,
> and post-natal wards.
>
> Peter
>
>
> Peter Howell
> Wrexham Maelor Hospital
> Wrexham
>
>
>
> > -----Original Message-----
> > From: Dr S Walker
> [SMTP:[log in to unmask]]
> > Sent: 04 December 2002 17:31
> > To: [log in to unmask]
> > Subject: Handheld glucose meters on ICUs etc
> >
> > Our ICU currently do glucoses via the lab or on
> their own Radiometer Blood Gas Analyser. They want
> to use glucose meters for patients who are stable
> and waiting to leave ICU (eg bed-blocked). Are many
> other units allowing the use of meters on ICUs and
> do any have a writen policy of exclusion to prevent
> inappropriate use? We use Roche Advantage meters at
> present. My worries are very sick
> patients/colloids/very abnormal haematocrits etc.
> Do the same problems arise in Theatres also? Does
> ease of use lead to (unintentional) misuse? Dr Sue
> Walker, Salisbury, UK. [log in to unmask]
> >
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community working in clinical biochemistry.
Please note, archived messages are public and can be viewed
via the internet. Views expressed are those of the individual and
they are responsible for all message content.
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